?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F18469%2F&rft.title=Use+of+electronic+communication+aids+by+temporarily+nonvocal+patients+in+the+ICU&rft.creator=Nock%2C+Rebecca+H.&rft.description=Purpose%3A+To+examine+the+enactment+and+progression+of+assistive+and+augmentative+communication+(AAC)+device+use+by+nonvocal+intensive+care+unit+(ICU)+patients+during+nurse-patient+communication+over+two+days.+%0D%0ABackground%3A+Patient-nurse+communication+in+the+ICU+is+a+complex+process.+Endotracheal+intubation+or+tracheostomy+renders+patients+temporarily+unable+to+speak.+ICU+nurses+occupy+a+crucial+role+in+facilitating+patient+communication.+The+Study+of+Patient-Nurse+Effectiveness+with+Assisted+Communication+Strategies+(SPEACS)+presented+basic+communication+skills+training+and+training+in+electronic+communication+devices+to+nurses+in+two+ICUs+to+improve+communication+with+nonvocal+patients.+%0D%0AMethods%3A+We+used+a+descriptive+multiple+case+study+design+and+applied+microanalytic+communication+coding+with+descriptive+analysis+using+primarily+qualitative+techniques.+A+subset+of+patients+(n+%3D+9)+who+were+physically+(i.e.%2C+upper+motor)+and+cognitively+intact+(RASS+%3D+0%2C+CAM-ICU+negative+for+delirium)%2C+throughout+all+study+observations+was+extracted+from+the+SPEACS+sample.+The+patients+were+%3E+21+years+old%2C+intubated%2C+scored+%EF%82%B313+on+the+Glasgow+Coma+Scale%2C+and+received+a+communication+plan+and+electronic+AAC+device+matched+to+patient+ability+and+preference+from+a+speech+language+pathologist.+For+two+days+directly+after+the+plan+was+developed%2C+the+nurse-patient+dyad+was+videotaped+four+times+(twice+daily)+during+routine+care.+The+full-length+videos+(3%3A25-19%3A38+minutes)+were+coded+for+patient+use+of+natural%2C+low+tech+AAC%2C+and+high+tech+AAC+communication+modality%3B+nurse+facilitative+behaviors%2Fstrategies%3B+and+patient+communication+topic.+%0D%0AResults%2FConclusion%3A+Five+patients+used+the+high+tech+AAC+device+during+observation%3B+4+patients+did+not.+The+Lightwriter+device+was+most+common+(n%3D4)+and+most+popular+among+the+high+tech+AAC+users.+Nurse+facilitative+behaviors+were+observed+with+7+dyads%3B+positioning+the+high+tech+device+appropriately+was+the+most+common+facilitative+behavior+for+patients+who+used+high+tech+AAC.+The+most+common+topics+were+comfort+care%2Fneeds%2C+patient%E2%80%99s+condition%2C+and+greetings%2Fsmall+talk.+These+were+also+common+topics+during+high+tech+AAC+communication.+All+patients+used+multiple+communication+modalities+and+used+natural+communication+modalities+most+frequently.+Although+the+pattern+of+AAC+use+over+time+differed+among+the+patients%2C+communication+rates+dropped+in+most+(8%2F9)+cases+during+session+4.+This+information+regarding+how+patients+use+AAC+devices+may+help+nurses+to+better+predict+their+patients%E2%80%99+communication+needs+and+to+facilitate+effective+communication.%0D%0A&rft.date=2013-06-03&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F18469%2F1%2FNock_BPhil_ETD_2013.pdf&rft.identifier=++Nock%2C+Rebecca+H.++(2013)+Use+of+electronic+communication+aids+by+temporarily+nonvocal+patients+in+the+ICU.++Undergraduate+Thesis%2C+University+of+Pittsburgh.++++(Unpublished)++