Nurses' experiences of communicating with patients with aphasia

Abstract

Approximately 180,000 cases of aphasia occur every year in the United States, with the estimated prevalence of approximately one in 250 people (National Institute on Deafness & Other Communication Disorders, 2015). Stroke is the main cause of aphasia; approximately 35%-40% of stroke patients are diagnosed with aphasia (Dickey et al., 2010). Stroke is one of the three major causes of death in South Korea (Statistics Korea, 2018). Its mortality rate has decreased significantly owing to the advancement of medical science. The number of stroke survivors have increased in Korea since the death rate has decreased by approximately 11.8% over the past decade (Statistics Korea, 2018). Reportedly, aphasia occurs in 28.8% of patients hospitalized with stroke in Korea (Chang et al., 2017).Patients with aphasia have difficulty communicating because of damage in the speech center of the cerebrum (Saldert et al., 2013). Approximately 13% of patients admitted to the hospital with stroke have difficulty in complaining of pain on their

Emerging Validation for the Adapted Chinese Version of Quick Aphasia Battery

“…Nurses can play a crucial role in screening for speech impairments, giving speech therapy, and supporting emotional support as reported. 33 Hopes to alleviate the shortage of professional speech therapists, increase handleability for early assessment, promote feasibility for early rehabilitation, and improve the relationship between nurses and patients.…”

Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A protocol for a realist review.

“…When communication with patients is challenging, health and social care professionals (i.e., professionals with formal clinical training, e.g., doctors, nurses, physiotherapists, psychologists) can experience emotions such as frustration, impatience and guilt ( Carragher et al, 2020 ; Hur & Kang, 2022 ). Consequently, they can limit their time interacting with people with communication impairments ( Carragher et al, 2020 ).…”

“… Rathiram et al (2022, p. 5) reported that SH&SCPs felt “emotionally strained, frustrated and helpless” when they could not understand their patients. In order to prevent these negative experiences health and social care professionals and SH&SCPs want to learn how to communicate successfully with people with communication difficulties ( Carragher et al, 2020 ; Hur & Kang, 2022 ). Furthermore, people with aphasia believe that training health care professionals in the use of communication strategies is important in enabling them to live successfully with the communication impairment ( Manning et al, 2019 ).…”

Communicative and Supportive Strategies: A Qualitative Study Investigating Nursing Staff’s Communicative Practice With Patients With Aphasia in Stroke Care

“…We know from research that patients with aphasia (PWA) and health care professionals (HCP) both recognize that successful communication is a pivotal part of effective stroke rehabilitation (Clancy et al, 2020) and that PWA experience poorer rehabilitation outcomes and more prolonged admissions (Gialanella & Prometti, 2009; Gialanella et al, 2011) while facing impaired patient safety (Worrall et al, 2011) with three times higher risk of adverse events (Bartlett et al, 2008; Hemsley et al, 2013). From the perspective of the HCP, communicating with PWA can be perceived as frustrating, leading to feeling impatient and eventually dismissing the patient while feeling guilty for not providing adequate care (Hur & Kang, 2022).…”

“…Over the last few years, research within the field of communication experience from the perspective of both PWA and HCP has expanded considerable (Barnard et al, 2021; Bright & Reeves, 2020; Carragher et al, 2021; Heard et al, 2022; Hur & Kang, 2022; van Rijssen et al, 2021). The communication between PWA and HCP is complex and challenging.…”