Interventions to enable communication for adult patients requiring an artificial airway with or without mechanical ventilator support

Rose, Louise; Sutt, Anna‐Liisa; Amaral, Andre Carlos Kajdacsy-Balla; Fergusson, Dean; Smith, Orla M.; Dale, Craig

doi:10.1002/14651858.cd013379.pub2

Cited by 13 publications

(14 citation statements)

References 57 publications

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“…This means that essential components of communication, that is, the process of mutual influence and cognitive-affective factors are neglected (Berger et al, 2010). This is also the case in the ICU setting where the findings of this concept analysis, as well as other previous literature reviews, illustrate how AAC has been presented as a solution to the communication challenges, but also requires both careful consideration and competence (Holm et al, 2020;Rose et al, 2021;Ten Hoorn et al, 2016). However, it has also been thoroughly documented that AAC is not widely used in current practice in ICUs, and the studies applying AAC in intensive care are still limited, with small samples and few randomized, controlled trials (Carruthers et al, 2017;Happ, 2021;Karlsen et al, 2019).…”

Section: Discussionmentioning

confidence: 84%

“…Eye-gaze technology (Rose et al, 2021) Eye-gaze technology uses technical solutions to determine eye position and gaze point, by gaze dwelling on text or symbols people can then generate speech.…”

Section: Ta B L E 2 (Continued)mentioning

confidence: 99%

“…Augmentative and alternative communication (Bayog et al, 2020;Carruthers et al, 2017;Choi & Tate, 2021;El-Soussi et al, 2015;Finke et al, 2008;Foa et al, 2016;Freeman-Sanderson et al, 2019;Garry et al, 2016;Handberg & Voss, 2018;Happ, Roesch, et al, 2004;Happ, 2021;Holm & Dreyer, 2018b;Holm et al, 2020;Holm, Karlsson, et al, 2021;Hurtig & Downey, 2008;Istanboulian et al, 2020;Jansson et al, 2019;Kuyler & Johnson, 2021;Maringelli et al, 2013;Mobasheri et al, 2016;Modrykamien, 2019;Pina et al, 2020;Rose et al, 2021;Salem & Ahmad, 2018;Ten Hoorn et al, 2016;Ull et al, 2021) AAC is all types of aided or unaided methods or strategies used to supplement vocal, non-vocal and verbal skills with the aim to aid comprehension. AAC can take the form of various forms of communication, such as: speech, text, gestures, sign language, symbols, images, electronic speech-generating devices, among others.…”

Section: Ta B L E 2 (Continued)mentioning

confidence: 99%

“…;Otuzoğlu & Karahan, 2013;Patak et al, 2006;Rathi & Baskaran, 2014;Rose et al., 2021) A basic, non-vocal visual augmentative and alternative communication aid. Can exist in different types, such a magic slate board, magnetic plastic boards, or a simple writing board and include letters, words, or pictures describing basic needs, bodily functions or names of people.…”

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confidence: 99%

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Communication with mechanically ventilated patients in intensive care units: A concept analysis

Karlsen

Holm

Kvande

et al. 2022

Journal of Advanced Nursing

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Aims The aim of this study was to perform a concept analysis of communication with mechanically ventilated patients in intensive care units and present a preliminary model for communication practice with these patients. Design The Im & Meleis approach for concept analysis guided the study. Search Methods A literature search was performed in January 2022 in MEDLINE, Embase, CINAHL, psycINFO and Scopus, limited to 1998–2022. The main medical subject headings search terms used were artificial respiration, communication and critical care. The search resulted in 10,698 unique references. Review Methods After a blinded review by two authors, 108 references were included. Core concepts and terminology related to communication with mechanically ventilated patients were defined by content analytic methods. The concepts were then grouped into main categories after proposing relationships between them. As a final step, a preliminary model for communication with mechanically ventilated patients was developed. Results We identified 39 different phrases to describe the mechanically ventilated patient. A total of 60 relevant concepts describing the communication with mechanically ventilated patients in intensive care were identified. The concepts were categorized into five main categories in a conceptual map. The preliminary model encompasses the unique communication practice when interacting with mechanically ventilated patients in intensive care units. Conclusion Highlighting different perspectives of the communication between mechanically ventilated patients and providers through concept analysis has contributed to a deeper understanding of the phenomena and the complexity of communication when the patients have limited possibilities to express themselves. Impact A clear definition of concepts is needed in the further development of guidelines and recommendations for patient care in intensive care, as well as in future research. The preliminary model will be tested further. Patient or Public Contribution No patient or public contribution, as this is a concept analysis of previous research.

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Section: Discussionmentioning

confidence: 84%

Section: Ta B L E 2 (Continued)mentioning

confidence: 99%

Section: Ta B L E 2 (Continued)mentioning

confidence: 99%

mentioning

confidence: 99%

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Communication with mechanically ventilated patients in intensive care units: A concept analysis

Karlsen

Holm

Kvande

et al. 2022

Journal of Advanced Nursing

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“…9 A recent Cochrane review concluded that there is a lack of evidence to guide clinicians on the optimal timing, suitability and selection of communication options for mechanically ventilated patients with a tracheostomy in ICU. 17 Whilst inclusive of different options, both the review and the matrix lack emphasis on the importance of re-establishing the patient's natural way of communicating.…”

Section: Introductionmentioning

confidence: 99%

Benefits and options for voice restoration in mechanically ventilated intensive care unit patients with a tracheostomy

Wallace

McGowan

Sutt

2022

Journal of the Intensive Care Society

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Communication difficulties and their effects on patients who are mechanically ventilated are commonly reported and well described. The possibility of restoring speech for patients has obvious benefits, not only for meeting patient’s immediate needs, but for helping them to re-engage in relationships and participate meaningfully in their recovery and rehabilitation. This opinion piece by a group of United Kingdom (UK) based Speech and Language Therapy experts working in critical care describes the various ways by which a patient’s own voice can be restored. Common barriers to using different techniques and potential solutions are explored. We therefore hope that this will encourage intensive care unit (ICU) multi-disciplinary teams to advocate and facilitate early verbal communication in these patients.

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