A multicomponent intervention to optimise nurse–patient communication in the intensive care unit: A mixed-methods acceptability and feasibility study

Holm, Anna; Nikolajsen, Lone; Dreyer, Pia

doi:10.1016/j.aucc.2021.09.008

Cited by 10 publications

(5 citation statements)

References 35 publications

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“…Alguns pacientes, no entanto, são incapazes de se comunicar devido à gravidade de sua doença, seu nível de consciência e estado físico e cognitivo prejudicados. A proposição de estratégias facilitadoras deve ser incentivada durante as visitas bem como a colaboração com fonoaudiólogos para implementação de bundles específicos (Holm et al, 2022).…”

Section: Discussionunclassified

Bundle interdisciplinar para Unidade de Terapia Intensiva COVID-19: Uma revisão de literatura

Oliveira,

Dantas,

Machado

et al. 2023

RSD

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Objetivo: identificar as variáveis importantes para compor uma avaliação interdisciplinar da pessoa com COVID-19 grave e assim elaborar um bundle. Metodologia: Este é um estudo qualitativo do tipo revisão integrativa. Realizou-se as buscas nas seguintes bases de dados: Science Direct, Scientific Electronic Library Online, Literatura Latino Americana e do Caribe em Ciências da Saúde, Scopus e Web of Science. Como critérios para inclusão, foram selecionados estudos que abordassem o tema do estudo e que estivessem disponíveis para leitura na íntegra. Foram excluídos aqueles que se apresentassem duplicados. Resultados: Foram selecionados nove artigos para leitura na íntegra. Os estudos serviram como base para a criação do instrumento de avaliação a pessoa com COVID-19 grave, onde as variáveis foram incluídas mediante informações extraídas da revisão como: necessidades calóricas, mobilidade estimulada e higiene oral. Conclusão: Acredita-se que a inserção de um instrumento como este na prática clínica possa colaborar com a coleção de informações importantes para discussão interdisciplinar de forma contínua e atualizada.

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Section: Discussionunclassified

Bundle interdisciplinar para Unidade de Terapia Intensiva COVID-19: Uma revisão de literatura

Oliveira,

Dantas,

Machado

et al. 2023

RSD

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“…Inadequate and inconsistent communication strategies employed by critical care clinicians to facilitate communication with MV patients create barriers to understanding and accurately assessing the patient’s symptom experience. This gap can be addressed by routine speech–language pathologist consultation ( 55 ), implementation of communication training and competency testing for all members of the critical care team ( 56 , 57 ), and by incorporating augmentative and alternative communication tools as standard practice with mechanically ventilated patients ( 49 , 58 , 59 ). Evidence-based approaches to minimizing sedation use are necessary to optimize mechanically ventilated patients’ communication opportunities and abilities.…”

Section: Gaps Challenges and Opportunitiesmentioning

confidence: 99%

Symptom Assessment for Mechanically Ventilated Patients: Principles and Priorities: An Official American Thoracic Society Workshop Report

Guttormson¹,

Khan²,

Brodsky³

et al. 2023

Annals ATS

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Mechanically ventilated patients experience many adverse symptoms, such as anxiety, thirst, and dyspnea. However, these common symptoms are not included in practice guideline recommendations for routine assessment of mechanically ventilated patients. An American Thoracic Society-sponsored workshop with researchers and clinicians with expertise in critical care and symptom management was convened for a discussion of symptom assessment in mechanically ventilated patients. Members included nurses, physicians, a respiratory therapist, a speech–language pathologist, a critical care pharmacist, and a former intensive care unit patient. This report summarizes existing evidence and consensus among workshop participants regarding 1 ) symptoms that should be considered for routine assessment of adult patients receiving mechanical ventilation; 2 ) key symptom assessment principles; 3 ) strategies that support symptom assessment in nonvocal patients; and 4 ) areas for future clinical practice development and research. Systematic patient-centered assessment of multiple symptoms has great potential to minimize patient distress and improve the patient experience. A culture shift is necessary to promote ongoing holistic symptom assessment with valid and reliable instruments. This report represents our workgroup consensus on symptom assessment for mechanically ventilated patients. Future work should address how holistic, patient-centered symptom assessment can be embedded into clinical practice.

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“…Assistive tools enabling communication included a smart tablet with pictograms and spelling cards called ‘Talk‐to‐Care’ 14 . Other methods of recording patient preferences were during the initial patient history and using ‘the patient's book’, in which the family could note patient preferences and needs.…”

Section: Qualitative Findingsmentioning

confidence: 99%

“…If the patient was awake or lightly sedated, the nurses involved the patients by inviting decisions regarding personal care, mobilization, time to rest, and rehabilitation interventions, Assistive tools enabling communication included a smart tablet with pictograms and spelling cards called 'Talk-to-Care'. 14 Other methods of recording patient preferences were during the initial patient history and using 'the patient's book', in which the family could note patient preferences and needs. When a patient was unable to participate due to illness or medications, patient engagement shifted to information and family engagement in planning daily activities.…”

Section: Patient Engagementmentioning

confidence: 99%

Patient and family engagement in Danish intensive care units: A national survey

Oxenbøll Collet,

Albertsen,

Egerod

2023

Nursing in Critical Care

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BackgroundPatient and family engagement in the intensive care unit increases the quality of care and patient safety.AimThe aim of our study was to describe current practice and experiences of contemporary patient and family engagement in the intensive care unit at the individual level, the organizational level, and in the research process according to critical care nurses.Design/MethodWe conducted a national qualitative survey of intensive care units in Denmark from 5th May–5th June 2021. Questionnaires were piloted and sent to intensive care nurse specialists and research nurses at 41 intensive care units, allowing one respondent per unit. All respondents were provided with written information about the study by email, and by activating the survey link, they accepted participation.ResultsThirty‐two nurses responded to the invitation, 24 completed and 8 partially completed the survey, yielding a response rate of 78%. At the individual level, 27 respondents stated that they involved patients and 25 said they involved family in daily treatment and care. At the organizational level, 28 intensive care units had an overall strategy or guideline for patient and family engagement, and 4 units had established a PFE panel. And, finally, 11 units engaged patients and families in the research process.ConclusionsOur survey suggested that patient and family engagement was implemented to some degree at the individual level, organizational level, and in the research process, but only 4 units had established a PFE panel at the organizational level, which is key to engagement.Relevance to Clinical PracticePatient engagement increases when patients are more awake, and family engagement increases when patients are unable to participate. Engagement increases when patient and family engagement panels are implemented.

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A multicomponent intervention to optimise nurse–patient communication in the intensive care unit: A mixed-methods acceptability and feasibility study

Cited by 10 publications

References 35 publications

Bundle interdisciplinar para Unidade de Terapia Intensiva COVID-19: Uma revisão de literatura

Bundle interdisciplinar para Unidade de Terapia Intensiva COVID-19: Uma revisão de literatura

Symptom Assessment for Mechanically Ventilated Patients: Principles and Priorities: An Official American Thoracic Society Workshop Report

Patient and family engagement in Danish intensive care units: A national survey

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