IRCT20190914044768N1 IRCT 2019-10-31 Tehran University of Medical Sciences The effect of communication board on physiological parameters and quality of nursing care The effect of using communication board on physiological parameters and perceived quality of care in patients with artificial airways 2019-10-21 anticipated 60 Complete https://irct.ir/trial/42173 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Because there is no list of patients, there is no information contamination. Therefore, the blocking method is used for randomization. Thus, letter A is considered as intervention group and letter B is considered as control group. Then write all the permutations of the letters A, A, B and B, which are 6 different combinations on the 6 cards: 1. AABB, 2. ABBA, 3. ABAB, 4. BAAB, 5. BABA, 6. BBAA, We then randomly select between 1 and 2 digits (using the random number table or asking patient number one to select a card randomly). For example, if the digit 1 is selected, it means that the first patient will be in the intervention group, the next two patients will be in the control group and the fourth patient will be in the intervention group. N/A using artificial airway. Intervention 1: Intervention group: In the intervention group, at the beginning of the intervention, the cause and manner of using the communication board will be stated for the patient. The board consists of two sides, one side consisting of alphabet and a place for writing, and other side consisting of simple pictures of possible and common patients' needs with subtitle phrases. The communication board is provided to the patient during the morning shift (7 am-1 pm) to communicate with the nurse. Intervention 2: Control group: In the control group no additional action will be taken. The nurse-patient communication will continue in routine method, like nurse’s frequent questions and patient’s non-verbally responses and by body movements. No - There is not a plan to make this available Justification or reason for not sharing IPD is Patient privacy