title: Communication with critically ill patients.
abstract: OBJECTIVE
  This paper reports a study that investigated the experiences of a group of critical care Jordanian nurses concerning verbal communication with critically ill patients.
  
  
  BACKGROUND
  There is evidence that communication in critical care settings is not sufficiently implemented in practice. Inadequate nurse-patient communication results in increased levels of stress and anxiety. Verbal communication can help patients preserve their self-identity and self-esteem, which in turn will enhance their well-being and optimism.
  
  
  METHODS
  The study was guided by the phenomenological hermeneutics of Heidegger. Data were generated in 2002 from in-depth interviews and overt participant observation, and analysed qualitatively.
  
  
  RESULTS
  Unconscious patients received less verbal communication and interaction than verbally responsive patients.
  
  
  CONCLUSIONS
  Communication with sedated or unconscious patients in intensive care units should not be viewed as only an interactive process. Rather, it should be perceived as the means to give the information and support that such patients need.
authors.affiliation: Department of Clinical Nursing, University of Jordan, Amman, Jordan. jalasad@ju.edu.jo
authors.forename: Jafar
authors.initials: J
authors.lastname: Alasad
authors.forename: Muayyad
authors.initials: M
authors.lastname: Ahmad
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D016292:Procedural Sedation; D003422:Critical Care / Q000379:methods; D016638:Critical Illness / Q000451:nursing*; D006801:Humans; D007362:Intensive Care Units; D007597:Jordan; D009723:Nurse-Patient Relations; D009741:Nursing Staff, Hospital / Q000523:psychology; D014474:Unconsciousness / Q000451:nursing