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

Abstract

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.

Relación de ayuda de enfermería a pacientes y familiares en la unidad de cuidados intensivos = Relationship of nursing for patients and relatives in the intensive care unit

“…Por tanto, es importante que el profesional tenga una percepción de la comunicación amplia, no solo el aspecto verbal. Esto hace referencia a la utilización de recursos no verbales como los gestos corporales y el contacto ocular (Otuzoğlu & Karahan, 2014). A pesar de esto, el tiempo que dedican estos profesionales a comunicarse con este tipo de pacientes es muy limitado y la información que les proporcionan es escasa (Ramírez et al, 2012).…”

“…Este utiliza material fotográfico para facilitar las comunicación y comprensión de las demandas de salud de los pacientes. Según sus resultados esta técnica tiene una mayor eficacia en la comunicación con los pacientes intubados de la unidad de cuidados intensivos que la interpretación de gestos corporales, contacto ocular o lectura de labios (Otuzoğlu & Karahan, 2014).…”

“…Estas (Otuzoğlu & Karahan, 2014). Se debe luchar contra esas barreras, ya que una comunicación inefectiva dificulta la recuperación del paciente (Achury, Pinilla & Alvarado 2015).…”

Inability to Speak: A Qualitative Study on the Experiences of Patients Who Underwent Partial Laryngectomy

“…Prevention of hand and arm gestures by parenteral treatment tools and having an urgent need and being too much tried to write make "communication with writing" insufficient. Various visual and auditory communication tools were developed for facilitating communication with these patients and these tools were shown to be effective (Otuzoglu and Karahan 2014;Lorah, Tincani, Dodge, Gilroy, Hickey and Hantula 2013;Rodriguez, Rowe, Koeppel, Thomas, Troche and Paguio 2012;Patak, Gawlinski, Fung, Doering, Berg and Heneman 2006). The use of these tools, which are developed for enabling patients to establish effective communication, should be expanded.…”

Implementing augmentative and alternative communication in critical care settings: Perspectives of healthcare professionals

“…Improving the patients' possibilities to communicate and interact is an important factor in assisting patients to obtain optimal care and rehabilitation and moreover to help patients avoid isolation, confusion and complications due to loss of the ability to speak (Vincent et al., , 962–971; World Health Organization (WHO) ). However, communication for patients subjected to endotracheal intubation is a challenge for both patients and staff that sometimes leads to misunderstanding, misinterpretation or, at worst, a lack of communication (Otuzoglu & Karahan, , 490–498). The challenge of communicating with intubated patients (instead of patients who can speak) demands a whole different level of awareness by the healthcare professionals, which can be a huge challenge (Magnus & Turkington, ; 167–180).…”