Publications

Journal Article Ahead of print

PubMed: 40669131 DOI: 10.1016/j.gerinurse.2025.103499

Developing education to confront challenges with dyadic communication while wearing facemasks in long-term care.

Geriatr Nurs 65:103499

Authors: Clarissa A Shaw, Lynn Nakad, Melissa Richlen, Paige Wilson, Carissa Coleman, Kristine N Williams

Affiliations

  • University of Iowa College of Nursing, 50 Newton Rd. Iowa City, IA, 52242 USA.
  • University of Iowa College of Nursing, 50 Newton Rd. Iowa City, IA, 52242 USA.
  • Institute of Public Health Practice, Research, and Policy, University of Iowa College of Public Health, 145 N. Riverside Dr. Iowa City, IA, 52242 USA.
  • University of Kansas School of Nursing, 3901 Rainbow Blvd. Kansas City, KS, 66160, USA.

Abstract

The purpose of this study was to develop and pilot test the web-based "CHATO-PPE" educational module that promotes successful communication with long-term care residents while wearing facemasks. A mixed-methods three phase approach was used that (1) identified best practices, needs, and preferences related to communication while wearing facemasks, (2) developed the CHATO-PPE module, and (3) evaluated the module using a one-group, pre-post design. Nineteen long-term care residents, long-term care staff, and family members of long-term care residents completed interviews or focus groups on needs and preferences of communication while wearing facemasks. Three themes were identified that were integrated into best-practices for communication with facemasks identified from a scoping review, which guided development of the module. Thirty-two long-term care staff completed CHATO-PPE and demonstrated a significant increase in confidence and identification of effective and appropriate verbal communication. Participants reported high satisfaction with CHATO-PPE, which equips nursing home staff with strategies that maintain person-centered communication while wearing facemasks.

MeSH

Long-Term Care, Communication, Education