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Harwood RH, O’Brien R, Goldberg SE, et al. A staff training intervention to improve communication between people living with dementia and health-care professionals in hospital: the VOICE mixed-methods development and evaluation study. Southampton (UK): NIHR Journals Library; 2018 Dec. (Health Services and Delivery Research, No. 6.41.)

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A staff training intervention to improve communication between people living with dementia and health-care professionals in hospital: the VOICE mixed-methods development and evaluation study.

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Appendix 4Communication behaviour rating forms: closings

VOICE communication practices checklist: for closing of encounter

Rating started at (time code):

Rating finished at (time code):

Total time coded:

Communication practice during closing phaseExemplarsTick if presentTime codeQuotations/queries/comments
Vague arrangement at closingSee you soon; see you around; some people will be around (without specific arrangement first)
Specific closing arrangementSee you tomorrow; the nurse will be here in 5 minutes; I’ll go and get that cup of tea now
Notification ahead of final activityBefore I go (then announces a final task or action or question)
Announcing completion of final activityThat’s us all done; that’s it, got what we needed
Announcing explicit intention to leaveSo I’m gonna go now
Non-verbal actions supporting verbal closing (body position, furniture, equipment)Repositioning table, doll, blankets; tidying equipment; breaking eye contact
Closing idiom or sayingAll done and dusted; I’ll leave you be; we’ll keep a close eye on things; you take care
‘Is there anything else?’ type open question during closingAnything you want to ask me before I go?; do you want a hand with anything before I go?; is there anything I can help with?
Mismatch between non-verbal and verbal actions during closingHealth-care professional gives verbal indications of closing but does not make physical moves to indicate closing/leaving; health-care professional opens new lines of enquiry (verbal) while walking away (non-verbal)Do not include here activities that happen after a ‘before I go . . .’ announcement, as this was a trainable
Closing ‘other’: state whether facilitator of or barrier to closing; give quotationNo data classed here as ‘other’ will be counted
Copyright © Queen’s Printer and Controller of HMSO 2018. This work was produced by Harwood et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.
Bookshelf ID: NBK535339

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