title: Enhancing the Communication of Suddenly Speechless Critical Care Patients.
abstract: Sudden speechlessness is common in critically ill patients who are intubated or have had surgery for head and neck cancer. Sudden inability to speak poses challenges for hospitalized patients because strategies to facilitate communication are often limited and unreliable.
  
  
  
  To determine the impact of a technology-based communication intervention on patients' perception of communication difficulty, satisfaction with communication methods, and frustration with communication.
  
  
  
  A quasi-experimental, 4-cohort (control and intervention) repeated-measures design was used. Data were collected daily for up to 10 days. Patients in adult critical care units were followed up as they were transferred to other units within the institutions selected for the study. The impact of a technology-based communication system (intervention) was compared with usual care (control). Patients' communication outcomes pertinent to communication with nursing staff that were evaluated included perception of communication ease, satisfaction with methods used for communication, and frustration with communication.
  
  
  
  Compared with participants in the control group, participants in the intervention group reported lower mean frustration levels (-2.68; SE, 0.17; 95% CI, -3.02 to -2.34; P < .001) and higher mean satisfaction levels (0.59; SE, 0.16; 95% CI, 0.27 to 0.91; P < .001) with use of the communication intervention. Participants in the intervention group reported a consistent increase in perception of communication ease during the hospital stay.
  
  
  
  The results facilitated evaluation of a bedside technology-based communication intervention tailored to the needs of suddenly speechless critically ill patients.
authors.affiliation: Carmen S. Rodriguez and Loris Thomas are assistant professors, Meredeth Rowe is a professor and nurse scientist, and Paula Cairns is a nurse researcher, University of South Florida, College of Nursing, Tampa, Florida. Jonathan Shuster is a professor, Department of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville, Florida, and Brent Koeppel is a principal and founder of Chameleon Adaptiveware, LLC, Natick, Massachusetts. crodrig3@health.usf.edu.
authors.forename: Carmen S
authors.initials: CS
authors.lastname: Rodriguez
authors.affiliation: Carmen S. Rodriguez and Loris Thomas are assistant professors, Meredeth Rowe is a professor and nurse scientist, and Paula Cairns is a nurse researcher, University of South Florida, College of Nursing, Tampa, Florida. Jonathan Shuster is a professor, Department of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville, Florida, and Brent Koeppel is a principal and founder of Chameleon Adaptiveware, LLC, Natick, Massachusetts.
authors.forename: Meredeth
authors.initials: M
authors.lastname: Rowe
authors.affiliation: Carmen S. Rodriguez and Loris Thomas are assistant professors, Meredeth Rowe is a professor and nurse scientist, and Paula Cairns is a nurse researcher, University of South Florida, College of Nursing, Tampa, Florida. Jonathan Shuster is a professor, Department of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville, Florida, and Brent Koeppel is a principal and founder of Chameleon Adaptiveware, LLC, Natick, Massachusetts.
authors.forename: Loris
authors.initials: L
authors.lastname: Thomas
authors.affiliation: Carmen S. Rodriguez and Loris Thomas are assistant professors, Meredeth Rowe is a professor and nurse scientist, and Paula Cairns is a nurse researcher, University of South Florida, College of Nursing, Tampa, Florida. Jonathan Shuster is a professor, Department of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville, Florida, and Brent Koeppel is a principal and founder of Chameleon Adaptiveware, LLC, Natick, Massachusetts.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Shuster
authors.affiliation: Carmen S. Rodriguez and Loris Thomas are assistant professors, Meredeth Rowe is a professor and nurse scientist, and Paula Cairns is a nurse researcher, University of South Florida, College of Nursing, Tampa, Florida. Jonathan Shuster is a professor, Department of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville, Florida, and Brent Koeppel is a principal and founder of Chameleon Adaptiveware, LLC, Natick, Massachusetts.
authors.forename: Brent
authors.initials: B
authors.lastname: Koeppel
authors.affiliation: Carmen S. Rodriguez and Loris Thomas are assistant professors, Meredeth Rowe is a professor and nurse scientist, and Paula Cairns is a nurse researcher, University of South Florida, College of Nursing, Tampa, Florida. Jonathan Shuster is a professor, Department of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville, Florida, and Brent Koeppel is a principal and founder of Chameleon Adaptiveware, LLC, Natick, Massachusetts.
authors.forename: Paula
authors.initials: P
authors.lastname: Cairns
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003201:Computers; D003422:Critical Care / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009633:Nonverbal Communication; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012984:Software; D055815:Young Adult