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Volume 35, Issue 2 (3-2025)
JHNM 2025, 35(2): 98-108 |
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Misaghi M, Jahani S, Haghighi S B, Maraghi E, Sayadi N. Relationship of the Alternative Communication Methods by Nurse With Work Environment and Patient Safety Culture in Intensive Care Units. JHNM 2025; 35 (2) :98-108
URL: http://hnmj.gums.ac.ir/article-1-2183-en.html
URL: http://hnmj.gums.ac.ir/article-1-2183-en.html
1- Nursing (Msc), Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2- Associated Professor, Department of Nursing and Midwifery, Nursing Care Research Center in Chronic Disease, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3- Assistant Professor, Department of English Language, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4- Assistant Professor, Department of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
5- Associated Professor, Department of Nursing and Midwifery, Nursing Care Research Center in Chronic Disease, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. ,sayadi_neda@yahoo.com
2- Associated Professor, Department of Nursing and Midwifery, Nursing Care Research Center in Chronic Disease, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3- Assistant Professor, Department of English Language, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4- Assistant Professor, Department of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
5- Associated Professor, Department of Nursing and Midwifery, Nursing Care Research Center in Chronic Disease, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. ,
Abstract: (699 Views)
Introduction: One of the most important factors related to the quality of care is the proper communication between nurses and patients. One of the factors that affects patient safety is the working environment.
Objective: This study aimed to determine the use of augmentative and alternative communication (AAC) methods by nurses in intensive care units (ICUs) of hospitals in Ahvaz, southwest of Iran, and assess its relationship with work environment and patient safety culture.
Materials and Methods: This is a correlational and cross-sectional study. Using a census sampling method, 378 nurses working in the ICUs of hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences were selected, of whom 249 were eligible to participate in the study. Data were collected from May to June 2022 using the hospital survey on patient safety culture (HSOPSC), nursing work index (NWI) and an AAC method use questionnaire. The association between the study variables was assessed using Spearman’s correlation test. P<0.05 were considered statistically significant.
Results: Among participants, 87.1% were female, and 85.1% had a bachelor’s degree. The most common method of communication was verbal communication, as 61 nurses (24.5%) reported they “always” used this method, while it was “often” used by 79(31.7%) nurses. Moreover, 93 nurses (37.3%) reported that the nurse call bell was the most commonly used tool for communication. Spearman’s test results showed a significant relationship between some NWI variables and the use of AAC methods, including a significant relationship between speaking valve use for communication and adequacy of resources and staffing (r=0.380, p=0.001) and between communication with sign language and overall perception of patient safety (r=-0.330, P=0.001). There was also a significant relationship between many HSOPSC variables and the use of AAC methods (P<0.05).
Conclusion: Promoting a patient safety culture and improving the working environment can improve nurses’ use of AAC methods in ICUs.
Objective: This study aimed to determine the use of augmentative and alternative communication (AAC) methods by nurses in intensive care units (ICUs) of hospitals in Ahvaz, southwest of Iran, and assess its relationship with work environment and patient safety culture.
Materials and Methods: This is a correlational and cross-sectional study. Using a census sampling method, 378 nurses working in the ICUs of hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences were selected, of whom 249 were eligible to participate in the study. Data were collected from May to June 2022 using the hospital survey on patient safety culture (HSOPSC), nursing work index (NWI) and an AAC method use questionnaire. The association between the study variables was assessed using Spearman’s correlation test. P<0.05 were considered statistically significant.
Results: Among participants, 87.1% were female, and 85.1% had a bachelor’s degree. The most common method of communication was verbal communication, as 61 nurses (24.5%) reported they “always” used this method, while it was “often” used by 79(31.7%) nurses. Moreover, 93 nurses (37.3%) reported that the nurse call bell was the most commonly used tool for communication. Spearman’s test results showed a significant relationship between some NWI variables and the use of AAC methods, including a significant relationship between speaking valve use for communication and adequacy of resources and staffing (r=0.380, p=0.001) and between communication with sign language and overall perception of patient safety (r=-0.330, P=0.001). There was also a significant relationship between many HSOPSC variables and the use of AAC methods (P<0.05).
Conclusion: Promoting a patient safety culture and improving the working environment can improve nurses’ use of AAC methods in ICUs.
Article Type : Research |
Subject:
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Received: 2023/06/13 | Accepted: 2024/02/10 | Published: 2025/04/1
Received: 2023/06/13 | Accepted: 2024/02/10 | Published: 2025/04/1
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