Koszalinski Rebecca S, Tappen Ruth M, Hickman Candice, Melhuish Tracey
Author Affiliations: College of Nursing, University of Tennessee Knoxville (Dr Koszalinski); Florida Atlantic University, Boca Raton (Dr Tappen); Boca Raton Regional Hospital, Florida (Ms Hickman); and CVICU, CCU, and NSICU, Holy Cross Hospital, Fort Lauderdale, Florida (Ms Melhuish).The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.
Comput Inform Nurs. 2016 Aug;34(8):339-44. doi: 10.1097/CIN.0000000000000266.
Voice is crucial for communication in all healthcare settings. Evidence-based care highlights the need for clear communication. Clear communication methods must be applied when caring for special populations in order to assess pain effectively. Communication efforts also should be offered to patients who are in end-of-life care and would like to make independent decisions. A computer communication application was offered to patients in intensive care/critical care units in three hospitals in South Florida. Inclusion criteria included the age of 18 years or older, Richmond Agitation Sedation Scale between -1 and +1, ability to read and write English, and willingness to use the computer application. Exclusion criteria included inability to read and write English, agitation as defined by the Richmond Agitation Sedation Scale, and any patient on infection isolation protocol. Four qualitative themes were revealed, which directly relate to two published evidence-based guidelines. These are the End of Life Care and Decision Making Evidence-Based Care Guidelines and the Pain Assessment in Special Populations Guidelines. This knowledge is important for developing effective patient-healthcare provider communication.
在所有医疗环境中，声音对于交流至关重要。循证护理强调清晰沟通的必要性。在护理特殊人群时，必须采用清晰的沟通方法，以便有效评估疼痛。对于处于临终关怀且希望自主做决定的患者，也应开展沟通工作。南佛罗里达州三家医院的重症监护/危重症监护病房的患者使用了一种计算机通信应用程序。纳入标准包括年龄在18岁及以上、里士满躁动镇静量表评分为-1至+1、具备英语读写能力以及愿意使用该计算机应用程序。排除标准包括无英语读写能力、符合里士满躁动镇静量表定义的躁动以及任何处于感染隔离方案中的患者。揭示了四个定性主题，它们直接与两项已发表的循证指南相关。这两项指南分别是《临终关怀与决策循证护理指南》和《特殊人群疼痛评估指南》。这些知识对于发展有效的患者与医疗服务提供者之间的沟通很重要。
