Review evaluates communication barriers and tools for patients receiving mechanical ventilation, suggesting improvements for healthcare providers.
In recent years, with the reduction in sedation use among mechanically ventilated patients, research indicates that a considerable number of patients stay conscious yet are incapable of verbal communication. The presence of an endotracheal tube or tracheostomy cannula, necessary for mechanical ventilation, disrupts or even prevents communication in these patients. As a result, communication challenges pose a major problem for patients receiving mechanical ventilation in intensive care units (ICUs), as well as their families and healthcare providers. These patients face considerable challenges in communication, as they are unable to convey verbal messages or respond to communication attempts. Only a small percentage of the messages conveyed by mechanically ventilated patients are received and understood by healthcare providers, indicating communication difficulties compounded by comprehension challenges. Effective communication with awake and responsive patients during mechanical ventilation facilitates early extubation and reduces ICU stay durations. Nurses must be well-versed in and must apply appropriate communication methods. Additionally, the use of various communication tools, such as low-tech communication boards, high-tech tablet computers, and communication cards, with great awareness is crucial for effective communication with this patient group. The aim of this review is to examine the effects of communication tools used with patients undergoing mechanical ventilation in ICUs on the communication between patients and health workers.
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Çelebi et al. (2025) studied this question.
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