Ghiasvand Arezoo Mohamadkhani, Hosseini Meimanat, Atashzadeh-Shoorideh Foroozan
Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Acute Crit Care. 2023 Feb;38(1):8-20. doi: 10.4266/acc.2022.01039. Epub 2023 Feb 27.
Providing critical nursing care for conscious mechanically ventilated patients is mediated via effective communication. This study aimed to identify and map the antecedents, attributes, consequences, and definition of nurse-conscious mechanically ventilated patient communication (N-CMVPC). This scoping review was conducted by searching the Cochrane Library and the CINAHL, EMBASE, PubMed, Web of Science, and Scopus databases, between 2001 and 2021. The keywords queried included "nurses," "mechanically ventilated patients," "mechanical ventilation," "intubated patients," "communication," "interaction," "relationships," "nurse-patient communication," "nurse-patient relations," "intensive care units," and "critical care." Studies related to communication with healthcare personnel or family members were excluded. The results indicated that N-CMVPC manifests as a set of attributes in communication experiences, emotions, methods, and behaviors of the nurse and the patient and is classified into three main themes, nurse communication, patient communication, and quantitative-qualitative aspects. N-CMVPC is a complex, multidimensional, and multi-factor concept. It is often nurse-controlled and can express itself as questions, sentences, or commands in the context of experiences, feelings, and positive or negative behaviors involving the nurse and the patient.
为清醒的机械通气患者提供重症护理是通过有效的沟通来实现的。本研究旨在识别并梳理护士与清醒机械通气患者沟通(N-CMVPC)的前因、属性、后果及定义。本范围综述通过检索2001年至2021年期间的Cochrane图书馆以及CINAHL、EMBASE、PubMed、Web of Science和Scopus数据库进行。查询的关键词包括“护士”、“机械通气患者”、“机械通气”、“插管患者”、“沟通”、“互动”、“关系”、“护患沟通”、“护患关系”、“重症监护病房”和“危重症护理”。与医护人员或家庭成员沟通相关的研究被排除。结果表明,N-CMVPC在护士和患者的沟通经历、情感、方式及行为中表现为一组属性,并分为三个主要主题,即护士沟通、患者沟通以及定量-定性方面。N-CMVPC是一个复杂、多维度且多因素的概念。它通常由护士主导,在涉及护士和患者的经历、感受以及积极或消极行为的背景下,可表现为问题、语句或指令。