کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2651782 1139531 2014 10 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Effect of a multi-level intervention on nurse–patient communication in the intensive care unit: Results of the SPEACS trial
ترجمه فارسی عنوان
تأثیر مداخله چندسطحی بر ارتباطات پرستار ـ بیمار در بخش مراقبت های ویژه: نتایج حاصل از آزمایش SPEACS
کلمات کلیدی
ارتباطات؛ تهویه مکانیکی؛ مراقبت های ویژه؛ برقراری ارتباط بیمار و ارائه دهنده؛ ارتباطات تقویتی و جایگزین؛ ارتباطات پرستار و بیمار
Communication; Mechanical ventilation; Critical care; Patient–provider communication; Augmentative and alternative communication; Nurse–patient communication
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

ObjectiveTo test the impact of two levels of intervention on communication frequency, quality, success, and ease between nurses and intubated intensive care unit (ICU) patients.DesignQuasi-experimental, 3-phase sequential cohort study: (1) usual care, (2) basic communication skills training (BCST) for nurses, (3) additional training in augmentative and alternative communication devices and speech language pathologist consultation (AAC + SLP). Trained observers rated four 3-min video-recordings for each nurse–patient dyad for communication frequency, quality and success. Patients self-rated communication ease.SettingTwo ICUs in a university-affiliated medical center.Participants89 intubated patients awake, responsive and unable to speak and 30 ICU nurses.Main resultsCommunication frequency (mean number of communication acts within a communication exchange) and positive nurse communication behaviors increased significantly in one ICU only. Percentage of successful communication exchanges about pain were greater for the two intervention groups than the usual care/control group across both ICUs (p = .03) with more successful sessions about pain and other symptoms in the AAC + SLP group (p = .07). Patients in the AAC + SLP intervention group used significantly more AAC methods (p = .002) and rated communication at high difficulty less often (p < .01).ConclusionsThis study provides support for the feasibility, utility and efficacy of a multi-level communication skills training, materials and SLP consultation intervention in the ICU.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Heart & Lung: The Journal of Acute and Critical Care - Volume 43, Issue 2, March–April 2014, Pages 89–98
نویسندگان
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