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Nurses' experiences of serving as a communication guide and supporting the implementation of a communication intervention in the intensive care unit.


ABSTRACT:

Purpose

: To explore the experience of serving as a nurse communication guide, supporting the bottom-up implementation of a multi-component communication intervention prototype in the intensive care unit.

Methods

: The overall frame was Complex Interventions, and the study was conducted within the phenomenological-hermeneutic tradition. Semi-structured telephone interviews were conducted with eight nurse communication guides. Data were analysed using a Ricoeur-inspired interpretation method.

Results

: Two main themes emerged: 1) "The communication intervention components provided overview, a conceptual framework, awareness and room for reflection" and 2) "Being a communication guide illuminated the barriers and challenges of implementation". Furthermore, a comprehensive understanding was established that illuminated experiences throughout the analysis: "An ICU communication intervention has to be adaptable to the specific situation and the double need for individualization but also provide overall guidance".

Conclusion

: Findings showed that as communication is inherent to all human beings, it can be difficult to change the communication behaviour of nurses. Therefore, a communication intervention in the intensive care unit must be sensitive to the nurse communication guides' individual communication style. Furthermore, a communication intervention should provide nurse communication guides with overall guidance while at the same time remaining adaptable to the needs of each specific situation.

SUBMITTER: Holm A 

PROVIDER: S-EPMC8425701 | biostudies-literature |

REPOSITORIES: biostudies-literature

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