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Kommunikation hos respiratorvårdade patienter: Upplevelser hos patient och vårdpersonal samt analys av samtal med och utan röstgenerator
Linköping University, Department of Clinical and Experimental Medicine, Speech and Language Pathology .
Linköping University, Department of Clinical and Experimental Medicine, Speech and Language Pathology .
2010 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesisAlternative title
Communication with Patients Receiving Mechanical Ventilation : Patient and Nursing Staff Experiences and Conversation Analysis With and Without an Electrolarynx (English)
Abstract [en]



Studies have shown that patients receiving mechanical ventilation in an intensive care unit (ICU), who are entirely dependent on the nursing staff, often experience frustration due to a temporary loss of the voice source. Limited communication is an important factor contributing to patient discomfort. Nursing staff also report communication as frustrating and difficult.

The aim of the present study is to introduce a neck-type electrolarynx as a communication aid in an ICU, to study the nursing staff experiences of communication with tracheotomized patients receiving mechanical ventilation, and to examine the patient´s experiences regarding communicative abilities. Communication between a ventilator treated, tracheotomized patient and members of the nursing staff was recorded and analyzed according to principles of Conversation Analysis (CA).

The results show that several members of the nursing staff experience difficulties communicating with tracheotomized patients receiving mechanical ventilation. A majority believe that the conditions for communication could be improved. The results of CA also indicate that an electrolarynx may be an effective and appropriate communication aid for ventilator treated, tracheostomized patients. Further research is needed to broaden the knowledge of the electrolarynx as a communication aid for these patients.

Keywords: communication, mechanical ventilation, electrolarynx, patient experience, nursing staff experience, Conversation Analysis (CA).

Place, publisher, year, edition, pages
2010. , 41 p.
Keyword [en]
communication, mechanical ventilation, electrolarynx, patient experience, nursing staff experience, Conversation Analysis (CA)
Keyword [sv]
kommunikation, respiratorvård, röstgenerator, patientupplevelse, vårdpersonalupplevelse, Conversation Analysis
National Category
Otorhinolaryngology
Identifiers
URN: urn:nbn:se:liu:diva-57522ISRN: LIU-IKE/SLP-A--10/005--SEOAI: oai:DiVA.org:liu-57522DiVA: diva2:326307
Presentation
2010-06-03, Almen, Campus US, Linköping, 08:30 (Swedish)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2010-06-22 Created: 2010-06-22 Last updated: 2010-12-10Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf