A Training Communication Program Designed for Emergency Nurses Working at Ambulance
Abstract
Communication is the key to understanding the emotional vulnerability of patients in critical condition. A sudden change in health experienced by these individuals due to an accident or illness can lead to serious psycho-emotional outcomes.
Main objective: To conduct and evaluate an augmentative alternative communication training program (CONCETEM) for pre-hospital nurses and determine its utility and the satisfaction of the nurses.
Methods: The study has an observational-descriptive design. The sample was 12 pre-hospital nurses selected by inclusion criteria. Post-training evaluation was conducted by the research team to learn whether nurses could perform the communicative intervention.
Results: 100% of the nurses who underwent CONECTEM training were prepared to implement communicative intervention in the ambulance. 60% of the nurses considered that the training was very useful for improving the quality of care for critically ill patients transferred by ambulance. The nurses’ satisfaction with the communication training was ‘very good’ for 42.4% and ‘good’ for 58.3%. Conclusions: The results support the importance of Augmentative Alternative Communication training to improve outcomes in critically ill patients and reveal that nurses feel that more training is needed.
Downloads
References
Dithole KS, Thupayagale-Tshweneagae G, Akpor OA, Moleki MM. Communication skills intervention: Promoting effective communication between nurses and mechanically ventilated patients. BMC Nurs. 2017;16(1).DOI: 10.1186/s12912-017-0268-5
Norouzinia R, Aghabarari M, Shiri M, Karimi M, Samami E. Communication Barriers Perceived by Nurses and Patients. Glob J Health Sci. 2015;8(6):65–74. DOI: 10.5539/gjhs.v8n6p65
Baumgarten M, Poulsen I. Patients’ experiences of being mechanically ventilated in an ICU: A qualitative metasynthesis. Scand J Caring Sci. 2015;29(2). DOI: 10.1111/scs.12177
Guttormson JL, Bremer KL, Jones RM. “Not being able to talk was horrid”: A descriptive, correlational study of communication during mechanical ventilation. Intensive Crit Care Nurs. 2015;31(3):179–86. DOI: 10.1016/j.iccn.2014.10.007
Meriläinen M, Kyngäs H, Ala-Kokko T. Patients’ interactions in an intensive care unit and their memories of intensive care: A mixed method study. Intensive Crit Care Nurs. 2013;29(2):78–87. DOI:10.1016/j.iccn.2012.05.003
Dithole KS, Sibanda S, Moleki MM, Thupayagale-Tshweneagae G. Nurses’ communication with patients who are mechanically ventilated in intensive care: the Botswana experience. Int Nurs Rev. 2016;63(3). DOI:10.1111/inr.12262
Happ MB. Communicating with mechanically ventilated patients: state of the science. AACN Clin Issues. 2001;12(2):247–58. DOI: 10.1097/00044067-200105000-00008
Varndell W, Fry M, Elliott D. A systematic review of observational pain assessment instruments for use with nonverbal intubated critically ill adult patients in the emergency department: an assessment of their suitability and psychometric properties. Vol. 26, Journal of Clinical Nursing. 2017. p. 7–32. DOI: 10.1111/jocn.13594
Radtke JV, Baumann BM, Garrett KL, Happ MB. Listening to the Voiceless Patient: Case Reports in Assisted Communication in the Intensive Care Unit. J Palliat Med [Internet]. 2011;14(6):791–5. Available from: http://www.liebertonline.com/doi/abs/10.1089/jpm.2010.0313
Happ MB, Sereika S, Garrett K, Tate J. Use of the quasi-experimental sequential cohort design in the Study of Patient-Nurse Effectiveness with Assisted Communication Strategies (SPEACS). Contemp Clin Trials. 2008;29(5):801–8. DOI: 10.1016/j.cct.2008.05.010
Patak L, Wilson-Stronks A, Costello J, Kleinpell RM, Henneman EA, Person C, et al. Improving patient-provider communication: A call to action. J Nurs Adm. 2009;39(9):372–6. DOI: 10.1097/NNA.0b013e3181b414ca
Happ MB, Baumann BM, Sawicki J, Tate JA, George EL, Barnato AE. SPEACS-2: Intensive care unit “communication rounds” with speech language pathology. Geriatr Nurs (Minneap). 2010;31(3):170–7. DOI: 10.1016/j.gerinurse.2010.03.004
Nilsen ML, Happ MB, Donovan H, Barnato A, Hoffman L, Sereika SM. Adaptation of a communication interaction behavior instrument for use in mechanically ventilated, nonvocal older adults. Nurs Res. 2014;63(1). DOI: 10.1097/NNR.0000000000000012
Handberg C, Voss AK. Implementing augmentative and alternative communication in critical care settings: Perspectives of healthcare professionals. J Clin Nurs. 2018;27(1–2). DOI: 10.1111/jocn.13851
Gropp M, Johnson E, Bornman J, Koul R. Nurses’ perspectives about communication with patients in an intensive care setting using a communication board: A pilot study. Heal SA Gesondheid. 2019;24. doi: 10.4102/hsag.v24i0.1162
Togher FJ, Davy Z, Siriwardena AN. Patients’ and ambulance service clinicians’ experiences of prehospital care for acute myocardial infarction and stroke: A qualitative study. Emerg Med J. 2013;30(11):942–8. DOI: 10.1136/emermed-2012-201507
Ahl C, Nyström M. To handle the unexpected - The meaning of caring in pre-hospital emergency care. Int Emerg Nurs. 2012;20(1):33–41. DOI: 10.1016/j.ienj.2011.03.001
Alm-Pfrunder AB, Falk AC, Vicente V, Lindström V. Prehospital emergency care nurses’ strategies while caring for patients with limited Swedish–English proficiency. Vol. 27, Journal of Clinical Nursing. 2018. p. 3699–705. DOI: 10.1111/jocn.14484
WMA. WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects – WMA – The World Medical Association [Internet]. World Medical Association. 2018. Available from: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
Momennasab M, Ardakani MS, Rad FD, Dokoohaki R, Dakhesh R, Jaberi A. Quality of nurses’ communication with mechanically ventilated patients in a cardiac surgery intensive care unit. Investig y Educ en Enferm. 2019;37(2). DOI: 10.17533/udea.iee.v37n2e02
Finke EH, Light J, Kitko L. A systematic review of the effectiveness of nurse communication with patients with complex communication needs with a focus on the use of augmentative and alternative communication. J Clin Nurs. 2008;17(16):2102–15. DOI: 10.1111/j.1365-2702.2008.02373.x
Happ MB, Garrett K, Thomas DDV, Tate J, George E, Houze M, et al. Nurse-patient communication interactions in the intensive care unit. Am J Crit Care. 2011;20(2):1–7. DOI: 10.4037/ajcc2011433
Ak M, Cinar O, Sutcigil L, Congologlu ED, Haciomeroglu B, Canbaz H, et al. Communication skills training for emergency nurses. Int J Med Sci [Internet]. 2011;8(5):397–401. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3133844&tool=pmcentrez&rendertype=abstract
Song MK, Happ MB, Sandelowski M. Development of a tool to assess fidelity to a psycho-educational intervention. J Adv Nurs. 2010;66(3):673–82. DOI: 10.1111/j.1365-2648.2009.05216.x
Koszalinski RS, Tappen RM, Melhuish T, Grumme V. Evaluation of a novel communication application from nurses’ perspectives. CIN - Comput Informatics Nurs. 2017;35(6):300–6. DOI: 10.1097/CIN.0000000000000322
Happ MB, Sereika SM, Houze MP, Seaman JB, Tate JA, Nilsen ML, et al. Quality of care and resource use among mechanically ventilated patients before and after an intervention to assist nurse-nonvocal patient communication. Hear Lung J Acute Crit Care. 2015;44(5):408-415.e2. DOI: 10.3928/19404921-20140127-02
Kuyler A, Johnson E. Patient and nurse content preferences for a communication board to facilitate dialogue in the intensive care unit. Intensive Crit Care Nurs. 2021 Apr 1;63. DOI: 10.1016/j.iccn.2020.103005
Koszalinski RS, McCarthy JM. Patient communication in the intensive care unit: Background and future possibilities. Vol. 63, Intensive and Critical Care Nursing. 2021. DOI: 10.1016/j.iccn.2020.102955
Higginson IJ, Koffman J, Hopkins P, Prentice W, Burman R, Leonard S, et al. Development and evaluation of the feasibility and effects on staff, patients, and families of a new tool, the Psychosocial Assessment and Communication Evaluation (PACE), to improve communication and palliative care in intensive care and during clinical u. BMC Med. 2013;11(1). DOI: 10.1186/1741-7015-11-213
Nilsen ML, Sereika SM, Hoffman LA, Barnato A, Donovan H, Happ MB. Nurse and Patient Interaction Behaviors’ Effects on Nursing Care Quality for Mechanically Ventilated Older Adults in the ICU. Res Gerontol Nurs. 2014. DOI: 10.3928/19404921-20140127-02
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.