{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:00:30Z","timestamp":1790060430269,"version":"4.0.1"},"reference-count":50,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Conscious ICU patients with artificial airways experience severe communication difficulties and psychological distress. Despite international consensus on effective communication elements, no synthesised evidence\u2010based guideline or content\u2010validated checklist exists for this population. In Chinese ICUs, where nurses lead bedside communication, standardised tools remain urgently needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To develop and content\u2010validate an evidence\u2010based communication management checklist for conscious ICU patients with artificial airways through best evidence synthesis and nominal group technique (NGT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A two\u2010phase study comprising best evidence synthesis and NGT was conducted in China. Systematic searches across 16 databases and guideline repositories were performed from May 2014 to April 2025. Evidence quality was appraised using JBI tools, graded according to JBI Grades of Evidence, and recommendation strength was determined using the FAME framework. Nine ICU nursing experts (mean ICU experience 18.6\u2009\u00b1\u20094.2\u2009years) reached consensus through two rounds of face\u2010to\u2010face meetings. Content validity was assessed using item\u2010level and scale\u2010level Content Validity Index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 328 records identified, 16 studies were included. Twenty\u2010five evidence items were synthesised across five domains. Through two rounds of expert consensus, these were refined into a 16\u2010item checklist across four domains: training and incentive mechanisms, provision of communication tools, communication implementation and outcome evaluation. The final checklist demonstrated satisfactory content validity (S\u2010CVI\/Ave\u2009=\u20090.95; S\u2010CVI\/UA\u2009=\u20090.81).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>An evidence\u2010based, expert consensus communication management checklist with established content validity was successfully developed for conscious ICU patients with artificial airways. Further validation of clinical effectiveness is warranted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>This content\u2010validated checklist provides structured guidance for clinical communication management, addressing the critical gap in standardised protocols for this vulnerable population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70610","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T07:27:06Z","timestamp":1786001226000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and Validation of an\n                    <scp>ICU<\/scp>\n                    Communication Checklist for Conscious Patients With Artificial Airways: Evidence Synthesis and Nominal Group Technique"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7737-8410","authenticated-orcid":false,"given":"Jie","family":"Gong","sequence":"first","affiliation":[{"name":"Department of Intensive Care Unit The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6394-7037","authenticated-orcid":false,"given":"Jiayuan","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit The Second Affiliated Hospital of Soochow University  Suzhou China"},{"name":"School of Nursing Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaozhen","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongzhen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huaying","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8116-687X","authenticated-orcid":false,"given":"Ying","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15212"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15501"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/CM9.0000000000001930"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-06294-x"},{"issue":"14","key":"e_1_2_13_6_1","first-page":"85","article-title":"Nurses' Perceptions of the Communication Needs of Patients on Mechanical Ventilation","volume":"36","author":"Xiao L.","year":"2021","journal-title":"Journal of Nursing Science"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2020.102948"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-022-01005-x"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000006347"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2021.1971598"},{"issue":"10","key":"e_1_2_13_11_1","article-title":"Interventions to Enable Communication for Adult Patients Requiring an Artificial Airway With or Without Mechanical Ventilator Support","volume":"10","author":"Rose L.","year":"2021","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_AJSLP-19-0001"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2023.103418"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnc.2021.09.001"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2021.09.008"},{"issue":"13","key":"e_1_2_13_16_1","first-page":"2602","article-title":"Communication Management of Artificial Airway Patients in Intensive Care Units: A Summary of Evidence","volume":"11","author":"Deng W.","year":"2025","journal-title":"Evidence\u2010Based Nursing"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000361"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-6-200909150-02002"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.090449"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S535977"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.2147\/JHL.S526565"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29591"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000001950"},{"issue":"6","key":"e_1_2_13_25_1","first-page":"714","article-title":"Prevention of Hip Dislocation in Severe Cerebral Palsy (GMFCS III\u2010IV\u2010V): An Interdisciplinary and Multi\u2010Professional Care Pathway for Clinical Best Practice Implementation","volume":"59","author":"Battisti N.","year":"2023","journal-title":"European Journal of Physical and Rehabilitation Medicine"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2021.08.008"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2022.2161594"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20147"},{"key":"e_1_2_13_29_1","unstructured":"Faculty of Intensive Care Medicine \u201cGuidelines for the provision of intensive care services \u201d (2022) accessed March 15 2025 https:\/\/www.ficm.ac.uk\/standards\/guidelines\u2010for\u2010the\u2010provision\u2010of\u2010intensive\u2010care\u2010services."},{"issue":"12","key":"e_1_2_13_30_1","first-page":"1057","article-title":"Chinese Guidelines for the Rehabilitation Management of Dysphagia (2023 Edition)","volume":"45","author":"Swallowing Disorders Rehabilitation Committee of the Chinese Association of Rehabilitation Medicine","year":"2023","journal-title":"Chinese Journal of Physical Medicine and Rehabilitation"},{"issue":"18","key":"e_1_2_13_31_1","first-page":"1","article-title":"Expert Consensus on Nursing Human Caring for Icu Adult Patient","volume":"37","author":"Xu J.","year":"2022","journal-title":"Journal of Nursing Science"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-016-1483-2"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2017.03.003"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14524"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/1751143720963757"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2024.04.006"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003299"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2014.06.015"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2019892"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-025-05326-6"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16296"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-021-00684-2"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2022.103302"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2020.103005"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02174-7"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202301-023ST"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2021.103075"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2021.100025"},{"issue":"2","key":"e_1_2_13_49_1","first-page":"534","article-title":"Action Plan for the Enhancement of Medical Humanistic Care (2024\u20102027)","volume":"16","author":"National Health Commission of the People's Republic of China General Office, General Office of the Ministry of Education, Comprehensive Department of the National Administration of Traditional Chinese Medicine, Comprehensive Department of the National Disease Control and Prevention Bureau","year":"2025","journal-title":"Medical Journal of Peking Union Medical College Hospital"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2010.12.001"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-022-03974-6"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70610","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nicc.70610","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70610","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:03:48Z","timestamp":1790057028000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nicc.70610"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,6]]},"references-count":50,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/nicc.70610"],"URL":"https:\/\/doi.org\/10.1111\/nicc.70610","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,6]]},"assertion":[{"value":"2026-05-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70610"}}