TY - JOUR
T1 - Challenges in the communication between 'communication vulnerable' people and their social environment: An exploratory qualitative study
AU - Stans, Steffy E. A.
AU - Dalemans, Ruth
AU - de Witte, Luc
AU - Beurskens, Anna
PY - 2013/9
Y1 - 2013/9
N2 - Objective: Communication vulnerable people are often unable to communicate effectively within their social environment, hindering client-centered care and participation in daily life. This study aims to explore the experiences of communication and the factors that influence this in long term care settings. Methods: A qualitative study using the critical incident method. Communication vulnerable clients and people within their immediate environment were interviewed about their communication experiences. Results: Thirty-nine individuals in three settings participated in the interviews, of which 14 were clients. Specific challenges in communication were presented in different relationships. The main influencing factors in the communication between clients and professionals were: effort put into improving the communication, knowledge of the professional, augmentative and alternative communication, time for. communication and the influence and power of the client. Conclusion: Communication vulnerable people and people within their immediate environment face daily challenges in communicating with each other. In particular, communication among clients, can be very difficult. Augmentative and alternative communication tools are only rarely used. Practice implications: Professionals need to develop adequate knowledge and skills to improve their communication. Also, more attention should be focussed on use of AAC, communication between professionals and family members, and support in the communication among clients.
AB - Objective: Communication vulnerable people are often unable to communicate effectively within their social environment, hindering client-centered care and participation in daily life. This study aims to explore the experiences of communication and the factors that influence this in long term care settings. Methods: A qualitative study using the critical incident method. Communication vulnerable clients and people within their immediate environment were interviewed about their communication experiences. Results: Thirty-nine individuals in three settings participated in the interviews, of which 14 were clients. Specific challenges in communication were presented in different relationships. The main influencing factors in the communication between clients and professionals were: effort put into improving the communication, knowledge of the professional, augmentative and alternative communication, time for. communication and the influence and power of the client. Conclusion: Communication vulnerable people and people within their immediate environment face daily challenges in communicating with each other. In particular, communication among clients, can be very difficult. Augmentative and alternative communication tools are only rarely used. Practice implications: Professionals need to develop adequate knowledge and skills to improve their communication. Also, more attention should be focussed on use of AAC, communication between professionals and family members, and support in the communication among clients.
KW - Communication
KW - Long term care
KW - Communication vulnerable people
KW - Communication difficulties
U2 - 10.1016/j.pec.2013.05.021
DO - 10.1016/j.pec.2013.05.021
M3 - Article
C2 - 23809168
SN - 0738-3991
VL - 92
SP - 302
EP - 312
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 3
ER -