Related Experiment Video
Updated: Sep 15, 2025

Author Spotlight: Deciphering the Cognitive and Neural Mechanisms of Gesture in Communication
Published on: January 26, 2024
Developing education to confront challenges with dyadic communication while wearing facemasks in long-term care.
Clarissa A Shaw1, Lynn Nakad1, Melissa Richlen2
1University of Iowa College of Nursing, 50 Newton Rd., Iowa City, IA, 52242 USA.
The CHATO-PPE module improves nursing home staff communication with residents while wearing masks. Staff reported increased confidence and satisfaction using these person-centered communication strategies.
Area of Science:
- Gerontology
- Health Communication
- Nursing Education
Background:
- Effective communication is vital for quality care in long-term settings.
- Facemask use during the COVID-19 pandemic created significant communication barriers for residents and staff.
- Existing communication strategies often fail to address the unique challenges of facemask use in long-term care.
Purpose of the Study:
- To develop and pilot test CHATO-PPE, a web-based educational module.
- To enhance communication skills of long-term care staff when wearing facemasks.
- To promote person-centered communication practices in long-term care facilities.
Main Methods:
- A mixed-methods approach across three phases: needs assessment, module development, and pilot testing.
- Qualitative data collection through interviews and focus groups with residents, staff, and family members.
- Quantitative evaluation using a one-group, pre-post design with 32 nursing home staff participants.
Main Results:
- Identified key themes and integrated them into best practices for facemask communication.
- Participants showed a significant increase in confidence and ability to identify effective verbal communication strategies.
- High participant satisfaction reported with the CHATO-PPE module.
Conclusions:
- CHATO-PPE is an effective tool for equipping nursing home staff with strategies for successful communication while wearing facemasks.
- The module supports the maintenance of person-centered communication, enhancing resident well-being.
- Web-based educational modules can successfully address communication challenges in healthcare settings.
Related Concept Videos
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Barriers to Effective Communication I
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Tracheostomy Care II: Procedure
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...

