Implementing augmentative and alternative communication in critical care settings: Perspectives of healthcare professionals

Autor: Charlotte Handberg, Anna Katarina Voss
Rok vydání: 2017
Předmět:
Adult
Male
Critical Care
Attitude of Health Personnel
speech impairment
Anxiety
Symbolic interactionism
Speech Disorders
rehabilitation
Communication Aids for Disabled
03 medical and health sciences
Patient safety
Nursing care
0302 clinical medicine
Nursing
Intensive care
Intubation
Intratracheal
Humans
Medicine
030212 general & internal medicine
Competence (human resources)
Qualitative Research
General Nursing
symbolic interactionism
030504 nursing
communication
business.industry
alternative and augmentative communication (AAC)
Communication Barriers
Delirium
General Medicine
Focus Groups
healthcare professionals
intensive care units (ICU)
Focus group
Intensive Care Units
Augmentative and alternative communication
nursing care
0305 other medical science
business
communication aids
Psychosocial
Stress
Psychological
interpretive description
Zdroj: Handberg, C & Voss, A K 2018, ' Implementing Augmentative and Alternative Communication in Critical Care Settings: Perspectives of Healthcare Professionals ', Journal of Clinical Nursing, vol. 27, no. 1-2, pp. 102-114 . https://doi.org/10.1111/jocn.13851
ISSN: 0962-1067
DOI: 10.1111/jocn.13851
Popis: Aims and objectives To describe the perspectives of healthcare professionals caring for intubated patients on implementing augmentative and alternative communication (AAC) in critical care settings. Background Patients in critical care settings subjected to endotracheal intubation suffer from a temporary functional speech disorder and can also experience anxiety, stress and delirium, leading to longer and more complicated hospitalisation and rehabilitation. Little is known about the use of AAC in critical care settings. Method The design was informed by interpretive descriptive methodology along with the theoretical framework symbolic interactionism, which guided the study of healthcare professionals (n = 48) in five different intensive care units. Data were generated through participant observations and 10 focus group interviews. Results The findings represent an understanding of the healthcare professionals' perspectives on implementing AAC in critical care settings and revealed three themes. Caring Ontology was the foundation of the healthcare professionals' profession. Cultural Belief represented the actual premise in the interactions during the healthcare professionals' work, saving lives in a biomedical setting whilst appearing competent and efficient, leading to Triggered Conduct and giving low priority to psychosocial issues like communication. Conclusion Lack of the ability to communicate puts patients at greater risk of receiving poorer treatment, which supports the pressuring need to implement and use AAC in critical care. It is documented that culture in biomedical paradigms can have consequences that are the opposite of the staffs' ideals. The findings may guide staff in implementing AAC strategies in their communication with patients and at the same time preserve their caring ontology and professional pride. Relevance to clinical practice Improving communication strategies may improve patient safety and make a difference in patient outcomes. Increased knowledge of and familiarity with AAC strategies may provide healthcare professionals with an enhanced feeling of competence.
Databáze: OpenAIRE
Externí odkaz: