School of Nursing and Midwifery, Griffith University, Queensland, Australia; Department of Nursing, Faculty of Health Sciences, The Open University of Sri Lanka, Nawala, Nugegoda, Sri Lanka.
NHMRC CRE in Wiser Wound Care, Griffith University, Queensland, Australia; Nursing and Midwifery Education and Research Unit, Gold Coast Health, Queensland, Australia.
Intensive Crit Care Nurs. 2024 Aug;83:103708. doi: 10.1016/j.iccn.2024.103708. Epub 2024 Apr 20.
To explore patients' and nurses' views of potential facilitators, barriers, and prospective acceptability of implementing a communication board in Sri Lankan intensive care units.
A qualitative, descriptive study.
Eight patients who received mechanical ventilation and nine nurses who worked in adult medical and surgical intensive care units were purposively selected. Data were collected via audio-taped, semi-structured, face-to-face interviews in January/February 2023. Interview guide questions were informed by the knowledge-to-action framework and the theoretical framework of acceptability. Data were analysed using inductive and deductive content analysis. The 32-item checklist of the consolidated criteria for reporting qualitative research (COREQ) was used to ensure the quality of reporting.
A 3,000 bed Sri Lankan teaching hospital with 18 intensive care units.
Four categories reflecting patients' and nurses' anticipated use of the board were found. The first category described patients' and nurses' 'readiness to use the communication board' and their positive attitudes towards it. The second category focused on the 'potential benefits of the communication board', while the third category emphasised the 'individual patient characteristics' that should be taken into consideration when implementing communication boards. The final category described practical aspects related to 'integrating communication boards into routine practice'.
This study demonstrates communication boards may improve communication between ventilated patients and nurses, and they are acceptable to end users. Adopting these tools may be a pivotal step to enhancing patient-centred care in demanding intensive care settings.
An inability to communicate effectively with ventilated intensive care patients creates negative experiences for both patients and nurses. Communication boards may act as a medium to better understand patients' needs during mechanical ventilation.Understanding patients' and nurses' views is beneficial when designing patient-centred communication interventions in intensive care units.
探索患者和护士对在斯里兰卡重症监护病房实施沟通板的潜在促进因素、障碍和预期可接受性的看法。
定性、描述性研究。
2023 年 1 月/2 月，通过音频录制、半结构化、面对面访谈，在成人内科和外科重症监护病房， purposively 选择了 8 名接受机械通气的患者和 9 名护士。访谈指南问题是根据知识转化框架和可接受性的理论框架制定的。使用归纳和演绎内容分析法对数据进行分析。使用综合定性研究报告标准（COREQ）的 32 项清单来确保报告的质量。
斯里兰卡一家拥有 18 个重症监护病房、3000 张床位的教学医院。
发现四个反映患者和护士预期使用沟通板的类别。第一个类别描述了患者和护士“使用沟通板的准备情况”以及他们对沟通板的积极态度。第二个类别侧重于“沟通板的潜在好处”，而第三个类别则强调了“实施沟通板时应考虑的个别患者特征”。最后一个类别描述了与“将沟通板融入常规实践”相关的实际方面。
这项研究表明，沟通板可以改善通气患者与护士之间的沟通，并且得到了最终用户的认可。采用这些工具可能是在高要求的重症监护环境中增强以患者为中心的护理的关键步骤。
无法与通气重症监护患者进行有效沟通会给患者和护士带来负面体验。沟通板可以作为一种媒介，在机械通气期间更好地了解患者的需求。在重症监护病房设计以患者为中心的沟通干预措施时，了解患者和护士的观点是有益的。
