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Nursing Clinical Information System (NCIS)
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Related Experiment Video

Updated: Apr 13, 2026

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The Patient Communication Support Guide (PCSG): Development and Pilot Field Testing of a Digital Clinical Guide for

Judith A Tate1, Mary Beth Happ1, Stephanie Justice2

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Summary

This study developed a Patient Communication Support Guide (PCSG) for ICU nurses, improving communication with patients. The guide, based on the SPEACS-2 algorithm, proved usable and acceptable for enhancing patient care.

Keywords:
ICU CommunicationPatient-Provider CommunicationUser-Centered Design

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Area of Science:

  • Nursing
  • Health Informatics
  • Patient Safety

Background:

  • Effective clinician-patient communication is vital for patient safety and comfort in ICUs.
  • Most ICU clinicians lack adequate training and resources for communication assessment and patient-centered strategies.
  • The Study of Patient- Nurse Effectiveness with Assisted Communication Strategies (SPEACS-2) algorithm offers evidence-based guidance for communication.

Purpose of the Study:

  • To design, test usability, and assess the acceptability of an interactive Patient Communication Support Guide (PCSG).
  • The PCSG is based on the SPEACS-2 algorithm and training program.
  • The goal is to assist ICU clinicians in improving communication with patients.

Main Methods:

  • Iterative, user-centered design was employed to create the PCSG on the QualtricsXM platform.
  • Field-testing involved 10 ICU nurses over a 2-week period, including training on the PCSG and augmentative and alternative communication (AAC) tools.
  • Usability was assessed using the System Usability Scale (SUS), with nurses providing qualitative feedback for refinement.

Main Results:

  • The PCSG demonstrated improved usability scores after refinement, with SUS scores above the average threshold.
  • While overall qualitative feedback was positive, the likelihood to recommend the PCSG slightly decreased.
  • Nurses reported practice changes, frequent use of AAC tools, and found the PCSG quick and simple to use.

Conclusions:

  • User-centered design principles led to a Patient Communication Support Guide (PCSG) that is both usable and acceptable for ICU nurses.
  • The PCSG, integrated with AAC tools, shows potential for enhancing clinician-patient communication in critical care settings.
  • Nurses recommended integrating the PCSG into electronic health records for wider adoption.