Hammel Neurorehabilitation Centre and University Research Clinic, Hammel, Denmark.
Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Disabil Rehabil. 2022 Jun;44(13):3071-3080. doi: 10.1080/09638288.2020.1853829. Epub 2020 Dec 5.
This study explored the perceptions of staff members regarding the implementation of a new communicative approach at a multidisciplinary neurorehabilitation centre in Denmark. Communication partner training according to Supported Conversation for Adults with Aphasia (SCA) was combined with augmentative strategies from the KomHIT programme to increase the influence of patients with aphasia on their own rehabilitation process.
A qualitative approach was used involving two semi-structured group interviews with multidisciplinary staff in two wards. Three staff members from each ward participated. The recorded interviews were transcribed, and a thematic analysis of the data was conducted.
Three main themes emerged from the analysis. Participants reported increased influence of patients with aphasia on their own rehabilitation process, as well as an increased focus on communication with patients with aphasia. Challenges included time restrictions and dilemmas in goal setting.
Increasing staff knowledge of communication support and augmentative strategies seemed to improve the influence of patients with aphasia on their own rehabilitation process. Because the results were based on interviews with a small number of staff, they cannot be generalized and require further investigation that should also include interviews with the patients themselves and their families.IMPLICATIONS FOR REHABILITATIONThe combination of partner training with augmentative strategies may increase staff understanding of all individuals' rights to have their communicative needs met.The combination of partner training with augmentative strategies may support the influence of persons with aphasia on their own rehabilitation.Goal setting discrepancies between staff and patients with aphasia can be brought to light by more successful communication.The implementation of a new communicative approach can be challenged by a number of factors, e.g., time restrictions.The implementation process needs to be supported by actions on a higher organisational level.
本研究探讨了丹麦一家多学科神经康复中心工作人员对实施新交际方法的看法。成人失语症支持性对话（SCA）的沟通伙伴培训与 KomHIT 计划的增强策略相结合，以增加失语症患者对自身康复过程的影响。
采用定性方法，对两个病房的多学科工作人员进行了两次半结构化小组访谈。每个病房有 3 名工作人员参加。对记录的访谈进行了转录，并对数据进行了主题分析。
从分析中得出了三个主要主题。参与者报告说，失语症患者对自身康复过程的影响有所增加，并且更加关注与失语症患者的沟通。挑战包括时间限制和目标设定的困境。
增加工作人员对沟通支持和增强策略的了解，似乎可以提高失语症患者对自身康复过程的影响。由于结果基于对少数工作人员的访谈，因此不能推广，需要进一步调查，还应包括对患者本人及其家属的访谈。
沟通伙伴培训与增强策略的结合可能会提高工作人员对所有个人满足沟通需求的权利的理解。沟通伙伴培训与增强策略的结合可能会支持失语症患者对自身康复的影响。成功的沟通可以揭示工作人员和失语症患者之间目标设定的差异。新交际方法的实施可能会受到许多因素的挑战，例如时间限制。实施过程需要更高层次的组织行动来支持。
