Objective: To evaluate the feasibility and impact of implementing the "study of patient-nurse effectiveness with assisted communication strategies-2" (SPEACS-2); a program to facilitate communication with nonvocal patients.
Study Design: The plan-do-study-act quality improvement methodology guided the implementation of a modified SPEACS-2 program within a pre and posttest design. The Ease of Communication Scale (ECS) measured patients' communication difficulty, and care processes measured the program's success.
Study Population: Nurses (N = 385) across 5 intensive care units were trained in SPEACS-2. We assessed 354 nonvocal patients (aged 18-95 years) requiring continued mechanical ventilation after withdrawal of heavy sedation. Patients were evaluated over one 2-week preintervention (n = 163) and two 3-week postintervention periods (n = 128; n = 63). A subsample of intervention patients (n = 204) completed the ECS.
Results: Ease of Communication Scale scores improved significantly (p = .027) from baseline (mean 25.86 ± 12.2, n = 71) to postintervention period 2 (21.22 ± 12.2, n = 63). Nurses' use of communication techniques and compliance with communication plans of care incrementally increased after training.
Conclusions: Implementing SPEACS-2 demonstrated positive changes in patients' ease of communication and feasibility of incorporating evidence-based communication strategies into practice.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/JHQ.0000000000000163 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Hexagonal Hollow Core PCF-Based Blood Components Sensing: Design and Simulation.
Cell Biochem Biophys
January 2025
Department of Electronics and Communication Engineering, Hajee Mohammad Danesh Science and Technology University, Dinajpur, 5200, Bangladesh.
Blood components play a crucial role in maintaining human health and accurately detecting them is essential for medical diagnostics. A cutting-edge sensor utilizing PCF revealed to precisely identify a wide range of blood components with WBCs (white blood cells), RBCs (red blood cells), HB (hemoglobin), platelets, and plasma. A numerical analysis was performed using COMSOL Multiphysics software to assess the capabilities of the sensor.
View Article and Find Full Text PDFDeveloping an Online Education Resource to Enhance Physical Therapists' Use of Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, and Other Related Identities Affirming Care: A Mixed Methods Study.
J Phys Ther Educ
January 2025
Megan H. Ross is the postdoctoral research fellow at the The University of Queensland, Brisbane 4072, Australia Please address all correspondence to Megan H. Ross.
Introduction: The objective of this study is to develop and evaluate an evidence-based, clinically relevant, and user-friendly eLearning resource to facilitate the provision of safe and affirming physical therapy services for individuals with lesbian, gay, bisexual, transgender, queer, intersex, and other related identities or experiences (LGBTQIA+).
Review Of Literature: When accessing physical therapy, individuals who are LGBTQIA+ can experience assumptions, discrimination, discomfort, and encounter health professionals who lack knowledge about LGBTQIA+ health.
Subjects: Nine consumers and end-users participated in codesign and 20 physical therapists (evaluated the resource).
Iris: A Next Generation Digital Pathology Rendering Engine.
J Pathol Inform
January 2025
University of Michigan Medical School, Department of Pathology, 2800 Plymouth Road, Ann Arbor, MI 48109-2800, USA.
Digital pathology is a tool of rapidly evolving importance within the discipline of pathology. Whole slide imaging promises numerous advantages; however, adoption is limited by challenges in ease of use and speed of high-quality image rendering relative to the simplicity and visual quality of glass slides. Herein, we introduce Iris, a new high-performance digital pathology rendering system.
View Article and Find Full Text PDFParticipatory development of mobile agricultural advisory driven by behavioural determinants of adoption.
J Environ Manage
January 2025
Department of Water Management, Delft University of Technology, Gebouw 23, Stevinweg 1, 2628 CN, Delft, the Netherlands.
Mobile applications have the potential to revolutionise agricultural advisories, providing farmers with real-time information and insights for improved decision-making. However, the adoption of such apps is influenced by various behavioural factors, necessitating a participatory approach of development with the stakeholders. This study proposes a framework that begins with a prototype app informed by a literature review and the identification of behavioral determinants of app adoption.
View Article and Find Full Text PDFRoadmap to advance therapeutics for -related disorder: a patient organization perspective from SynGAP Research Fund.
Ther Adv Rare Dis
January 2025
SynGAP Research Fund, 2856 Curie Pl., San Diego, CA 92122, USA.
-related disorder (SRD) is a developmental and epileptic encephalopathy caused by a disruption of the gene. At the beginning of 2024, it is one of many rare monogenic brain disorders without disease-modifying treatments, but that is changing. This article chronicles the last 5 years, beginning when treatments for SRD were not publicly in development, to the start of 2024 when many SRD-specific treatments are advancing.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!