Communication and interaction between conscious and alert critically ill patients on mechanical ventilation and healthcare providers in intensive care units: An in-depth study
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AbstractMechanically ventilated patients experience communication barriers due to the endotracheal tube. In the last decades an increasing amount of critically ill patients are conscious during mechanical ventilation, because this improves patient outcomes. The thesis’ aimed to obtain in-depth knowledge of the communication and interaction between patients and healthcare providers when patients are conscious and alert and assisted by mechanical ventilation in intensive care units. Observations revealed that the patients used various non-vocal methods to obtain attention and communicate. The patients varied from being observers to participants in decisions about their treatment, such as tracheal suctioning or medication, guided by the providers. Providers expressed feeling torn between their ideals and the real-world encounters in the care of these patients because of the communication challenges. Communication barriers have consequences for the patients’ treatment. Providers’ competence in communicating with mechanically ventilated patients must be increased to meet patients’ expectations and the providers’ obligation to facilitate participation.
List of papers
|Paper 1: Karlsen, M.M.W., Ølnes, M., Heyn, L.G. (2018). Communication with patients in intensive care units: a scoping review. Nursing in Critical Care, 24(3), 115-131. doi:10.1111/nicc.12377. The article is not available in DUO due to publisher restrictions. The published version is available at: https://doi.org/10.1111/nicc.12377|
|Paper 2: Karlsen, M.M.W., Heggdal, K., Finset, A., Heyn, L.G (2019). Attention-seeking actions by patients on mechanical ventilation in intensive care units: A phenomenological-hermeneutical study. Journal of Clinical Nursing, 28(1-2), 66-79. doi:10.1111/jocn.14633. The article is included in the thesis. Also available at: https://doi.org/10.1111/jocn.14633|
|Paper 3: Karlsen, M.M.W., Happ, M.B., Heggdal, K., Finset, A., Heyn, L.G. (2020). Patient involvement in bedside micro-decisions in intensive care. Patient Education & Counseling. Patient Education and Counseling, 103(11), 2252-2259. doi: 10.1016/j.pec.2020.04.020. The article is included in the thesis. Also available at: https://doi.org/10.1016/j.pec.2020.04.020|
|Paper 4: Karlsen, M.M.W., Finset, A., Heggdal, K., Heyn, L.G. Caught between ideals and reality: A qualitative study of healthcare providers' experiences of interaction with conscious patients in Intensive Care Units. (Submitted in Journal of Interprofessional Care, November 2019). To be published. The paper is not available in DUO awaiting publishing.|