A Communicative Intervention to Improve the Psychoemotional State of Critical Care Patients Transported by Ambulance (original) (raw)
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Therapeutic Communication With Patients In The Emergency Room Hospital
Jurnal Kegawatdaruratan Medis Indonesia
Emergency care causes patients fear and anxiety in the face of treatment, so it requires the nurse's therapeutic communication to manage anxiety. This study aims to determine the effectiveness of therapeutic communication in emergency patients who experience anxiety. The research design uses a pre-experimental research design with a one-group pre-test post-test design approach, and a total of 32 respondents with a simple random sampling technique. The results showed that all respondents experienced a decrease in anxiety after therapeutic communication. Therapeutic communication techniques often used are listening, giving open-ended questions, repeating, indicating acceptance, and providing information. Therapeutic communication with patients experiencing emergency conditions is necessary to provide the support patients need. Nurses' understanding of therapeutic communication techniques according to the patient's condition can improve the achievement of nursing care goals...
INTERNATIONAL JOURNAL OF HEALTH & MEDICAL RESEARCH
The research entitled THE INFLUENCE OF THERAPEUTIC COMMUNICATION TO THE LEVEL OF PATIENTS’ ANXIETY IN RST Dr. SOEDJONO MAGELANG ICU was conducted on May 1 st, 2007 until June 30th, 2007. Anxiety is a feeling of worry that is expressed in order to face threat from outside whether they are real or unreal. A way to overcome the anxiety is giving the therapeutic communication. The research goal is to find out how the influence of therapeutic communication of client treated in ICU and to find out the illustration of anxiety level before and after treatment by therapeutic communication. This research is stake to be an experiment research, one group pre-test – post-test research. The subjects are 30 clients treated in ICU. The anxiety level is measured by the research instrument named Rating Scale for Anxiety (HRS-A). The statistical analysis test is carried out by using t-test in pre-test and post-test design. The result is t=19,746 > t table (d.f=29 t table=2,045) and the level of sig...
Effect of Implementing Communication Strategies on Nonverbal Critically Ill Patients’ Outcomes
Assiut Scientific Nursing Journal, 2020
The nonverbal critically ill patients have a considerable need for information and support, so verbal communication can provide orientation and meaningful sensory input to these patients, Information received by the nonverbal critically ill patients may assist in reducing stress, helping patients preserve self-identity. Aim: This study was carried out to investigate effect of implementing communication strategies on nonverbal critically ill patient's outcomes (level of consciousness, pain and duration of mechanical ventilation). Design: a quasi-experimental design. Setting: In (Trauma, General and Critical care ICUS) at Assiut University Hospital. Subjects: A convenience sampling of 60 adults patients. Sample was assigned to two equal groups (study and control). Tools: Three tools were utilized to collect data of study, Tool I: Patient assessment tool. Tool II: Level of consciousness assessment tool (FOUR scale). Tool III: Pain assessment tool (Critical care pain observation (CPOT) scale. Method: The researcher used preparatory, implementation and evaluation phases to implement this study. Results: Finding of present study revealed that there was significant statistical difference between both study and control groups regarding to level of consciousness (P value = 0.005**& <0.001**). Conclusion: implementing communication strategies had effects on promotion of level of consciousness, improve pain sensation and decrease duration of mechanical ventilation of the study group. Recommendation: Communication strategies should standardize as a basic part of care provided to all nonverbal critically ill patients in intensive care units.
International Journal of Research in Medical Sciences, 2016
Emergency room is one of challenges rooms in regard to the resulting of distress and anxiety of patients and their relatives. The anxiety level in family members is varied, including depression. 1 The impact of distress and anxiety are destruction of communication among family members and these will result to inability to concentrate and insufficiency of coping mechanism. 2 As a result, the changes of emotional status of the family members are ABSTRACT Background: Critical condition of patient is trigger to the increasing of anxiety of family members. This situation is vulnerable of ineffective nursing care services provide by nurses in emergency room. Communication is one of abilities which nurse have to performed, and is recognized not that simple in its implementation. This study aimed was to identify whether or not there is a relationship between communications performed by the nurses and the level of anxiety of family members of patient in Emergency Room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia. Methods: This study was cross-sectional study with non-parametric analysis data used was Spearman's Rho. Data were collected through direct observation by 4 numerators and observational sheet of nurse's communication. Level of anxiety of family members was measuring by using State Trait Anxiety Inventory Y-1. Data were collected from 47 family members and 47 nurses who were selected by using accidental sampling technique. Results: The study revealed that nurses performed eye contact, well informed consent, quick respond to the needs of patient and family members, clear voice, understandable language, introducing them self, active listening and emphatic, calm and friendly. Regarding anxiety of family members, 42.6% of them were showing moderate level of anxiety, whereas 34.0% of them were showing low level of anxiety. In bivariate analysis by using Spearman's Rho showed that p value was 0.000 and coefficient correlation-0.765. It was indicated that there was significantly relationship between communication of emergency nurses and the level of anxiety of family members. It was indicated that the more effective the communication performed by nurses, the less the anxiety level of family members. Conclusions: Nurse is required to be able to perform their therapeutic communication skill effectively so that the anxiety level of family members is decreasing. As a result, the stable emotion of family members affect to the appropriate decision making of medical treatment.
Heart & Lung: The Journal of Acute and Critical Care, 2014
Objective: To test the impact of two levels of intervention on communication frequency, quality, success, and ease between nurses and intubated intensive care unit (ICU) patients. Design: Quasi-experimental, 3-phase sequential cohort study: (1) usual care, (2) basic communication skills training (BCST) for nurses, (3) additional training in augmentative and alternative communication devices and speech language pathologist consultation (AAC þ SLP). Trained observers rated four 3-min video-recordings for each nurseepatient dyad for communication frequency, quality and success. Patients self-rated communication ease. Setting: Two ICUs in a university-affiliated medical center. Participants: 89 intubated patients awake, responsive and unable to speak and 30 ICU nurses. Main results: Communication frequency (mean number of communication acts within a communication exchange) and positive nurse communication behaviors increased significantly in one ICU only. Percentage of successful communication exchanges about pain were greater for the two intervention groups than the usual care/control group across both ICUs (p ¼ .03) with more successful sessions about pain and other symptoms in the AAC þ SLP group (p ¼ .07). Patients in the AAC þ SLP intervention group used significantly more AAC methods (p ¼ .002) and rated communication at high difficulty less often (p < .01). Conclusions: This study provides support for the feasibility, utility and efficacy of a multi-level communication skills training, materials and SLP consultation intervention in the ICU.
National consensus on communication in prehospital trauma care, the DENIM study
Scandinavian journal of trauma, resuscitation and emergency medicine, 2017
In the Netherlands prehospital trauma care is provided by emergency medical services (EMS) nurses. This care is extended by Physician staffed Helicopter Emergency Medical Services (P-HEMS) for the more severely injured patient. Prehospital communication is a factor of influence on the identification of these patients and the dispatch of P-HEMS. Though prehospital communication it is often perceived to be incomplete and unstructured. To elucidated factors of influence on prehospital triage and the identification of the severely injured patient a Delphi study was performed. A three round modified Delphi study was designed to explore concepts amongst experts in prehospital trauma care. P-HEMS physicians/nurses, trauma surgeons, EMS nurses and dispatch center operators where asked to state their opinion regarding identification of the poly trauma patient, trauma patient characteristics, prehospital communication and prehospital handover. Seventy-one panellist completed all three rounds....
Critical care communication in a busy emergency – Are we really conveying our thoughts?
Journal of Pediatric Critical Care, 2018
Health care communication is an art that is critical during the provision of safe and effective medical practice. Effective communication skill infl uences the patient disclosure, treatment compliance, outcome, adjustment to disease and bereavement. This article will provide an opinion regarding clinical communication in the emergency room (ER) and will look for the possible suggestions for improved communication amongst the ER physicians and patients and families, assisting for more effective, organized, and empathic health care. Effective communication in healthcare is recognized as a core clinical skill by doctor's registration and accreditation bodies as well as by quality and safety health commissions. 1,2
Communication Difficulties and Psychological Stress in Patients Receiving Mechanical Ventilation
Birat Journal of Health Sciences, 2019
Introduction: Communication is fundamental for an individual to verbalize their feelings. Inability of the patient receiving mechanical ventilation to communicate the needs to the health care provider often leads to psychological stress. Objective: The objective of the study is to assess the communication difficulties and psychological stress in patients receiving mechanical ventilation. Methodology: A cross-sectional research design was used for the study. A total of 48 patient extubated within the preceding 72 hours, was taken as a sample by using a convenience sampling method. Data were collected by using a interview technique in patients from January–September 2018 from a 41- bedded ICU at Nobel Medical College Teaching Hospital. Data analysis was done by descriptive and inferential statistics. Results: Difficulty in communication was found where majority of the respondents (82.29%) rated general communication as extremely hard. The study further revealed that 100% of the respon...
Trauma monthly, 2020
Background: Communication increases awareness of patient problems, productivity and job satisfaction, improving decision-making in patient discharge and transfer, and reducing hospital stay duration, medical costs, and nurses’ stress and burnout. Objectives: This study aimed to audit the communication of nurses with trauma patients in the emergency department. Methods: This quasi‑experimental study was conducted at the Baqiyatallah University of Medical Sciences in 2018. The data collection tool was a valid and reliable checklist for nurses' communication skills with trauma patients with 3 subscales and 31 items. Before the intervention, 35 nurses who were randomly selected were evaluated based on the communication checklist, and then the collected data was analyzed. Based on the results and the assessment of weaknesses, the necessary training was provided to the nurses. After the intervention, the participants' communication skills were analyzed using the same checklist and...