The use of tablet and communication app for patients with endotracheal or tracheostomy tubes in the medical surgical intensive care unit: A pilot, feasibility study.
Background: Critically ill patients commonly require endotracheal or tracheostomy tubes and mechanical ventilation for respiratory airway compromise. The use of artificial airways and mechanical ventilation prohibits traditional verbal communication. Although some mechanically ventilated patients ar...
| Publicado en: | Canadian Journal of Critical Care Nursing Vol. 30; no. 1; pp. 17 - 24 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
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Canadian Association of Critical Care Nurses
Spring2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135289196&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135289196 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23688653 IR78 jtl: Canadian Journal of Critical Care Nursing issn: 23688653 maglogo: N pubinfo: dt: Spring2019 vid: 30 iid: 1 pid: 19506 pub: Canadian Association of Critical Care Nurses place: London, Ontario artinfo: ui: 135289196 135289196 135289196 135289196 ppf: 17 ppct: 7 formats: fmt: @attributes: type: P tig: atl: The use of tablet and communication app for patients with endotracheal or tracheostomy tubes in the medical surgical intensive care unit: A pilot, feasibility study. aug: au: SANTIAGO, CECILIA ROZA, DARCY PORRETTA, KERRI SMITH, ORLA affil: Nursing Practice Manager, St. Michael's Hospital, Toronto, Ontario sug: subj: Ventilator Patients Intubation, Intratracheal Communication Equipment and Supplies Computers, Portable Mobile Applications Human Pilot Studies Intensive Care Units Nonexperimental Studies Questionnaires Canada Academic Medical Centers Canada Male Female Adult Middle Age Aged Descriptive Statistics Physician Attitudes Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Critically ill patients commonly require endotracheal or tracheostomy tubes and mechanical ventilation for respiratory airway compromise. The use of artificial airways and mechanical ventilation prohibits traditional verbal communication. Although some mechanically ventilated patients are able to communicate through mouthing words, gesturing, or writing, many are unable to do so effectively, as a result of weakness, fatigue, or attachment to devices that restrict movement. Difficulties in communication can result in unmet needs (i.e., difficulty communicating a symptom) and communication breakdowns, which are frustrating for patients, families, and clinicians. Purpose: To explore the feasibility and usefulness of using a tablet equipped with communication app in the intensive care unit (ICU) with patients who are unable to communicate using verbal speech. Method: We conducted a pilot, observational study, approved by the local Research Ethics Board. Twenty patients with endotracheal or tracheostomy tubes were deemed eligible for the study and used the tablet equipped with an app to communicate with their bedside clinicians. A self-administered questionnaire was completed by point-of-care clinicians to determine their perspectives on the feasibility and usefulness of the tablet and communication app. Results: All patients who met eligibility criteria and consented to the study used the communication device at least once during the trial period, demonstrating its feasibility. On a scale ofO (not at all useful) to 10 (incredibly useful), 75% rated its usefulness seven or greater, mean rating of seven (range 3-10). Conclusion: The tablet equipped with a communication app is a feasible and useful device for patients and clinicians. Further exploration is needed to understand the contribution of this communication system for patients and healthcare professionals. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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