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Journal article
Improving communication with patients in post-traumatic amnesia: development and impact of a clinical protocol
Brain injury, v 34(11), pp 1518-1524
18 Sep 2020
PMID: 32835514
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To assess the impact of staff training focused on improved treatment and communication with patients in post-traumatic amnesia (PTA) or other disorders of explicit (declarative) memory. A major aim was to minimize questions demanding recall from explicit memory, e.g., orientation quizzing, and personal/medical history questions, which may produce unreliable information and exacerbate patient frustration and anxiety.
Mixed-methods design. Inpatients with impairments of explicit memory were observed before (n = 4) and after (n = 4) training, with staff interactions recorded verbatim. Records were coded for types of questions and patient responses. Clinicians who worked before and after training were surveyed regarding perceived changes in practice, team functioning, and patient behavior.
Explicit memory questions decreased significantly, as did irrelevant or "don't know" responses from patients, with large nonparametric effect sizes noted. The frequency of questions not relying on explicit memory remained stable. Most clinicians reported positive effects on their own and others' practice with memory impaired patients, and one-quarter noted less patient frustration or agitation.
Although questioning patients is a natural part of medical care, targeted staff training can result in positive changes in communication practice and should be considered for facilities treating patients in PTA.
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Details
- Title
- Improving communication with patients in post-traumatic amnesia: development and impact of a clinical protocol
- Creators
- Tessa Hart - Moss Rehabilitation Research InstituteMary Ferraro - Moss Rehabilitation HospitalAmanda Rabinowitz - Moss Rehabilitation HospitalEileen Fitzpatrick DeSalme - Moss Rehabilitation HospitalLauren Nelson - Drexel UniversityElizabeth Marcy - Moss Rehabilitation HospitalStephanie Farm - Moss Rehabilitation HospitalLyn Turkstra - McMaster University
- Publication Details
- Brain injury, v 34(11), pp 1518-1524
- Publisher
- Taylor & Francis
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000561907900001
- Scopus ID
- 2-s2.0-85089696383
- Other Identifier
- 991021860776104721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Neurosciences
- Rehabilitation