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Updated: Aug 1, 2026
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Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
Nonvocal ventilated patients perceptions of being understood
1Boston College School of Nursing, USA.
Western Journal of Nursing Research
|February 27, 2004
Summary
Mechanically ventilated patients who cannot speak often feel misunderstood, leading to distress. Individualized, compassionate nursing care is crucial for improving communication and patient well-being.
Area of Science:
- Nursing
- Patient Experience
- Communication Studies
Background:
- Effective communication is vital for nonvocal mechanically ventilated patients.
- Understanding patient experiences is key to improving care quality.
Purpose of the Study:
- To synthesize qualitative research on the communication experiences of nonvocal mechanically ventilated patients.
- To identify themes related to patient perceptions of being understood and desired nursing care.
Main Methods:
- Metasynthesis of 12 qualitative studies.
- Inclusion of 111 participants.
- Application of Peplau's interpersonal relations theory.
Main Results:
- Nonvocal patients frequently experience being misunderstood, leading to loss of control and negative emotions.
- Patients desire individualized and compassionate nursing care.
- Positive nurse-patient relationships enhance communication.
Conclusions:
- Improving communication for nonvocal ventilated patients requires a focus on individualized, caring nursing interventions.
- Addressing communication barriers can enhance patient well-being and interpersonal relations.
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