When interactions are interruptions: an ethnographic study of information-sharing by speech and language therapists and nurses on stroke units

Abstract

When interactions are interruptions: An ethnographic study of information-sharing by speech and language therapists and nurses on stroke units. Disability and Rehabilitation,

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

“…Hence, in most cases, the organizational and environmental context appeared as a barrier to the communicative interactions between nursing staff and PWA. Several studies have highlighted the barriers to nursing staff’s communication with PWA, especially a rapid working pace and time pressure, as well as frequent interruptions and short lengths of stay for patients (Barnard et al, 2021; Carragher et al, 2021; Heard et al, 2022; Hemsley et al, 2012; Loft et al, 2017; van Rijssen et al, 2021). The time constraints on nursing staff’s opportunities to attend to patients’ psychosocial well-being is a cause for serious concern, especially for PWA.…”

“…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.…”

“…Since nurses and nurse assistants have more frequent daily contact with PWA than other staff groups and communication with patients is crucial for providing adequate nursing care, this is highly problematic (D’Souza, 2021). Barnard further stresses the need for lifting both knowledge and skills to improve the communicative experience of patients and states how future research would benefit from being conducted in a collaboration between SLT and nurse researchers (Barnard et al, 2021). Hence, the specific aim of this interdisciplinary study was to understand in greater depth the influences on the nursing staff’s communicative practices with PWA in the context of usual stroke care interactions, and secondly, to explore the nursing staff’s use or non-use of supportive techniques, including the SCA TM method.…”

“…This collaboration can be challenged as the SLT often needs to disturb the nurse’s workflow when passing on relevant information. Organizational circumstances such as time and workflow are said to increasingly affect interaction and care with PWA and SLT’s experience that nurses prioritize daily practical tasks (like swallowing) over communication (Barnard et al, 2021) even though the communication can be seen as therapeutic in its own right (Gordon et al, 2009).…”

Managing ongoing swallow safety through information‐sharing: An ethnography of speech and language therapists and nurses at work on stroke units

“…Reporting adheres to the Standards for Reporting Qualitative Research guidelines (O'Brien et al, 2014). An earlier publication reporting a different aspect of the findings includes more expansive discussion of methods (Barnard et al, 2021) (see the additional supporting information). 2).…”