Assessment of communicative competence in adult patients with minimum response in intensive care units: A scoping review

IF 1.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY International Journal of Language & Communication Disorders Pub Date : 2024-07-10 DOI:10.1111/1460-6984.13088

Ana Pinto, Mariely Lima, João Lindo Simões

{"title":"Assessment of communicative competence in adult patients with minimum response in intensive care units: A scoping review","authors":"Ana Pinto, Mariely Lima, João Lindo Simões","doi":"10.1111/1460-6984.13088","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Few formal instruments exist to assess the communicative competence of patients hospitalized in intensive care units (ICUs). This can limit interventions by health professionals.</p>\n </section>\n \n <section>\n \n <h3> Aims</h3>\n \n <p>To map the categories and instruments for assessing the communicative competence of adult patients with minimal response in ICUs.</p>\n </section>\n \n <section>\n \n <h3> Methods & Procedures</h3>\n \n <p>A scoping review was carried out following the Joanna Briggs Institute protocol between February and March 2022 and using the MEDLINE (PubMed), Scopus, Scielo, Business Source Complete (via EBSCOhost), Academic Search Complete (via EBSCOhost) and Web of Science databases, in Portuguese, English and Spanish.</p>\n </section>\n \n <section>\n \n <h3> Main Contribution</h3>\n \n <p>Eight studies met the inclusion criteria. The different communication and pain assessment protocols covered awareness, cognition, sensory capacity, motor capacity, language, speech and literacy.</p>\n </section>\n \n <section>\n \n <h3> Conclusions & Implications</h3>\n \n <p>The present review offers a starting point for the construction of a formal assessment instrument to enable clinicians to implement an augmentative or alternative communication system (AACS) for the voluntary, independent and active participation of patients.</p>\n </section>\n \n <section>\n \n <h3> WHAT THIS PAPER ADDS</h3>\n \n <section>\n \n <h3> What is already known on the subject</h3>\n \n <div>\n <ul>\n \n <li>Patients in ICUs are subject to various forms of treatment and continuous and intensive monitoring, compromising their capacity to communicate and actively participate (e.g., sharing symptoms and making decisions). Although there is some awareness of their disadvantage in such a regard, few protocols of assessment of communicative competence have been adapted to patients with a minimum response.</li>\n </ul>\n </div>\n </section>\n \n <section>\n \n <h3> What this paper adds to the existing knowledge</h3>\n \n <div>\n <ul>\n \n <li>The present review highlights different protocols for the assessment of communication and pain. They include the following categories: awareness, sensory capacity, auditory and visual acuity, positioning and motor capacity, language, speech, and literacy. The review offers a starting point for the construction of a formal assessment instrument encompassing the aforementioned categories, along with duly validated guidelines for its application.</li>\n </ul>\n </div>\n </section>\n \n <section>\n \n <h3> What are the potential or actual clinical implications of this work?</h3>\n \n <div>\n <ul>\n \n <li>Our formal assessment instrument takes into account the need to adapt to different patient profiles. It is hoped that it will provide speech therapists and other health professionals with the information required to implement an AACS in which patients participate actively.</li>\n </ul>\n </div>\n </section>\n </section>\n </div>","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"59 6","pages":"2383-2396"},"PeriodicalIF":1.5000,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Language & Communication Disorders","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1460-6984.13088","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Few formal instruments exist to assess the communicative competence of patients hospitalized in intensive care units (ICUs). This can limit interventions by health professionals.

Aims

To map the categories and instruments for assessing the communicative competence of adult patients with minimal response in ICUs.

Methods & Procedures

A scoping review was carried out following the Joanna Briggs Institute protocol between February and March 2022 and using the MEDLINE (PubMed), Scopus, Scielo, Business Source Complete (via EBSCOhost), Academic Search Complete (via EBSCOhost) and Web of Science databases, in Portuguese, English and Spanish.

Main Contribution

Eight studies met the inclusion criteria. The different communication and pain assessment protocols covered awareness, cognition, sensory capacity, motor capacity, language, speech and literacy.

Conclusions & Implications

The present review offers a starting point for the construction of a formal assessment instrument to enable clinicians to implement an augmentative or alternative communication system (AACS) for the voluntary, independent and active participation of patients.

WHAT THIS PAPER ADDS

What is already known on the subject

Patients in ICUs are subject to various forms of treatment and continuous and intensive monitoring, compromising their capacity to communicate and actively participate (e.g., sharing symptoms and making decisions). Although there is some awareness of their disadvantage in such a regard, few protocols of assessment of communicative competence have been adapted to patients with a minimum response.

What this paper adds to the existing knowledge

The present review highlights different protocols for the assessment of communication and pain. They include the following categories: awareness, sensory capacity, auditory and visual acuity, positioning and motor capacity, language, speech, and literacy. The review offers a starting point for the construction of a formal assessment instrument encompassing the aforementioned categories, along with duly validated guidelines for its application.

What are the potential or actual clinical implications of this work?

Our formal assessment instrument takes into account the need to adapt to different patient profiles. It is hoped that it will provide speech therapists and other health professionals with the information required to implement an AACS in which patients participate actively.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

重症监护室中最低反应成人患者的沟通能力评估：范围综述。

背景：用于评估重症监护病房（ICU）住院患者交流能力的正式工具很少。目的：对重症监护室中反应极差的成年患者的交流能力评估类别和工具进行摸底：2022年2月至3月期间，按照乔安娜-布里格斯研究所（Joanna Briggs Institute）的协议，使用葡萄牙语、英语和西班牙语的MEDLINE (PubMed)、Scopus、Scielo、Business Source Complete（通过EBSCOhost）、Academic Search Complete（通过EBSCOhost）和Web of Science数据库进行了范围界定综述：八项研究符合纳入标准。不同的交流和疼痛评估方案涵盖了意识、认知、感觉能力、运动能力、语言、言语和读写能力：本综述为构建正式的评估工具提供了一个起点，使临床医生能够实施辅助或替代性交流系统（AACS），让患者自愿、独立和积极参与：关于该主题的已知信息重症监护病房的病人需要接受各种形式的治疗和持续、密集的监护，这削弱了他们的沟通能力和积极参与能力（例如，分享症状和做出决定）。虽然人们已经意识到他们在这方面的劣势，但很少有针对最低反应患者的沟通能力评估方案。本文对现有知识的补充本综述重点介绍了不同的沟通与疼痛评估方案。它们包括以下类别：意识、感觉能力、听觉和视觉敏锐度、定位和运动能力、语言、言语和读写能力。这篇综述为构建包含上述类别的正式评估工具提供了一个起点，并为其应用提供了经过适当验证的指南。这项工作有哪些潜在或实际的临床意义？我们的正式评估工具考虑到了适应不同患者情况的需要。希望它能为言语治疗师和其他医疗专业人员提供所需的信息，以便实施让患者积极参与的辅助交流系统。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

International Journal of Language & Communication Disorders AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION

CiteScore

3.30

自引率

12.50%

发文量

116

审稿时长

6-12 weeks

期刊介绍： The International Journal of Language & Communication Disorders (IJLCD) is the official journal of the Royal College of Speech & Language Therapists. The Journal welcomes submissions on all aspects of speech, language, communication disorders and speech and language therapy. It provides a forum for the exchange of information and discussion of issues of clinical or theoretical relevance in the above areas.