Exploring the scope of communication content of mechanically ventilated patients

Journal of Critical Care
Czarina C H LeungGavin M Joynt

Abstract

Ineffective communication during mechanical 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. 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 24h 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. 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. 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 ...Continue Reading

Citations

Dec 29, 2020·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Ariné Kuyler, Ensa Johnson
Dec 8, 2020·Annals of the American Thoracic Society·Chi Hung Czarina LeungCharles D Gomersall

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