Katherine S McGilton1, Riva Sorin-Peters2, Elizabeth Rochon3, Veronique Boscart4, Mary Fox5, Charlene H Chu6, Steven C Stewart7, Souraya Sidani8. 1. Department of Research, Toronto Rehabilitation Institute, E.W. Bickle Centre for Continuing Care, 130 Dunn Avenue, Toronto, Ontario, M6K 2R7, Canada; Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, 155 College Street, Toronto, Ontario M5T1P8, Canada. Electronic address: kathy.mcgilton@uhn.ca. 2. Revive Speech Therapy, Toronto, Ontario, Canada. 3. Department of Research, Toronto Rehabilitation Institute, E.W. Bickle Centre for Continuing Care, 130 Dunn Avenue, Toronto, Ontario, M6K 2R7, Canada; Department of Speech-Language Pathology, University of Toronto, 160-500 University Avenue, Toronto, Ontario M5G 1V7, Canada. 4. School of Health & Life Sciences and Community Services, Conestoga College Institute of Technology and Advanced Learning, 299 Doon Valley Drive, Kitchener, ON N2G 4M4, Canada. 5. School of Nursing, York University, 4700 Keele Street, Toronto, Ontario M3J 1P3, Canada. 6. Department of Research, Toronto Rehabilitation Institute, E.W. Bickle Centre for Continuing Care, 130 Dunn Avenue, Toronto, Ontario, M6K 2R7, Canada; Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, 155 College Street, Toronto, Ontario M5T1P8, Canada. 7. Department of Research, Toronto Rehabilitation Institute, E.W. Bickle Centre for Continuing Care, 130 Dunn Avenue, Toronto, Ontario, M6K 2R7, Canada. 8. Daphne Cockwell School of Nursing, Ryerson University, 350 Victoria Street, Toronto, Ontario M5B 2K3, Canada.
Abstract
PURPOSE OF THE STUDY: This small scale study examined the influence of an interprofessional (IP) evidence based patient-centered communication intervention (PCCI), delivered by trained nurses in collaboration with Speech Language Pathologists, on patient outcomes in an active stroke rehabilitation setting. DESIGN AND METHODS: The setting constraints imposed the use of a single-group pretest and post-test design to determine the influence of the intervention on patient outcomes. Validated tools measured patient quality of life (QOL), depressive symptoms and satisfaction with care. RESULTS: Patients (n=34) showed improvement in all outcomes from pretest to post-test, including quality of life, geriatric depressive symptoms, and satisfaction with care. IMPLICATIONS: The findings indicate that a comprehensive person-centered communication intervention has the potential to enhance patient outcomes at discharge. Challenges to implementing and evaluating evidence-based interventions in practice are highlighted.
PURPOSE OF THE STUDY: This small scale study examined the influence of an interprofessional (IP) evidence based patient-centered communication intervention (PCCI), delivered by trained nurses in collaboration with Speech Language Pathologists, on patient outcomes in an active stroke rehabilitation setting. DESIGN AND METHODS: The setting constraints imposed the use of a single-group pretest and post-test design to determine the influence of the intervention on patient outcomes. Validated tools measured patient quality of life (QOL), depressive symptoms and satisfaction with care. RESULTS:Patients (n=34) showed improvement in all outcomes from pretest to post-test, including quality of life, geriatric depressive symptoms, and satisfaction with care. IMPLICATIONS: The findings indicate that a comprehensive person-centered communication intervention has the potential to enhance patient outcomes at discharge. Challenges to implementing and evaluating evidence-based interventions in practice are highlighted.