Jill L Guttormson1, Karin Lindstrom Bremer2, Rachel M Jones3. 1. Marquette University College of Nursing, P.O. Box 1881, Milwaukee, WI 53210, USA. Electronic address: jill.guttormson@marquette.edu. 2. Minnesota State University, Mankato, 107 Armstrong Hall, Mankato, MN 56001, USA. 3. Marquette University College of Nursing, 25 N. Franklin St. #2, Madison, WI 53703, USA.
Abstract
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 analysed 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 impacted negatively on 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.
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 analysed 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 impacted negatively on 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 impactspatients' 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.
Authors: Louise Rose; Anna-Liisa Sutt; Andre Carlos Amaral; Dean A Fergusson; Orla M Smith; Craig M Dale Journal: Cochrane Database Syst Rev Date: 2021-10-12