Santrauka:
Literatūriškai aprašoma bendravimo samprata ir rūšys, bendravimas su sąmoningais ir nesąmoningais pacientais. Tyrimo metu siekiama nustatyti su kokiomis problemomis ir jų sprendimo būdais susiduria slaugytojos bendraudamos su įvairių būklių pacientais.
Description:
Relevance of the topic: Resuscitation and Intensive Care Unit always provides care and nursing services to patients with higher needs. In this study we try to find out what problems nurses face and how to solve them when dealing with patients of different conditions. Aim of the study: To evaluate the communication between nurses working at the Resuscitation and Intensive Care Unit. Research objectives: To define the concept and types of the communication. Describe the aspects of nurse’s communication with conscious and unconscious patients in the Resuscitation and Intensive Care Unit. Identify the most important verbal and non-verbal expressions of nurses working in a Resuscitation and Intensive Care Unit. Identify the peculiarities of communicating with conscious and unconscious patients in the Resuscitation and Intensive Care Unit. Research methods: Quantitative research using an anonymous questionnaire was selected. The survey included 25 nurses working at Vilnius university hospital Santaros klinikos Resuscitation and Intensive Care Unit. During the survey, the reversibility of questionnaires was 100%. The MS Office Excel 2013 computer program was used to analyze the research data. Results: For most nurses are important communication skills, however almost one third of nurses responded that their special skills are important as well. The most common factors that make communication difficult is the patient's lack of consciousness. Most nurses face difficulties in communication with aggressive, psychomotor-agitated patients. A quarter of the nurses' has a communication problem when it is not creating conditions for the patient to ask the question, more than a tenth of the nurses have identified such a communication gap – the ability to respond properly and the patient's language interruption. For communication with speech impaired – conscious intubated and tracheostomy patients, in many cases nurses used supportive measures. For communication with the visually impaired, all nurses' information is provided orally and by touch. When dealing with patients with hearing impairments, almost all nurses often use articulation, less often communicate with sign language / body language. When communicating with a dying patient, most nurses are psychologically supportive, endeavor to listen, calm down, and remain in silence. When communicating with unconscious patients, most nurses use non-verbal communication – name and conversation. Conclusions: In order to communicate effectively in the nursing process, it is important to establish a proper relationship between the nurse and the patient; communication is determined by the choice of verbal and non-verbal communication.