The role of the physical environment in conversations between people who are communication vulnerable and health-care professionals: a scoping review

Stans, Steffy E. A.; Dalemans, Ruth; Witte, Luc de; Smeets, Hester Wilhelmina Henrica; Beurskens, Anna

doi:10.1080/09638288.2016.1239769

Cited by 28 publications

(16 citation statements)

References 37 publications

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“…Professionals and clients agreed about the importance of preparing conversations and ensuring a suitable environment, which has also been emphasized in previous research . Our observations showed that environmental issues were taken into account, but the preparation mostly did not include the clients.…”

Section: Discussionsupporting

confidence: 79%

Who said dialogue conversations are easy? The communication between communication vulnerable people and health‐care professionals: A qualitative study

Stans

Dalemans

Roentgen

et al. 2018

Health Expectations

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ObjectiveTo gain insight into how communication vulnerable people and health‐care professionals experience the communication in dialogue conversations, and how they adjust their conversation using augmentative and alternative communication (AAC) or other communication strategies.MethodsCommunication vulnerable clients and health‐care professionals in a long‐term care institution were observed during a dialogue conversation (n = 11) and subsequently interviewed (n = 22) about their experiences with the conversation. The clients had various communication difficulties due to different underlying aetiologies, such as acquired brain injury or learning disorder. Results from the observations and interviews were analysed using conventional content analysis.ResultsSeven key themes emerged regarding the experiences of clients and professionals: clients blame themselves for miscommunications; the relevance of both parties preparing the conversation; a quiet and familiar environment benefitting communication; giving clients enough time; the importance and complexity of nonverbal communication; the need to tailor communication to the client; prejudices and inexperience regarding AAC. The observations showed that some professionals had difficulties using appropriate communication strategies and all professionals relied mostly on verbal or nonverbal communication strategies.ConclusionProfessionals were aware of the importance of preparation, sufficient time, a suitable environment and considering nonverbal communication in dialogue conversations. However, they struggled with adequate use of communication strategies, such as verbal communication and AAC. There is a lack of knowledge about AAC, and professionals and clients need to be informed about the potential of AAC and how this can help them achieve equal participation in dialogue conversations in addition to other communication strategies.

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Section: Discussionsupporting

confidence: 79%

Who said dialogue conversations are easy? The communication between communication vulnerable people and health‐care professionals: A qualitative study

Stans

Dalemans

Roentgen

et al. 2018

Health Expectations

Self Cite

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“…Even minor changes in physicians’ behaviour can influence patients’ ability to participate actively in decision-making and problem-solving 39. In addition, suitable lighting and a calm environment can have a positive impact on communication with vulnerable patients, so health professionals are urged to be aware of the physical environment 40. To improve these aspects of care, it is valuable to continually monitor care quality through patient experience surveys.…”

Section: Discussionmentioning

confidence: 99%

Measuring discharge quality based on elderly patients’ experiences with discharge conversation: a cross-sectional study

et al. 2019

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BackgroundDischarge conversation is an essential part of preparing patients for the period after hospitalisation. Successful communication during such conversations is associated with improved health outcomes for patients.ObjectiveTo investigate the association between discharge conversation and discharge quality assessed by measuring elderly patients’ experiences.MethodsIn this cross-sectional study, we surveyed all patients ≥65 years who had been discharged from two medical units in two hospitals in Western Norway 30 days prior. We measured patient experiences using two previously validated instruments: The Discharge Care Experiences Survey Modified (DICARES-M) and The Nordic Patient Experiences Questionnaire (NORPEQ). We examined differences in characteristics between patients who reported having a discharge conversation with those who did not, and used regression analyses to examine the associations of the DICARES-M and NORPEQ with the usefulness of discharge conversation.ResultsOf the 1418 invited patients, 487 (34%) returned the survey. Their mean age was 78.5 years (SD=8.3) and 52% were women. The total sample mean scores for the DICARES-M and NORPEQ were 3.9 (SD=0.7, range: 1.5–5.0) and 4.0 (SD=0.7, range: 2.2–5.0), respectively. Higher DICARES-M and NORPEQ scores were found for patients who reported having a discharge conversation (74%) compared with those who did not (15%), or were unsure (11%) whether they had a conversation (p<0.001). Patients who considered the conversation more useful had significantly higher scores on both the DICARES-M and NORPEQ (p<0.001).ConclusionsReported discharge conversation at the hospital was correlated with positive patient experiences measurements indicating the increased quality of hospital discharge care. The reported usefulness of the conversation had a significant association with discharge care quality.

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“…Talking Mats could be compared with other AAC tools aiming at visualisation, such as graphic topic setters, communication boards, pictographic books or picture pointing boards. 51 Both quantitative research using validated observation lists and qualitative research focussing on the experiences of communication vulnerable people would provide valuable information on the effective elements of Talking Mats. Information is also needed about effective implementation strategies for using Talking Mats in daily life/practice for communication vulnerable people.…”

Section: Empirical Evidence Of Talking Matsmentioning

confidence: 99%

Using Talking Mats to support conversations with communication vulnerable people: A scoping review

Stans

Dalemans

Witte

et al. 2019

TAD

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The objective was twofold: to provide an overview of the objectives, target groups and settings for which Talking Mats has been used (Part 1), and an overview of empirical scientific knowledge on the use of Talking Mats (Part 2). MethodsIn this scoping review scientific and grey literature was searched in PubMed, Cinahl, Psychinfo, Google, and Google Scholar. Articles that described characteristics of Talking Mats or its use were included. For Part 2, additional selection criteria were applied to focus on empirical scientific knowledge. ResultsThe search yielded 73 publications in Part 1, 12 of which were included in Part 2. Talking Mats was used for functional objectives (e.g. goal setting) and to improve communication and involvement. Part 2 showed that Talking Mats had positive influences on technical communication, effectiveness of conversations, and involvement and decision making in conversations. However, the level of research evidence is limited. ConclusionsTalking Mats can be used to support conversations between professionals and communication vulnerable people. More research is needed to study the views of people who are communication vulnerable and to study the effects of Talking Mats. ConclusionTalking Mats can be used to support communication and involvement and for functional objectives during the healthcare process. The empirical studies showed that Talking Mats had a positive influence on several communication aspects and involvement in conversations for people with aphasia, learning disabilities, H T T M tween communication vulnerable people and professionals or caregivers. However, the body of scientific knowledge about Talking Mats is limited, due to the designs of the studies and the limited number of studies per target group. Establishing evidence-based recommendations for using Talking Mats in daily practice requires more scientific knowledge.

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The role of the physical environment in conversations between people who are communication vulnerable and health-care professionals: a scoping review

Cited by 28 publications

References 37 publications

Who said dialogue conversations are easy? The communication between communication vulnerable people and health‐care professionals: A qualitative study

Who said dialogue conversations are easy? The communication between communication vulnerable people and health‐care professionals: A qualitative study

Measuring discharge quality based on elderly patients’ experiences with discharge conversation: a cross-sectional study

Using Talking Mats to support conversations with communication vulnerable people: A scoping review

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