Development and Implementation of Practice Guideline for Communication with Intubated Patients in an Intensive Care Unit
Article Sidebar
Main Article Content
Abstract
This implementation research aimed to develop and implement guidelines for communication between nurses and intubated patients in a critical care unit of a university hospital. Participants of the study included: 1) Thirty ICU nurses and 2) Fifty-four critically ill patients. The implementation research process had two phases based on the framework proposed by the Australian National Health and Medical Research Council (NHMRC). The first phase was to develop practice guidelines; and the second phase was to implement the guidelines. Assessment of communication effectiveness was reported by nurses and patients. Results showed that: the developed practice guideline for communicating with intubated patients comprising of 5 categories: 1) assessing the patient’s condition; 2) providing information and suggestions about communication methods; 3) recommendations of communication methods; 4) evaluation of communication; and 5) quality control of the practice guidelines. Results of the guidelines
implementation showed that most of the nurses and patients reported communication effectiveness of both overall and item scores at good levels.
Downloads
Article Details
References
Bemis-Dougherty AR, Smithn JM. What follows survival of critical illness? Physical therapists’ management of patients with post-intensive care syndrome. Phys Ther 2013;93(2):179-185.
Karcz M, Vitkus A, Papadakos PJ, Schwaiberger D, Lachmann B. State-of-the-art mechanical ventilation. J Cardiothorac Vasc Anesth 2012;26(3):486-506.
Metersky ML, Hite RD. Increasing incidence of prolonged acute mechanical ventilation: Can we bend t h e u t i l i z a t i o n c u r v e ? C r i t C a r e M e d 2012;40(1):298-9.
Happ MB, Garrett KL, Thomas DD, Tate J, George E, Houze M, et al. Nurse-patient communication interactions in the intensive care unit. Am J Cri Care 2011;20(2):e28-e40.
Grossbach I, Stranberg S, Chlan L. Promoting effective communication for patients receiving mechanical ventilation. Crit Care Nurse 2011;31(3):46-60.
Khalaila R, Zbidat W, Anwar K, Bayya A, Linton D. M, Sviri S. Communication difficulties and psychoemotional distress in patients receiving mechanical ventilation. Am J of Crit Care 2011;20(6):470-9.
Kirton, O. Mechanical ventilation in the intensive care unit. 2011 [cited 2017 May 16]: Available from: http://www.aast.org/GeneralInformation/mechanicalventilation.aspx.
Kaye J. Communicative action and mass communication via internet technologies. 2014 Honors Council of the Illinois Region Papers. 2014; (2): 1-15.
El-Soussi AH, Elshafey MM, Othman SY, AbdElkader FA. Augmented alternative communication methods in intubated COPD patients: Does it make d i f f e r e n c e . E g y p t J C h e s t D i s T u b e r c 2015;64(1):21-28.
Finke EH, Light J, Kitko L. A systematic review of the effectiveness of nurse communication with patients with complex communication needs with a focus on the use of augmentative and alternative communication. J Clin Nurs 2008;17(16):2102- 2115.
Sharpe B, Hemsley B. Improving nurse–patient communication with patients with communication impairments: hospital nurses’ views on the feasibility of using mobile communication technologies. Appl Nurs Res 2016;30:228-236.
Roscham O, Duangpeang S, Deenan A. Experience of patient receiving mechanical ventilator. The Graduate Research Conference 12th KhonKaen University. 2014:1001-1015. (In Thai)
Thiloksakulchai F. Evidence-based nursing: principle and method. 6thed. Bangkok: Preone;2011. (In Thai)
National Health and Medical Research Council. A guide to the development, evaluation and implementation of clinical practice guidelines. 1999 [cited 2017 March 7]: Available from: https://www.nhmrc.gov.au/_files _nhmrc/publications/attachments/cp30.p
Joanna Briggs Institute for Evidence Based Nursing and Midwife. JBI grading of recommendation. 2014. [cited 2017 March 7]: Available from: https://www.joannabriggs.org/assets/docs/approach/JBILevels-of-evidence_2014.pdf
Kanha S. The development of clinical nursing Practice guideline by utilization of research findings to facilitate communication among the intubated patients (Unpublished master’s thesis). Bangkok: Mahidol University; 2003.