Nurse communication strategies with the critical patient in intensive care units: scoping review
DOI:
https://doi.org/10.29352/mill0215e.35355Keywords:
Intensive Care Units; nurse communication; critically ill patients; communication strategiesAbstract
Introduction: Effective communication in Intensive Care Units (ICU) is critical to nursing care, significantly impacting patient outcomes. The complexity of ICU environments requires specialized communication strategies that meet the unique needs of critically ill patients and their families.
Objective: To map the scientific evidence on communication strategies used by nurses with critical patients in ICU settings.
Methods: The Scoping Review (ScR) followed the methodology recommended by the Joanna Briggs Institute (JBI) and PRISMA-ScR. It was conducted via the EBSCOhost Research Databases Interface: CINAHL Complete, MedicLatina, MEDLINE Complete, and Psychology and Behavioral Sciences Collection, using the Boolean phrases: TI ("Critical Care" AND "Communication" AND "Nurse*") OR AB ("Critical Care" AND "Communication" AND "Nurse*").
Results: A total of 238 articles were selected, and after the screening process, 9 primary articles were included in the study. The review identified key themes such as the importance of empathetic and effective communication, the integration of technology with humanistic practices, continuous training and development of communication skills, cultural and linguistic adaptation in communication tools, and the role of communication in enhancing patient participation. The use of augmentative and alternative communication (AAC) methods was highlighted for ill patients with speech difficulties.
Conclusion: Communication in ICUs is multifaceted and goes beyond the mere exchange of information, encompassing emotional support, cultural sensitivity, and ill-patient empowerment. It requires continuous training, technological integration, and consideration of cultural diversity.
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