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Communication with Mechanically Ventilated Patients: Nurses' Perspectives and Practice.

Ruba F Zeadnih1, Ayman M Al-Qaaneh2, Heba N Hudhud1

  • 1Department of Nursing, Faculty of Nursing, Al-Balqa Applied University (BAU), Al-Salt 19117, Jordan.

Nursing Reports (Pavia, Italy)
|November 26, 2025
PubMed
Summary
This summary is machine-generated.

ICU nurses in Jordan primarily use traditional methods for communicating with mechanically ventilated patients. There is limited use of augmentative and alternative communication (AAC) tools, indicating a need for improved training and resources.

Keywords:
communicationcommunication aids for disabledintensive care unitsmechanical ventilationnonverbal communicationnursing

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Area of Science:

  • Critical Care Nursing
  • Patient Communication
  • Augmentative and Alternative Communication (AAC)

Background:

  • Effective communication is vital for patient-centered care and well-being in intensive care units (ICUs).
  • Barriers like limited verbal ability and communication tools hinder nurse-patient interaction with mechanically ventilated patients.
  • This study investigates communication strategies, focusing on AAC, among Jordanian ICU nurses.

Purpose of the Study:

  • To assess the communication strategies employed by ICU nurses in Jordan.
  • To evaluate nurses' knowledge, experience, and practice concerning augmentative and alternative communication (AAC) methods.
  • To identify gaps in communication practices for mechanically ventilated patients.

Main Methods:

  • A cross-sectional descriptive survey was conducted with 237 ICU nurses across 11 Jordanian hospitals.
  • A validated 21-item questionnaire assessed communication strategies in four domains: traditional (unaided), aided (AAC), orientation, and assessment/planning.
  • Data were analyzed using descriptive statistics and non-parametric tests (Friedman, Kruskal-Wallis).

Main Results:

  • Traditional unaided strategies and assessment/planning were most frequently used by nurses.
  • Aided augmentative and alternative communication (AAC) strategies were least utilized.
  • Significant differences in communication practices were observed based on nurses' experience and education levels.

Conclusions:

  • Jordanian ICU nurses predominantly rely on traditional communication methods for conscious, mechanically ventilated patients.
  • There is limited adoption and utilization of aided augmentative and alternative communication (AAC) strategies.
  • Targeted training, policy support, and better access to AAC tools are crucial for improving communication and patient outcomes.