A systematic review of the effectiveness of nurse communication with patients with complex communication needs with a focus on the use of augmentative and alternative communication
- 25 July 2008
- journal article
- review article
- Published by Wiley in Journal of Clinical Nursing
- Vol. 17 (16), 2102-2115
- https://doi.org/10.1111/j.1365-2702.2008.02373.x
Abstract
To systematically review the research regarding communication between nurses and patients with complex communication needs (CCN). The research was reviewed with respect to the following themes: (a) the importance of communication; (b) the barriers to effective communication; (c) the supports needed for effective communication; and (d) recommendations for improving the effectiveness of communication between nurses and patients with CCN. Augmentative and alternative communication (AAC) strategies that can be used by nurses to facilitate more effective communication with patients with CCN are discussed. Effective nurse-patient communication is critical to efficient care provision. Difficulties in communication between nurses and patients arise when patients are unable to speak. This problem is further complicated because nurses typically receive little or no training in how to use AAC to communicate with patients with CCN. Systematic review. This paper reviewed the published research focusing on the perspectives of nurses, patients with CCN and their caregivers regarding the challenges to effective communication between nurses and patients with CCN. Further, specific strategies (i.e., using AAC) that nurses can use to improve and facilitate communication with patients with CCN are provided. Communication between nurses and patients is critical to providing and receiving quality care. Nurses and patients have reported concern and frustration when communication is not adequate. Using AAC strategies will help nurses and patients better communicate with each other when speech is not an option. Communication with all patients is very important to the provision of quality nursing care. Communication cannot always be achieved using the speech modality. Nurses need to have tools and skills that will allow them to communicate with all of their patients whether or not they can speak.Keywords
This publication has 33 references indexed in Scilit:
- Communicating with nurses: The experiences of 10 adults with cerebral palsy and complex communication needsApplied Nursing Research, 2007
- The effect of aided AAC modeling on the expression of multi-symbol messages by preschoolers who use AACAugmentative and Alternative Communication, 2007
- Communication with critically ill patientsJournal of Advanced Nursing, 2005
- AAC intervention in the intensive care unit: The children's hospital Boston modelAugmentative and Alternative Communication, 2000
- “Let's go star fishing”: reflections on the contexts of language learning for children who use aided AACAugmentative and Alternative Communication, 1997
- Language comprehension: considerations for augmentative and alternative communicationAugmentative and Alternative Communication, 1993
- Social interaction and learned helplessness in severely disabled childrenAugmentative and Alternative Communication, 1992
- Feedback on AAC intervention from adults who are temporarily unable to speakAugmentative and Alternative Communication, 1991
- Aided communication intervention before assessment: a case study of a child with cerebral palsyAugmentative and Alternative Communication, 1989
- Promoting the acquisition and generalization of conversational skills by individuals with severe disabilitiesAugmentative and Alternative Communication, 1988