Forskning
Udskriv Udskriv
Switch language
Rigshospitalet - en del af Københavns Universitetshospital
Udgivet

Implementation of supported conversation for communication between nursing staff and in-hospital patients with aphasia

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Acute endovascular reperfusion treatment in patients with ischaemic stroke and large-vessel occlusion (Denmark 2011–2017)

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Association Between Sumatriptan Treatment During a Migraine Attack and Central 5-HT1B Receptor Binding

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Effect of hypoxia on BOLD fMRI response and total cerebral blood flow in migraine with aura patients

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Migraine is associated with high brain 5-HT levels as indexed by 5-HT4 receptor binding

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer
Background: Patients admitted with aphasia due to stroke may find it difficult to access information and participate in decision-making concerning their own treatment, care, and rehabilitation. An increased understanding of the importance of communicative access has prompted speech-language therapists to direct intervention at contextual factors, including communication partner training.
Aims: An implementation project is described in which supported conversation for adults with aphasia (SCA™) was adapted for use at a large hospital stroke unit. The project aims were (1) to develop a procedural guideline for interdisciplinary staff to communicate with in-patients with aphasia, (2) to develop an interdisciplinary training course and educate all staff members, and (3) to make available a set of shared communication tools. The present study reports the outcome of the training programme for nursing staff.
Methods & Procedures: A stepwise adaptation and implementation procedure is
described which led to the development of the guideline, tools, and training programme. A mixed-methods design was used to measure changes pre- and posttraining for nursing staff, including assessment of quantitative and qualitative outcomes. All nurses and nursing assistants received a questionnaire before and after their participation in an SCA workshop, and seven members from the nursing staff also participated in individual semi-structured interviews about their experiences with the SCA method.
Outcomes & Results: Questionnaires from 31 nursing staff members showed that
they rated their understanding of aphasia higher after the workshop and they
perceived communication to be less frustrating for the patient. Changes were also noted in the types of strategies they used. In the interviews, the nurses described feeling more confident about their ability to communicate with patients, more certain about establishing understanding with patients, and more willing to initiate conversations about complex topics. Difficulties with using tools and techniques were attributed to shortage of time, picture tools being too complex, and patient symptoms.
Conclusions: Implementation was considered successful based on the nursing staff’s evaluations. Contributing factors may have been staff’s involvement in adaptation, leadership support, and a working culture on the stroke unit characterised by readiness to adapt to guidelines. To ensure that the majority of staff members will actually apply tools and techniques, continued monitoring of the implementation process will be necessary as well as education of new staff and re-evaluation of procedures.
OriginalsprogEngelsk
TidsskriftAphasiology
Vol/bind29
Udgave nummer1
Sider (fra-til)57-80
ISSN0268-7038
DOI
StatusUdgivet - 2015

ID: 45116435