| E1 |
Effect of a multi-level intervention on nurse-patient communication in the intensive care unit: Results of the SPEACS trial(33 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(2):89-98. doi: 10.1016/j.hrtlng.2013.11.010
https://doi.org/10.1016/j.hrtlng.2013.11...
)
|
Quasi-experimental quantitative |
-89 conscious and intubated patients;
-30 nurses from two ICU's. |
- Increased frequency of communication and positive communication behaviors;
- Improved control of pain and other symptoms;
- Patients and speech therapists who used more AAC methods found it less difficult to communicate. |
- Low tech: papers and pens; Board with alphabet/images/phrases; notebooks; felt tip pens;
- Supports for the upper limb to facilitate writing;
- Hearing aids;
- Electronic communication devices, personalized to each patient. |
| E2 |
Communication aid requirements of intensive care unit patients with transient speech loss(77 Mobasheri MH, King D, Judge S, Arshad F, Larsen M, Safarfashandi Z, et al. Communication aid requirements of intensive care unit patients with transient speech loss. AAC Augment Altern Commun. 2016;32(4):261-71. doi: 10.1080/07434618.2016.1235610
https://doi.org/10.1080/07434618.2016.12...
)
|
Qualitative semi-structured interview |
- 8 patients; -4 family members;
-6 employees (2 doctors and 4 nurses);
- 2 speech therapists
- 30 conscious and mechanically ventilated patients. |
- Improved communication between patients and professionals;
- More effective and improved pain communication;
- More effective communication is considered a pillar of patient safety. |
- Use of tablet/Ipads®. |
| E3 |
Which alternative communication methods are effective for voiceless patients in Intensive Care Units? A systematic review(88 Carruthers H, Astin F, Munro W. Which alternative communication methods are effective for voiceless patients in Intensive Care Units? a systematic review. Intensive Crit Care Nurs. 2017;42:88-96. doi: 10.1016/j.iccn.2017.03.003
https://doi.org/10.1016/j.iccn.2017.03.0...
)
|
Systematic review |
- Analysis of 12 studies:
-1,981 patients;
-454 health professionals. |
- AAC strategies are effective and allow patients to reduce communication difficulties and improve their satisfaction. |
Low technology AAC tools: communication boards/images/books; board with alphabet; board with symbols; Paper and pen;
High technology AAC tools: Speech generator (DynaMyte® and MessageMate®); Speech generator applications; Eye contolled assistive technology ( TheGrid® , Sensory Software® ) ; LifeVoice Technologies® .
|
| E4 |
Communicating with conscious and mechanically ventilated critically ill patients: a systematic review(99 Hoorn S., Elbers PW, Girbes AR, Tuinman PR. Communicating with conscious and mechanically ventilated critically ill patients: a systematic review. Crit Care. 2016;20(1):1-14. doi: 10.1186/s13054-016-1483-2
https://doi.org/10.1186/s13054-016-1483-...
)
|
Systematic review |
- Analysis of 31 articles. |
- Effective communication with hospitalized patients is essential to improve the quality and safety of healthcare provided. |
- Communication boards and other Low Technologies equipment;
- High technologies of AAC;
- Other devices: Tracheostomy tubes (fenestrated) with inflated cuff (speaking tracheostomy tube); - Speaking valve; - Electrolarynx; |
| E5 |
Augmented alternative communication methods in intubated COPD patients: Does it make difference(1111 El-Soussi AH, Elshafey MM, Othman SY, Abd-Elkader FA. Augmented alternative communication methods in intubated COPD patients: does it make difference. Egypt J Chest Dis Tuberc. 2015;64(1):21-8. doi: 10.1016/j.ejcdt.2014.07.006
https://doi.org/10.1016/j.ejcdt.2014.07....
)
|
Quantitative |
- 60 patients. |
- AAC methods increase the level of satisfaction and decrease stress in COPD patients. |
- Communication boards;
- Alphabet boards and/or images. |
| E6 |
Nurse and patient interaction behaviors' effects on quality for mechanically ventilated older adults in the ICU(1212 Nilsen ML, Sereika SM, Hoffman LA, Barnato A, Donovan H, Happ MB. Nurse and Patient Interaction Behaviors' Effects on Nursing Care Quality for Mechanically Ventilated Older Adults in the ICU. Res Gerontol Nurs. 2014;7(3):113-25. doi: 10.3928/19404921-20140127-02
https://doi.org/10.3928/19404921-2014012...
)
|
Qualitative |
- 38 ventilated patients;
- 24 nurses;
It was performed in an in a cardio-thoracic ICU. |
- The use of AAC strategies was associated with positive behaviors on the part of the nursing team, which: encourage patients to use the different types of AAC; they are associated with better pain control, less need for sedation; they increase interaction and allow them to communicate and express needs. |
- Non-verbal communication (nods, gestures, facial expressions, purposeful look and handshake, pointing to AAC boards);
- Drawing/writing;
- Trying to spell (lip reading);
- Use of dictating board. |
| E7 |
The Effect of Using Communication Boards on Ease of Communication and Anxiety in Mechanically Ventilated Conscious Patients Admitted to Intensive Care Units(1313 Hosseini S-R, Valizad-hasanloei M-A, Feizi A. The effect of using communication boards on ease of communication and anxiety in mechanically ventilated conscious patients ad-mitted to intensive care units. Iran J Nurs Midwifery Res. 2018;23(5):358. doi: 10.4103/ijnmr.IJNMR_68_17
https://doi.org/10.4103/ijnmr.IJNMR_68_1...
)
|
Quasi-experimental study |
|
- The use of communication aids in conscious and ventilated patients can facilitate communication and decrease stress levels. |
- Communication boards. |
