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Context 1
... domains help us describe body structure and functions, activity and participation (Part 1: Functioning and Disability), as well as environmental and personal factors that can lead to activity limitations and participation restrictions (Part 2: Contextual factors). One of the new features of the ICF is that it provides an interactive model (see Fig. 2) and the interactions are in both directions, e.g. the presence of disability may modify the health ...
Context 2
... concept of QoL is not explicitly named or mentioned as a component of the ICF framework, but the authors of the ICF have encouraged work dedicated to establishing links between the ICF and QoL measurements (ICF, 2001). In a recent study ( McDougall et al., 2010), the ICF is expanded to include the concepts of QoL (see Figure 2). They describe a person's QoL as a composite emerging and changing phenomenon of all the aspects found in the ICF. ...
Context 3
... the ICF as a reference framework allows a researcher to see which domains are covered in a specific instrument. As seen in Figure 2 (and consequently Table 3), HRQL is not explicitly incorporated in the ICF structure. ...
Context 4
... findings touched on every area in the ICF model (see Figure 2). In what follows, the findings from the studies (I-IV) are related to the different components of the model, from both a positive (functioning, facilitators) and negative (disability, barriers) point of view, illustrating some of the complexities of ventilator-supported communication. ...
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Citations
Background:
Mechanical ventilation is a necessary procedure for patients with a range of illnesses and conditions. Mechanical ventilation affects voice production, leaving patients unable to communicate their needs with nurses and family. The communication difficulty causes distress, frustration, and anger if not attended to.
Aims:
This structured review sought to identify communication challenges which exist between nurses and mechanically ventilated patients in intensive care units (ICU) and hence explore possible solutions to improve these communication challenges.
Methods:
A electronic search of MEDLINE, CINAHL, and PsycINFO was conducted to identify relevant literature on nurse-patient communication challenges in the ICU published between January 2005 and December 2014. Studies meeting the inclusion criteria were retrieved in full, reviewed, and study quality assessed.
Results:
Six studies were identified for inclusion in the review. Analysis identified five core influences on communication in the ICU: patient's consciousness level, nature of nurse-patient interactions, communication methods, staff skills and perceptions, and the intensive care physical environment.
Linking evidence to action:
An evidence-based and multifactorial communication intervention encompassing staff skills development and training, development of relevant patient materials or devices and collaborations with relevant health professionals like speech and language therapists has the potential to improve nurse-patient communication in the ICU and hence improve patient outcomes.
