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A metasynthesis of patient-provider communication in hospital for patients with severe communication disabilities: informing new translational research
journal contribution
posted on 2014-12-01, 00:00 authored by B Hemsley, Susan BalandinSusan BalandinPoor patient-provider communication in hospital continues to be cited as a possible causal factor in preventable adverse events for patients with severe communication disabilities. Yet to date there are no reports of empirical interventions that investigate or demonstrate an improvement in communication in hospital for these patients. The aim of this review was to synthesize the findings of research into communication in hospital for people with severe communication disabilities arising from lifelong and acquired stable conditions including cerebral palsy, autism, intellectual disability, aphasia following stroke, but excluding progressive conditions and those solely related to sensory impairments of hearing or vision. Results revealed six core strategies suggested to improve communication in hospital: (a) develop services, systems, and policies that support improved communication, (b) devote enough time to communication, (c) ensure adequate access to communication tools (nurse call systems and communication aids), (d) access personally held written health information, (e) collaborate effectively with carers, spouses, and parents, and (f) increase the communicative competence of hospital staff. Currently there are no reports that trial or validate any of these strategies specifically in hospital settings. Observational and evaluative research is needed to investigate the ecological validity of strategies proposed to improve communication.
History
Journal
Augmentative and alternative communicationVolume
30Issue
4Pagination
329 - 343Publisher
Informa HealthcareLocation
London, EnglandPublisher DOI
ISSN
0743-4618eISSN
1477-3848Language
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2014, Informa HealthcareUsage metrics
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No categories selectedKeywords
Augmentative and alternative communicationCommunication disabilityComplex communication needsMetasynthesisPatient carePatient safetyScience & TechnologyLife Sciences & BiomedicineAudiology & Speech-Language PathologyRehabilitationHEALTH-CARE PROVIDERSOF-THE-LITERATURECEREBRAL-PALSYCOMPLEX COMMUNICATIONINTELLECTUAL DISABILITIESENVIRONMENTAL-FACTORSINTERNATIONAL CLASSIFICATIONDEVELOPMENTAL-DISABILITYSUPPORTING ADULTSADVERSE EVENTS
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