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

Handberg, Charlotte; Voss, Anna Katarina

doi:10.1111/jocn.13851

Cited by 50 publications

(50 citation statements)

References 26 publications

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“…NPK se pokazuje kao korisna i nužna na različitim bolničkim odjelima, ali pogotovo u jedinicama intenzivne medicine, u okviru predoperativne pripreme, postoperativnih intervencija i otpusta pacijenata, s pacijentima u kritičnim stanjima i s umirućim pacijentima 8,[11][12][13][14][15][16] . Bartlett i suradnici 11 , svojim istraživanjem u jedinicama intenzivnog liječenja, dokazali su tri puta veću vjerojatnost doživljavanja štetnih posljedica odnosno neželjenih događaja ili nuspojava liječenja kod pacijenata sa složenim komunikacijskim potrebama u odnosu na one bez poteškoća i ograničenja.…”

Section: Sažetakunclassified

“…Nadomjesna ili alternativna komunikacija odnosi se na raznovrsne metode i sredstva komunikacije kojima se nadomješta govor i/ili pisanje, dok potpomognuta ili augmentativna komunikacija označava metode komunikacije koje se mogu iskoristiti kako bi se popratio i poboljšao prijenos poruka i njihovog razumijevanja u slučaju oštećenja govora. Tehnike, strategije i pomagala nisu dovoljno educirane o nadomjesnim i potpomažućim strategijama komunikacije kao niti pomagalima za komunikaciju 7,16 . S obzirom na to koliko često komuniciraju s pacijentima, trebale bi biti educirane kako procijeniti komunikacijske sposobnosti pacijenta, kako prepoznati znakove komunikacijskog distresa, u kojim situacijama tražiti pomoć stručnjaka za komunikaciju (npr.…”

Section: Uvodunclassified

“…19 sugeriraju potrebu za edukacijom medicinskih sestara/tehničara u upotrebi nadomjesne i potpomognute komunikacije pri skrbi za pacijente s poteškoćama u komunikaciji, te barem dostupnost jednostavnijih pomagala za nadomjesnu i potpomognutu komunikaciju. Poznavanje novih tehnika i strategija nadomjesne i potpomognute komunikacije te posljedično kvalitetnija i efikasnija komunikacija s pacijentima pozitivno utječe i na zdravstvene djelatnike proširenjem kompetencija te osjećajem zadovoljstva i sposobnosti 16 .…”

Section: Uvodunclassified

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Nadomjesna i potpomognuta komunikacija u bolnici – znanja, iskustva i stavovi medicinskih sestara

Perković

Klarić

Srzentić

2020

J. appl. health sci. (Online)

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Nadomjesna i potpomognuta komunikacija (NPK) unaprjeđuje kvalitetu zdravstvene skrbi i zadovoljstvo pacijenata. U Hrvatskoj nedostaju istraživanja o primjeni NPK u bolnicama. Cilj ovog istraživanja je ispitati komunikaciju medicinskih sestara s pacijentima sa složenim komunikacijskim potrebama te njihovu upoznatost i stavove o NPK. U istraživanju su sudjelovale medicinske sestre (N=121) iz jedne od najvećih hrvatskih bolnica. Anketni upitnik sastojao se od pitanja o iskustvu sudionika s pacijentima sa složenim komunikacijskim potrebama, znanju, iskustvima i edukaciji o NPK. Stavovi prema implementaciji metode komunikacijskih ploča u bolnici ispitani su sa skalama tipa semantičkog diferencijala. Više od 50% sudionika u redovitim je kontaktima s pacijentima čija je komunikacija narušena zbog moždanog udara, kognitivnih i senzornih oštećenja, degenerativnih bolesti, utjecaja lijekova, jake boli ili jer ne govore hrvatski. Međutim, većina sudionika su slabo ili nikako upoznati sa značenjem pojma NPK te većina nema edukaciju iz tog područja. Većina medicinskih sestara koristi jednostavne metode NPK, ponajviše za komunikaciju o pacijentovim osnovnim potrebama, dok samo mali broj koristi NPK za komunikaciju u terapijske svrhe. Najveće prepreke korištenju NPK su nedostatak edukacije i resursa/pomagala. Sudionici imaju pozitivne stavove prema mogućem uvođenju komunikacijskih ploča u sestrinsku praksu, osobito stariji sudionici i oni s dužim stažem. Rezultati ukazuju na nedostatnu upoznatost i iskustvo medicinskih sestara s NPK te veliku potrebu za edukacijom. Preporučuje se uključivanje edukacije o NPK u obrazovne kurikulume na svim razinama sestrinskog obrazovanja.

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Section: Sažetakunclassified

Section: Uvodunclassified

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Nadomjesna i potpomognuta komunikacija u bolnici – znanja, iskustva i stavovi medicinskih sestara

Perković

Klarić

Srzentić

2020

J. appl. health sci. (Online)

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“…Effective and transparent communication is of paramount importance between all members of the treating team. Poor communication leads to poor team dynamics which eventually negatively impact the quality of care that the patient receives (Handberg and Voss 2018 ). Effective communication amongst various healthcare providers, without breaching confidentiality, is the one of the fundamental requirements for providing quality healthcare.…”

Section: Introductionmentioning

confidence: 99%

Utility of cinema in medical pedagogy: a novel ideology based on a case study of “apocalypse now”

Lamba

2020

International Journal of Ethics Education

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The advent of the internet age has impacted every sphere of modern medicine, including medical education. The new generation of trainees require novel approaches to teaching to make the requisite impacts on their minds. Conventional classroom teaching might be considered obsolete by some, especially when the subject being talked about is ethics and philosophy of medicine. An untapped resource for the teachers lies perhaps in the colossal reserve of decades of cinema. This novel concept of using movies to teach is enumerated in this article by using the 1979 film "Apocalypse Now" to draw parallels between the situations occurring in the film with the ethical dilemmas that a clinician might face or philosophies that may be of utility to a physician. This article presents a conceptual framework of this ideology by exploring a film that might be considered by some to have no correlation with the queries that a medical mind might have while proving that it might not be the content of the film but the viewpoint of the teacher/trainee that may define the interpretations that may be drawn from it. Soldiers and doctors both work in a strict structure of hierarchy and are both put in situations where ethical dilemmas have life and death implications. This core philosophy has served as an inspiration for this article.

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“…Communication failure sometimes occurs after severe neurological disorders such as cases of brainstem stroke or neurodegenerative diseases [1,2]. In Japan many patients with amyotrophic lateral sclerosis (ALS) are living on assisted mechanical ventilation with tracheostomy even after respiratory failure [3,4].…”

Section: Introductionmentioning

confidence: 99%

Student participants’ free comments after a short-term session of augmentative and alternative communication for patients with amyotrophic lateral sclerosis

Ishikawa

Narita

Fukuroku

et al. 2019

ISASE

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Augmentative and alternative communication (AAC) has been used for amyotrophic lateral sclerosis (ALS) patients with severe communication difficulties. We planned a brief educational course for students in multiple healthcare disciplines. In 2018 we held 2 sessions more than 5 months apart. We set out to test a preliminary hypothesis that there would be a difference between novice students and an experienced group of students who had already attended the session once, especially in terms of their ease in managing the AAC. We compared data from the second training session between 6 students (experienced group) who had attended the same session twice in March and August, and 6 new students (novice group) who had never experienced AAC before August. We measured the number of letters obtained by each AAC method and the participants' perceived burden before/after using AAC evaluated by a visual analog scale (VAS). We also asked the participants to write comments after using AAC. We compared the number of letters and the subjective burden between the two groups. Free-text comments were processed by text-mining software (KH Coder®). The burden of the Flick type of communication board was lower for the experienced group (p=0.034). Comparison of Difficulty/Ease of the two groups with KH Coder ® suggested less difficulty in the experienced group (p=0.002). Text-mining of the free comments suggested some difference on Difficulty/Ease between the 2 groups with and without the experience of the educational course.

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

Abstract: Aims and objectives: To describe the perspectives of healthcare professionals caring for intubated patients on implementing augmentative and alternative communication (AAC) in critical care settings.Background: Patients in critical care settings subjected to endotracheal intubation

Cited by 50 publications

References 26 publications

Nadomjesna i potpomognuta komunikacija u bolnici – znanja, iskustva i stavovi medicinskih sestara

Nadomjesna i potpomognuta komunikacija u bolnici – znanja, iskustva i stavovi medicinskih sestara

Utility of cinema in medical pedagogy: a novel ideology based on a case study of “apocalypse now”

Student participants’ free comments after a short-term session of augmentative and alternative communication for patients with amyotrophic lateral sclerosis

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