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Nurses' experiences of the phenomenon 'isolation communication'
1Aarhus University Hospital, Aarhus, Denmark.
Nursing in Critical Care
|September 26, 2022
Summary
Nurses faced communication challenges in the intensive care unit (ICU) due to personal protective equipment (PPE) and isolation during COVID-19. This "isolation communication" limited interactions, impacting patient care and nurse well-being.
Area of Science:
- Nursing
- Intensive Care Medicine
- Infectious Diseases
Background:
- Communication in intensive care units (ICUs) is complex due to patient acuity.
- COVID-19 heightened communication challenges for nurses due to personal protective equipment (PPE) and isolation protocols.
Purpose of the Study:
- To explore nurses' experiences communicating in an ICU setting while wearing PPE during COVID-19 isolation.
- To understand the impact of isolation precautions on nurse-patient and nurse-relative communication.
Main Methods:
- Qualitative study using a phenomenological-hermeneutic approach.
- Data collected through 12 interviews with ICU nurses.
- Analysis employed a Ricoeur-inspired text interpretation method.
Main Results:
- Communication became limited, distanced, and required compromise.
- Nurses experienced reduced sensory input, altering verbal and nonverbal communication.
- Patients and relatives exhibited increased communicative vulnerability.
Conclusions:
- A phenomenon termed 'isolation communication' emerged, profoundly impacting nurses' practices.
- Nurses experienced physical, emotional, and social distancing, necessitating endurance of these limitations.
- Isolation communication is a necessary measure to prevent viral spread, despite its challenges.
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