Environmental factors that influence communication for patients with a communication disability in acute hospital stroke units: A qualitative metasynthesis

O'Halloran, Robyn, Grohn, Brooke and Worrall, Linda (2012) Environmental factors that influence communication for patients with a communication disability in acute hospital stroke units: A qualitative metasynthesis. Archives of Physical Medicine and Rehabilitation, 93 1: S77-S85. doi:10.1016/j.apmr.2011.06.039


Author O'Halloran, Robyn
Grohn, Brooke
Worrall, Linda
Title Environmental factors that influence communication for patients with a communication disability in acute hospital stroke units: A qualitative metasynthesis
Journal name Archives of Physical Medicine and Rehabilitation   Check publisher's open access policy
ISSN 0003-9993
1532-821X
Publication date 2012-01
Year available 2011
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.apmr.2011.06.039
Volume 93
Issue 1
Start page S77
End page S85
Total pages 9
Place of publication Maryland Heights, MO, United States
Publisher W.B. Saunders
Collection year 2013
Language eng
Formatted abstract
Objective: To develop a taxonomy of the environmental factors that influence communication between patients with communication disabilities and their health care providers in hospital stroke units.
Data Sources: We conducted a metasynthesis of 3 qualitative studies conducted by our research team on the environmental factors that influence communication between patients and health care providers in hospital stroke units.
Study Selection: These studies identified environmental factors which influence communication from the perspectives of 10 patients with communication disabilities, 10 health care providers, and by direct observation of 65 patients interacting with health care providers.
Data Extraction: The findings of each study formed the data for the metasynthesis.
Data Synthesis: The findings of the qualitative studies were analyzed and then synthesized using reciprocal translation. The environmental factors were grouped into 11 higher order categories and 2 overall themes. The themes were (1) health care providers (knowledge, skills, attitude, experience, characteristics) and (2) stroke unit structure and processes (patient opportunities to communicate, family, use of communication aids and equipment, opportunities to learn, policies and procedures, physical environment).
Conclusions: Acute stroke inpatients with communication disabilities need knowledgeable and skilled health care providers to communicate as effectively as possible. However, there are many environmental barriers and facilitators at the level of stroke unit structures and processes that also impact on the ability of health care providers to communicate with patients. Interventions to improve the communicative accessibility of stroke units need to focus on health care providers and on the processes that govern the unit.
Keyword Communication disorders
Environment
Qualitative research
Rehabilitation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 25 November 2011. Supplement title: Rehabilitation of Neurological Language Disorders.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2013 Collection
School of Health and Rehabilitation Sciences Publications
 
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