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Ventilator-supported communication – a case study of patient and staff experiences

Artikel i vetenskaplig tidskrift
Författare Katja Laakso
Lena Hartelius
Markus Idvall
Publicerad i Journal of Medical Speech - Language Pathology
Volym 17
Nummer/häfte 4
Sidor 153-164
ISSN 1065-1438-09
Publiceringsår 2009
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering
Sidor 153-164
Språk en
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Ämneskategorier Kirurgi, Logopedi och foniatrik

Sammanfattning

Communicative abilities and opportunities are affected by ventilator care. The purpose of this case study was to investigate both a nurse's and a ventilator-supported patient's experiences of communication during ventilator care, with the overall aim of contributing to increased knowledge and awareness of issues related to communication with a ventilator-supported patient. An explorative/descriptive embedded single-case study design was applied, and a qualitative approach guided data collection and analysis. Initially, field observations were carried out in an intensive care unit (ICU) setting, and led to the development of the case (ventilator-supported communication) and the units of analysis. This was followed by semistructured interviews with the participants: an individual receiving home mechanical ventilation (HMV) and a nurse from an ICU setting. Interviews were analyzed according to thematic content analysis. Five main categories emerged from the analysis: (1) to understand and to make oneself understood is important, (2) allowing communication to take time, (3) it takes practice to learn how to speak on a ventilator, (4) different situations require different communicative strategies and (5) knowing a person facilitates communication. The findings are discussed in relation to communicative participation, and suggestions for future research are given.

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