SPEACS-2: Intensive Care Unit ‘‘Communication Rounds’’ with Speech Language Pathology (short summary)


The authors investigated the use of a web-based training package for nurses working with non-speaking elderly patients in intensive care units (ICUs) and the benefits of speech and language therapy (SLT) led 'communication rounds' on ICUs.

Case studies are used to demonstrate the types of communication strategies that were useful in improving communication for patients, families and nursing staff.

The training was found to have positive effects on nurses' awareness of the role of the SLT beyond swallowing. Direct observation of recommended techniques was found to increase motivation to complete the on-line training later.

Further investigation is needed to find out whether the strategies recommended are implemented by the nurses and which are used most often but in general the use of shared communication case conferences was found to be of benefit to all concerned.

Things you may want to look into:

Nurses' perceptions of communication training in the ICU

A systematic review of the effectiveness of nurse communication with patients with complex communication needs with a focus on the use of augmentative and alternative communication

Communication boards in critical care: patients' views

Added to site October 2014