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Factors influencing critical care nurses' communication difficulties with mechanically ventilated patients: Nurses'
Lijun Liu1, Mingzhen Li2, Meihua Peng3
1Hyperbaric Oxygen Department, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan Province, China.
Background:
Communication is regarded as an important aspect of nursing care and is an indispensable part of the nurse's professional role.
Aim:
This study aimed to explore the factors influencing critical care nurses' communication difficulties with mechanically ventilated patients.
Methods:
A qualitative study with a descriptive design was used. Semi-structured interviews were conducted with 12 critical care nurses. Data were analyzed using Bardin's content analysis method.
Results:
Three categories and eight subcategories were extracted: nurses' own factors (professional value differences, disconnection between cognition and behavior, failed communication experiences); patient factors (individual differences, loss of emotional control); organizational factors (poor communication environment, limitations of communication assistance tools, a culture of flawed communication).
Conclusions:
There are diverse factors influencing critical care nurses' communication difficulties with mechanically ventilated patients. Hospital administrators should establish a complete guarantee mechanism for critical care nurses by improving the communication environment, continuously building capacities, and providing organizational recognition and motivation.
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