Quality of care and resource use among mechanically ventilated patients before and after an intervention to assist nurse-nonvocal patient communication

Abstract Objectives Implement and test unit-wide patient-nurse assisted communication strategies (SPEACS). Background SPEACS improved nurse-patient communication outcomes; effects on patient care quality and resource use are unknown. Methods Prospective, randomized stepped-wedge pragmatic trial of 1...

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Veröffentlicht in:	Heart & lung 2015-09, Vol.44 (5), p.408-415.e2
Hauptverfasser:	Happ, Mary Beth, PhD, RN, FAAN, Sereika, Susan M., PhD, Houze, Martin P., MS, Seaman, Jennifer B., PhD, RN, Tate, Judith A., PhD, RN, Nilsen, Marci L., PhD, RN, van Panhuis, Jennifer, BSN, RN, Scuilli, Andrea, MS, Paull, Brooke, MS, SLP-CCC, George, Elisabeth, PhD, RN, CCRN, Angus, Derek C., MD, MPH, Barnato, Amber E., MD, MPH, MS
Format:	Artikel
Sprache:	eng
Schlagworte:	Augmentative and alternative communications systems Cardiovascular Communication Critical Care Education Endotracheal Female Health Knowledge, Attitudes, Practice Humans Intensive care Intensive Care Units - standards Interpersonal communication Intubation Male Middle Aged Nurse patient relationships Nurse-Patient Relations Nurses Nursing care Nursing Staff, Hospital - psychology Prospective Studies Pulmonary/Respiratory Quality of care Quality of Health Care Respiration, Artificial Ventilation
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Zusammenfassung:	Abstract Objectives Implement and test unit-wide patient-nurse assisted communication strategies (SPEACS). Background SPEACS improved nurse-patient communication outcomes; effects on patient care quality and resource use are unknown. Methods Prospective, randomized stepped-wedge pragmatic trial of 1440 adults ventilated ≥2 days and awake for at least one shift in 6 ICUs at 2 teaching hospitals 2009–2011 with blinded retrospective medical record abstraction. Main results 323/383 (84%) nurses completed training; their communication knowledge ( p
ISSN:	0147-9563 1527-3288
DOI:	10.1016/j.hrtlng.2015.07.001