Problem 3

“ACTION SPEAKS LOUDER THAN VOICE

BUT WORDS SPEAK SO MUCH CLEARLY’’
(Goose, 2007)

Communication is an essential component of survival of all the

creatures. It is the matrix for all thought and relationship
between people. Perception of self, the word and the one‘s place
in it results from communication. To communicate means to
impart information, to exchange ideas to express one‘s self, in
such a way as to understand

.
 Background and Significance
Each individual is unique. The essence of nursing is to provide
individual and holistic care to the patients based on their felt
needs. Hospitalization of the patients in critical care unit imposes
unavoidable separation from the family. It affects the patient both
physically and psychologically. When the patients could not able to
communicate verbally, it further adds the patient‘s agony and also
provision of effective and quality care

Patient connected to mechanical ventilator have to endure various

experienceand emotions, which are unique to each patients, these
patients are subject to physical and emotional stress which is
related the unfamiliar surroundings of the intensive care
environment and limitations caused by the process of ventilation.
Factors that hamper the optimal functioning of patients on the
mechanical ventilator include the inability to communicate and the
fear of impending dependency.
 PROBLEM STATEMENT

“EFFECTIVENESS OF COMMUNICATION SIGN

BOARD ON COMMUNICATION FOR PATIENTS
ON MECHANICAL VENTILATOR SUPPORT ‘’
 OBJECTIVES
 To determine the effectiveness of communication
sign board between control and experimental group
among mechanically ventilated patients

 To associate the effectiveness of communication sign

board with selected demographical variables in
experimental group among mechanically ventilated
patients
OPERATIONAL DEFINITIONS:
Communication:
Communication is commonly defined as the transmission of
information. Its precise definition is disputed and there are
disagreements about whether unintentional or failed
transmissions are included and whether communication not only
transmits meaning but also creates it.
Sign board: A signboard is a piece of wood which has been
painted with pictures or words and which gives some information
about a particular place, product, or event.
Effectiveness: In this study, effectiveness means the capability of
producing an effect, theoutcome of communication sign board on
communication among patients on mechanical ventilator & it will
be assessed by observational checklist.
Mechanical ventillator: In this study, Mechanical ventilation is a
method to mechanically assist or replace spontaneous breathing.
 Materials and Methods
Design: Quasi-experimental study with post test design
Research Approach: Quantitative approach will use in this study.
Sample size:The sample size will be 40 patients received mechanical
ventilator support in conscious state. (20 patients in experimental
group and 20 in control group)
Setting:TMM Hospital medical Icu
Sampling Technique: The samples will select by non probability
convenient sampling technique.
Data collection tool:Communication sign board
 LITERATURE REVIEW
1. The Effect of Using Communication Boards on Ease of
Communication and Anxiety in Mechanically Ventilated
Conscious Patients Admitted to Intensive Care Units Iran (J
Nurs Midwifery Res. 2018 Sep-Oct; 23(5): 358–362. doi:
10.4103/ijnmr.IJNMR_68_17)
In this quasi-experimental study, 30 conscious patients
undergoing mechanical ventilation were enrolled using
consecutive sampling method and assigned to experimental (n =
15) and control (n = 15) groups. The Hospital Anxiety and
Depression Scale (HADS) and Ease of Communication Scale
(ECS) were completed for both groups. Data were analyzed
using descriptive-inferential statistics.
 LITERATURE REVIEW
2: Effectiveness of sign board on experiences of mechanically
ventilated patients admitted In selected hospitals(Research &
Reviews: Journal of Medicine ISSN: 2249-8648 (online), ISSN:
2348-7917 (print) Volume 4, Issue 3, january 2014
www.stmjournals.com
MATERIALS AND METHODS
An experimental research approach and Quasi
experimental nonequivalent control group
posttest design was used. 37 patients, who were conscious on
mechanical ventilator, were selected through purposive sampling
Technique.
Result:The study concluded that sign board was
effective in communicating the needs of
mechanically ventilated patients in experimental group. Sign board
was effective in communicating the needs of patients in all
domains i.e. physical, social and psychological
 METHODOLOGY
Research Approach: Quantitative approach
Research Design : A quasi - experimental with post-
test design
Setting : The study will conduct in TMM hospital
medical ICU
Population :
The target populations of this study was the entire patients who
received mechanical ventilator support at medical ICU TMM
hospital.
Sample Size
The sample size will be 40 patients received mechanical ventilator
support in conscious state. (20 patients in experimental group and
20 in control group)
.
Sampling Technique: The samples were selected
by non probability convenient sampling
technique.

Tool for data collection:

Magic slate board, magnetic plastic letters and

board, an alphaboard