Communication with mechanically ventilated patients in intensive care units: A concept analysis
Aims The aim of this study was to perform a concept analysis of communication with mechanically ventilated patients in intensive care units and present a preliminary model for communication practice with these patients. Design The Im & Meleis approach for concept analysis guided the study. Searc...
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| Published in | Journal of advanced nursing Vol. 79; no. 2; pp. 563 - 580 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Wiley Subscription Services, Inc
01.02.2023
John Wiley and Sons Inc |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Aims
The aim of this study was to perform a concept analysis of communication with mechanically ventilated patients in intensive care units and present a preliminary model for communication practice with these patients.
Design
The Im & Meleis approach for concept analysis guided the study.
Search Methods
A literature search was performed in January 2022 in MEDLINE, Embase, CINAHL, psycINFO and Scopus, limited to 1998–2022. The main medical subject headings search terms used were artificial respiration, communication and critical care. The search resulted in 10,698 unique references.
Review Methods
After a blinded review by two authors, 108 references were included. Core concepts and terminology related to communication with mechanically ventilated patients were defined by content analytic methods. The concepts were then grouped into main categories after proposing relationships between them. As a final step, a preliminary model for communication with mechanically ventilated patients was developed.
Results
We identified 39 different phrases to describe the mechanically ventilated patient. A total of 60 relevant concepts describing the communication with mechanically ventilated patients in intensive care were identified. The concepts were categorized into five main categories in a conceptual map. The preliminary model encompasses the unique communication practice when interacting with mechanically ventilated patients in intensive care units.
Conclusion
Highlighting different perspectives of the communication between mechanically ventilated patients and providers through concept analysis has contributed to a deeper understanding of the phenomena and the complexity of communication when the patients have limited possibilities to express themselves.
Impact
A clear definition of concepts is needed in the further development of guidelines and recommendations for patient care in intensive care, as well as in future research. The preliminary model will be tested further.
Patient or Public Contribution
No patient or public contribution, as this is a concept analysis of previous research. |
|---|---|
| AbstractList | Aims
The aim of this study was to perform a concept analysis of communication with mechanically ventilated patients in intensive care units and present a preliminary model for communication practice with these patients.
Design
The Im & Meleis approach for concept analysis guided the study.
Search Methods
A literature search was performed in January 2022 in MEDLINE, Embase, CINAHL, psycINFO and Scopus, limited to 1998–2022. The main medical subject headings search terms used were artificial respiration, communication and critical care. The search resulted in 10,698 unique references.
Review Methods
After a blinded review by two authors, 108 references were included. Core concepts and terminology related to communication with mechanically ventilated patients were defined by content analytic methods. The concepts were then grouped into main categories after proposing relationships between them. As a final step, a preliminary model for communication with mechanically ventilated patients was developed.
Results
We identified 39 different phrases to describe the mechanically ventilated patient. A total of 60 relevant concepts describing the communication with mechanically ventilated patients in intensive care were identified. The concepts were categorized into five main categories in a conceptual map. The preliminary model encompasses the unique communication practice when interacting with mechanically ventilated patients in intensive care units.
Conclusion
Highlighting different perspectives of the communication between mechanically ventilated patients and providers through concept analysis has contributed to a deeper understanding of the phenomena and the complexity of communication when the patients have limited possibilities to express themselves.
Impact
A clear definition of concepts is needed in the further development of guidelines and recommendations for patient care in intensive care, as well as in future research. The preliminary model will be tested further.
Patient or Public Contribution
No patient or public contribution, as this is a concept analysis of previous research. AimsThe aim of this study was to perform a concept analysis of communication with mechanically ventilated patients in intensive care units and present a preliminary model for communication practice with these patients.DesignThe Im & Meleis approach for concept analysis guided the study.Search MethodsA literature search was performed in January 2022 in MEDLINE, Embase, CINAHL, psycINFO and Scopus, limited to 1998–2022. The main medical subject headings search terms used were artificial respiration, communication and critical care. The search resulted in 10,698 unique references.Review MethodsAfter a blinded review by two authors, 108 references were included. Core concepts and terminology related to communication with mechanically ventilated patients were defined by content analytic methods. The concepts were then grouped into main categories after proposing relationships between them. As a final step, a preliminary model for communication with mechanically ventilated patients was developed.ResultsWe identified 39 different phrases to describe the mechanically ventilated patient. A total of 60 relevant concepts describing the communication with mechanically ventilated patients in intensive care were identified. The concepts were categorized into five main categories in a conceptual map. The preliminary model encompasses the unique communication practice when interacting with mechanically ventilated patients in intensive care units.ConclusionHighlighting different perspectives of the communication between mechanically ventilated patients and providers through concept analysis has contributed to a deeper understanding of the phenomena and the complexity of communication when the patients have limited possibilities to express themselves.ImpactA clear definition of concepts is needed in the further development of guidelines and recommendations for patient care in intensive care, as well as in future research. The preliminary model will be tested further.Patient or Public ContributionNo patient or public contribution, as this is a concept analysis of previous research. The aim of this study was to perform a concept analysis of communication with mechanically ventilated patients in intensive care units and present a preliminary model for communication practice with these patients. The Im & Meleis approach for concept analysis guided the study. A literature search was performed in January 2022 in MEDLINE, Embase, CINAHL, psycINFO and Scopus, limited to 1998-2022. The main medical subject headings search terms used were artificial respiration, communication and critical care. The search resulted in 10,698 unique references. After a blinded review by two authors, 108 references were included. Core concepts and terminology related to communication with mechanically ventilated patients were defined by content analytic methods. The concepts were then grouped into main categories after proposing relationships between them. As a final step, a preliminary model for communication with mechanically ventilated patients was developed. We identified 39 different phrases to describe the mechanically ventilated patient. A total of 60 relevant concepts describing the communication with mechanically ventilated patients in intensive care were identified. The concepts were categorized into five main categories in a conceptual map. The preliminary model encompasses the unique communication practice when interacting with mechanically ventilated patients in intensive care units. Highlighting different perspectives of the communication between mechanically ventilated patients and providers through concept analysis has contributed to a deeper understanding of the phenomena and the complexity of communication when the patients have limited possibilities to express themselves. A clear definition of concepts is needed in the further development of guidelines and recommendations for patient care in intensive care, as well as in future research. The preliminary model will be tested further. No patient or public contribution, as this is a concept analysis of previous research. The aim of this study was to perform a concept analysis of communication with mechanically ventilated patients in intensive care units and present a preliminary model for communication practice with these patients.AIMSThe aim of this study was to perform a concept analysis of communication with mechanically ventilated patients in intensive care units and present a preliminary model for communication practice with these patients.The Im & Meleis approach for concept analysis guided the study.DESIGNThe Im & Meleis approach for concept analysis guided the study.A literature search was performed in January 2022 in MEDLINE, Embase, CINAHL, psycINFO and Scopus, limited to 1998-2022. The main medical subject headings search terms used were artificial respiration, communication and critical care. The search resulted in 10,698 unique references.SEARCH METHODSA literature search was performed in January 2022 in MEDLINE, Embase, CINAHL, psycINFO and Scopus, limited to 1998-2022. The main medical subject headings search terms used were artificial respiration, communication and critical care. The search resulted in 10,698 unique references.After a blinded review by two authors, 108 references were included. Core concepts and terminology related to communication with mechanically ventilated patients were defined by content analytic methods. The concepts were then grouped into main categories after proposing relationships between them. As a final step, a preliminary model for communication with mechanically ventilated patients was developed.REVIEW METHODSAfter a blinded review by two authors, 108 references were included. Core concepts and terminology related to communication with mechanically ventilated patients were defined by content analytic methods. The concepts were then grouped into main categories after proposing relationships between them. As a final step, a preliminary model for communication with mechanically ventilated patients was developed.We identified 39 different phrases to describe the mechanically ventilated patient. A total of 60 relevant concepts describing the communication with mechanically ventilated patients in intensive care were identified. The concepts were categorized into five main categories in a conceptual map. The preliminary model encompasses the unique communication practice when interacting with mechanically ventilated patients in intensive care units.RESULTSWe identified 39 different phrases to describe the mechanically ventilated patient. A total of 60 relevant concepts describing the communication with mechanically ventilated patients in intensive care were identified. The concepts were categorized into five main categories in a conceptual map. The preliminary model encompasses the unique communication practice when interacting with mechanically ventilated patients in intensive care units.Highlighting different perspectives of the communication between mechanically ventilated patients and providers through concept analysis has contributed to a deeper understanding of the phenomena and the complexity of communication when the patients have limited possibilities to express themselves.CONCLUSIONHighlighting different perspectives of the communication between mechanically ventilated patients and providers through concept analysis has contributed to a deeper understanding of the phenomena and the complexity of communication when the patients have limited possibilities to express themselves.A clear definition of concepts is needed in the further development of guidelines and recommendations for patient care in intensive care, as well as in future research. The preliminary model will be tested further.IMPACTA clear definition of concepts is needed in the further development of guidelines and recommendations for patient care in intensive care, as well as in future research. The preliminary model will be tested further.No patient or public contribution, as this is a concept analysis of previous research.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution, as this is a concept analysis of previous research. |
| Author | Heyn, Lena Günterberg Tate, Judith Ann Karlsen, Marte‐Marie Wallander Kvande, Monica Evelyn Holm, Anna Dreyer, Pia Happ, Mary Beth |
| AuthorAffiliation | 2 Department of Public Health Aarhus University Aarhus C Denmark 3 Department of Intensive Care Aarhus University Hospital Aarhus Denmark 1 Department for postgraduate studies Lovisenberg Diaconal University College Oslo Norway 5 Center for Health and Technology, Faculty of Health and Social Sciences University of South‐Eastern Norway Drammen Norway 4 Center of Healthy Aging, Self‐Management and Complex Care The Ohio State University College of Nursing Columbus Ohio USA |
| AuthorAffiliation_xml | – name: 4 Center of Healthy Aging, Self‐Management and Complex Care The Ohio State University College of Nursing Columbus Ohio USA – name: 5 Center for Health and Technology, Faculty of Health and Social Sciences University of South‐Eastern Norway Drammen Norway – name: 2 Department of Public Health Aarhus University Aarhus C Denmark – name: 3 Department of Intensive Care Aarhus University Hospital Aarhus Denmark – name: 1 Department for postgraduate studies Lovisenberg Diaconal University College Oslo Norway |
| Author_xml | – sequence: 1 givenname: Marte‐Marie Wallander orcidid: 0000-0002-0492-8821 surname: Karlsen fullname: Karlsen, Marte‐Marie Wallander email: marte‐marie.karlsen@ldh.no organization: Lovisenberg Diaconal University College – sequence: 2 givenname: Anna orcidid: 0000-0002-2582-4984 surname: Holm fullname: Holm, Anna organization: Aarhus University Hospital – sequence: 3 givenname: Monica Evelyn orcidid: 0000-0003-4384-4695 surname: Kvande fullname: Kvande, Monica Evelyn organization: Lovisenberg Diaconal University College – sequence: 4 givenname: Pia orcidid: 0000-0002-3581-7438 surname: Dreyer fullname: Dreyer, Pia organization: Aarhus University Hospital – sequence: 5 givenname: Judith Ann orcidid: 0000-0002-5050-419X surname: Tate fullname: Tate, Judith Ann organization: The Ohio State University College of Nursing – sequence: 6 givenname: Lena Günterberg orcidid: 0000-0003-1279-2650 surname: Heyn fullname: Heyn, Lena Günterberg organization: University of South‐Eastern Norway – sequence: 7 givenname: Mary Beth orcidid: 0000-0003-4199-2643 surname: Happ fullname: Happ, Mary Beth organization: The Ohio State University College of Nursing |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36443915$$D View this record in MEDLINE/PubMed |
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| Copyright | 2022 The Authors. published by John Wiley & Sons Ltd. 2022 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. 2022. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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The aim of this study was to perform a concept analysis of communication with mechanically ventilated patients in intensive care units and present a... The aim of this study was to perform a concept analysis of communication with mechanically ventilated patients in intensive care units and present a... AimsThe aim of this study was to perform a concept analysis of communication with mechanically ventilated patients in intensive care units and present a... |
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| SubjectTerms | Communication Concept Analysis Conceptual analysis Critical Care Humans Intensive care Intensive Care Units literature review Mechanical ventilation non‐verbal communication Nurse patient relationships nursing Nursing care patient comfort Patients quality of health care Respiration Respiration, Artificial social theory Terminology Ventilation |
| Title | Communication with mechanically ventilated patients in intensive care units: A concept analysis |
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