The communication process with ventilator patients in the ICU as perceived by the nursing staff

Bergbom-Engberg, Ingegerd; Haljamäe, H.

doi:10.1016/0964-3397(93)90008-l

Cited by 61 publications

(51 citation statements)

References 10 publications

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“…Nurses, as the MV patients' primary communication partner, need to have the knowledge, and skill to support communication and the use of AC strategies. Nurse-identified barriers to effective communication with MV patients including time, difficulty lip reading, and frustration at being unable to understand the patient (Bergbom-Engberg & Haljamae, 1993; Leathart, 1994). Many of these barriers can be linked to the lack of formal training in communication techniques (Finke et al, 2008) that leaves nurses to learn communication strategies through trial and error or observation of peers (Leathart, 1994; Magnus & Turkington, 2006).…”

Section: Discussionmentioning

confidence: 99%

“Not being able to talk was horrid”: A descriptive, correlational study of communication during mechanical ventilation

Guttormson

Bremer

Jones

2015

Intensive and Critical Care Nursing

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Objectives The purpose of this study was to describe the patient experience of communication during mechanical ventilation Research Methodology This descriptive study is a secondary analysis of data collected to study the relationship between sedation and the MV patients' recall of the ICU. Interviews, conducted after extubation, included the Intensive Care Experience Questionnaire. Data were analyzed with Spearman correlation coefficients (rs) and content analysis. Setting Participants were recruited from a medical-surgical intensive care unit in the Midwest United States. Results Participants (n=31) with a mean age of 65 ± 11.9 were on the ventilator a median of 5 days. Inability to communicate needs was associated with helplessness (rs = .43). While perceived lack of information received was associated with not feeling in control (rs =.41) and helplessness (rs =.41). Ineffective communication negatively impacted satisfaction with care. Participants expressed frustration with failed communication and a lack of information received. They believed receipt of information helped them cope and desired a better system of communication during mechanical ventilation. Conclusion Communication effectiveness impacts patients' sense of safety and well-being during mechanical ventilation. Greater emphasis needs to be placed on the development and integration of communication strategies into critical care nursing practice.

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Section: Discussionmentioning

confidence: 99%

“Not being able to talk was horrid”: A descriptive, correlational study of communication during mechanical ventilation

Guttormson

Bremer

Jones

2015

Intensive and Critical Care Nursing

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“…Observations that included personal hygienic care and emergency situations were not included. The length of 3 minutes for an observation session was based on previous research that demonstrated ICU interactions between nurse and patients lasted approximately 3–5 minutes (Ashworth, 1980; Bergbom-Engberg & Haljamae, 1993; Salyer & Stuart, 1985). There were a total of 4 observation sessions (n=152) over the two-day observation period (n=76 observation days).…”

Section: Methodsmentioning

confidence: 99%

Nurse and Patient Interaction Behaviors’ Effects on Nursing Care Quality for Mechanically Ventilated Older Adults in the ICU

Nilsen¹,

Sereika²,

Hoffman³

et al. 2014

Research in Gerontological Nursing

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The study purposes were to 1) describe interaction behaviors and factors that may impact communication and 2) explore associations between interaction behaviors and nursing care quality indicators between 38 mechanically ventilated patients (≥60 years) and their intensive care unit nurses (n=24). Behaviors were measured by rating videotaped observations from the Study of Patient-Nurse Effectiveness with Communication Strategies (SPEACS). Characteristics and quality indicators were obtained from the SPEACS dataset and medical chart abstraction. All positive behaviors occurred at least once. Significant (p<.05) associations were observed between: 1) positive nurse and positive patient behaviors, 2) patient unaided augmentative and alternative communication (AAC) strategies and positive nurse behaviors, 3) individual patient unaided AAC strategies and individual nurse positive behaviors and 4) positive nurse behaviors and pain management, and 5) positive patient behaviors and sedation level. Findings provide evidence that nurse and patient behaviors impact communication and may be associated with nursing care quality.

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“…It is also clear that pain relief and a normal daily routine with a good night's sleep are important before starting weaning. Finding a way to communicate with the ventilator patient can be a rather frustrating experience, both for the patient and the nurse (Bergbom-Engberg & Haljamäe 1992). It is important to establish and maintain good communication, and there are different methods available for improving communication (Conolly & Shekleton 1991).…”

Section: Factors To Take Into Consideration In Preventing Problemsmentioning

confidence: 99%

Factors influencing the patient during weaning from mechanical ventilation: a national survey

Mårtensson

Fridlund²

2002

Intensive and Critical Care Nursing

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The communication process with ventilator patients in the ICU as perceived by the nursing staff

Cited by 61 publications

References 10 publications

“Not being able to talk was horrid”: A descriptive, correlational study of communication during mechanical ventilation

“Not being able to talk was horrid”: A descriptive, correlational study of communication during mechanical ventilation

Nurse and Patient Interaction Behaviors’ Effects on Nursing Care Quality for Mechanically Ventilated Older Adults in the ICU

Factors influencing the patient during weaning from mechanical ventilation: a national survey

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