Use of a User-Friendly Tablet Application to Communicate with Pediatric Patients on Mechanical Ventilators

Autores/as

Palabras clave:

Comunicación, enfermería pediátrica, satisfacción personal, aplicaciones para tableta, respiradores

Resumen

Uso de una aplicación user-friendly para tableta en la comunicación con pacientes pediátricos sometidos a respirador artificial

Uso de um aplicativo para tablet fácil de usar para comunicação com pacientes pediátricos em ventilação mecânica

Objetivos: examinar cómo el uso de una aplicación para tableta como ayuda en la comunicación con pacientes pediátricos con respirador artificial afecta el nivel de satisfacción con la comunicación por parte del personal de enfermería y en las díadas cuidador–paciente. Materiales y método: se utilizó el diseño pretest-postest de un solo grupo para analizar el nivel de satisfacción del personal de enfermería con la comunicación y se utilizó un diseño de grupo de control pretest-postest no equivalente para los cuidadores. La muestra estaba conformada por 44 miembros del personal de enfermería y 18 díadas de cuidadores y pacientes pediátricos con ventilación de dos hospitales en Tailandia. Se utilizó una prueba de T pareada para comparar al personal de enfermería, la prueba U de Mann-Whitney para comparar los cuidadores y una estadística descriptiva para describir la satisfacción de los niños. Resultados: el personal de enfermería se sintió más satisfecho con la comunicación al usar la aplicación de la tableta que los métodos de comunicación regulares (t = -9,13, df = 43, p < ,001). Los cuidadores que usaron la aplicación para tableta también reportaron una mayor satisfacción con la comunicación respecto a aquellos que usaron los métodos de comunicación regulares (U = -3,41, p < ,001). Casi el 90 % de los pacientes pediátricos reportaron sentirse completamente satisfechos con el uso de la aplicación. Conclusiones: la aplicación para tableta diseñada para facilitar la comunicación con pacientes pediátricos con respirador artificial mejoró los niveles de satisfacción con la comunicación y debe promoverse como uno de los dispositivos de comunicación de asistencia para uso amplio.

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Biografía del autor/a

Chanita Tantacharoenrat, Faculty of Nursing, Mahidol University

Master's student in Master Program of Nursing Science in Pediatric Nursing, Mahidol University

Tassanee Prasopkittikun, Faculty of Nursing, Mahidol University

Associate Professor and Vice Dean for Graduate Studies,

Faculty of Nursing, Mahidol University, Thailand

Somsiri Rungamornrat, Faculty of Nursing, Mahidol University

Associate Professor,

Faculty of Nursing, Mahidol University, Thailand

Kawewan Limprayoon, Faculty of Medicine Siriraj Hospital, Mahidol University

Assitant Professor

Faculty of Medicine Siriraj Hospital, Mahidol University, Thailand

Citas

Costello JM, Patak L, Pritchard J. Communication vulnerable patients in the pediatric ICU: Enhancing care through augmentative and alternative communication. J Pediatr Rehabil Med. 2010;3(4):289-301. doi: 10.3233/PRM-2010-0140

Flinterud SI, Andershed B. Transitions in the communication experiences of tracheostomised patients in intensive care: A qualitative descriptive study. J Clin Nurs. 2015;24(15-16):2295-304. doi: 10.1111/jocn.12826.

Carruthers H, Astin F, Munro W. Which alternative communication methods are effective for voiceless patients in Intensive Care Units? A systematic review. Intensive Crit Care Nurs. 2017;42(15-16):88-96. doi: 10.1016/j.iccn.2017.03.003.

The American Speech-Language-Hearing Association [Internet]. Rockville: The Association; c1997-2018 [cited 2018 Apr 27]. Augmentative and alternative communication; Available from: https://www.asha.org/PRPSpecificTopic. aspx?folderid=8589942773

Tembo AC, Higgins I, Parker V. The experience of communication difficulties in critically ill patients in and beyond intensive care: Findings from a larger phenomenological study. Intensive Crit Care Nurs. 2015;31(3):171-78. doi: 10.1016/j.iccn.2014.10.004.

Leung CCH, Pun J. Lock G, Slade D, Gomersall CD, Wong WT, Joynt GM. Exploring the scopre of communication content of mechnically ventilated patients. J Crit Care. 2018;44:136-41. doi: 10.1016/j.jcrc.2017.10.044.

Prime D, Arkless P, Fine J, Winter S, Wakefield DB, Scatena R. Patient experiences during awake mechanical ventilation. J Community Hosp Intern Med Perspect. 2016;6(1):1-6. doi: 10.3402/jchimp.v6.30426.

Holm A, Dreyer P. Nurse-patient communication within the context of non-sedated mechanical ventilation: A hermeneutic- phenomenological study. Nurs Crit Care. 2018;23(2):88-94. doi: 10.1111/nicc.12297.

Frivold G, Slettebo A, Dale B. Family members’ lived experiences of everyday life after intensive care treatment of a loved one: A phenomenological hermeneutical study. J Clin Nurs. 2016;25(3-4):392-402. doi: 10.1111/jocn.13059.

Chun-ui P, Thaniwattananon P, Petpichetchian W. Effects of communication card on received care based on needs and perceived communication frustration in endotracheal intubated patients. J of Nurs Sci & Health. 2010;33(3):1-11. Thai.

Toprasert T. Comparison of two comminication methods towards responded problems, needs and satisfaction in communication of the patients with oroendotracheal tube [Master’s Thesis]. Bangkok, Thailand: Mahidol University; 2006. Thai.

El-Soussi AH, Elshafey MM, Othman SY, Abd-Elkader FA. Augmented alternative communication methods in intubated COPD patients: Does it make difference. Egypt J Chest Dis Tuberc. 2015;64(1):21-8. doi: 10.1016/j.ejcdt.2014.07.006.

Otuzoglu M, Karahan A. Determining the effectiveness of illustrated communication material for communication with intubated patients at an intensive care unit. Int J Nurs Pract. 2014;20(5):490-8. doi: 10.1111/ijn.12190.

Intaboonma S, Picheansathian W, Yenbut J. Effects of electronic communication device utilization on the satisfaction of intubated pediatric patients and nurses. Nursing Journal. 2007;34(1):41-51. Thai.

Happ MB, Roesch TK, Garrett K. Electronic voice-output communication aids for temporarily nonspeaking patients in a medical intensive care unit: A feasibility study. Heart Lung. 2004;33(2):92-101. doi: 10.1016/j.hrtlng.2003.12.005.

Pukkaeraka W, Wongpiriyayothar A, Wongpanarak N. The effects of communication with handheld computer on satisfaction in communication among endotracheal intubation patients. Nurses’ Association of Thailand, North-Eastern division. 2013;31(2):72-9. Thai.

Ten Hoorn S, Elbers PW, Girbes AR, Tuinman PR. Communicating with conscious and mechanically ventilated critically ill patients: a systematic review. Crit Care. 2016;20(1):1-14. doi: 10.1186/s13054-016-1483-2.

Vilstrup DL, Madsen EE, Hansen CF, Wind G. Nurses’ use of iPads in home care-what does it mean to patients?: A qualitative study. Comput Inform Nurs. 2017;35(3):140-4. doi: 10.1097/CIN.0000000000000304.

Blackstone S, Pressman H. Effective communication in children’s hospitals: A handbook of resources for parents, patients, and practitioners 2011 [updated 23 Mar 2018]. Available from: http://www.patientprovidercommunication.org/ article_25.htm

Mcquail D, Windahl S. Communication models for the study of mass communications. New York: Routledge; 2015. Available from: https://books.google.co.th/books?id=hLpACwAAQBAJ.

Happ MB, Garrett KL, Tate JA, DiVirgilio D, Houze MP, Demirci JR, et al. Effect of a multi-level intervention on nurse-patient communication in the intensive care unit: Results of the SPEACS trial. Heart Lung. 2014;43:89–98. doi: 10.1016/j. hrtlng.2013.11.010.

Bumpers B, Dearmon V, Dycus P. Impacting the patient’s experience in a children’s hospital using a comminication bundle strategy. J Nurs Care Qual. 2018;Jun 8. doi: 10.1097/NCQ.0000000000000336. [Epub ahead of print].

Aldekhyyel RN, Melton GB, Hultman G, Pitt MB. Using a bedside interactive technology to solicit and record pediatric pain reassessments: Parent and nursing perspectives on a novel workflow. AMIA Jt Summits Transl Sci Proc. 2018;May18:300-309.

Baumgarten M, Poulsen I. Patients’ experiences of being mechanically ventilated in an ICU: A qualitative metasynthesis. Scand J Caring Sci. 2015 Jun;29(2):205-14. doi: 10.1111/scs.12177.

Saeed AM, Galal IH, Shata AK. Evaluation of the psychological status of patients during and after weaning from mechanical ventilation. Egypt J Bronchol. 2014;8:160-6. doi: 10.4103/1687-8426.145718.

Engstrom A, Nystrom N, Sundelin G, Rattray J. People’s experiences of being mechnically ventilated in an ICU: A qualitative study. Intensive Crit Care Nurs. 2013;29(2):88-95. doi: 10.1016/j.iccn.2012.07.003.

Publicado

2018-09-21

Cómo citar

Tantacharoenrat, C., Prasopkittikun, T., Rungamornrat, S., & Limprayoon, K. (2018). Use of a User-Friendly Tablet Application to Communicate with Pediatric Patients on Mechanical Ventilators. Aquichan, 18(3), 275–286. Recuperado a partir de https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/9197

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