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A Metasynthesis of Patient-Provider Communication in Hospital for Patients with Severe Communication Disabilities: Informing New Translational Research

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TitleA Metasynthesis of Patient-Provider Communication in Hospital for Patients with Severe Communication Disabilities: Informing New Translational Research
Publication TypeJournal Article
AbstractPoor 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 condi¬tions 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.
AuthorsHemsley, B., and Balandin S.
Year of Publication2014
PublicationJournal of Augmentative and Alternative Communication
Volume30
Issue4
Pages329-343
ISSN0743-4618 (print), 1477-3848 (online)
Publisher DOIhttp://informahealthcare.com/doi/abs/10.3109/07434618.2014.955614
Keywords (MeSH)communication, communication aids for disabled, communication barriers, communication disorders, hospitals, inpatients, professional-patient relations
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