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Challenges in the communication between 'communication vulnerable' people and their social environment: An exploratory qualitative study

机译：“沟通脆弱”人群与其社会环境之间的沟通挑战：一项探索性定性研究

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Objective: Communication vulnerable people are often unable to communicate effectively within their social environment, hindering client-centered care and participation in daily life. This study aims to explore the experiences of communication and the factors that influence this in long term care settings. Methods: A qualitative study using the critical incident method. Communication vulnerable clients and people within their immediate environment were interviewed about their communication experiences. Results: Thirty-nine individuals in three settings participated in the interviews, of which 14 were clients. Specific challenges in communication were presented in different relationships. The main influencing factors in the communication between clients and professionals were: effort put into improving the communication, knowledge of the professional, augmentative and alternative communication, time for communication and the influence and power of the client. Conclusion: Communication vulnerable people and people within their immediate environment face daily challenges in communicating with each other. In particular, communication among clients, can be very difficult. Augmentative and alternative communication tools are only rarely used. Practice implications: Professionals need to develop adequate knowledge and skills to improve their communication. Also, more attention should be focussed on use of AAC, communication between professionals and family members, and support in the communication among clients.
机译：目标：沟通脆弱的人们通常无法在其社交环境中进行有效沟通，从而阻碍了以客户为中心的护理和日常生活的参与。本研究旨在探讨长期护理环境中的交流经验以及影响交流的因素。方法：使用关键事件法进行定性研究。沟通脆弱的客户和他们周围环境中的人们接受了关于沟通经验的采访。结果：三种环境中的39个人参加了访谈，其中14人是客户。沟通中的具体挑战以不同的关系呈现。客户与专业人员之间的沟通的主要影响因素是：努力改善沟通，专业知识，补充性和替代性沟通，沟通时间以及客户的影响力和力量。结论：沟通脆弱的人们和他们周围环境中的人们在彼此沟通中面临日常挑战。尤其是客户之间的沟通可能非常困难。增强和替代通信工具很少使用。实践意义：专业人士需要发展足够的知识和技能，以改善他们的沟通。此外，应更加关注AAC的使用，专业人员与家庭成员之间的交流以及客户之间交流的支持。

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