Experiences Of Nurses Regarding Communication With Mechanically Ventilated Patients In The Intensive Care Units
DOI:
https://doi.org/10.54393/pjhs.v4i05.695Keywords:
Experience, Nurse, Communication, Mechanically Ventilated PatientAbstract
Nurses’ communication with mechanically ventilated patients (MVPs) is very imposrtant assuring respect and dignity of the patients and dealing the patient like a human being rather than a body.
OBJECTIVE: To explore the experiences and perspectives of nurses regarding communication with Mechanically ventilated patienst in the intensive care units of Islamabad Pakistan.
STUDY METHODS The qualitative phenomenological study was conducted on ten participants, selected through purposive sampling technique for individual in-depth interviews.
RESULTS: Six major themes of the study were recognition of communication experiences is essential for care, construction and interpretation of communication is situational, lack of speaking power led to feelings of powerless and frustration, nurses' responsibilities in the situation of critical care, impacts of verbal communication on the mechanically ventilated patient, and need for acceptance of knowledge and skills acquisition.
CONCLUSION The current study highlighted experiences of nurses regarding communication with mechanically ventilated patients in the ICUs. The study findings further suggested the areas for improvement of nurses' communication with MVPs
References
De Jesus LMT, Simões JFFL, Voegeli D. Verbal communication with unconscious patients. ACTA Paulista de Enfermagem. 2013 Nov; 26(5): 506–13. doi: 10.1590/S0103-21002013000500016.
Otuzoğlu M and Karahan A. Determining the effectiveness of illustrated communication material for communication with intubated patients at an intensive care unit. International Journal of Nursing Practice. 2014 Oct; 20(5): 490-8. doi: 10.1111/ijn.12190.
ten Hoorn S, Elbers PW, Girbes AR, Tuinman PR. Communicating with conscious and mechanically ventilated critically ill patients: A systematic review. Critical Care. 2016 Dec; 20(1): 1–14. doi: 10.1186/s13054-016-1483-2.
Powell B. Who is talking to the ventilated and sedated patient?. Proceedings of Student Research and Creative Inquiry Day. 2019 Apr; 3: 1.
Wunsch H, Wagner J, Herlim M, Chong DH, Kramer AA, Halpern SD. ICU occupancy and mechanical ventilator use in the united states*. Critical Care Medicine. 2013 Dec; 41(12): 2712–9. doi: 10.1097/CCM.0b013e318298a139.
Cederwall CJ, Naredi S, Olausson S, Rose L, Ringdal M. Prevalence and intensive care bed use in subjects on prolonged mechanical ventilation in Swedish ICUs. Respiratory care. 2021 Feb; 66(2): 300-6. doi: 10.4187/respcare.08117.
Hashmi M, Taqi A, Memon MI, Muneeb S, Khaskheli S. Since January 2020 Elsevier has created a COVID-19 resource center with free information in English and Mandarin on the novel coronavirus COVID- 19. The COVID-19 resource center is hosted on Elsevier Connect, the company ’ s public news and information . 2020 Jan;.
David D, Arman E, Chandra N, Nadia N. Development of escape room game using VR technology. Procedia Computer Science. 2019 Jan; 157: 646-52. doi: 10.1016/j.procs.2019.08.223.
Happ MB, Garrett K, Thomas DD, Tate J, George E, Houze M, et al. Nurse-patient communication interactions in the intensive care unit. American Journal of Critical Care. 2011 Mar; 20(2): e28-40. doi: 10.4037/ajcc2011433.
Das S, Xavier B, Begum F. Effectiveness of Communication Board on the Communication Pattern and Level of Satisfaction among the Patients on Mechanical Ventilator in IMS & SUM Hospital, Bhubaneswar. International Journal of Practical Nursing. 2015 Jan; 3(3): 97–107. doi: 10.21088/ijpn.2347.7083.3315.3.
Khalaila R, Zbidat W, Anwar K, Bayya A, Linton DM, Sviri S. Communication difficulties and psychoemotional distress in patients receiving mechanical ventilation. American Journal of Critical Care. 2011 Nov; 20(6): 470–9. doi: 10.4037/ajcc2011989.
Alasad J and Ahmad M. Issues and innovations in nursing practice Communication with critically ill patients. Journal of Advanced Nursing. 2005 May; 50(4): 356–62. doi: 10.1111/j.1365-2648.2005.03400.x.
Fairlie A. Nurse-patient communication barriers. Senior Nurse. 1992 May; 12(3): 40–3. doi: 10.4037/ccn1992.12.5.40.
Norouzinia R, Aghabarari M, Shiri M, Karimi M, Samami E. Communication Barriers Perceived by Nurses and Patients. Global Journal of Health Science. 2015 Jun; 8(6): 65–74. doi: 10.5539/gjhs.v8n6p65.
IJssennagger CE, Ten Hoorn S, Van Wijk A, Van den Broek JM, Girbes AR, Tuinman PR. Caregivers' perceptions towards communication with mechanically ventilated patients: the results of a multicenter survey. Journal of Critical Care. 2018 Dec; 48: 263-8. doi: 10.1016/j.jcrc.2018.08.036.
Patak L, Gawlinski A, Fung NI, Doering L, Berg J. Patients’ reports of health care practitioner interventions that are related to communication during mechanical ventilation. Heart & Lung. 2004 Sep; 33(5): 308-20. doi: 10.1016/j.hrtlng.2004.02.002.
Florczak KL. Book review: The practice of nursing research: conduct, critique, and utilization. Nursing Science Quarterly. 2005 Oct; 18(4): 365-6. doi: 10.1177/089431840501800421.
Neubauer BE, Witkop CT, Varpio L. How phenomenology can help us learn from the experiences of others. Perspectives on Medical Education. 2019 Apr; 8(2): 90–7. doi: 10.1007/S40037-019-0509-2.
Dithole KS, Thupayagale-Tshweneagae G, Akpor OA, Moleki MM. Communication skills intervention: promoting effective communication between nurses and mechanically ventilated patients. BMC Nursing. 2017 Dec; 16(1): 1-6. doi: 10.1186/s12912-017-0268-5.
Holm A and Dreyer P. Nurse-patient communication within the context of non-sedated mechanical ventilation: A hermeneutic-phenomenological study. Nursing in Critical Care. 2018 Mar; 23(2): 88–94. doi: 10.1111/nicc.12297.
Leung CCH, Pun J, Lock G, Slade D, Gomersall CD, Wong WT, et al. Exploring the scope of communication content of mechanically ventilated patients. Journal of Critical Care. 2018 Apr; 44: 136–41. doi: 10.1016/j.jcrc.2017.10.044.
Tolotti A, Bagnasco A, Catania G, Aleo G, Pagnucci N, Cadorin L, et al. The communication experience of tracheostomy patients with nurses in the intensive care unit: A phenomenological study. Intensive and Critical Care Nursing. 2018 Jun; 46: 24–31. doi: 10.1016/j.iccn.2018.01.001.
Holm A, Karlsson V, Dreyer P. Nurses’ experiences of serving as a communication guide and supporting the implementation of a communication intervention in the intensive care unit. International Journal of Qualitative Studies on Health and Well-being. 2021 Jan; 16(1): 1971598. doi: 10.1080/17482631.2021.1971598.
Dithole K, Sibanda S, Moleki MM, Thupayagale-Tshweneagae G. Exploring Communication Challenges Between Nurses and Mechanically Ventilated Patients in the Intensive Care Unit: A Structured Review. Worldviews on Evidence-Based Nursing. 2016; 13(3): 197–206. doi: 10.1111/wvn.12146.
Dithole KS, Sibanda S, Moleki MM, Thupayagale-Tshweneagae G. Nurses’ communication with patients who are mechanically ventilated in intensive care: the Botswana experience. International nursing review. 2016 Sep; 63(3): 415–21. doi: 10.1111/inr.12262.
Jo M. Perceived quality of communication with icu physicians and nurses and its relationship to symptoms of anxiety, depression, and stress among family members of chronically criitcally ill patients in korea. 2016. Available at: file:///C:/Users/admin/Downloads/Jo_unc_0153D_16588.pdf.
Smith BR. Assessing patient and caregiver intent to use mobile device videoconferencing for remote mechanically-ventilated patient management. Eastern Michigan University; 2017. Available at: https://www.proquest.com/docview/1940280803?pq-origsite=gscholar&fromopenview=true.
Radtke JV, Tate JA, Happ MB. Nurses’ perceptions of communication training in the ICU. Intensive and Critical Care Nursing. 2012 Feb; 28(1): 16-25. doi: 10.1016/j.iccn.2011.11.005.
YY, Nagórska M, Karabulut N. Problems in critical care nurse-patient communication: Examples of Poland and Turkey. Acta Clinica Croatica. 2017 Sep; 56(3): 437–45.
Song HS, Choi JY, Son YJ. The relationship between professional communication competences and nursing performance of critical care nurses in South Korea. International Journal of Nursing Practice. 2017 Oct; 23(5): 1–7. doi: 10.1111/ijn.12576.
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