Aphasia, Stroke
Conditions
Keywords
Stroke, Communication impairments, Nurse-patient communication, Patient-centred care
Brief summary
The most frequent consequence of a stroke is a communication impairment. When patients cannot articulate their needs, frustration and agitation are frequent responses, often resulting in poor optimization of post-stroke function. Staff's lack of knowledge of communication strategies exacerbates the problem. A key component of patient-centred care is the ability of staff to communicate in such a way that allows them to understand the patient's needs. Members of our team developed the patient-centred communication intervention (PCCI) targeting registered and unregulated staff caring for complex continuing care (CCC) patients with communication impairments post stroke. The purpose of the study is to examine if the PCCI results in improved patients' quality of life and in improved staff attitudes and skills in caring for patients with communication impairments.
Interventions
The intervention consists of three parts: 1) development of individualized communication care plans; 2) staff attendance at a workshop focused on communication and behavioral management strategies; and 3) implementation of a staff support system.
Sponsors
Study design
Eligibility
Inclusion criteria
Patients: Inclusion Criteria * diagnosis of stroke related to cerebral infarct * presence of a communication impairment * ability to speak and understand English before the stroke * ability to consent
Exclusion criteria
* global aphasia or severe Wernicke's aphasia Staff: Inclusion Criteria * directly involved in providing care * employed full or part-time * ability to consent * ability to speak and write English * work with patients who have communication impairments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stroke and Aphasia Quality of Life (SAQOL) | Change in SAQOL from baseline to 1 month and from baseline to 3 months | The SAQOL is a 39-item tool designed to measure health-related quality of life in patients post-stroke with aphasia. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Communication-Impairment Questionnaire (CIQ) | Change in CIQ from baseline to 1 month and from baseline to 3 months | The Communication Impairment Questionnaire is an 8-item self-report scale. It is used to measure the attitudes of nurses toward patients with communication impairments. |
Countries
Canada