Nurse-elderly patient communication in home care and institutional care: an explorative study

https://doi.org/10.1016/S0020-7489(97)00039-4Get rights and content

Abstract

This study explores communication patterns between nurses and elderly patients in two different care settings. In a sample of 181 video-taped nursing encounters, involving 47 nurses and 109 patients, a study was made of nurse-patient communication. The video recordings were observed using an adapted version of Roter's Interaction Analysis System, which yields frequencies of 23 types of verbal behaviours. These data were analyzed using correspondence analysis, to reduce them to a smaller number of verbal categories, in which two socio-emotional categories and three categories with task-related communication, could be distinguished. For each encounter five summary statistics corresponding to these categories were calculated.

Using analysis of variance, it was shown that the amount of socio-emotional interaction in both settings appeared to be higher than was reported in previous studies into nurse-patient communication. Compared with the home for the elderly, communication was more task-related in home care.

References (44)

  • A.van den Brink-Muinen

    Gender, health and health care in general practice: A comparison between women's health care and regular health care

    (1996)
  • W.M.C.M. Caris-Verhallen et al.

    The role of communication in nursing care for the elderly: a review of the literature

    J. Adv. Nurs.

    (1997)
  • W.M.C.M. Caris-Verhallen et al.

    De kwaliteit van de communicatie tussen verplegenden en oudere cliënten

    (1997)
  • CBS

    Vademecum of health Statistics of the Netherlands 1995

    (1995)
  • J. Coolen

    Changing care for the elderly in the Netherlands

    (1993)
  • D.M.J. Delnoij et al.

    Brancherapport curatieve somatische zorg

    (1996)
  • G.J. Dijkstra et al.

    Vergelijking van lichameiijke zorgbehoefte van ouderenin drie typen instellingen

    T.S.G.

    (1995)
  • A.M. Dulmen et al.

    Shifts in doctor-patient communication during a series of outpatient consultations in non-insulin-dependent diabetes mellitus

    Patient Educ. Couns.

    (1997)
  • M.J. Greenacre

    Theory and applications of Correspondence Analysis

    (1984)
  • I.de. Gruyter et al.

    Communicatie met oudere patiënten: Doctoraalscriptie

    (1995)
  • R.J. Henbest et al.

    Patient-centredness: Is it applicable outside the West? Its measurement and effect on outcomes

    Family Practice

    (1992)
  • P.G.M.van der Heijden et al.

    Three data reduction methods for the analysis of time budgets

  • Cited by (51)

    • Food intake is associated with verbal interactions between nursing home staff and residents with dementia: A secondary analysis of videotaped observations

      2020, International Journal of Nursing Studies
      Citation Excerpt :

      Second, the role of staff negative utterances was not examined due to limited amount of data coded from the study sample. Third, while the videos were collected following standard procedures (Williams et al., 2016), including the use of practice recording sessions to minimize Hawthorne effect (Caris-Verhallen et al., 1998), it is possible that staff were aware of the video recording, and were not interacting with residents in the same way as they were without the video recording or tended to perform more positively than they usually did. Fourth, data on indication of dysphagia or diet prescriptions, which may impact the relationship between intake and dyadic verbal interactions, were not collected in the parent study.

    • The association of eating performance and environmental stimulation among older adults with dementia in nursing homes: A secondary analysis

      2017, International Journal of Nursing Studies
      Citation Excerpt :

      The 10-min length of interaction was used to ensure adequate and equal opportunities for observation of staff communication and subsequent resident behaviors in response to staff communication during care. The first 10 min of ADL care have been established as reliable representations of verbal (r = 0.80–0.93) and nonverbal (r = 0.61–0.92) behaviors in complete interactions (Caris-Verhallen et al., 1998), and have been used in dementia care research(Beck et al., 2002). For this study, baseline videos from the parent study were screened.

    • Older persons’ worries expressed during home care visits: Exploring the content of cues and concerns identified by the Verona coding definitions of emotional sequences

      2016, Patient Education and Counseling
      Citation Excerpt :

      Interviews are the most frequently used approach [5,6]. One observational study, focussed on the nurses’ communication and not the older persons’ experiences, found that home care nurses more often used socio-emotional communication than was reported in previous studies [7]. Another study found that communication between nurses and home care recipients included negotiating autonomy and solidarity for both parties [8].

    • Linking Resident Behavior to Dementia Care Communication: Effects of Emotional Tone<sup>[1]</sup>[1]Disclosure: Supported by the NIH NINR Small Grant: NR009231-02, Elderspeak: Impact on Dementia Care, K. Williams, PI. The authors have no actual or potential conflicts of interest related the reported research study

      2011, Behavior Therapy
      Citation Excerpt :

      Staff ranged from 21 to 54 (mean 35) years of age. Videos were collected in the parent study using a hand-held video recorder to record staff-resident dyads during care activities using established techniques to minimize reactivity and the Hawthorne effect (Caris-Verhallen, Kerkstra, van der Heijden, & Bensing, 1998). A random selection of recordings was made from video footage collected over an entire day that met a priori selection criteria.

    View all citing articles on Scopus
    View full text