Patient-centred communication intervention study to evaluate nurse-patient interactions in complex continuing care
| Autor: | Riva Sorin-Peters, Souraya Sidani, Veronique Boscart, Mary Fox, Elizabeth Rochon, Katherine S. McGilton |
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| Jazyk: | angličtina |
| Předmět: |
Communication intervention
Individualized communication strategies Attitude of Health Personnel medicine.medical_treatment Nurse-patient interactions MEDLINE lcsh:Geriatrics 03 medical and health sciences Study Protocol 0302 clinical medicine Quality of life (healthcare) Complex continuing care Nursing Intervention (counseling) Aphasia Patient-Centered Care medicine Brief Psychiatric Rating Scale Humans Rehabilitation 030504 nursing business.industry Communication Repeated measures design Continuity of Patient Care 3. Good health Clinical trial Stroke lcsh:RC952-954.6 Communication Intervention Evaluation Studies as Topic Knowledge translation strategy medicine.symptom Geriatrics and Gerontology 0305 other medical science business Nurse-Patient Relations 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | BMC Geriatrics BMC Geriatrics, Vol 12, Iss 1, p 61 (2012) |
| ISSN: | 1471-2318 |
| DOI: | 10.1186/1471-2318-12-61 |
| Popis: | Background Communication impairment is a frequent consequence of stroke. Patients who cannot articulate their needs respond with frustration and agitation, resulting in poor optimization of post-stroke functions. A key component of patient-centred care is the ability of staff to communicate in a way that allows them to understand the patient’s needs. We developed a patient-centred communication intervention targeting registered and unregulated nursing staff caring for complex continuing care patients with communication impairments post stroke. Research objectives include 1) examining the effects of the intervention on patients’ quality of life, depression, satisfaction with care, and agitation; and (2) examining the extent to which the intervention improves staff’s attitudes and knowledge in caring for patients with communication impairments. The intervention builds on a previous pilot study. Methods/design A quasi-experimental repeated measures non-equivalent control group design in a complex continuing care facility is being used. Patients with a communication impairment post-stroke admitted to the facility are eligible to participate. All staff nurses are eligible. Baseline data are collected from staff and patients. Follow-up will occur at 1 and 3 months post-intervention. Subject recruitment and data collection from 60 patients and 30 staff will take approximately 36 months. The Patient-Centred Communication Intervention consists of three components: (1) development of an individualized patient communication care plan; (2) a one-day workshop focused on communication and behavioural management strategies for nursing staff; and (3) a staff support system. The intervention takes comprehensive patient assessments into account to inform the development of communication and behavioural strategies specifically tailored to each patient. Discussion The Patient-Centred Communication Intervention will provide staff with strategies to facilitate interactions with patients and to minimize agitation associated with considerable stress. The improvement of these interactions will lead to a reduction of agitation, which has the additional significance of increasing patients’ well-being, quality of life, and satisfaction with care. Trial registration ClinicalTrials.gov Identifier NCT01654029 |
| Databáze: | OpenAIRE |
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