Evaluation of the effectiveness of a training programme for nurses regarding augmentative and alternative communication with intubated patients using Kirkpatrick's model: A pilot study

Abstract Aim Communicating with conscious intubated patients who are unable to communicate verbally is one of the challenges faced by intensive care unit (ICU) nurses. The present study was conducted to evaluate the effectiveness of a training programme for nurses regarding augmentative and alternat...

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Main Authors: Marzieh Momennasab, Fatemeh Mohammadi, Fereshteh DehghanRad, Azita Jaberi
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.1531
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author Marzieh Momennasab
Fatemeh Mohammadi
Fereshteh DehghanRad
Azita Jaberi
author_facet Marzieh Momennasab
Fatemeh Mohammadi
Fereshteh DehghanRad
Azita Jaberi
author_sort Marzieh Momennasab
collection DOAJ
description Abstract Aim Communicating with conscious intubated patients who are unable to communicate verbally is one of the challenges faced by intensive care unit (ICU) nurses. The present study was conducted to evaluate the effectiveness of a training programme for nurses regarding augmentative and alternative communication (AAC) with intubated patients using Kirkpatrick's model. Design This study had a one‐group, before–after, quasi‐experimental design. Methods Totally, 45 nurses working in ICUs participated in a blended training programme using AAC strategies to communicate with intubated patients. Their contribution was evaluated based on Kirkpatrick's model at four levels. The study data were collected using the “satisfaction and ease questionnaire,” “observation checklist” and “communication knowledge test.” Then, the data were analysed using the SPSS 22 software and p < 0.05 was considered statistically significant. Results Most participants were satisfied with the implementation of the programme. The nurses' mean score of communication knowledge increased after the intervention (p < 0.05). The results of evaluation of the third and fourth levels of Kirkpatrick's model also showed an increase in the success of communication, use of AAC, and satisfaction with and ease of communication (p < 0.001). Implication Short‐term and long‐term effects of the blended training programme about AAC were investigated using Kirkpatrick's model. The results indicated the positive effect of the programme on the quality of the nurses’ communication with intubated patients, their understanding of the patients’ messages and meeting the patients’ needs at a more desirable level. Thus, nurses and other staff are recommended to use this simple method of communication with patients to provide better services. In addition, further quantitative and qualitative studies are suggested to assess these communication strategies in other patients with impaired consciousness.
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spelling doaj.art-4af1238cc78547a98ab633003d3904622023-04-06T09:45:47ZengWileyNursing Open2054-10582023-05-011052895290310.1002/nop2.1531Evaluation of the effectiveness of a training programme for nurses regarding augmentative and alternative communication with intubated patients using Kirkpatrick's model: A pilot studyMarzieh Momennasab0Fatemeh Mohammadi1Fereshteh DehghanRad2Azita Jaberi3Nursing Department, School of Nursing and Midwifery Shiraz University of Medical Sciences Shiraz IranStudent Research Committee, Department of Nursing, School of Nursing and Midwifery Shiraz University of Medical Sciences Shiraz IranDepartment of Nursing, School of Nursing and Midwifery Shiraz University of Medical Sciences Shiraz IranCommunity Based Psychiatric Care Research Center Shiraz University of Medical Sciences Shiraz IranAbstract Aim Communicating with conscious intubated patients who are unable to communicate verbally is one of the challenges faced by intensive care unit (ICU) nurses. The present study was conducted to evaluate the effectiveness of a training programme for nurses regarding augmentative and alternative communication (AAC) with intubated patients using Kirkpatrick's model. Design This study had a one‐group, before–after, quasi‐experimental design. Methods Totally, 45 nurses working in ICUs participated in a blended training programme using AAC strategies to communicate with intubated patients. Their contribution was evaluated based on Kirkpatrick's model at four levels. The study data were collected using the “satisfaction and ease questionnaire,” “observation checklist” and “communication knowledge test.” Then, the data were analysed using the SPSS 22 software and p < 0.05 was considered statistically significant. Results Most participants were satisfied with the implementation of the programme. The nurses' mean score of communication knowledge increased after the intervention (p < 0.05). The results of evaluation of the third and fourth levels of Kirkpatrick's model also showed an increase in the success of communication, use of AAC, and satisfaction with and ease of communication (p < 0.001). Implication Short‐term and long‐term effects of the blended training programme about AAC were investigated using Kirkpatrick's model. The results indicated the positive effect of the programme on the quality of the nurses’ communication with intubated patients, their understanding of the patients’ messages and meeting the patients’ needs at a more desirable level. Thus, nurses and other staff are recommended to use this simple method of communication with patients to provide better services. In addition, further quantitative and qualitative studies are suggested to assess these communication strategies in other patients with impaired consciousness.https://doi.org/10.1002/nop2.1531augmentative and alternative communication strategiescritical care nurseintensive care unitKirkpatrick's model
spellingShingle Marzieh Momennasab
Fatemeh Mohammadi
Fereshteh DehghanRad
Azita Jaberi
Evaluation of the effectiveness of a training programme for nurses regarding augmentative and alternative communication with intubated patients using Kirkpatrick's model: A pilot study
Nursing Open
augmentative and alternative communication strategies
critical care nurse
intensive care unit
Kirkpatrick's model
title Evaluation of the effectiveness of a training programme for nurses regarding augmentative and alternative communication with intubated patients using Kirkpatrick's model: A pilot study
title_full Evaluation of the effectiveness of a training programme for nurses regarding augmentative and alternative communication with intubated patients using Kirkpatrick's model: A pilot study
title_fullStr Evaluation of the effectiveness of a training programme for nurses regarding augmentative and alternative communication with intubated patients using Kirkpatrick's model: A pilot study
title_full_unstemmed Evaluation of the effectiveness of a training programme for nurses regarding augmentative and alternative communication with intubated patients using Kirkpatrick's model: A pilot study
title_short Evaluation of the effectiveness of a training programme for nurses regarding augmentative and alternative communication with intubated patients using Kirkpatrick's model: A pilot study
title_sort evaluation of the effectiveness of a training programme for nurses regarding augmentative and alternative communication with intubated patients using kirkpatrick s model a pilot study
topic augmentative and alternative communication strategies
critical care nurse
intensive care unit
Kirkpatrick's model
url https://doi.org/10.1002/nop2.1531
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