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Results for “Communication Barriers”

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PubMed1980

Communicating with hard-to-reach patients.

The blocks to communication that hinder work with certain patients with organically based illnesses can be overcome with imagination and forethought. This article has identified some techniques found useful in working with such patients, but, in the end, it is critical that workers do not let their frustration with communicating alienate them from their patients. Feelings of inadequacy cannot be allowed to separate workers from their patients. Devising techniques to enhance communication with the hard-to-reach patient is an area of social work practice greatly in need of exploration.

Aphasia↗
PubMed2001

Are we the barrier?

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Communication Barriers↗
PubMedDate not supplied

Lost for words.

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Abbreviations as Topic↗
PubMed1995

Forgetting.

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Attitude of Health Personnel↗
PubMed1997

Problems affecting Asian women with diabetes.

Diabetes is common among British Asians, who require appropriate advice and information. Cultural and language difficulties may create a barrier to information. A sensitive, knowledgeable approach and the use of information leaflets and videos in appropriate languages can help overcome this barrier.

Asia↗
PubMedDate not supplied

[Study of parental participation in curricular and extracurricular activities].

This preliminary study of parental participation in curricular and extra-curricular activities was conducted in the general framework of the healthy heart project in St. Louis du Parc, an underprivileged and multiethnic neighbourhood in Montreal. A general understanding of this type of participation is essential in order to adapt the role parents play in health programs developed in conjunction with the school. A conceptual framework was developed to help understand how and why parents of primary school children participate in school activities. Qualitative analysis of 15 semi-directed interviews conducted with various schools and other organizations revealed those obstacles to parental involvement, and the factors that encourage parents to participate. It was clear that there were wide social and cultural gaps between parents and schools. An important factor is how people perceive those barriers. Teachers stressed organizational and language communications difficulties. Others pointed to the lack of knowledge of the community, to poor communications skills and the parents' lack of those skills that would allow them to participate actively. A more open-minded attitude by school authorities and a more proactive and positive attitude of teachers toward parents are essential requirements, but not the only ones. Further interviews with parents should help provide more details and information.

Adult↗
PubMedDate not supplied

Electronic voice-output communication aids for temporarily nonspeaking patients in a medical intensive care unit: a feasibility study.

BACKGROUND: The inability to speak during mechanical ventilation is recognized as a terrifying and isolating experience that is related to feelings of panic, insecurity, anger, worry, fear, sleep disturbances, and stress among critically ill patients. Alternative methods of communicating with temporarily nonspeaking patients in the intensive care unit (ICU) have received little study. Although electronic voice output communication aids (VOCAs) are available for disabled children and adults, the effectiveness of VOCA systems with adult medical ICU patients who may have multisystem illness, prolonged intubation, and longer ICU stays has not been explored. OBJECTIVES: The purpose of this pilot study was to describe (1) the characteristics of intubated MICU patients who use VOCAs, (2) the usage patterns (message categories, frequency, assistance required), (3) communication quality (ease, user satisfaction), and (4) barriers to communication with VOCAs. METHODS: This pilot study used participant observation, semi-structured interviews, questionnaires, and clinical record review in a complementary design to obtain data on communication events and VOCA use with 11 critically ill adults. RESULTS: Study participants, 45.5 +/- 16.0 years of age with 13 +/- 1.9 years of education and moderately severe illness (APACHE III=27.5 +/- 16.1), used the VOCA for 5.7 +/- 4.6 days. Ease of Communication Scale measurements showed significantly less difficulty with communication after device use (t>2.62; P=.047). Almost half (n=5) of the participants demonstrated some independent use of the device. VOCAS were used in one quarter of observed communication events. Patients used VOCAs most often to communicate with family visitors and initiated communication interactions more often when VOCAs were used than when communicating by other nonvocal methods. Poor device positioning, deterioration in patient condition, staff time constraints, staff unfamiliarity with device, and complex message screens were primary barriers to VOCA use. CONCLUSIONS: This study showed that use of VOCAs is possible with selected critically ill adults and may contribute to greater ease of communication during respiratory tract intubation particularly with family members. Further clinical research using control or comparison groups is needed.

Adult↗