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Limitations of Patients’ Communication with Mechanically Ventilated Patients: A Scoping Review

Indonesian Contemporary Nursing Journal (ICON Journal) · Vol. 10 No. 2 (2026) · pp. 242–266

DOI
10.20956/icon.v10i2.44513
ISSN
2686-116X, 2528-2557
Published
2026-02-17
Publisher
Faculty of Nursing, Universitas Hasanuddin
Language
en

Abstract

Aims: This review aimed to examine the effects of communication barriers, identify effective communication strategies, and determine appropriate interaction content for patients receiving mechanical ventilation. Methods: A scoping review approach was conducted using four databases: EBSCOhost, Elsevier, PubMed, and ProQuest, selected for their extensive health-related collections. Eligible studies were published between 2015 and 2025, written in English, and utilized quantitative or qualitative designs. The search incorporated keywords related to communication barriers, ventilated patients, intensive care, and critical care. Data was synthesized through systematic collation, summarization, and reporting. Results: Of 1,239 records identified, 20 studies met the inclusion criteria. Findings indicated that communication challenges affected patients, nurses, and family members, with consequences categorized as psychological and care-related impacts. Two primary communication approaches were identified: unaided and aided methods, with aided strategies further divided into low-technology and high-technology tools. Communication content clustered into three domains: expressing patient needs and desires, conveying complaints, and facilitating care-related interactions. Conclusion: Communication barriers significantly influence the well-being of patients, nurses, and families in intensive care settings. Both unaided and aided communication strategies can enhance interactions with mechanically ventilated patients. Structured communication focusing on patient needs and desires, concerns, and caregiving elements is essential to promote care quality and support patient well-being.

Keywords

Collaboration network of the authors

32 authors · 76 co-authorship links · 9 across different organisations

Hover or tap a name to highlight its co-authors. Double-click to open the author's page.

  • Diponegoro University
  • University of Sharjah
  • Aisyah University
  • STIKES Mamba'ul 'Ulum Surakarta
  • Hasanuddin University
  • Affiliation unknown
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
Show as table
Co-authorOrganisationJoint articles
Refonda Rias AnggiriSTIKES Mamba'ul 'Ulum Surakarta2
Sumardi SumardiDiponegoro University2
Sulistia Nur SumardiAisyah University1
Dian Veronika Sakti KaloetiDiponegoro University1
Hana Priscilla Frudence SohilaitDiponegoro University1
Meira ErawatiDiponegoro University1
Saldy YusufHasanuddin University1
Dave HolmesAffiliation unknown1
Jayne ElliotAffiliation unknown1
Wyssie Ika SariAffiliation unknown1
Tri Suraning WulandariAffiliation unknown1
Reetha IsmailAffiliation unknown1
Jacqueline Maria DiasAffiliation unknown1
Mini Sara AbrahamAffiliation unknown1
Imam WaluyoAffiliation unknown1
Maryuni MaryuniAffiliation unknown1
Djadjang AditarunaAffiliation unknown1
Slamet SoemarnoAffiliation unknown1
Nabeel Al-YateemAffiliation unknown1
Fatma Refaat Refaat AhmedAffiliation unknown1
Heba KhalilAffiliation unknown1
Sawsan AbuhammadAffiliation unknown1
Syed Azizur RahmanAffiliation unknown1
Ma. Theresa SalindaAffiliation unknown1
Daryl Jake FornollesAffiliation unknown1
Nurul Safira LahatiAffiliation unknown1
Jeremy Godofredo MoralesAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://journal.unhas.ac.id/index.php/icon/oai, first harvested 2 Nov 2026, last seen 8 Nov 2026.
Original metadata (oai_dc) 
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	<dc:title xml:lang="en">Limitations of Patients’ Communication with Mechanically Ventilated Patients: A Scoping Review</dc:title>
	<dc:creator xml:lang="en">Widaryati, Widaryati</dc:creator>
	<dc:creator xml:lang="en">Ismail, Suhartini</dc:creator>
	<dc:creator xml:lang="en">Retnaningsih, Retnaningsih</dc:creator>
	<dc:creator xml:lang="en">Margawati, Ani</dc:creator>
	<dc:creator xml:lang="en">Subu, Muhammad Arsyad</dc:creator>
	<dc:subject xml:lang="en">communication</dc:subject>
	<dc:subject xml:lang="en">communication impact</dc:subject>
	<dc:subject xml:lang="en">communication strategy</dc:subject>
	<dc:subject xml:lang="en">communication content</dc:subject>
	<dc:subject xml:lang="en">mechanical ventilated patient</dc:subject>
	<dc:description xml:lang="en">Aims: This review aimed to examine the effects of communication barriers, identify effective communication strategies, and determine appropriate interaction content for patients receiving mechanical ventilation.
Methods: A scoping review approach was conducted using four databases: EBSCOhost, Elsevier, PubMed, and ProQuest, selected for their extensive health-related collections. Eligible studies were published between 2015 and 2025, written in English, and utilized quantitative or qualitative designs. The search incorporated keywords related to communication barriers, ventilated patients, intensive care, and critical care. Data was synthesized through systematic collation, summarization, and reporting.
Results: Of 1,239 records identified, 20 studies met the inclusion criteria. Findings indicated that communication challenges affected patients, nurses, and family members, with consequences categorized as psychological and care-related impacts. Two primary communication approaches were identified: unaided and aided methods, with aided strategies further divided into low-technology and high-technology tools. Communication content clustered into three domains: expressing patient needs and desires, conveying complaints, and facilitating care-related interactions.
Conclusion: Communication barriers significantly influence the well-being of patients, nurses, and families in intensive care settings. Both unaided and aided communication strategies can enhance interactions with mechanically ventilated patients. Structured communication focusing on patient needs and desires, concerns, and caregiving elements is essential to promote care quality and support patient well-being.</dc:description>
	<dc:publisher xml:lang="en">Faculty of Nursing, Universitas Hasanuddin</dc:publisher>
	<dc:date>2026-02-17</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unhas.ac.id/index.php/icon/article/view/44513</dc:identifier>
	<dc:identifier>10.20956/icon.v10i2.44513</dc:identifier>
	<dc:source xml:lang="en">Indonesian Contemporary Nursing Journal (ICON Journal); Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026; 242-266</dc:source>
	<dc:source>2686-116X</dc:source>
	<dc:source>2528-2557</dc:source>
	<dc:source>10.20956/icon.v10i2</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://journal.unhas.ac.id/index.php/icon/article/view/44513/14161</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Indonesian Contemporary Nursing Journal (indones.contemp.nurs.j.)</dc:rights>
</oai_dc:dc>