An investigation into the impact of a communication pack on mechanically ventilated patients, staff and visitors, on the intensive care unit at the National Hospital for Neurology and Neurosurgery

Abstract

This study investigated the communication experiences of mechanically ventilated patients, visitors and staff at the National Hospital for Neurology and Neurosurgery (NHNN), in relation to the introduction of a communication pack. Subjects were interviewed twice, before and after introduction of a communication pack. Semi-structured interviews, combining elements of qualitative and quantitative research design were administered on the intensive care units (ICUs) at the NHNN. Visitors were interviewed by telephone. Results were transcribed and analysed using Atlas.ti, a qualitative computer software package. Results corroborated existing research regarding the communication difficulties and negative psychological consequences resulting from prolonged mechanical ventilation and indicated that the communication resource pack did not dramatically influence subject perceptions overall. Positive aspects of the communication pack were highlighted by visitors and nurses however, including provision of an information advice leaflet, writing material, alphabet chart and picture boards. Analysis of results revealed the communication content and factors supporting and impeding communication in relation to communication methods and listeners. The limitations of this study design and procedure have been described and further research into the effectiveness of communication methods is recommended