Basic needs and their predictors for intubated patients in surgical intensive care units

Communication with non-speaking patients in intensive care unit is stress for both nurse and patients. Semi-experimental study that took place at a University Hospital was to develop illustrated material for patient communication and determine its effectiveness. The study sample consisted of 90 intubated patients at the Adult Cardiovascular Intensive Care Unit who had undergone open heart surgery. The patients were divided into the intervention and control groups. Data analysis was with descriptive statistics and the χ(2) test. The illustrated communication material was stated to be helpful by 77.8% and partially helpful by 22.2% of the intervention group patients regarding the communication between the health-care staff and the patients. Control group patients had more difficulties communicating with the health-care staff. Illustrated communication material was an effective method in communicating with intubated patients.

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“…Three tools and illustrated communication materials were developed searching literature . All tools were presented expert opinion.…”

Section: Methodsmentioning

confidence: 99%

“…Expression of patients when unable to communicate with nurses are feelings of frustration, lack of control/self‐determination, physical discomfort and overall effects on recovery . Intubation and non‐verbal communication are an important stressors for the patients …”

Section: Introductionmentioning

confidence: 99%

Determining the effectiveness of illustrated communication material for communication with intubated patients at an intensive care unit

Otuzoğlu

Karahan

2013

Int J of Nursing Practice

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“…Another recurring theme that was also common in other studies was unmet emotional needs. 9,14,18,26,27,28 Findings from this study showed that patients want an avenue to express their concerns and worries and receive reassurance. This may be because of the feeling of proximity to death among ventilated patients during critical illnesses.…”

Section: Needs Of Icu Patientsmentioning

confidence: 90%

“…• There is a lack of studies exploring ICU patients' key needs during ventilator treatment. One study 14 showed that besides physical needs, patients also need to feel a sense of love and belonging. What this study adds…”

Section: Key Findings In This Studymentioning

confidence: 99%

“…Although there are a number of studies exploring patients' experiences in the ICU, 1,21,24,29 there is a lack of studies exploring needs from the ICU patients' perspectives rather than from the healthcare staffs' perspective. 14 The context and objectives Ward 118 in the Royal Infirmary of Edinburgh is a specialized ICU with an 18-bed capacity. This unit receives patients from the emergency department, operating theatres, and other wards.…”

Section: Introductionmentioning

confidence: 99%

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Communication With Ventilated Patients In ICU: Perceptions On Existing Communication Methods And Needs

Sii

Swann

2015

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Introduction: Recent research has highlighted the need to improve communication with mechanically ventilated patients. There are a number of studies currently evaluating the usefulness of augmentative and alternative communication methods (AACs), but a significant gap still exists in understanding patients' key needs during the ventilation period. Aims: 1) To determine the perceptions of patients and healthcare staff on the use of AACs. 2) To find out patients' key needs during ventilator treatment, within the context of Ward 118 in the Royal Infirmary of Edinburgh. 3) To use the results of this study to propose larger scale research into adapting a specific electronic device (Predictable) to aid communication. Methods: This qualitative study adopted semi-structured interviews lasting 10-20 minutes with 13 patients and 18 members of healthcare staff and applied thematic analysis in interpreting interview findings. Results: There was a mismatch between patient and staff perceptions on the usefulness of closed yes/no questions and lip reading. Aided AACs, such as picture boards, pen and paper, and sketch boards are also underused. Most patients and staff used a combination of methods rather than any one method alone. This study also found that patients' key needs include addressing discomfort related to the ventilator, bed or breathing, emotional needs, trust building with healthcare staff and the need for more information. Conclusion: This study highlights the need for personalized, patient-centred care to facilitate effective communication with ventilated patients.

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Prevalence of and factors associated with physical restraint use in the intensive care unit: a multicenter prospective observational study in Japan

et al. 2021

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Basic needs and their predictors for intubated patients in surgical intensive care units

Cited by 14 publications

References 29 publications

Determining the effectiveness of illustrated communication material for communication with intubated patients at an intensive care unit

Determining the effectiveness of illustrated communication material for communication with intubated patients at an intensive care unit

Communication With Ventilated Patients In ICU: Perceptions On Existing Communication Methods And Needs

Prevalence of and factors associated with physical restraint use in the intensive care unit: a multicenter prospective observational study in Japan

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