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Addressing patients’ communication support needs through speech-language pathologist-nurse information-sharing: Employing ethnography to understand the acute stroke context
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Abstract:
Purpose: To explore how speech-language pathologists and nurses share information about the communication support needs of stroke patients through structured information-sharing routes and to consider how the two disciplines view their roles and interdependencies in addressing these needs. Method: Speech-language pathologist and nurse information-sharing was explored in context using ethnography. Ethnography has been used by researchers from other disciplines to understand the context of inpatient care, but the methodology has rarely been adopted within speech-language pathology. Fieldwork (357 hours) was carried out on three stroke wards in England for 40 weeks from 2015-2017. Data included fieldnotes, interviews with 43 members of speech-language pathology and nursing staff, and the patient records of 19 patients. Result: The findings provide a thematically organised explanation for how information about communication travelled through structured routes on the wards (meetings, the patient record, bedside signs, education, and nursing handover). Limitations were identified that appear underpinned by disciplinary differences in 1) how speech-language pathologists and nurses engaged with the wards in time and space, and 2) perceptions of roles and interdependencies. Speech-language pathologists routinely used meetings and the patient record to share communication information, however these formal structures were not easily accessible during nurses’ caregiving roles. In addition, both SLPs and nurses were ambivalent about the usefulness of signage SLPs sometimes left at the bedside for supporting communication. There was little interdependency between SLP and nursing roles in meeting the communication support needs of patients. Conclusion: In-depth exploration of the context within which SLPs and nurses share information has revealed limitations in the capacity of structured routes to enhance collective knowledge about patients’ communication support needs.
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Keyword:
BF Psychology; P Philology. Linguistics; RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry; RE Ophthalmology; RT Nursing
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URL: https://doi.org/10.1080/17549507.2022.2034944
https://openaccess.city.ac.uk/id/eprint/27737/1/Accepted%20Manuscript%20IJSLP.pdf
https://openaccess.city.ac.uk/id/eprint/27737/8/17549507.2022.pdf
https://openaccess.city.ac.uk/id/eprint/27737/
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| 2 |
Managing ongoing swallow safety through information-sharing: an ethnography of speech and language therapists and nurses at work on stroke units
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A Systematically Conducted Scoping Review of the Evidence and Fidelity of Treatments for Verb and Sentence Deficits in Aphasia: Sentence Treatments
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Protocol for the development of the international population registry for aphasia after stroke (I-PRAISE)
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In: Research outputs 2014 to 2021 (2022)
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Protocol for the development of the international population registry for aphasia after stroke (I-PRAISE)
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An aphasia research agenda–a consensus statement from the collaboration of aphasia trialists
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Creating a novel approach to discourse treatment through coproduction with people with aphasia and speech and language therapists
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Intensive Comprehensive Aphasia Programmes: a systematic scoping review and analysis using the TIDieR checklist for reporting interventions
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Creating a theoretical framework to underpin discourse assessment and intervention in aphasia
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Scoping opinion: Speech and language therapists' views on extending their role to the urgent ear, nose and throat pathway.
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A systematic review of language and communication intervention research delivered in groups to older adults living in care homes
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Development of a self-management intervention for stroke survivors with aphasia using co-production and behaviour change theory: An outline of methods and processes
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Delivering group support for people with aphasia in a virtual world: experiences of service providers
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Treatment fidelity of technology-enhanced reading therapy (CommuniCATE) for people with aphasia
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Assessing Parent Behaviours in Parent-Child Interactions with Deaf and Hard of Hearing Infants Aged 0-3 Years: A Systematic Review
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Creating a novel approach to discourse treatment through coproduction with people with aphasia and speech and language therapists
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In: Research outputs 2014 to 2021 (2021)
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An aphasia research agenda – a consensus statement from the collaboration of aphasia trialists
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Treatment for improving discourse in aphasia: a systematic review and synthesis of the evidence base
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Establishing consensus on a definition of aphasia: an e-Delphi study of international aphasia researchers
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