"It Does Not Always Need To Be Staff Choosing the Agenda": The Experiences of People With Traumatic Brain Injury When Communicating With Rehabilitation Staff.
IF 2.5 3区 医学Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Iben Christensen, Emma Power, Leanne Togher, Anne Norup
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引用次数: 0
Abstract
Purpose: Communicative interactions between people with cognitive-communication disorders following traumatic brain injury (TBI) and rehabilitation staff can be challenging. While staff perspectives on the communication issues in the rehabilitation context are commonly reported, the perspectives of people with TBI remain unclear. The aim of this study was to explore the experiences of people with TBI when communicating with rehabilitation staff.
Method: A qualitative interview study with individual semistructured interviews with nine individuals with moderate-to-severe TBI. Interviews were video-recorded, transcribed, and analyzed through an inductive reflexive thematic analysis.
Results: Three themes with six subthemes were generated from the analysis: (a) Communicating with staff is challenging (struggling with information processing, lack of opportunities to express oneself). (b) Relationships with staff are established through communication (inappropriate communication style by staff, the power balance is skewed). (c) People with TBI want individualized communication (staff should tailor their approach, being acknowledged as a unique individual).
Conclusions: Participants shared experiences of communicative interactions with staff as challenging and in some cases leading to feelings of frustration and a lack of participation in rehabilitation decisions. Furthermore, participants expressed a need for staff to adapt their communication to facilitate effective information processing and provide opportunities to express thoughts, ideas, and feelings.
期刊介绍：
Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work.
Scope: The broad field of speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.
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