Department of Anesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.
Department of Health Sciences, University West, Trollhättan, Sweden.
J Adv Nurs. 2020 Nov;76(11):2909-2920. doi: 10.1111/jan.14524. Epub 2020 Sep 6.
To conduct a review summarizing evidence concerning communication with mechanically ventilated patients in the intensive care unit (ICU).
ICU patients undergoing mechanical ventilation are unable to communicate verbally, causing many negative emotions. Due to changes in sedation practice, a growing number of patients are conscious and experience communication difficulties.
The umbrella review method guided by the Joanna Briggs Institute was applied.
A systematic search was done in the Cochrane Library, the Joanna Briggs Institute database, Cinahl, Pubmed, PsycINFO and Scopus between January -April 2019. Search terms were 'nurse-patient communication', 'mechanical ventilation', 'intensive care', and 'reviews as publication type'. Literature from 2009-2019 was included.
Following recommendations by the Joanna Briggs Institute, a quality appraisal, data extraction, and synthesis were done.
Seven research syntheses were included. There were two main themes and six subthemes: (1) Characterization of the nurse-patient communication: (a) Patients' communication; (b) Nurses' communication; (2) Nursing interventions that facilitate communication: (a) Communication assessment and documentation; (b) Communication methods and approaches; (c) Education and training of nurses; and (d) Augmentative and alternative communication.
Nurse-patient communication was characterized by an unequal power relationship with a common experience - frustration. Four key interventions were identified and an integration of these may be key to designing and implementing future ICU communication packages.
Nurse-patient communication is characterized by an unequal power relationship with one joint experience - frustration. Four key interventions should be integrated when designing and implementing communication packages in the ICU. Findings are transferable to ICU practices where patients are conscious and experience communication difficulties.
综述关于重症监护病房（ICU）中与机械通气患者进行沟通的证据。
接受机械通气的 ICU 患者无法进行言语交流，导致许多负面情绪。由于镇静实践的改变，越来越多的患者有意识并经历沟通困难。
采用循证医学 Joanna Briggs 研究所指导的伞式审查方法。
2019 年 1 月至 4 月，在 Cochrane 图书馆、Joanna Briggs 研究所数据库、Cinahl、Pubmed、PsycINFO 和 Scopus 中进行了系统搜索。检索词为“护士-患者沟通”、“机械通气”、“重症监护”和“综述作为出版物类型”。纳入了 2009 年至 2019 年的文献。
根据 Joanna Briggs 研究所的建议，进行了质量评估、数据提取和综合。
纳入了 7 项研究综合。有两个主要主题和六个子主题：（1）护士-患者沟通的特点：（a）患者的沟通；（b）护士的沟通；（2）促进沟通的护理干预：（a）沟通评估和记录；（b）沟通方法和途径；（c）护士教育和培训；和（d）辅助和替代沟通。
护士-患者沟通的特点是权力关系不平等，共同体验是沮丧。确定了四项关键干预措施，并将这些措施整合在一起可能是设计和实施未来 ICU 沟通方案的关键。
护士-患者沟通的特点是权力关系不平等，共同体验是沮丧。在设计和实施 ICU 沟通方案时，应整合四项关键干预措施。这些发现可推广到 ICU 中意识清醒并经历沟通困难的患者的实践中。
