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Addressing patients’ communication support needs through speech-language pathologist-nurse information-sharing: Employing ethnography to understand the acute stroke context
Cruice, M.; Jones, J.; Barnard, R. A.. - : Taylor and Francis, 2022
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.
Keyword: BF Psychology; P Philology. Linguistics; RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry; RE Ophthalmology; RT Nursing
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
Barnard, R. A.; Cruice, M.; Jones, J.. - : Wiley, 2022
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3
Time for talk: The work of reflexivity in developing empirical understanding of speech and language therapist and nursing interaction on stroke wards
Barnard, R. A.. - : Springer, 2022
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4
Solution Focused brief therapy In post-stroke Aphasia (SOFIA): feasibility and acceptability results of a feasibility randomised wait-list controlled trial
Thomas, S.; Hilari, K.; James, K.. - : BMJ, 2021
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5
Communication between therapists and nurses working in inpatient interprofessional teams: Systematic review and meta-ethnography
Barnard, R. A.; Jones, J. C.; Cruice, M.. - : Taylor & Francis, 2020
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6
Researching Across Two Cultures: Shifting Positionality
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