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.
Respiratory Nursing| May 01 2001
Communicating With Mechanically Ventilated Patients: State of the Science
Mary Beth Happ, PhD, RN
From Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania.
Reprint requests to Mary Beth Happ, PhD, RN, 337 Victoria Building, 3500 Victoria Street, School of Nursing, University of Pittsburgh, Pittsburgh, PA 15261; email: firstname.lastname@example.org.
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AACN Adv Crit Care (2001) 12 (2): 247–258.
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Mary Beth Happ; Communicating With Mechanically Ventilated Patients: State of the Science. AACN Adv Crit Care 1 May 2001; 12 (2): 247–258. doi:
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