A VALIDATED COMMUNICATION BOARD REDUCES NURSES COMMUNICATION DIFFICULTIES IN THE ICUS.

Kiran Bhardwaj 1 , Mini George 2 and Lalita Gouri Mitra 3 . 1. M.Sc. Nursing, Institute of Liver and Biliary Sciences, Vasant Kunj, New Delhi, India. 2. Principal, PhD, MPhil, College of Nursing, Institute of Liver and Biliary Sciences, India. 3. Associate Professor, Anaesthesia, Institute of Liver and Biliary Sciences, India. ...................................................................................................................... Manuscript Info Abstract ......................... ........................................................................ Manuscript History Received: 03 June 2019 Final Accepted: 05 July 2019 Published: August 2019


ISSN: 2320-5407
Int. J. Adv. Res. 7 (8), 83-90 85 This part dealt with the Communication Difficulties faced during care of Mechanically Ventilated patients with 10 items on 5-point Likert format from Strongly Agree to Strongly Disagree. Score range from 0 to 4 where 0 ( Strongly Disagree), 1 (Disagree), 2 (Neutral), 3 (Agree) and 4 (Strongly Agree). This tool had equal positive and negative items. Negative item had reverse scoring with a score 4 for Strongly Disagree.
Maximum possible score for this tool was 40 and Minimum score was 0. Lower the scores highest Communication difficulty among Nurses.

Opinionnaire related the validated communication board-
This tools had 10 items with equal positive and negative items i.e. five positive and five negative items on 5-point Likert scale from strongly disagree to strongly agree.

Validity and reliability -
The CVI of communication difficulty scale from 0.96 to 1 and Cronbach's alpha was 0.84.

Steps of Data Collection among Mechanical Ventilated Patients
Nurses who were assigned on Mechanically Ventilated Patients of Experiment and Comparison group were included in this study after fulfilling the inclusion and exclusion criteria.
Data collection process was done from 29 October 2018 to 31 December 2018.A Participant Information Sheet given and explained to Nurses. If they were willing to take part in the study, their signature were taken on Informed consent form. Firstly the researcher explained and showed to experiment group nurses regarding the use of the Validated Communication Board on Mechanically Ventilated patient during the Weaning period and also encourage them to use it till the patient's extubation from Mechanical Ventilator. Data Collection steps from Nurses shown in Figure 1.

Analysis And Interpretation Of Data
The master data sheet was prepared in the Microsoft Office Excel and data analysis was done in Statistical Package for the Social Sciences (SPSS) Version 22.0. The descriptive and inferential statistics was chosen according to objective and hypothesis of the study.

Section 1. Description of Demographic Characteristics of Nurses
This Section dealt with the Demographic Characteristics of Nurses like Age, Gender, Designation, Area of work and Total working experience in ICU for both Experiment and Comparison group.
Chi square test was computed to test the homogeneity in terms of Demographic Characteristics of Nurses in Experiment and Comparison group. Frequency, Percentage analysis of the Demographic Characteristic were performed and shown in Table 1  The higher the Communication Difficulty score, lower the Communication Difficulty among Nurses. Experiment group Nurses has higher the Score than Comparison group. It conclude from the score that Communication Difficulty was lower among Experiment group after using using Validated Communication Board. Table 3.

Section 3. Item wise description of Opinionnaire of Nurses about Validated Communication Board
This section dealt with the Item wise opinions of Nurses related to Validated Communication Board. It include 10 items related like Communication Board helped to understand the patient' medical need, Helped patient to avoid repetition, Helped patient to respond well, Helped to promote comfort to patient, Helped to forming rapport with patients, Save a lot of time, Helped to understand patient needs, Made easy to interact with Mechanically Ventilated (MV) Patient, Helped to improve the care to MV patient, Helped to restore staff confidence. This item wise description shown in Figure Figure 2 depict that majority of nurses agree that Validated Communication Board helped the heath team to understand patient's medical need , helped to avoid repetition their needs, helped to respond well, helped to promote comfort, helped to forming rapport with patient, helped the health team to understand the patient's need, made easy to interact with Mechanically Ventilated Patients, helped to improve care to Mechanically Ventilated Patients and helped to restore staff confidence. Most of the Nurses (71%) agree that Communication Board saved a lot of time.

Discussion:-
In the present study, the mean score of Communication Difficulty of Nurses in Experiment and Comparison group was 28.47 and 26.21, respectively; and the mean difference between the two group was found statistically significant (t = 2.090, p = 0.041). It showed that Validated Communication Board was effective in reducing the Communication Difficulty in Experiment group Nurses than Comparison group Nurses after use of Validated Communication Board.