Zuyd University of Applied Sciences, Faculty of Health, Heerlen, The Netherlands.
Patient Educ Couns. 2013 Sep;92(3):302-12. doi: 10.1016/j.pec.2013.05.021. Epub 2013 Jul 1.
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.
A qualitative study using the critical incident method. Communication vulnerable clients and people within their immediate environment were interviewed about their communication experiences.
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.
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.
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.
沟通弱势群体在其社交环境中往往无法进行有效的沟通，这阻碍了以客户为中心的护理和日常生活的参与。本研究旨在探讨长期护理环境中的沟通体验以及影响沟通的因素。
采用关键事件法的定性研究。对沟通弱势群体的客户和其直接环境中的人员进行了有关其沟通体验的访谈。
在三个环境中，共有 39 人参加了访谈，其中 14 人是客户。在不同的关系中呈现出沟通方面的具体挑战。客户与专业人员之间沟通的主要影响因素有：改善沟通的努力程度、专业人员的知识、辅助沟通工具、沟通时间以及客户的影响力和权力。
沟通弱势群体及其直接环境中的人员在彼此沟通方面面临着日常挑战。特别是，客户之间的沟通可能非常困难。辅助沟通工具很少使用。
专业人员需要发展足够的知识和技能来改善沟通。此外，应更加关注 AAC 的使用、专业人员和家庭成员之间的沟通以及客户之间的沟通支持。
