Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
권호 표지
DOI QR코드

DOI QR Code

Communication Experiences and Needs among the Critically Ill with an Artificial Airway: An Integrative Review

인공기도를 가진 중환자실 환자의 의사소통 경험과 요구에 관한 통합적 문헌고찰

  • Kim, Soo Hyun (Yonsei University College of Nursing) ;
  • Kim, Juyoung (Yonsei University College of Nursing) ;
  • Choi, JiYeon (Yonsei University College of Nursing, Mo-Im Kim Nursing Research Institute)
  • 김수현 (연세대학교 대학원 간호학과) ;
  • 김주영 (연세대학교 대학원 간호학과) ;
  • 최지연 (연세대학교 간호대학.김모임 간호학 연구소)
  • Received : 2021.01.20
  • Accepted : 2021.03.30
  • Published : 2021.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : The aim of this integrative review was to describe communication experiences and needs among the critically ill with an artificial airway and evaluate relevant intervention studies. Methods : Using the method employed by Whittemore and Knafl (2005), we searched for papers on PubMed, CINAHL, and Web of Science published from January 1, 2015 to September 25, 2020. A total of 26 papers (11 descriptive studies, 15 experimental ones) were identified and evaluated. Results : Communication experiences while having an artificial airway, identified either by patients' recall or direct observation, were predominantly negative. However, positive experiences were reported in patients with improvements in physical conditions and functions. Patients' communication needs were diverse, encompassing physical, psycho-emotional, social, spiritual, and medical issues. Interventions tested included alternative and augmentative communication strategies, communication intervention packages, and voice restorative devices. Physical, psychosocial, and communication-related patient outcomes were evaluated using various methods including self-report surveys, interviews, and observations. Conclusions : The findings from this review represent the state of science regarding communication of the critically ill whose vocal abilities are inhibited by the presence of an artificial airway. Future studies with rigorous experimental designs and measures are warranted to better understand and support the complex needs of this highly vulnerable patient population.

Keywords

References

  1. Kelly FE, Fong K, Hirsch N, Nolan JP. Intensive care medicine is 60 years old: the history and future of the intensive care unit. Clinical Medicine Journal. 2014;14(4):376-9. https://doi.org/10.7861/clinmedicine.14-4-376
  2. Rotondi AJ, Chelluri L, Sirio C, Mendelsohn A, Schulz R, Belle S, et al. Patients' recollections of stressful experiences while receiving prolong mechanical ventilation in an intensive care unit. Critical Care Medicine. 2002;29(2):277-82. https://doi.org/10.1097/00003246-200204000-00004
  3. Magnus VS, Turkington L. Communication interaction in ICU - patient and staff experiences and perceptions. Intensive and Critical Care Nursing. 2006;22:167-80. http://doi.org/10.1016/j.iccn.2005.09.009.
  4. Choi JY, Tate JA. Evidence-based communication with critically ill older adults. Critical Care Clinics. 2021;37(1):233-49. https://doi.org/10.1016/j.ccc.2020.09.002
  5. Santiago C, Roza D, Porretta K, Smith O. The use of tablet and communication app for patients with endotracheal or tracheostomy tubes in the medical surgical intensive care unit: a pilot, feasibility study. Canadian Journal of Critical Care Nursing. 2019; 30(1):17-23. http://doi.org/10.13140/RG.2.2.19835.57125
  6. Happ MB, Garrett KL, Tate JA, DiVirgilio D, Houze MP, Demirci JR, et al. Effect of a multi-level intervention on nurse-patient communication in the intensive care unit: results of the SPEACS trial. Heart & Lung. 2014;43:89-98. http://doi.org/10.1016/j.hrtlng.2013.11.010
  7. Happ MB, Garrett KL, Thomas DD, Tate JA, George E, Hoze MP, et al. Nurse-patient communication interactions in the intensive care unit. American Journal of Critical Care. 2011;20:e28-40. http://doi.org/10.4037/ajcc2011433.
  8. Kim T. The communication experience of patients who are intubated [master's thesis]. Seoul: Yonsei University; 2001. p. 60-7.
  9. Happ MB, Seaman JB, Nilsen ML, Sciulli A, Tate JA, Saul M, et al. The number of mechanically ventilated ICU patients meeting communication criteria. Heart & Lung. 2015;44:45-9. http://doi.org/10.1016/j.hrtlng.2014.08.010
  10. Whittemore R, Knafl K. The integrative review: updated methodology. Journal of Advanced Nursing. 2005;52:546-53. http://doi.org/10.1111/j.1365-2648.2005.03621.x
  11. Moher D, Liberati A, Tetzlaff J, Altman DG, Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097. http://doi.org/10.1371/journal.pmed.1000097
  12. Hong QN, Fabregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, et al. The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information. 2018;34(4):285-91. http://doi.org/10.3233/EFI-180221
  13. Coughlin SS. Recall bias in epidemiologic studies. Journal of Clinical Epidemiology. 1990;43(1):87-91. http://doi.org/10.1016/0895-4356(90)90060-3
  14. Haidet KK, Tate J, Divirgilio-Thomas D, Kolanowski A, Eberly ER, Happ MB. Methods to improve reliability of video recorded behavioral data. Research in Nursing and Health. 2009;32(4):465-74. http://doi.org/10.1002/nur.20334.
  15. Asan O, Montague E. Using video-based observation research methods in primary care health encounters to evaluate complex interactions. Journal of Informatics in Primary Care. 2014;21(4):161-70. http: //doi.org/10.14236/jhi.v21i4.72
  16. Rahu MA, Grap MJ, Cohn JF, Munro CL, Lyon DE, Sessler CN. Facial expression as an indicator of pain in critically ill intubated adults during endotracheal suctioning. American Journal of Critical Care. 2013;22(5):412-22. https://doi.org/10.4037/ajcc2013705
  17. Choi JY, Campbell ML, Gelinas C, Happ MB, Tate J, Chlan L. Symptom assessment in non-vocal or cognitively impaired ICU patients: implications for practice and future research. Heart & Lung. 2017; 46:239-45. http://doi.org/10.1016/j.hrtlng.2017.04.002
  18. Sanders JJ, Curtis JR, Tulsky JA. Achieving goal-concordant care: a conceptual model and approach to measuring serious illness communication and its impact. Journal of Palliative Medicine. 2018;21(S2): S17-27. https://doi.org/10.1089/jpm.2017.0459
  19. ten Hoorn S, Elbers PW, Girbes AR, Tuinman PR. Communicating with conscious and mechanically ventilated critically ill patients: a systematic review. Critical Care. 2016;20(1):333. http://doi.org/10.1186/s13054-016-1483-2
  20. Park Y-S, Oh EG. Factors related to intensive care unit nurses' patient centered communication competency. Journal of Korean Critical Care Nursing. 2018;11(2):51-62. https://www.jkccn.org/upload/pdf/jkccn-11-2-51.pdf
  21. Son Y-J, Lee YA, Sim KN, Kong SS, Park Y-S. Influence of communication competence and burnout on nursing performance of intensive care units nurses. Journal of Korean Academy of Fundamentals of Nursing. 2013;20(3):278-88. http://doi.org/10.7739/jkafn.2013.20.3.278
  22. Ahn JW, Kim KS. ICU nurses' perceptions of communication difficulties, importance, satisfaction and communication barrier with patient families. Perspectives in Nursing Science. 2013;10(1):12-23. http://koreascience.or.kr/article/JAKO201323965018724.pub?orgId=rinssnu
  23. Kim J, Kim K, Chung H, Kwak Y. The influence of communication barriers on nursing performance of intensive care units nurses. Journal of the Korean society for Wellness. 2017;12(1):45-56. http://doi.org/10.21097/ksw.2017.02.12.1.45