Title (Does the title clearly reflect the direction of the research?).
• Bridging the gap in nurse and patient therapeutic communication through mobile speech translation technology in aged person’s mental health inpatient units.
• Mental health nurses working in aged acute mental health inpatient units strive to maintain meaningful communication, therapeutic alliances and holistically focused care with older aged patients from culturally and linguistically diverse backgrounds (CALD) and to achieve positive and collaborative relationships (Mc Kenna et al. 2014).
• Mental health nurses face a diversity of clinical and professional challenges in their everyday clinical practice in communicating and maintaining culturally sensitive and meaningful therapeutic communication with older aged patients from CALD backgrounds.
1. What you are researching (Is what is being researched clearly and engagingly identified?)
• The research will focus on evaluating the utility of mobile speech translation technology in supporting therapeutic communication between mental health nurses and older patients from CALD backgrounds with limited ability to communicate in conversational English.
The research study will also investigate:
• How of mobile speech translation technology can address therapeutic communication barriers between older patients from CALD backgrounds and mental health nurses.
• How contextual and interpersonal factors affect Interactional characteristics and outcomes (e.g. body language, eye contact and non-verbal cues) occurring between patients and clinicians when using mobile speech and translation technology.
• The effectiveness of mobile speech translation technology application in relation to fluency and reliability of the translation and speech recognition systems.
• The clinical utility of a speech translation technology in supporting cross-language communication within an Older Persons Mental Health Inpatient clinical environment.
2. How you will undertake the project (Methodology ; Study Design) – (Is there an indication of how the research will be undertaken?)
• Methodology – The study will utilise a mixed methods research paradigm.
• Cohort: Persons Aged 65 years, current mental diagnosis, CALD backgrounds with limited receptive and spoken understanding of English, current admission and treatment in an aged persons mental health unit.
• Study Design – Pre and Post Questionnaires for patient and mental health nurses to provide baseline data in relation to understanding about speech translation technology.
• An observational tool will be administered by an independent observer to evaluate interactional and communication interchanges in determining communication device effectiveness and patient to nurse communication.
• Training of mental health nurses in use of communication device and speech translation technology.
• Quantitative methodology to compare and contrast magnitude of effectiveness of speech translation technology and face to face interactions, quality of interactions and communication.
3. Why is my project significant and important? (Significance) – (Has the significance and importance of this research been identified?)
• The research project is significant in making a positive contribution and extending the body of knowledge for an important issue that will inform mental health clinical practice in addressing language and communication barriers and discordance that are grounded in research and mental health nursing practice.
• Based on a review of the research literature, the following themes that affect mental health nursing practice in relation to language and communication barriers, nurse to patient relationships and therapeutic communication between mental health nurses and older patients have led to an identification of the following:
• Communication and language issues can be problematic within mental health inpatient units (Stolk et al 1998).
• Albrecht et al (2013, p.5): “…little is known about the acceptance by the nursing staff or usability and efficiency of mobile translation tools in clinical settings and whether it is possible to properly integrate such applications into existing work flows”.
• A scoping study is currently being undertaken by the National Ageing Research Institute in Melbourne to investigate the utility of speech translation technology across various healthcare settings (National Aging Research Institute, n.d).
• There is a need to address the cultural, communication and language barriers that contribute to increased adverse risk to patient safety. (Scarino, O’Keefe, Crichton, O’Neill ; Dollard 2014).
• Communication and language barriers within the clinical environment can cause frustration, miscommunication, misunderstanding, breakdowns of trust and engagement between nurses and older patients (Heikkila, Sarvimaki ; Ekman 2007; Ulrey ; Amason 2001; Johnstone, Rawson, Hutchinson ; Redley 2016).
4. What will be my contribution to knowledge? (Academic and Practice) – (Is there a clear indication of the contextualising literature and the place of this research amongst it?)
Albrecht et al (2013, p.5): “.. little is known about the acceptance by the nursing staff or usability and efficiency of mobile translation tools in clinical settings and whether it is possible to properly integrate such applications into existing work flows”.
In my doctoral study I propose a framework for reviewing the literature on research-based communication and language translation technology and how this technology will open opportunities in:
• ‘Bridging the gap’ in addressing communication and language barriers, enhance quality of face to face nurse and patient interactions, Increasing awareness of patient communication needs and how speech technology can be effectively be used in addressing cultural, communication and language barriers.
• Identifying how communication technology and interactional/contextual factors can be married to work in unison to provide optimal opportunities for therapeutic communication and relationships.
• Building upon past and existing research to build clinical and theoretical capacity and creativity.
• In an academic context, the study will enable exploration and contribution to expanding the body of research and professional knowledge of an important current issue confronting nursing practice and healthcare provision to a vulnerable cohort of patients, further contributing to patient safety and nursing education.
(Does the proposed research appear to be coherent?)
(Does the Plan suggest a well-structured essay which will be within word length: ie Introduction, sections, Conclusion?)
Any further comments to enhance the transition from Plan to Essay?