The impact of stroke aphasia on health and well‐being and appropriate nursing interventions: an exploration using the Theory of Human Scale Development

Thompson, Juliana; McKeever, Margo

doi:10.1111/j.1365-2702.2012.04237.x

Cited by 42 publications

(16 citation statements)

References 59 publications

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“…It is widely considered that effective and efficient communication is vital to quality healthcare, as it impacts clinical assessment, health promotion and patient autonomy. [ 22 ] The sequelae of post-stroke aphasia are considerable, with implications at the social and personal levels. [ 23 ] Because of communication deficits, aphasic patients complain of difficulties in benefiting from available mental health services, participating in intervention programs, and/or finding support groups that could meet their needs.…”

Section: Discussionmentioning

confidence: 99%

Development and application of a Chinese Version of the Language Screening Test (CLAST) in post-stroke patients

et al. 2020

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Aphasia shows high incidence in stroke patients and seriously impairs language comprehension, verbal communication, and social activities. Therefore, screening aphasic patients during the acute phase of stroke is crucial for language recovery and rehabilitation. The present study developed a Chinese version of the Language Screening Test (CLAST) and validated it in post-stroke patients. The CLAST was adapted from the Language Screening Test developed by Constance et al to incorporate Chinese cultural and linguistic specificities, and administered to 207 acute stroke patients and 89 stabilized aphasic or non-aphasic patients. Based on the Western Aphasia Battery (WAB) test, its reliability and validity were assessed. A cut-off for the CLAST in Chinese patients was determined by ROC curve analysis. The CLAST comprised 5 subtests and 15 items, including 2 subscores, namely expression (8 points, assessing naming, repetition, and automatic speech) and receptive (7 points maximum, evaluating picture recognition, and verbal instructions) indexes. Analysis of the alternate-form reliability of the questionnaire showed a retest correlation coefficient of 0.945 ( P < .001). Intraclass correlation coefficients of three rating teams were >0.98 ( P < .001). Internal consistency analysis showed a Cronbach's alpha coefficient of 0.909 ( P < .001). The non-aphasia group showed higher scores than the aphasia group (14.2 ± 1.3 vs 10.6 ± 3.8) ( P < .01). The questionnaire showed good construct validity by factor analysis. ROC curve analysis showed high sensitivity and specificity for the CLAST, with a cut-off of 13.5. The CLAST is suitable for Chinese post-stroke patients during the acute phase, with high reliability, validity, sensitivity, and specificity.

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Section: Discussionmentioning

confidence: 99%

Development and application of a Chinese Version of the Language Screening Test (CLAST) in post-stroke patients

et al. 2020

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“…According to the Boston examination, their degree of severity obtained a median score of 3 (0-4) points. The first administration lasted a mean of 12 (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29) min.…”

Section: Phasementioning

confidence: 99%

“…There is evidence that nurses interacting with individuals with aphasia tend to control and lead the conversation by focusing on nursing tasks and only occasionally allow patients to start a conversation on a topic suited to their own interests and needs [14]. This asymmetric communicative relationship entails a loss of autonomy that makes it difficult for patients to participate in their own care, generating feelings of frustration, fear, and despondency [15,16]. The complexity of aphasia requires multidisciplinary and interdisciplinary interventions in which nurses play a fundamental role as care providers [17].…”

Section: Introductionmentioning

confidence: 99%

Development and Content Validation of the CEECCA Questionnaire to Assess Ability to Communicate among Individuals with Aphasia Based on the NANDA-I and NOC

Martín-Dorta¹,

Brito

Hernández

2021

Healthcare

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This study presents the development and content validation of an instrument assessing the ability to communicate among individuals with aphasia. The study consists of three stages: (i) Selection and definition of the component dimensions and areas, construction of items assessing these dimensions, administration instructions, and qualitative criteria for assigning diagnoses; (ii) Face validity and content validity; (iii) Pilot test. The tentative questionnaire was designed using two defining characteristics of the NANDA-I (“Impaired verbal communication” and “Readiness for enhanced communication”) and the NOC outcome indicators “Communication”, “Communication: Expressive”, “Communication: Receptive”, and “Information Processing”. The areas and items reached initial content validity index (CVI) and representativeness index (RI) values of 0.87 and above. Those that did not reach the expected values were modified after expert review. The resulting questionnaire was pilot-tested for feasibility and administration times. An instrument containing five dimensions, fourteen areas, and 43 items was obtained and administered in 15 (12–31) minutes. A panel of experts evaluated the final questionnaire (CEECCA), awarding its areas and items CVI and RI values of 0.90 and above. In the absence of further psychometric studies, the questionnaire appears to be useful for assessing ability to communicate in individuals with aphasia.

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“…Our inquiry only focused on nursing interventions and activities prescribed by nurses in the patients' care plans, omitting nursing judgments stated as diagnoses and outcomes, and this should also be considered a limitation. Either way, the study of patients and caregivers' experience should not be based only on the nursing documentation content, since the literature informs of inconsistencies among patients and nurses' views regardless the practice settings (Kennedy et al., ; Shatell, ; Thompson, & McKeever, ). Nurses' behaviours and attitudes towards patient‐centred care and proficiency on basic and advanced psychosocial care entail their willingness to overcome barriers to effective communication, their humility and fortitude in persisting until feedback and therapeutic bonds are achieved (Finke et al., ; Kim et al., ).…”

Section: Limitationsmentioning

confidence: 99%

Basic Nursing Care: Retrospective Evaluation of Communication and Psychosocial Interventions Documented by Nurses in the Acute Care Setting

Juvé-Udina

Zuriguel‐Pérez

Fabrellas

et al. 2013

J of Nursing Scholarship

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The impact of stroke aphasia on health and well‐being and appropriate nursing interventions: an exploration using the Theory of Human Scale Development

Abstract: Nursing interventions must address all needs to provide holistic care in its fullest sense.

Cited by 42 publications

References 59 publications

Development and application of a Chinese Version of the Language Screening Test (CLAST) in post-stroke patients

Development and application of a Chinese Version of the Language Screening Test (CLAST) in post-stroke patients

Development and Content Validation of the CEECCA Questionnaire to Assess Ability to Communicate among Individuals with Aphasia Based on the NANDA-I and NOC

Basic Nursing Care: Retrospective Evaluation of Communication and Psychosocial Interventions Documented by Nurses in the Acute Care Setting

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