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Who said dialogue conversations are easy? The communication between communication vulnerable people and health‐care professionals: a qualitative study
- Authors:
- STANS Steffy E.A., et al
- Journal article citation:
- Health Expectations, 21(5), 2018, pp.848-857. Online only
- Publisher:
- Wiley
Objective: To 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. Methods: Communication 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.Results: Seven 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. Conclusion: Professionals 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. (Publisher abstract)
People with MS in long-term care: good practice guidelines for service providers
- Authors:
- RIDLEY Joanna, SMYTH Ann
- Publisher:
- Multiple Sclerosis Society,|Leonard Cheshire
- Publication year:
- 1998
- Pagination:
- 20p.
- Place of publication:
- London
This guide highlights the key principles that should underlie the provision of high quality care provision in residential and nursing care homes. The Guide is aimed at managers and owners of Homes and at current and potential service users, their families and friends. It will also be of interest to purchasing and registration authority staff. People with MS often have complex care needs and it is important that staff are appropriately trained to be able to meet these needs. But the key to providing the highest quality of care is recognising and responding to the needs of people as individuals. So, while this Guide focuses on care provision as it might relate to people with MS, it also emphasises that care services within a Home need to meet the full range of physical, clinical, social, spiritual and emotional needs of each individual.
Private markets in health and welfare: an international perspective
- Editor:
- JOHNSON Norman
- Publisher:
- Berg
- Publication year:
- 1995
- Pagination:
- 263p.,tables,bibliogs.
- Place of publication:
- Oxford
Collection of papers examining the growing role of private markets in the provision and finance of health and social welfare services in the UK, Canada, France, Italy, Sweden, the United States, Hungary, Poland and Slovenia. Considers whether the principal beneficiaries have been the state, the consumers, or the commercial providers. Includes papers on domiciliary and residential services, housing, and a range of health services.
Scottish community care statistics 2002
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2003
- Pagination:
- 103p.,tables.
- Place of publication:
- Edinburgh
Statistics on service provision in Scotland to older people, people with learning disabilities, people with mental health problems, disabled people, carers and other users. Provides figures on domiciliary care, day care , residential care, private nursing homes, hospitals and special needs housing for each user group.
Better care higher standards: summary report of the inter-agency workshop 5 April 2000
- Publisher:
- Suffolk County Council
- Publication year:
- 2000
- Pagination:
- 15p.
- Place of publication:
- Ipswich
Aims to provide standards for long term care in Suffolk covering issues such as provision of information, assessment and care planning, housing, independence, health care, benefits and complaints procedures.
Scottish community care statistics 2001
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2002
- Pagination:
- 95p.,tables.
- Place of publication:
- Edinburgh
Statistics on service provision in Scotland to older people, people with learning disabilities, people with mental health problems, disabled people, carers and other users. Provides figures on domiciliary care, day care , residential care, private nursing homes, hospitals and special needs housing for each user group.
Better care, higher standards: a charter for long-term care; a summary for users and carers
- Authors:
- GREAT BRITAIN. Department of Health, GREAT BRITAIN. Department of the Environment, Transport and the Regions
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1999
- Pagination:
- 10p.
- Place of publication:
- London
Charter for anyone in England who is eighteen or over and has difficulties associated with old age, long term illness or disability; and carers who support people in these circumstances. The Charter tells anyone who needs care or support over the long term where they can expect local housing, health and social services to set standards for the services they provide and what to do if these expectations are not met.
Better care, higher standards: a charter for long-term care; April 2002-March 2003
- Author:
- SOUTH TYNESIDE. Social Services Department
- Publisher:
- South Tyneside. Social Services Department
- Publication year:
- 2002
- Pagination:
- 71p.
- Place of publication:
- South Shields
Aims to provide standards for long term care in South Tyneside, covering issues such as provision of information, assessment and care planning, housing, independence, health care, benefits and complaints procedures.
Understanding developmental dyspraxia: a textbook for students and professionals
- Author:
- PORTWOOD Madeleine
- Publisher:
- David Fulton
- Publication year:
- 2000
- Pagination:
- 175p.,diags.,bibliog.
- Place of publication:
- London
Aims to enable professionals to diagnose dyspraxia and determine the most effective methods of intervention. Defines dyspraxia and suggests a neurological basis. Lists observable characteristics of dyspraxia and methods of neuropsychological assessment, with a discussion of the role of parental observation in clinical assessment. Goes on to discuss the role of education and health authorities in intervention, and modes of intervention in school and residential settings.
Better care, higher standards: a charter for long-term care
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2000
- Pagination:
- 20p.
- Place of publication:
- London
Aims to provide standards for long term care in South Tyneside, covering issues such as provision of information, assessment and care planning, housing, independence, health care, benefits and complaints procedures.