A case for the implementation of cognitive-communication screenings in acute stroke.
A case for the implementation of cognitive-communication screenings in acute stroke.
复制标题
在急性中风中实施认知沟通筛查的案例。
DOI：
10.1044/1058-0360(2013/11-0064
复制
发表时间：
2014
影响因子：
2.6
通讯作者：
J. Hinckley
中科院分区：
文献类型：
--
作者：
J. Hinckley
目的
本文的目的是说明认知沟通筛查在急性卒中中的重要性，并讨论是否需要进一步研究以及如何实施这些筛查。中风后的认知交流筛查是现有实践指南的主题，并得到了积累的证据的支持。
方法
作者使用一个自我民族志的叙述-一种建立在现象学的工具-提供了一个家庭的经验，其中一个成员经历了右半球中风的深入描述。她使用系统的内省，以产生一个叙事使用文学技巧。
结果
叙述说明了一个家庭的经验，当他们的一个成员有一个右半球中风，和认知沟通障碍从来没有正式确定的专业人员参与病人的护理。
结论
叙述与已发表的文献以及识别和管理中风后认知沟通障碍的重要性有关。实施科学的模型是一种考虑临床医生在尝试实施循证实践时所面临的挑战的方法。该模型和其他领域的例子显示了进一步研究的途径。
PURPOSE
The purpose of this article was to illustrate the importance of the implementation of cognitive-communication screenings in acute stroke and to discuss the need for further research on whether and how these screenings are implemented. Cognitive-communication screenings after stroke are the subject of existing practice guidelines and are supported by accumulated evidence.
METHOD
The author uses an autoethnographic narrative--a tool founded in phenomenology--to provide an in-depth description of the experiences of a family in which one member experienced right-hemispheric stroke. She uses systematic introspection to produce a narrative using literary techniques.
RESULTS
The narrative illustrates the experiences of one family when one of their members has a right-hemisphere stroke, and cognitive-communication impairments are never formally identified by professionals involved in the patient's care.
CONCLUSIONS
The narrative is linked to the published literature and the importance of identifying and managing cognitive-communication impairments after stroke. A model of implementation science is presented as one way to consider the challenges clinicians face when attempting to implement evidence-based practices. The model and examples from other fields show avenues for further research.