Author Identifier
Deborah Hersh
ORCID : 0000-0003-2466-0225
Erin Godecke
ORCID : 0000-0002-7210-1295
Natalie Ciccone
ORCID : 0000-0002-1822-7217
Elizabeth Armstrong
ORCID : 0000-0003-4469-1117
Document Type
Journal Article
Publication Title
Disability and Rehabilitation
Publisher
Taylor & Francis
School
School of Medical and Health Sciences
RAS ID
40571
Funders
Edith Cowan University - Open Access Support Scheme 2021
Hollywood Private Hospital Research Foundation
Australian Post Graduate Award Scholarship
ECU Research Travel Grant
Abstract
Background
Patients in hospital following stroke express a desire to continue therapy tasks outside of treatment activities. However, they commonly describe experiences of boredom and inactivity. An enriched environment aims to provide opportunities for physical, cognitive and social activity and informed the development of a Communication Enhanced Environment (CEE) model to promote patient engagement in language activities.
Purpose
Explore patient perceptions of a CEE model, and barriers and facilitators to engagement in the model.
Methods
A qualitative description study from a larger project that implemented a CEE model into acute and rehabilitation private hospital wards in Western Australia. Semi-structured interviews were conducted with seven patients, including four with aphasia, within 22 days post-stroke who had access to the CEE model.
Results
Patients described variable experiences accessing different elements of the CEE model which were influenced by individual patient factors, staff factors, hospital features as well as staff time pressures. Those who were able to access elements of the CEE model described positive opportunities for engagement in language activities.
Conclusions
While findings are encouraging, further exploration of the feasibility of a CEE model in this complex setting is indicated to inform the development of this intervention.
Implications for rehabilitation
-
Patient access to a CEE model is challenging in a hospital setting.
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Patients who were able to access elements of the CEE model described positive opportunities for engagement in language activities.
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Patients’ access to the CEE model was influenced by patient factors, staff factors, hospital features as well as staff time pressures.
DOI
10.1080/09638288.2021.1965226
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Comments
D’Souza, S., Hersh, D., Godecke, E., Ciccone, N., Janssen, H., & Armstrong, E. (2022). Patients’ experiences of a Communication Enhanced Environment model on an acute/slow stream rehabilitation and a rehabilitation ward following stroke: a qualitative description approach. Disability and Rehabilitation, 44(21), 6304-6313.
https://doi.org/10.1080/09638288.2021.1965226