Author(s)

Sayamon Noosen, Waraporn Kongsuwan

Adult and Gerontological Nursing Department, Faculty of Nursing, Prince of Songkla University, Hat Yai, Thailand.

Objectives: This study aimed to develop and evaluate the feasibility and usefulness of the Aesthetic Nursing Communication Program Using the Multimedia Application (ANCP-MA), named “Older Tube-Talk,” for Older Patients with Intubation (OPI). Material and Methods: The study utilized the Theory of Aesthetic Nursing Practice and the concept of communication for older adults. Research was conducted in two intensive care units using a Research and Development method with three phases: Draft Prototype, Prototype, and Testing Prototype. The prototype featured functions for both nurses and OPI. Thirty-five nurses and thirty OPI participated in testing the prototype’s feasibility and usefulness. Data were analyzed using descriptive statistics and the Wilcoxon Signed Rank Test. Results: The feasibility scores rated by nurses (M = 4.0, SD = 0.56) and OPI (M = 4.1, SD = 0.68) were high. OPI communication needs scores significantly improved after participating (Mdn = 25, IQR = 5) compared to before (Mdn = 18.5, IQR = 3) (Z = −4.79, p < 0.000). Communication satisfaction scores for OPI (Mdn = 21, IQR = 3) and nurses (Mdn = 22, IQR = 4) were significantly higher after participation compared to before (OPI: Mdn = 16, IQR = 4; Nurses: Mdn = 18, IQR = 5) (Z = −4.65, p < 0.000; Z = −4.39, p < 0.000). Conclusion: The ANCP-MA prototype is feasible and effective for enhancing communication between nurses and OPI, supporting its implementation in clinical practice.

Aesthetic, Multimedia Application, Nursing Communication, Intubated Older Patients

Noosen, S. and Kongsuwan, W. (2026) Development and Evaluation of an Aesthetic Nursing Communication Program Using Multimedia Application for Older Patients with Intubation. Health, 18, 37-52. doi: 10.4236/health.2026.181003.