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dc.contributor.authorHolm, Anna
dc.contributor.authorKarlsson, Veronika
dc.contributor.authorNikolajsen, Lone
dc.contributor.authorDreyer, Pia
dc.date.accessioned2022-02-04T07:37:37Z
dc.date.available2022-02-04T07:37:37Z
dc.date.created2021-10-13T10:59:50Z
dc.date.issued2021
dc.identifier.urihttps://hdl.handle.net/11250/2977020
dc.description.abstractBackground Nurse-patient communication in intensive care units is challenged by the fact that patients are voiceless due to intubation and mechanical ventilation. Difficult communication affects nurses negatively, and it requires knowledge and expertise to facilitate communication in this complex and technologically tense setting. Augmentative and alternative communication has been suggested as a way of optimising communication; several approaches can be combined in a multi-component intervention. Also, a communication algorithm has been proposed as a way of providing structure in patient communication. To enhance transparency and avoid poorly reported interventions, this paper describes the process, rationale and reflections behind developing a communication intervention called the ICU-COM. Objectives To present the development process of a communication intervention prototype that aims to support and strengthen nurses’ communication with mechanically ventilated patients in an intensive care unit. Design The Medical Research Council's framework for developing complex interventions in health was applied. The approach was target-population centred. Settings The intervention was developed and tailored to four intensive care unit departments at Aarhus University Hospital in Denmark. Participants Intensive care nurses and various experts, namely, speech-language pathologists, graphic designers, a software company, the local Centre for E-learning and nurse specialists were involved in its development. Results An intervention consisting of: 1) a multi-component communication bundle, 2) delivery of the bundle via a teaching session and 3) initial implementation via nurse communication guides was developed. The communication bundle contained: 1) a communication strategy with a BASIS framework and algorithm, 2) a nurse education programme and 3) low-tech and high-tech communication tools. Conclusions A systematic approach was applied in the development process. However, the acceptability and feasibility of the intervention is at present unknown.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.no*
dc.titleStrengthening and supporting nurses’ communication with mechanically ventilated patients in the intensive care unit: Development of a communication interventionen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2021 The Authorsen_US
dc.source.articlenumber100025en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doi10.1016/j.ijnsa.2021.100025
dc.identifier.cristin1945529
dc.source.journalInternational Journal of Nursing Studies Advances (IJNS Advances)en_US
dc.identifier.citationInternational Journal of Nursing Studies Advances. 2021, 3, 100025.en_US
dc.source.volume3en_US


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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal