Exploring the scope of communication content of mechanically ventilated patients

Leung, CCH; Pun, J; Lock, G; Slade, D; Gomersall, CD; Wong, WT; Joynt, GM

Exploring the scope of communication content of mechanically ventilated patients

Leung, CCH Pun, J Lock, G Slade, D

Gomersall, CD Wong, WT Joynt, GM

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Publication Type:: Journal Article
Citation:: Journal of Critical Care, 2018, 44 pp. 136 - 141
Issue Date:: 2018-04-01

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Field	Value	Language
dc.contributor.author	Leung, CCH	en_US
dc.contributor.author	Pun, J	en_US
dc.contributor.author	Lock, G	en_US
dc.contributor.author	Slade, D https://orcid.org/0000-0001-6143-5989	en_US
dc.contributor.author	Gomersall, CD	en_US
dc.contributor.author	Wong, WT	en_US
dc.contributor.author	Joynt, GM	en_US
dc.date.available	2017-10-28	en_US
dc.date.issued	2018-04-01	en_US
dc.identifier.citation	Journal of Critical Care, 2018, 44 pp. 136 - 141	en_US
dc.identifier.issn	0883-9441	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129173
dc.description.abstract	© 2017 Purpose: 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. 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.	en_US
dc.relation.ispartof	Journal of Critical Care	en_US
dc.relation.isbasedon	10.1016/j.jcrc.2017.10.044	en_US
dc.subject.classification	Emergency & Critical Care Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Critical Illness	en_US
dc.subject.mesh	Respiration, Artificial	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Communication	en_US
dc.subject.mesh	Communication Barriers	en_US
dc.subject.mesh	Interpersonal Relations	en_US
dc.subject.mesh	Professional-Patient Relations	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Intensive Care Units	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	Exploring the scope of communication content of mechanically ventilated patients	en_US
dc.type	Journal Article
utslib.citation.volume	44	en_US
utslib.for	2001 Communication and Media Studies	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	44	en_US

Abstract:

© 2017 Purpose: 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. 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.

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http://hdl.handle.net/10453/129173