{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T05:21:02Z","timestamp":1791523262115,"version":"4.3.4"},"reference-count":32,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2017,6,20]],"date-time":"2017-06-20T00:00:00Z","timestamp":1497916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To describe the perspectives of healthcare professionals caring for intubated patients on implementing augmentative and alternative communication (<jats:styled-content style=\"fixed-case\">AAC<\/jats:styled-content>) in critical care settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients in critical care settings subjected to endotracheal intubation suffer from a temporary functional speech disorder and can also experience anxiety, stress and delirium, leading to longer and more complicated hospitalisation and rehabilitation. Little is known about the use of <jats:styled-content style=\"fixed-case\">AAC<\/jats:styled-content> in critical care settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The design was informed by interpretive descriptive methodology along with the theoretical framework symbolic interactionism, which guided the study of healthcare professionals (<jats:italic>n<\/jats:italic>\u00a0=\u00a048) in five different intensive care units. Data were generated through participant observations and 10 focus group interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The findings represent an understanding of the healthcare professionals' perspectives on implementing <jats:styled-content style=\"fixed-case\">AAC<\/jats:styled-content> in critical care settings and revealed three themes. <jats:italic>Caring Ontology<\/jats:italic> was the foundation of the healthcare professionals' profession. <jats:italic>Cultural Belief<\/jats:italic> represented the actual premise in the interactions during the healthcare professionals' work, saving lives in a biomedical setting whilst appearing competent and efficient, leading to <jats:italic>Triggered Conduct<\/jats:italic> and giving low priority to psychosocial issues like communication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Lack of the ability to communicate puts patients at greater risk of receiving poorer treatment, which supports the pressuring need to implement and use <jats:styled-content style=\"fixed-case\">AAC<\/jats:styled-content> in critical care. It is documented that culture in biomedical paradigms can have consequences that are the opposite of the staffs' ideals. The findings may guide staff in implementing <jats:styled-content style=\"fixed-case\">AAC<\/jats:styled-content> strategies in their communication with patients and at the same time preserve their caring ontology and professional pride.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Improving communication strategies may improve patient safety and make a difference in patient outcomes. Increased knowledge of and familiarity with <jats:styled-content style=\"fixed-case\">AAC<\/jats:styled-content> strategies may provide healthcare professionals with an enhanced feeling of competence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13851","type":"journal-article","created":{"date-parts":[[2017,4,12]],"date-time":"2017-04-12T06:58:59Z","timestamp":1491980339000},"page":"102-114","source":"Crossref","is-referenced-by-count":59,"title":["Implementing augmentative and alternative communication in critical care settings: Perspectives of healthcare professionals"],"prefix":"10.1111","volume":"27","author":[{"given":"Charlotte","family":"Handberg","sequence":"first","affiliation":[{"name":"Department of Public Health Section\u00a0for Clinical Social Medicine and Rehabilitation Faculty of Health Aarhus University Aarhus Denmark"},{"name":"DEFACTUM Aarhus Central Denmark Region Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Katarina","family":"Voss","sequence":"additional","affiliation":[{"name":"Technology in Practice MarselisborgCenter Danish Centre for Rehabilitation \u2013 Research and Development Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,6,20]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2010.03360.x"},{"key":"e_1_2_13_3_1","volume-title":"Augmentative Communication Strategies for Adults with Acute Or Chronic Medical Conditions","author":"Beukelman D. 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