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Suzanne Beeke - The VOICE study: Developing and evaluating evidence-based communication skills training to enhance acute healthcare encounters between staff and people with dementia

Dr Suzanne Beeke er førsteamanuensis i avdelingen for psykologi og språkvitenskap ved University College London, og hun er kvalifisert logoped. Hennes forskning fokuserer på kommunikasjonsvansker hos voksne med afasi etter hjerneslag, traumatisk hjerneskade og demens, og spesielt effekten av disse på hverdagssamtaler i hjemmet og i helsevesenet. Hun ledet teamet som utviklet Better Conversations with Aphasia (@BCAphasia), et gratis opplæringsprogram for e-læring og kommunikasjon for logopeder til å bruke med personer med afasi og deres familiemedlemmer (https://extend.ucl.ac.uk/). Hun var en del av den Nottingham-baserte NIHR HR&DS-finansierte VOICE Study, som utviklet en kommunikasjonstrening for helsepersonell som interagerer med personer med demens på akutte sykehusavdelinger (@voice_study).

Suzanne Beeke holder foredraget på engelsk.

Bildet kan inneholde: person, klær, panne, ansikt, nese.

Twenty five percent of hospital beds are occupied by a person living with dementia (PLWD). Difficulties with communication are common and can make delivering care difficult. Health care professionals (HCPs) report lack of communication skills training (CST) in this area. We videotaped 41 encounters between 27 HCPs and 26 PLWD, and used conversation analysis to understand where problems arose, and how skilled practitioners overcame them. Particular problems were found during HCP requests (patients often refused) and the 'closing' phase at the end of an encounter. Agreement was more likely where requests were direct, made with high entitlement, and lowered contingencies. Closings were more successful if the HCP announced the end of a task, made a specific arrangement, and matched body language to speech. We used these insights to design a 2-day CST course using multiple teaching methods including simulated patients. Forty five staff attended from two hospitals. Evaluation included measuring knowledge and confidence before, immediately after and 1 month later. Communication was measured using blind-rated videos of before and after simulations. Knowledge and confidence both increased. Some behaviours, especially around closings, were more frequent after training. The course was highly-rated by participants, including simulation, real-life videos, and interdisciplinary learning.

Publisert 11. mai 2021 15:49 - Sist endret 11. mai 2021 15:57