Care-planning meetings with stroke survivors : Nurses as moderators of the communication

• Introduction: Stroke survivors often have communicative disabilities. They should, however, be involved when decisions are made about their care treatment. Aim: To explore and describe how nurses act as moderators of the communication in cooperative care-planning meetings and what kind of participant status the patients achieve in this type of multi-party talk. Method: Thirteen care-planning meetings were audio-recorded and transcribed. Nurses, social workers and stroke survivors were the main participants for the meetings. A coding scheme was created and three main categories were used for the analysis: pure utterance types, expert comments (EC) and asymmetries. Results: The nurses never invited the patients to tell their own versions without possible influence from them. Mostly the nurses gave ECs. The nurses acted as the patients' advocates by talking for or about them. They rarely supported the patients' utterances. Conclusion: There is an urgent need for nurses to learn how to involve the patients in the communicative process about their treatment. Assessment of the patients' communicative abilities before the care-planning meetings as well as knowledge about how to invite them can improve the patients' participant status. © 2007 The Authors. Journal compilation 2007 Blackwell Publishing Ltd.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Nyckelord

Care planning

Multi-party talk

Non-person

participation

Stroke survivors

aged

article

authority

cerebrovascular accident

cooperation

female

group process

health personnel attitude

health service

human

interpersonal communication

male

methodology

middle aged

nurse attitude

nursing

nursing assessment

nursing methodology research

organization and management

patient advocacy

patient care

patient care planning

patient participation

psychological aspect

recording

survivor

Sweden

Aged

Aged

80 and over

Attitude of Health Personnel

Authoritarianism

Cerebrovascular Accident

Communication

Cooperative Behavior

Female

Group Processes

Health Services Needs and Demand

Helping Behavior

Humans

Male

Middle Aged

Nurse's Role

Nursing Assessment

Nursing Methodology Research

Patient Advocacy

Patient Care Planning

Patient Care Team

Patient Participation

Survivors

Tape Recording

Nursing

Omvårdnad

Vårdvetenskap

Nursing science

SOCIAL SCIENCES

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)