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Nursing the patient with severe communication impairment


Hemsley, B and Sigafoos, J and Balandin, S and Forbes, R and Taylor, C and Green, VA and Parmenter, T, Nursing the patient with severe communication impairment, Journal of Advanced Nursing, 35, (6) pp. 827-835. ISSN 0309-2402 (2001) [Refereed Article]

DOI: doi:10.1046/j.1365-2648.2001.01920.x


Background. Effective communication with patients is critical to effective nursing practice. Surprisingly, there is little information on nurses' experiences in caring for patients who are unable to speak. Purpose and method. This study provides descriptive information from interviews with 20 nurses who cared for patients with severe communication impairment. The interview protocol explored positive and negative experiences of nursing patients with severe communication impairment. Frequency counts and descriptive analyses were conducted to identify the major themes emerging from the interviews. Results. The results suggest that nurse-patient communication is difficult when the patient has severe communication impairment, although some nurses discovered effective strategies to facilitate communication with such patients. Many of the difficulties could be viewed as a breakdown in understanding arising from the lack of a readily interpretable communication system that could be used by nurse and patient. Conclusions. The results suggest a need for training nurses in the use of alternative modes of communication. Nurses also need access to a variety of simple augmentative communication devices for use with patients who are unable to speak. Finally, nurses should collaborate with speech pathologists on the development of preadmission information and bedside training for people who are admitted to hospital with severe communication impairment.

Item Details

Item Type:Refereed Article
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:People with disability
Objective Division:Expanding Knowledge
Objective Group:Expanding knowledge
Objective Field:Expanding knowledge in psychology
UTAS Author:Sigafoos, J (Professor Jeffrey Sigafoos)
UTAS Author:Green, VA (Dr Vanessa Green)
ID Code:39641
Year Published:2001
Web of Science® Times Cited:79
Deposited By:Education
Deposited On:2007-12-18
Last Modified:2007-12-18

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