Needs Communicative Digital Technology Program for Intubated Patients with Critical Illnesses: A Quasi-Experimental Study

Authors

  • Nuttapol Chaihan Faculty of Nursing, Huachiew Chalermprakiet University, Thailand.
  • Winthanyou Bunthan Faculty of Nursing, Huachiew Chalermprakiet University, Thailand.

DOI:

https://doi.org/10.60099/prijnr.2023.262313

Keywords:

Communicative technology, Communication program, Communication effectiveness, Critical Illness, Intubation, Met needs

Abstract

        Patients with critical illnesses and on intubation cannot express their needs through verbal language. Thus, nurses and other healthcare professionals might not meet their needs, resulting in frustration and more stress for nurses and patients. This situation may interfere with patients’ recovery. In this quasi-experiment study, we developed and tested the effectiveness of the Needs Communicative Digital Technology Program. Sixty participants who were critically ill and intubated were recruited from an intensive care unit of a secondary care hospital in a province close to Bangkok, Thailand. They were alternately assigned weekly to the experimental (n = 30) and control groups (n = 30). The experimental group received the program for 48 hours, including the usual care in the intensive care unit. The control group received only usual care in the intensive care unit. Questionnaires for data collection were a demographic data form, the Met Needs Questionnaire, and the
Effectiveness of Communication Questionnaire. Data were analyzed using descriptive statistics, a chi-squared test, a Fisher exact test, a t-test, and ANCOVA.

       Findings revealed that after 48 hours of program implementation, the experimental group had significantly higher mean scores on met needs and effective communication than before starting the program and higher than that of the control group. Thus, it can be concluded that this program effectively met the needs of intubated people with critical illnesses with advanced technology and communication strategies that can be used easily, conveniently, and quickly. Nurses can use this program in practice and further evaluate its effectiveness before widespread use in the country.

References

McGrath BA, Wallace S, Wilson M, Nicholson L, Felton T, Bowyer C, et al. Safety and feasibility of above cuff vocalization for ventilator-dependent patients with tracheostomies. J Intensive Care Soc. 2019; 20(1): 59-65. doi:10.1177/1751143718767055.

Wallace S, McGrath BA. Laryngeal complications after tracheal intubation and tracheostomy. BJA Educ. 2021; 21(7):250-7. doi:10.1016/j.bjae.2021.02.005.

Modrykamien AM. Strategies for communicating with conscious, mechanically ventilated critically ill patients. Proc (Bayl Univ Med Cent). 2019;32(4):534-7. doi: 10.1080/08998280.2019.1635413.

Holm A, Viftrup A, Karlsson V, Nikolajsen L, Dreyer P. Nurses’ communication with mechanically ventilated patients in the intensive care unit: umbrella review. J Adv Nurs. 2020; 76(11):2909-20. doi:10.1111/jan.14524.

Kyranou M, Cheta C, Pampoulou E. Communicating with mechanically ventilated patients who are awake. a qualitative study on the experience of critical care nurses in Cyprus during the COVID-19 pandemic. PLoS One. 2022;17(12):e0278195. doi:10.1371/journal.pone.0278195.

Momennasab M, Mohammadi F, DehghanRad F, Jaberi A. Evaluation of the effectiveness of a training programme for nurses regarding augmentative and alternative communication with intubated patients using Kirkpatrick’s model: a pilot study. Nurs Open. 2023;10(5):2895-903. doi:10. 1002/nop2.1531.

Gropp M, Johnson E, Bornman J, Koul R. Nurses’ perspectives about communication with patients in an intensive care setting using a communication board: a pilot study. Health SA. 2019; 24:1162. doi:10.4102/hsag.v24i0.1162.

Momennasab M, Ardakani MS, Rad FD, Dokoohaki R, Dakhesh R, Jaberi A. Quality of nurses’ communication with mechanically ventilated patients in a cardiac surgery intensive care unit. Invest Educ Enferm. 2019;37(2):e02. doi:10.17533/idea.see.v37n2e02.

Hosseini SR, Valizad-Hasanloei MA, Feizi A. The effect of using communication boards on ease of communication and anxiety in mechanically ventilated conscious patients admitted to intensive care units. Iran J Nurs Midwifery Res. 2018;23(5):358-62. doi:10.4103/ijnmr.IJNMR_68_17.

Kaur S, Agnihotri M, Dhandapani M, Gopichandran L, Mukherjee KK, Dhandapani S. Effectiveness of communication chart on patient satisfaction among conscious intubated patients: a randomized controlled trial. J Nurs Science Pract. 2018; 8(3):15-23.

Albayram T,Yava A. The determination of the efficiency of visual communication cards developed for the purpose of communication with the intubated patients in the intensive care unit of cardiovascular surgery. Turk Klin Cardiovasc Sci. 2020;32(3):103-15. doi: 10.5336/ cardiosci.2020-77327.

Ertürk Yavuz M, Gürsoy A. Computer-based communication tool provides effective communication for non-speaking patients: a quasi-experimental study. Clin Nurs Res. 2022; 31(4):656-65. doi:10.1177/10547738211038638.

Santiago C, Roza D, Porretta K, Smith O. The use of tablet and communication app for patients with endotracheal or tracheostomy tubes in the medical surgical intensive care unit: a pilot, feasibility study. CJCCN. 2019;30(1):17-23. doi:10.13140/RG.2.2.19835.57125.

Holm A, Dreyer P. Use of communication tools for mechanically ventilated patients in the intensive care unit. Comput Inform Nurs. 2018;36(8):398-405. doi:10. 1097/CIN.0000000000000449.

Shaygan M, Jaberi A. The effect of a smartphone-based pain management application on pain intensity and quality of life in adolescents with chronic pain. Sci Rep. 2021; 11(1):6588. doi:10.1038/s41598-021-86156-8.

Klankhettakam J, Surit P. Effects of the Touch-to-Talk program via a tablet on communication effectiveness and satisfaction in intubated patients: a pilot study. Nurs Sci J Thail. 2021;39(2):24-35 (in Thai).

Tantacharoenrat C, Prasopkittikun T, Rungamornrat S, Limprayoon K. Use of a user-friendly tablet application to communicate with pediatric patients on mechanical ventilators. Aquichan. 2018;18(3):275-86. doi: 10.5294/aqui.2018.18.3.3.

Chaihan N, Kitsripisarn S, Pirompanich P. The effects of the use of a need communication assistance application on frustration and anxiety among intubation patients. Nurs J. 2022;49(1): 266-78 (in Thai).

Yura H, Walsh MB. Human needs 3 and the nursing process. New York: Appleton- Century-Crofts; 1983.

Rattanakanlaya K, Vuttanon N, Noppakun L, Sangwattanarat W, Boonyu N. Hospital discharge needs perspectives of patients with liver and bile duct cancer undergoing invasive percutaneous transhepatic biliary drainage and family caregivers. Nurs J. 2021; 48(3):260-73 (in Thai).

Cohen J. Statistical power analysis for the behavioral science. 2nd ed. Hillsdale NJ: Lawrence Erlbaum Associates; 1988. 567 p.

Karlsen M-MW, Holm A, Kvande ME, Dreyer P, Tate JA, Heyn LG, et al. Communication with mechanically ventilated patients in intensive care units: a concept analysis. J Adv Nurs. 2023;79(2):563-80. doi: 10.1111/jan.15501.

Salem A, Ahmad MM. Communication with invasive mechanically ventilated patients and the use of alternative devices: integrative review. J Res Nurs. 2018; 23(7):614–30. doi: 10.1177/1744987118785987.

Brunner TH, DiFortuna K, LeTang M, Murphy J, Stemplewicz K, Kovacs M, et al. Feasibility of an iPad to facilitate communication in postoperative patients with head and neck cancer. J Perianesth Nurs. 2018;33(4): 399-406. doi:10.1016/j.jopan.2016.10.008.

Yavuz ME, Gursoy A. Development of a computer-based communication tool for voiceless patients: AyMeSES. J Anesth Crit Care Open Access. 2022;14(4):112-4. doi:10.15406/jaccoa.2022.14.00519.

Shin JW, Happ MB, Tate JA. VidaTalk™ patient communication application “opened up” communication between nonvocal ICU patients and their family. Intensive Crit Care Nurs. 2021;66:103075. doi:10.1016/j.iccn. 2021.103075.

Dind AJ, Starr JS, Arora S. iPad-based apps to facilitate communication in critically ill patients with impaired ability to communicate: a preclinical analysis. Indian J Crit Care Med. 2021;25(11):1232-40. doi:10.5005/jp-journals10071-24019.

Yamaguchi A, Ishii A, Fukushige H, Inoue Y, Akada I, Mitani R, et al. Opportunities for interactive communication in mechanically ventilated critically ill patients: a video-based observational study. Nurs Res Pract. 2022;2022:1885938. doi:10. 1155/2022/1885938.

Moraes TE, Silva CRL. Needs and perceptions of patients on mechanical ventilation: an integrative review. Rev Enferm UERJ, Rio de Janeiro. 2022;30:e67038. doi: http://dx.doi. org/10.12957/reuerj.2022.67038

Raju GM. iPad with iPad-based apps: an optimal communications tool in the intensive care unit? Indian J Crit Care Med. 2021; 25(11):1217-8. doi: 10.5005/jp-journals-10071-24034.

Guttormson JL, McAndrew NS. Usability testing of an iPad communication application for mechanically ventilated patients. Dimens Crit Care Nurs. 2022;41(6):340-6. doi:10.1097/DCC.0000000000000551.

Downloads

Published

2023-06-30

How to Cite

1.
Nuttapol Chaihan, Bunthan W. Needs Communicative Digital Technology Program for Intubated Patients with Critical Illnesses: A Quasi-Experimental Study. PRIJNR [Internet]. 2023 Jun. 30 [cited 2024 Nov. 14];27(3):601-16. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/262313

Issue

Section

Original paper

Categories