Communicating to Non-Speaking Critically Ill Patients: Augmentative and Alternative Communication Technique as an Essential Strategy.

Autor: Al-Yahyai Rn Bsn ANS; Suhar Hospital, Al Batinah North, Sultanate of Oman., Arulappan Rn Rm Bsc N Msc N PhD N DNSc J; Department of Maternal and Child health, College of Nursing, Sultan Qaboos University, Muscat, Sultanate of Oman., Matua GA; Department of Fundamentals and Administration, College of Nursing, Sultan Qaboos University, Muscat, Sultanate of Oman., Al-Ghafri Rn Bsn SM; Armed Forces Hospital, Al Khoud, Muscat, Sultanate of Oman., Al-Sarakhi Rn Bsn SH; Sultan Qaboos University Hospital, Al Khoud, Muscat, Sultanate of Oman., Al-Rahbi Rn Bsn KKS; Sultan Qaboos University Hospital, Al Khoud, Muscat, Sultanate of Oman., Jayapal SK; Centre of Studies and Research, Ministry of Health, Muscat, Sultanate of Oman.
Jazyk: angličtina
Zdroj: SAGE open nursing [SAGE Open Nurs] 2021 May 31; Vol. 7, pp. 23779608211015234. Date of Electronic Publication: 2021 May 31 (Print Publication: 2021).
DOI: 10.1177/23779608211015234
Abstrakt: Introduction: Communication with hospitalized patients is crucial to improve the quality and safety of health care.
Methods: The study assessed the communication methods used by nurses while communicating to non-speaking critically ill patients. The participants included staff nurses working in ICU, CICU, HD units of neuro- surgical, orthopedic, medical and oncology wards. Purposive sampling technique was used to recruit a total number of 194 nurses. The communication methods used were assessed by a questionnaire comprised of a list of 21 strategies used to communicate with non-speaking patients.
Results: The most commonly used strategies were reading the patient's mouthing words, encouraging the patient by telling them that they are doing well and nurses helping them to get better, assessing the patients for their communication ability, "thumps up" to indicate "yes", "shake head" indicating "no", use OK, or point to body parts, speaking slowly and waiting for the patient's response, spending time to listen patiently to what the patient say and touching the non-speaking critically ill patient when the nurse speaks with the patient.
Conclusion: The study reported that the nurses used variety of communication strategies while communicating to non- speaking critically ill patients. However very few nurses used Augmentative and alternative communication strategies to communicate to non-speaking critically ill patients. The study recommends the importance of establishing Augmentative and Alternative Communication strategies in the hospitals.
Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2021.)
Databáze: MEDLINE