Communication with mechanically ventilated intensive care patients: A concept analysis: Presenter(s): Marte-Marie Karlsen, Lovisenberg Diaconal University College, Norway. (April 2023)

• Record Type: Journal Article
• Authors: Holm, Anna; Kvande, Monica; Heyn, Lena Günterberg; Dreyer, Pia; Tate, Judy; Happ, Mary Beth
• Is Part Of: Patient education and counseling. Volume 109(2023)Supplement
• Page Start: 85
• Page End: 86
• Publication Date: 2023-04
• Subjects: Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2022.10.201
• Languages: English
• ISSNs: 0738-3991

Abstract

Abstract : Background: Every year, millions of patients worldwide require mechanical ventilation during critical illnesses. Mechanical ventilation impedes communication because the endotracheal tube blocks the vocal cords. This study performed a concept analysis describing communication with mechanically ventilated patients in intensive care units. Methods: An integrative approach to concept identification and analysis by Im and Meleis was chosen for the process. The core concepts were identified through a deductive analysis of previous literature on the field after a thorough literature search 2021/2022 in five databases 2021/2022, related to both the terminology used to define the patient population and the communication and interactions described. Findings: Out of 130 relevant articles, 50 relevant concepts describing communication practices with mechanically ventilated patients were identified. The concepts were grouped into four main categories: communication assessments, communication styles, communication partners, and communication methods/strategies. The reciprocal aspect of the dialogue is very limited, since the patients cannot express themselves vocally. We also identified 38 phrases used to describe mechanically ventilated patients, including "lightly sedated mechanically ventilated patients, " "temporarily non-speaking, " and "dysarthric intensive care patients." Discussion: A clear definition of concepts will be an advantage in the further development of situation-specific theory, guidelines, and recommendations for communication practice, which up until now has been limited by a lack of in-depth understanding of the communication challenges. The Findings: of the concept analysis can be used in clinical practice, for research and quality improvement purposes, and in the development of models for communication practice, but they require further testing.