Abstract：
BACKGROUND:Effective communication with patients is critical to effective nursing practice. Surprisingly, there is little information on nurses' experiences in caring for patients who are unable to speak. PURPOSE AND METHOD:This study provides descriptive information from interviews with 20 nurses who cared for patients with severe communication impairment. The interview protocol explored positive and negative experiences of nursing patients with severe communication impairment. Frequency counts and descriptive analyses were conducted to identify the major themes emerging from the interviews. RESULTS:The results suggest that nurse-patient communication is difficult when the patient has severe communication impairment, although some nurses discovered effective strategies to facilitate communication with such patients. Many of the difficulties could be viewed as a breakdown in understanding arising from the lack of a readily interpretable communication system that could be used by nurse and patient. CONCLUSIONS:The results suggest a need for training nurses in the use of alternative modes of communication. Nurses also need access to a variety of simple augmentative communication devices for use with patients who are unable to speak. Finally, nurses should collaborate with speech pathologists on the development of preadmission information and bedside training for people who are admitted to hospital with severe communication impairment.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Hemsley B,Sigafoos J,Balandin S,Forbes R,Taylor C,Green VA,Parmenter Tdoi
10.1046/j.1365-2648.2001.01920.xkeywords:
subject
Has Abstractpub_date
2001-09-01 00:00:00pages
827-35issue
6eissn
0309-2402issn
1365-2648pii
jan1920journal_volume
35pub_type
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