Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A realist review. [version 1; peer review: 1 approved, 2 approved with reservations]

Background: Stroke acquired communication impairments impede effective communication. Consequently, in stroke care, communicative interactions can be challenging for both patients and staff and can predispose patients to increased risk of preventable adverse events. Communication partner training (C...

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Main Authors: Suzanne Beeke, Yvonne Fitzmaurice, Una Cunningham, Jytte Isaksen, Éidín Ní Shé, Caroline Jagoe, Ruth McMenamin
Format: Article
Language:English
Published: F1000 Research Ltd 2023-10-01
Series:HRB Open Research
Subjects:
Online Access:https://hrbopenresearch.org/articles/6-60/v1
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author Suzanne Beeke
Yvonne Fitzmaurice
Una Cunningham
Jytte Isaksen
Éidín Ní Shé
Caroline Jagoe
Ruth McMenamin
author_facet Suzanne Beeke
Yvonne Fitzmaurice
Una Cunningham
Jytte Isaksen
Éidín Ní Shé
Caroline Jagoe
Ruth McMenamin
author_sort Suzanne Beeke
collection DOAJ
description Background: Stroke acquired communication impairments impede effective communication. Consequently, in stroke care, communicative interactions can be challenging for both patients and staff and can predispose patients to increased risk of preventable adverse events. Communication partner training (CPT) can mitigate such negative outcomes by optimising communicative interactions. Providing CPT to student health and social care professionals (SH&SCPs) has the potential to enhance their clinical expertise and experiences and enhance the future clinical care of patients with stroke acquired communication impairments. This research aims to expand our understanding of how CPT is operationalised for SH&SCPs in higher education institutions and determine: what works; for whom; in what contexts; how and why? Methods: This review is phase 1 of a research project employing a realist approach with public and patient involvement (PPI). It incorporates five iterative steps: 1.) Clarifying the scope; 2.) Searching for evidence; 3.) Selecting and appraising evidence; 4.) Data extraction; 5.) Synthesising data and developing a middle range theory explaining how CPT is expected to work for SH&SCPs. An advisory group, including PPI advisors, content experts, SH&SCPs and realist experts has been set up to consult throughout the review and collaboratively agree the middle range theory. Discussion: While there is an evolving evidence base for CPT, including stroke specific CPT for SH&SCPs, it is acknowledged that there are challenges to its implementation in complex real-world settings. In combining empirical evidence with theoretical understanding, realist review permits synthesis of data from diverse sources and goes beyond determining efficacy to explore generative causation and solutions for real world practice. A middle range realist programme theory that coherently explains how CPT is expected to work when teaching SH&SCPs to communicate with people with stroke acquired communication impairments will provide educators with new insights into CPT development and implementation in their higher education institutions.
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spelling doaj.art-6428010954c2481b81dbb579a3569bc52024-02-21T01:00:02ZengF1000 Research LtdHRB Open Research2515-48262023-10-01615077Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A realist review. [version 1; peer review: 1 approved, 2 approved with reservations]Suzanne Beeke0https://orcid.org/0000-0002-6772-2820Yvonne Fitzmaurice1https://orcid.org/0000-0002-6820-2800Una Cunningham2Jytte Isaksen3Éidín Ní Shé4Caroline Jagoe5Ruth McMenamin6Division of Psychology and Language Sciences, University College London, London, England, WC1E 6BT, UKSchool of Health Sciences, University of Galway, Galway, H91 TK33, IrelandMater Misericordiae University Hospital, Dublin, D07 R2WY, IrelandDepartment of Language, Culture, History and Communication, University of Souhern Denmark, Odense, DenmarkGraduate School of Healthcare Management, RCSI University of Medicine and Health Sciences, Dublin, D02 YN77, IrelandSchool of Linguistics, Speech and Communication Sciences, The University of Dublin Trinity College, Dublin, Leinster, D02 PN40, IrelandSchool of Health Sciences, University of Galway, Galway, H91 TK33, IrelandBackground: Stroke acquired communication impairments impede effective communication. Consequently, in stroke care, communicative interactions can be challenging for both patients and staff and can predispose patients to increased risk of preventable adverse events. Communication partner training (CPT) can mitigate such negative outcomes by optimising communicative interactions. Providing CPT to student health and social care professionals (SH&SCPs) has the potential to enhance their clinical expertise and experiences and enhance the future clinical care of patients with stroke acquired communication impairments. This research aims to expand our understanding of how CPT is operationalised for SH&SCPs in higher education institutions and determine: what works; for whom; in what contexts; how and why? Methods: This review is phase 1 of a research project employing a realist approach with public and patient involvement (PPI). It incorporates five iterative steps: 1.) Clarifying the scope; 2.) Searching for evidence; 3.) Selecting and appraising evidence; 4.) Data extraction; 5.) Synthesising data and developing a middle range theory explaining how CPT is expected to work for SH&SCPs. An advisory group, including PPI advisors, content experts, SH&SCPs and realist experts has been set up to consult throughout the review and collaboratively agree the middle range theory. Discussion: While there is an evolving evidence base for CPT, including stroke specific CPT for SH&SCPs, it is acknowledged that there are challenges to its implementation in complex real-world settings. In combining empirical evidence with theoretical understanding, realist review permits synthesis of data from diverse sources and goes beyond determining efficacy to explore generative causation and solutions for real world practice. A middle range realist programme theory that coherently explains how CPT is expected to work when teaching SH&SCPs to communicate with people with stroke acquired communication impairments will provide educators with new insights into CPT development and implementation in their higher education institutions.https://hrbopenresearch.org/articles/6-60/v1Communication partner training student health and social care professionals stroke aphasia acquired apraxia of speech dysarthriaeng
spellingShingle Suzanne Beeke
Yvonne Fitzmaurice
Una Cunningham
Jytte Isaksen
Éidín Ní Shé
Caroline Jagoe
Ruth McMenamin
Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A realist review. [version 1; peer review: 1 approved, 2 approved with reservations]
HRB Open Research
Communication partner training
student health and social care professionals
stroke
aphasia
acquired apraxia of speech
dysarthria
eng
title Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A realist review. [version 1; peer review: 1 approved, 2 approved with reservations]
title_full Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A realist review. [version 1; peer review: 1 approved, 2 approved with reservations]
title_fullStr Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A realist review. [version 1; peer review: 1 approved, 2 approved with reservations]
title_full_unstemmed Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A realist review. [version 1; peer review: 1 approved, 2 approved with reservations]
title_short Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A realist review. [version 1; peer review: 1 approved, 2 approved with reservations]
title_sort communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties a realist review version 1 peer review 1 approved 2 approved with reservations
topic Communication partner training
student health and social care professionals
stroke
aphasia
acquired apraxia of speech
dysarthria
eng
url https://hrbopenresearch.org/articles/6-60/v1
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