Pengembangan ICU Card Talk sebagai Alat Bantu Komunikasi bagi Pasien dengan Ventilasi Mekanik
Abstract
This study aims to develop ICU Card Talk as a communication tool for mechanically ventilated patients. The method used in this study was a Research and Development approach with data collection stages through literature studies, interviews, and observations to formulate strategic issues and design ICU Card Talk content designs through focus group discussions based on strategic issues. The results of this study are color graphic communication cards equipped with writing according to the patient's basic needs and patient complaints measuring 10x15 cm using a glossy paper. The results of the content validity test by assessing the I-CVI showed that the ICU Card Talk content was valid with a value of 1.0, and the reliability value obtained a reliability coefficient > 0.6 which stated that the ICU Card Talk content was reliable. In conclusion, ICU Card Talk can be used as a communication tool that is easy to use as a means of interaction between patients with mechanical ventilation and medical staff so that patient communication needs can be met. This will indirectly reduce the patient's stress level, which will affect the patient's recovery.
Keywords: Intensive Care, Communication, Mechanical Ventilation
References
Al-Yahyai, A. N. S., Arulappan, J., Matua, G. A., Al-Ghafri, S. M., Al-Sarakhi, S. H., Al-Rahbi, K. K. S., & Jayapal, S. K. (2021). Communicating to Non-Speaking Critically Ill Patients: Augmentative and Alternative Communication Technique as an Essential Strategy. SAGE Open Nursing, 7. https://doi.org/10.1177/23779608211015234
Altschuler, T., Santiago, R., & Gormley, J. (2021). Ensuring Communication Access for all During the COVID-19 Pandemic and Beyond: Supporting Patients, Providers, and Caregivers in Hospitals. AAC: Augmentative and Alternative Communication, 37(3), 155–167. https://doi.org/10.1080/07434618.2021.1956584
Arimon, M. P., Llobet, M. P., Roldán-Merino, J., Moreno-Arroyo, C., Blanco, M. Ã. H., & Lluch-Canut, T. (2021). A Communicative Intervention to Improve the Psychoemotional State of Critical Care Patients Transported by Ambulance. American Journal of Critical Care, 30(1), 45–54. https://doi.org/10.4037/ajcc2021619
Bastable, K., & Dada, S. (2020). Communication Vulnerability in South African Health Care :The Role of Augmentative and Alternative Communication. South African Health Review, 107–117. http://hdl.handle.net/2263/81473
Buheji, M., Alhaddad, M., Salman, A., AlShuwaikh, Z., & Jahrami, H. (2020). Hearing the Silent Voices of COVID-19 Patients on Mechanical Ventilators: The Use of Augmentative and Alternative Communication (AAC) Approach. American Journal of Medicine and Medical Sciences, 10(7), 457–461. https://doi.org/10.5923/j.ajmms.20201007.04
Carvalho, D. N. de, Queiroz, Ã. da P., Araújo, B. C. L., Barbosa, S. L. do E. S., Carvalho, V. C. B. de, & de Carvalho, S. (2020). Augmentative and Alternative Communication With Adults and Elderly in the Hospital Environment: An Integrative Literature Review. Revista CEFAC, 22(5), 1–11. https://doi.org/10.1590/1982-0216/202022516019
Fager, S. K., Burnfield, J. M., Pfeifer, C. M., & Sorenson, T. (2021). Perceived Importance of AAC Messages to Support Communication in Rehabilitation Settings. Disability and Rehabilitation: Assistive Technology, 16(7), 796–801. https://doi.org/10.1080/17483107.2020.1736652
Happ, M. B. (2021). Giving Voice: Nurse-Patient Communication in the Intensive Care Unit. American Journal of Critical Care , 30(4), 256–265. https://doi.org/10.4037/ajcc2021666
Happ, M. B., Shin, J., & Tate, J. A. (2020). Overcoming Speech and Language Disorders in Acute and Critical Care: 40 Years Later. Geriatric Nursing, 41(3), 337–338. https://doi.org/10.1016/j.gerinurse.2020.04.008
Holm, A., Viftrup, A., Karlsson, V., Nikolajsen, L., & Dreyer, P. (2020). Nurses’ Communication with Mechanically Ventilated Patients in the Intensive Care Unit: Umbrella Review. Journal of Advanced Nursing, 76(11), 2909–2920. https://doi.org/10.1111/jan.14524
Istanboulian, L., Rose, L., Gorospe, F., Yunusova, Y., & Dale, C. M. (2020). Barriers to and Facilitators for the Use of Augmentative and Alternative Communication and Voice Restorative Strategies for Adults with an Advanced Airway in the Intensive Care unit: A Scoping Review. Journal of Critical Care, 57, 168–176. https://doi.org/10.1016/j.jcrc.2020.02.015
Johnson, E., Heyns, T., & Nilsson, S. (2022). Nurses’ Perspectives on Alternative Communication Strategies Use in Critical Care Units. Nursing in Critical Care, 27, 120–129. https://doi.org/10.1111/nicc.12612
Ju, X., Yang, J., & Liu, X. (2021). A Systematic Review on Voiceless Patients’ Willingness to Adopt High-Technology Augmentative and Alternative Communication in Intensive Care Units. Intensive and Critical Care Nursing, 63. https://doi.org/10.1016/j.iccn.2020.102948
Momennasab, M., Mohammadi, F., DehghanRad, F., & Jaberi, A. (2022). Evaluation of the Effectiveness of a Training Programme for Nurses Regarding Augmentative and Alternative Communication with Intubated Patients Using Kirkpatrick’s Model: A pilot study. Nursing Open, 1–9. https://doi.org/10.1002/nop2.1531
Pina, S., Canellas, M., Prazeres, R., Lopes, J., Marcelino, T., Reis, D., & Ferrito, C. (2020). Augmentative and Alternative Communication in Ventilated Patients: A Scoping Review. Revista Brasileira de Enfermagem, 73(5). https://doi.org/10.1590/0034-7167-2019-0562
Scbilia, S. J., Gendreau, S. K., Towbin, R. T., & Happ, M. B. (2022). Impact of COVID-19 on Patient-Provider Communication in Critical Care: Case Reports. Critical Care Nurse, 42(4), 38–46. https://doi.org/10.4037/ccn2022405
Shin, J. W., Happ, M. B., & Tate, J. A. (2021). VidaTalkTM Patient Communication Application “Opened Up†Communication between Nonvocal ICU Patients and Their Family. Intensive and Critical Care Nursing, 66. https://doi.org/10.1016/j.iccn.2021.103075
Shin, J. W., Tate, J. A., & Happ, M. B. (2020). The Facilitated Sensemaking Model as a Framework for Family-Patient Communication During Mechanical Ventilation in the Intensive Care Unit. Critical Care Nursing Clinics of North America, 32(2), 335–348. https://doi.org/10.1016/j.cnc.2020.02.013
Simeone, I. M., Berning, J. N., Hua, M., Happ, M. B., & Baldwin, M. R. (2021). Training Chaplains to Provide Communication-Board-Guided Spiritual Care for Intensive Care Unit Patients. Journal of Palliative Medicine, 24(2), 218–225. https://doi.org/10.1089/jpm.2020.0041
Trotta, R. L., Hermann, R. M., Polomano, R. C., & Happ, M. B. (2020). Improving Nonvocal Critical Care Patients’ Ease of Communication Using a Modified SPEACS-2 Program. Journal for Healthcare Quality, 42(1), 1–9. https://doi.org/10.1097/JHQ.0000000000000163
Altschuler, T., Santiago, R., & Gormley, J. (2021). Ensuring Communication Access for all During the COVID-19 Pandemic and Beyond: Supporting Patients, Providers, and Caregivers in Hospitals. AAC: Augmentative and Alternative Communication, 37(3), 155–167. https://doi.org/10.1080/07434618.2021.1956584
Arimon, M. P., Llobet, M. P., Roldán-Merino, J., Moreno-Arroyo, C., Blanco, M. Ã. H., & Lluch-Canut, T. (2021). A Communicative Intervention to Improve the Psychoemotional State of Critical Care Patients Transported by Ambulance. American Journal of Critical Care, 30(1), 45–54. https://doi.org/10.4037/ajcc2021619
Bastable, K., & Dada, S. (2020). Communication Vulnerability in South African Health Care :The Role of Augmentative and Alternative Communication. South African Health Review, 107–117. http://hdl.handle.net/2263/81473
Buheji, M., Alhaddad, M., Salman, A., AlShuwaikh, Z., & Jahrami, H. (2020). Hearing the Silent Voices of COVID-19 Patients on Mechanical Ventilators: The Use of Augmentative and Alternative Communication (AAC) Approach. American Journal of Medicine and Medical Sciences, 10(7), 457–461. https://doi.org/10.5923/j.ajmms.20201007.04
Carvalho, D. N. de, Queiroz, Ã. da P., Araújo, B. C. L., Barbosa, S. L. do E. S., Carvalho, V. C. B. de, & de Carvalho, S. (2020). Augmentative and Alternative Communication With Adults and Elderly in the Hospital Environment: An Integrative Literature Review. Revista CEFAC, 22(5), 1–11. https://doi.org/10.1590/1982-0216/202022516019
Fager, S. K., Burnfield, J. M., Pfeifer, C. M., & Sorenson, T. (2021). Perceived Importance of AAC Messages to Support Communication in Rehabilitation Settings. Disability and Rehabilitation: Assistive Technology, 16(7), 796–801. https://doi.org/10.1080/17483107.2020.1736652
Happ, M. B. (2021). Giving Voice: Nurse-Patient Communication in the Intensive Care Unit. American Journal of Critical Care , 30(4), 256–265. https://doi.org/10.4037/ajcc2021666
Happ, M. B., Shin, J., & Tate, J. A. (2020). Overcoming Speech and Language Disorders in Acute and Critical Care: 40 Years Later. Geriatric Nursing, 41(3), 337–338. https://doi.org/10.1016/j.gerinurse.2020.04.008
Holm, A., Viftrup, A., Karlsson, V., Nikolajsen, L., & Dreyer, P. (2020). Nurses’ Communication with Mechanically Ventilated Patients in the Intensive Care Unit: Umbrella Review. Journal of Advanced Nursing, 76(11), 2909–2920. https://doi.org/10.1111/jan.14524
Istanboulian, L., Rose, L., Gorospe, F., Yunusova, Y., & Dale, C. M. (2020). Barriers to and Facilitators for the Use of Augmentative and Alternative Communication and Voice Restorative Strategies for Adults with an Advanced Airway in the Intensive Care unit: A Scoping Review. Journal of Critical Care, 57, 168–176. https://doi.org/10.1016/j.jcrc.2020.02.015
Johnson, E., Heyns, T., & Nilsson, S. (2022). Nurses’ Perspectives on Alternative Communication Strategies Use in Critical Care Units. Nursing in Critical Care, 27, 120–129. https://doi.org/10.1111/nicc.12612
Ju, X., Yang, J., & Liu, X. (2021). A Systematic Review on Voiceless Patients’ Willingness to Adopt High-Technology Augmentative and Alternative Communication in Intensive Care Units. Intensive and Critical Care Nursing, 63. https://doi.org/10.1016/j.iccn.2020.102948
Momennasab, M., Mohammadi, F., DehghanRad, F., & Jaberi, A. (2022). Evaluation of the Effectiveness of a Training Programme for Nurses Regarding Augmentative and Alternative Communication with Intubated Patients Using Kirkpatrick’s Model: A pilot study. Nursing Open, 1–9. https://doi.org/10.1002/nop2.1531
Pina, S., Canellas, M., Prazeres, R., Lopes, J., Marcelino, T., Reis, D., & Ferrito, C. (2020). Augmentative and Alternative Communication in Ventilated Patients: A Scoping Review. Revista Brasileira de Enfermagem, 73(5). https://doi.org/10.1590/0034-7167-2019-0562
Scbilia, S. J., Gendreau, S. K., Towbin, R. T., & Happ, M. B. (2022). Impact of COVID-19 on Patient-Provider Communication in Critical Care: Case Reports. Critical Care Nurse, 42(4), 38–46. https://doi.org/10.4037/ccn2022405
Shin, J. W., Happ, M. B., & Tate, J. A. (2021). VidaTalkTM Patient Communication Application “Opened Up†Communication between Nonvocal ICU Patients and Their Family. Intensive and Critical Care Nursing, 66. https://doi.org/10.1016/j.iccn.2021.103075
Shin, J. W., Tate, J. A., & Happ, M. B. (2020). The Facilitated Sensemaking Model as a Framework for Family-Patient Communication During Mechanical Ventilation in the Intensive Care Unit. Critical Care Nursing Clinics of North America, 32(2), 335–348. https://doi.org/10.1016/j.cnc.2020.02.013
Simeone, I. M., Berning, J. N., Hua, M., Happ, M. B., & Baldwin, M. R. (2021). Training Chaplains to Provide Communication-Board-Guided Spiritual Care for Intensive Care Unit Patients. Journal of Palliative Medicine, 24(2), 218–225. https://doi.org/10.1089/jpm.2020.0041
Trotta, R. L., Hermann, R. M., Polomano, R. C., & Happ, M. B. (2020). Improving Nonvocal Critical Care Patients’ Ease of Communication Using a Modified SPEACS-2 Program. Journal for Healthcare Quality, 42(1), 1–9. https://doi.org/10.1097/JHQ.0000000000000163
