Evaluation of Speak for Myself © with Patients who are Voiceless

Saturday, 16 November 2013

Rebecca Susan Koszalinski, MS, RN
College of Nursing, Florida Atlantic University, Boca Raton, FL

Learning Objective 1: Describe the process of the creation of new software designed to assist nonverbal (for mechanical or obstructive reasons) patients at the bedside.

Learning Objective 2: Describe the process of obtaining copyright protection for newly developed technology.

This is phase one of a two phase dissertation study.  The first phase required development of software called Speak for Myself © (SFM©). It also required development of a measurement tool to evaluate outcomes in the pilot study (phase two). The newly developed measure is the Nonverbal Communication in Hospitalized Patients (NCHP) instrument.

This process was begun by searching the literature regarding communication needs of patients who are nonverbal in any care setting. Both the nurse’s view and the patient’s view, were considered in the development of the menu of SFM ©. The menu was created to allow both pre-programmed and intuitive use. It is intuitive in that it will suggest a word as the patient types it.  A function was added to create an individual menu including each word the patient selects. The software will record use of each word or phrase for statistical analysis. This information can be used to make adjustments in menu items. 

The new measure (NCHP) was developed in a second year doctoral quantitative course. Following development, the NCHP was subjected to Content Validity testing twice, at which point an acceptable value was achieved. Participants who have cerebral palsy but who are cognitively intact provided the ratings.

A computer programmer was used to program the menu on an Android tablet.  Once the menu was developed and a working prototype existed an application was completed for copyright protection through Florida Atlantic University. This process also required legal services in order to apply for copyright protection through the United States Copyright Office.

The second phase of this study is to test SFM © with nonverbal patients and measure outcomes (via NCHP and other tools). Data collection is being done at three facilities in South Florida. This research is ongoing.