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Staff and volunteers' perceptions of a Communication Enhanced Environment model in an acute/slow stream rehabilitation and a rehabilitation hospital ward: a qualitative description study within a before-and-after pilot study.
- Source :
- Disability & Rehabilitation; Nov2022, Vol. 44 Issue 23, p7009-7022, 14p
- Publication Year :
- 2022
-
Abstract
- A lack of social interaction during early stroke recovery can negatively affect neurological recovery and health-related quality of life of patients with aphasia following stroke. A Communication Enhanced Environment (CEE) model was developed to increase patient engagement in language activities early after stroke. This study aimed to examine staff (n = 20) and volunteer (n = 2) perceptions of a CEE model and factors influencing the implementation and use of the model. This study formed part of a broader study that developed and embedded a CEE model on two hospital wards. Six focus groups and one interview with hospital staff were conducted and analysed using a qualitative description approach. Feedback emailed by volunteers was included in the data set. Staff and volunteers perceived the CEE model benefitted themselves, the hospital system and patients. Staff identified a range of factors that influenced the implementation and use of the CEE model including individual staff, volunteer and patient factors, hospital features, the ease with which the CEE model could be used, and the implementation approach. This study provides valuable insights into staff perceptions which may inform the implementation of interventions and future iterations of a CEE model. A CEE model may promote efficiency and increased patient engagement in stroke rehabilitation. The CEE model information session and aphasia communication partner training, and the provision of resources, may be useful strategies to increase staff confidence in using communication supporting strategies with patients with aphasia. Behaviour change and implementation science strategies may provide a framework to address barriers and promote facilitators to embed hospital-based interventions that require individual, ward, cultural and systems level change to reduce the evidence-based gap in clinical practice. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH facility employees
PILOT projects
PERSONALITY
PROFESSIONS
HEALTH services accessibility
PATIENT participation
FOCUS groups
STROKE
PROBLEM solving
ATTITUDES of medical personnel
MATHEMATICAL models
INTERVIEWING
VOLUNTEERS
HUMAN services programs
ATTITUDES toward illness
QUALITATIVE research
APHASIA
PSYCHOSOCIAL factors
THEORY
CLINICAL competence
HOSPITAL wards
STROKE rehabilitation
RESEARCH funding
COMMUNICATION
HEALTH care teams
DECISION making
ENDOWMENTS
JUDGMENT sampling
EMOTIONS
SOCIAL skills
WORKING hours
MANAGEMENT
REFLECTION (Philosophy)
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 09638288
- Volume :
- 44
- Issue :
- 23
- Database :
- Complementary Index
- Journal :
- Disability & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 160350697
- Full Text :
- https://doi.org/10.1080/09638288.2021.1977397