Communication Experiences and Needs among the Critically Ill with an Artificial Airway: An Integrative Review
10.34250/jkccn.2021.14.2.24
- Author:
Soo Hyun KIM
1
;
Juyoung KIM
;
JiYeon CHOI
Author Information
1. Graduate student, Yonsei University College of Nursing
- Publication Type:Original Article
- From:
Journal of Korean Critical Care Nursing
2021;14(2):24-41
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Purpose:: The aim of this integrative review was to describe communication experiences and needs among the critically ill with an artificial airway and evaluate relevant intervention studies.
Methods:: Using the method employed by Whittemore and Knafl (2005), we searched for papers on PubMed, CINAHL, and Web of Science published from January 1, 2015 to September 25, 2020. A total of 26 papers (11 descriptive studies, 15 experimental ones) were identified and evaluated.
Results:: Communication experiences while having an artificial airway, identified either by patients’ recall or direct observation, were predominantly negative. However, positive experiences were reported in patients with improvements in physical conditions and functions. Patients’ communication needs were diverse, encompassing physical, psycho-emotional, social, spiritual, and medical issues. Interventions tested included alternative and augmentative communication strategies, communication intervention packages, and voice restorative devices. Physical, psychosocial, and communication-related patient outcomes were evaluated using various methods including self-report surveys, interviews, and observations.
Conclusions:: The findings from this review represent the state of science regarding communication of the critically ill whose vocal abilities are inhibited by the presence of an artificial airway. Future studies with rigorous experimental designs and measures are warranted to better understand and support the complex needs of this highly vulnerable patient population.
