| Abstract | Objective:
Emerging research underscores the concern regarding voice and communication disturbances in critically ill patients, necessitating early assessment and intervention by speech speech-language pathologists (SLPs), especially in challenging settings such as intensive care units (ICUs). However, limited research explores SLPs’ experiences during bedside assessments in ICUs. Using qualitative methods, this ongoing study explores SLPs’ challenges, strategies, and experiences in early voice assessments in ICUs to enhance bedside voice assessment accuracy and effectiveness in critical care.
Methods:
A semi-structured qualitative interview protocol was crafted, informed by a comprehensive literature review and expert committee validation. To achieve data saturation, we aim to interview at least 12 SLPs experienced in ICU voice disorder assessments or until the emergence of new ideas/codes becomes minimal. Interviews are conducted in English for consistency and transcribed verbatim to ensure fidelity. Thematic analysis is performed using NVivo software to extract relevant themes and insights.
Results and Discussion:
To date, data have been collected from four participants. Preliminary data suggest challenges faced by ICU SLP, such as ambient noise, patient cooperation, lack of objective measures, and time limitations. A recurring theme underscores the need for specialized tools and protocols adapted for the ICU environment. Formal thematic analysis will be completed by approximately January 2024, when the whole thematic structure will be determined. These findings aim to bolster patient quality of life by facilitating improved communication and fostering collaboration among healthcare professionals. Given the critical role of communication in patient care, understanding and addressing the challenges SLPs face in ICUs is paramount. This study not only bridges a gap in the existing literature but also offers insights that could pave the way for innovative solutions, enhancing voice care delivery in critical care settings. Additionally, this research augments existing literature, guiding clinical practice in ICU voice assessment.
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