Intensive Care Unit, Norra Älvsborgs Länssjukhus, Trollhättan, SE-46173 Trollhättan, Sweden.
Centre for Augmentative and Alternative Communication, University of Pretoria, Private Bag X20 Hatfield, Pretoria 0028, South Africa.
Intensive Crit Care Nurs. 2019 Oct;54:64-70. doi: 10.1016/j.iccn.2019.04.002. Epub 2019 Apr 17.
Successful communication between staff and patients plays a key role in the well-being of critically ill patients within an intensive care unit. The use of augmentative and alternative communication strategies could contribute to better pain management, medical outcomes and shorter hospital stays for patients in critical care units.
To describe healthcare professionals' use of augmentative and alternative communication strategies to communicate with critically ill patients regarding pain in an intensive care unit.
A quantitative approach was used, and 83 healthcare professionals of different professions responded to a survey consisting of 16 items that focused on their knowledge of and access to augmentative and alternative communication strategies. The results are presented as descriptive and comparative non-parametric statistics.
The setting of the study was an intensive care unit in a Swedish hospital.
All participants had experience of working in intensive care units with patients with communication challenges. Knowledge of augmentative and alternative communication tools differed between the professions, and less experienced healthcare professionals tended to administer sedative drugs more often than more experienced healthcare professionals.
Healthcare professionals work with vulnerable patients on a daily basis. Their knowledge of communication tools and clinical experience may influence how they communicate and treat pain in patients in intensive care units.
在重症监护病房中，医护人员与患者之间的成功沟通对于患者的健康至关重要。使用辅助和替代沟通策略可以帮助重症监护病房的患者更好地管理疼痛，改善医疗效果，并缩短住院时间。
描述医护人员在重症监护病房中使用辅助和替代沟通策略与重症患者进行疼痛沟通的情况。
采用定量方法，83 名不同专业的医护人员对一项包含 16 个项目的调查做出回应，这些项目主要集中在他们对辅助和替代沟通策略的了解和获取上。结果以描述性和比较性非参数统计数据呈现。
该研究的设置是瑞典一家医院的重症监护病房。
所有参与者都有在重症监护病房与有沟通障碍的患者一起工作的经验。不同专业的医护人员对辅助和替代沟通工具的了解程度不同，经验较少的医护人员比经验丰富的医护人员更倾向于经常使用镇静药物。
医护人员每天都与脆弱的患者打交道。他们对沟通工具的了解和临床经验可能会影响他们在重症监护病房中与患者沟通和治疗疼痛的方式。
