Exploring the scope of communication content of mechanically ventilated patients

Date

2017

Authors

Leung, Czarina C H
Pun, Jack K H
Lock, Graham
Slade, Diana
Gomersall, Charles
Wong, Wai Tat
Joynt, G

Journal Title

Journal ISSN

Volume Title

Publisher

W. B. Saunders Co., Ltd.

Abstract

Purpose: Ineffective communication duringmechanical ventilation (MV) and critical illness is distressing to many patients. This study aimed to describe the scope of communication content of ventilated critically ill patients. Materials and methods: We performed a prospective qualitative interview study in a multidisciplinary intensive care unit. Ten alert, orientated adult patients who previously underwent MV for at least 24 h and were able to speak at the time of interview were recruited. Semi-structured interviews with stimulated recall technique were conducted. A descriptive thematic analysis was performed of the patient-generated content using a free coding technique, where recurrent themes and subthemes were noted, coded and analyzed. Results: Patients' communication content included medical discussions with clinicians; communication with family to provide advice or comfort, make requests and plans, express feelings and convey personal perspectives on medical care; and expression of their own psychoemotional needs. Conclusions: The scope of communication content of ventilated ICU patients was broad, extending far beyond task-focused subject matter. Content ranged from conveying symptom-related messages to active participation in medical discussions, to conversing with family about a range of complex multi-dimensional issues, to sharing their own psychoemotional experiences. These patient-centered needs should be recognized and addressed in communication strategies.

Description

Keywords

Patient-centered, Communication barrier, Communication content, Mechanical ventilation, Critically ill, Intensive care

Citation

Source

Journal of Critical Care

Type

Journal article

Book Title

Entity type

Access Statement

License Rights

DOI

10.1016/j.jcrc.2017.10.044

Restricted until

2099-12-31