title: Communicating with mechanically ventilated patients: state of the science.
abstract: The literature clearly establishes the problems and difficulties of loss of speech among mechanically ventilated patients in the intensive care unit. Critical care nurses typically receive little or no training in the interpretation of nonvocal communication or in the assessment and application of augmentative communication methods. This article presents an integrative review of the research and related literature on communication with adult patients in critical care settings. Clinical issues and technological advancements in assistive and augmentative communication applicable to critical care are discussed and a new research agenda is proposed.
authors.affiliation: Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. mhapp@pitt.edu
authors.forename: M B
authors.initials: MB
authors.lastname: Happ
mesh_terms: D003143:Communication Devices for People with Disabilities; D003657:Decision Making; D006801:Humans; D007362:Intensive Care Units; D009633:Nonverbal Communication; D009723:Nurse-Patient Relations; D012121:Respiration, Artificial / Q000451:nursing*; D013727:Terminal Care