Communication frustration and avoidance after SPEACS-2 training in the ICU

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2026-08-01 Epub Date: 2026-07-20 DOI:10.1016/j.apnr.2026.152122

Ji Won Shin, Audrey Lund Rothchild, Loraine Theresa Sinnott, Judith A. Tate, Mary Beth Happ

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引用次数: 0

Abstract

Background

Nurses report frustration with and avoidance of mechanically ventilated patients with communication impairments. The SPEACS-2 program provides online training in patient communication assessment and assistive communication strategies. This study measured frustration and avoidance among ICU nurses and student nurses after SPEACS-2 training.

Purpose

(1) Determine the relationship between frustration with communication and avoidance of patients who are difficult to understand; (2) Describe changes in frustration and avoidance after SPEACS-2 training relative to before (ICU nurses only); and (3) Compare post-training frustration and avoidance between ICU nurses and student nurses.

Methods

We conducted a descriptive, comparative secondary analysis of Nurse Communication Survey (NCS) data collected in two separate SPEACS-2 studies with ICU nurses and pre-licensure student nurses. ICU nurses completed the post-intervention survey 3 months after SPEACS-2 training, whereas student nurses completed the post-intervention survey 1 year after training.

Results

263 ICU nurses and 85 student nurses participated in the survey. Findings suggest a weak-to-moderate positive correlation between avoidance and frustration, indicating that participants who reported greater frustration also tended to report greater avoidance, although the relationship was modest (Spearman's ρ = 0.302, p < 0.0001). The ICU nurse group showed a significant change post-intervention in feeling frustrated (p = 0.0001) but no change in avoidance. Most ICU nurses (84.1%) and student nurses (87.0%) reported never or rarely avoiding contact with patients.

Conclusion

The significant reduction in nurse frustration as a result of this communication training intervention may translate into greater nurse satisfaction and better patient experience.

查看原文本刊更多论文

重症监护病房SPEACS-2培训后的沟通挫折与回避

护士报告对有沟通障碍的机械通气患者感到沮丧和回避。SPEACS-2项目提供患者沟通评估和辅助沟通策略方面的在线培训。本研究测量了ICU护士和实习护士在接受SPEACS-2培训后的挫败感和回避感。目的(1)确定沟通挫折与难以理解患者回避的关系；(2)描述SPEACS-2培训后与培训前相比的挫折和回避的变化（仅限ICU护士）；(3)比较ICU护士与实习护士培训后的挫折与回避。方法对两项独立的SPEACS-2研究中收集的护士沟通调查（NCS）数据进行描述性、对比性二次分析，调查对象为ICU护士和执业前实习护士。ICU护士在SPEACS-2培训后3个月完成干预后调查，而实习护士在培训后1年完成干预后调查。结果共263名ICU护士和85名护生参与调查。研究结果表明，回避和沮丧之间存在弱到中度的正相关，表明报告更大挫折的参与者也倾向于报告更大的回避，尽管这种关系是适度的（Spearman的ρ = 0.302, p < 0.0001）。ICU护士组干预后沮丧感变化显著（p = 0.0001），逃避感无变化。大多数ICU护士（84.1%）和实习护士（87.0%）从未或很少避免与患者接触。结论沟通培训干预可显著降低护士挫折感，提高护士满意度和患者体验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.