Nurse and Patient Interaction Behaviors' Effects on Nursing Care Quality for Mechanically Ventilated Older Adults in the ICU

作者:Nilsen Marci L*; Sereika Susan M; Hoffman Leslie A; Barnato Amber; Donovan Heidi; Happ Mary Beth
来源:Research in Gerontological Nursing, 2014, 7(3): 113-125.
DOI:10.3928/19404921-20140127-02

摘要

The study purposes were to (a) describe interaction behaviors and factors that may effect communication and (b) explore associations between interaction behaviors and nursing care quality indicators among 38 mechanically ventilated patients (age >= 60 years) and their intensive care unit nurses (n = 24). Behaviors were measured by rating videorecorded observations from the Study of Patient-Nurse Effectiveness with Communication Strategies (SPEACS). Characteristics and quality indicators were obtained from the SPEACS dataset and medical chart abstraction. All positive behaviors occurred at least once. Significant (p < 0.05) associations were observed between (a) positive nurse and positive patient behaviors, (b) patient unaided augmentative and alternative communication (AAC) strategies and positive nurse behaviors, (c) individual patient unaided AAC strategies and individual nurse positive behaviors, (d) positive nurse behaviors and pain management, and (e) positive patient behaviors and sedation level. Findings provide evidence that nurse and patient behaviors effect communication and may be associated with nursing care quality.

  • 出版日期2014-6