Korean J Rehabil Nurs.  2023 Dec;26(2):97-108. 10.7587/kjrehn.2023.97.

The Application of Augmentative and Alternative Communication in Intubated Patients in the Intensive Care Unit: A Scoping Review

• Shin MK
• Jeon H

• KMID: 2550746
• DOI: http://doi.org/10.7587/kjrehn.2023.97

Abstract

Purpose
This study aimed to investigate the effectiveness and efficiency of augmentative and alternative communication (AAC), to comprehend the various types of AAC and their usefulness, and to devise strategies for implementing targeted interventions related to AAC.
Methods
The study utilized Arksey and O'Malley's (2005) scoping review methodology to search the literature. We searched the PubMed, CINAHL, and Google Scholar databases for articles published between 2010 and August 2023. We analyzed the final 33 articles.
Results
The AAC used by participants varied from low-tech tools such as paper and EZ boards to high-tech devices such as communication applications. Improvement in communication with AAC was directly related to patient safety. However, barriers such as patient condition, device usability, nurse attitudes, and time constraints were identified. The most frequent communication topics for patients using AAC included details about emergency care, pain management, aspiration, dyspnea, and nurse calls.
Conclusion
Meeting the communication needs of critically ill patients who use artificial airways is a challenge for both nurses and patients. Accurate communication not only reflects the patient's feelings but also serves as the foundation for providing evidence-based nursing care. Therefore, AAC strategies should continue to be developed to ensure precise communication.

Keyword

Communication aids; Critical care nursing; Mechanical ventilation; Communication barriers