Date of Award

Spring 4-30-2023

Document Type


Degree Name

Doctor of Nursing Practice (DNP)




Dr. John Chovan, PhD, DNP

First Committee Member

Dr. Joy Shoemaker, DNP

Second Committee Member

Dr. Chai Sribanditmongkol


Communication, Nursing, Intellectual and Developmental Disabilities, Assessment Tool

Subject Categories

Medicine and Health Sciences | Psychiatric and Mental Health Nursing


Abstract/Executive Summary

Problem Statement: Communication is an essential part of every nurse-patient interaction. During the best of times the patient and nurse can clearly understand each other and engage in successful interaction with positive patient outcomes. Individuals with intellectual and developmental disabilities (IDD) often use nontraditional ways of communicating that can complicate the ideal nurse-patient interaction. When a patient presents with a different method of communicating, the nurse must possess tools available to facilitate a successful interaction. Identifying such a tool or if one cannot be found building a sample tool is vital for positive patient outcomes for individuals with communication barriers.

Purpose: The purpose of the project is to find a tool for emergency department (ED) nurses to use with patients who communicate differently.

Methods: A web-based search for guidelines and a search to identify experts in communication to consult were conducted to find a nursing guideline. Other fields of study were investigated to create recommendations for a potential tool for ED nurses to use in practice. AGREE II was used to assess guidelines and Qualtrics was used to create and disperse the survey.

Inclusion criteria: Participants need to be able to access an online survey, read, comprehend, and respond to survey questions in English.

Analysis: The responses were evaluated for common themes, and descriptive statistics and thematic analysis were used to analyze the data.

Implications for Practice: Identifying or building a communication tool is vital for positive patient outcomes for individuals with communication barriers.

Acknowledgement 1


Acknowledgement 2


Licensing Permission

Copyright, some rights reserved. Attribution – Noncommercial – No Derivative Works



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