Environmental factors that influence communication between patients and their healthcare providers in acute hospital stroke units: An observational study

O'Halloran, Robyn, Worrall, Linda and Hickson, Louise (2011) Environmental factors that influence communication between patients and their healthcare providers in acute hospital stroke units: An observational study. International Journal of Language and Communication Disorders, 46 1: 30-47. doi:10.3109/13682821003660380


Author O'Halloran, Robyn
Worrall, Linda
Hickson, Louise
Title Environmental factors that influence communication between patients and their healthcare providers in acute hospital stroke units: An observational study
Journal name International Journal of Language and Communication Disorders   Check publisher's open access policy
ISSN 1368-2822
1460-6984
Publication date 2011-01
Year available 2010
Sub-type Article (original research)
DOI 10.3109/13682821003660380
Volume 46
Issue 1
Start page 30
End page 47
Total pages 18
Place of publication Oxford, United Kingdom
Publisher John Wiley and Sons
Collection year 2011
Language eng
Formatted abstract
Background: Many people have communication-related impairments when they are patients in acute hospital stroke units. One way to improve a person's ability to communicate is by providing a supportive communicative environment.
Aims:
Using the World Health Organisation's (WHO) International Classification of Functioning, Disability and Health (ICF) framework, this research sought to identify the environmental factors that either create barriers to and/or facilitate communication between patients and their healthcare providers in acute hospital stroke units. Methods & Procedures: A qualitative research methodology was used. Sixty-five patients were observed communicating with their healthcare providers in healthcare events. Interactions were transcribed and analysed to identify any environmental factors that may have influenced the interaction.
Outcomes & Results:
In total, 126 environmental factors were identified, which were grouped into 89 subcategories, 28 categories, and seven overall themes. Four themes related to the healthcare provider's knowledge, communication skills, attitudes and individual characteristics. The other three themes included the presence of family, the physical environment, and hospital systems.
Conclusions & Implications: There are many environmental factors that influence communication between patients and their healthcare providers in the acute stroke unit. Removing barriers and maintaining factors that facilitate communication may contribute towards the development of communicatively accessible stroke units.
© 2010 Royal College of Speech & Language Therapists.
Keyword Stroke
Communicative environment
International Classification of Functioning
Disability and Health (ICF)
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Posted online on March 26, 2010 Published under Research Report

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Fri, 25 Mar 2011, 14:45:45 EST by Professor Linda Worrall on behalf of School of Health & Rehabilitation Sciences