Improving nursing home communication: An intervention to reduce elderspeak
Improving nursing home communication: An intervention to reduce elderspeak
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DOI：
10.1093/geront/43.2.242
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发表时间：
2003-04-01
期刊：
影响因子：
5.7
通讯作者：
Hummert, ML
中科院分区：
文献类型：
--
作者：
Williams, K;Kemper, S;Hummert, ML
目的：今天的养老院缺乏社会互动的机会，工作人员经常向住院医生传达依赖、无能和控制的信息。这项研究评估了一个简短的教育计划，旨在提高工作人员对代际言语修改的认识，如老年人的语言和加强沟通的策略。设计和方法：对5家养老院的20名注册护士助理(CNA；n=20)进行沟通培训。工作人员在培训前后与住院医生互动的录音被转录、编码，并与老年人的语言特征进行比较。结果：培训后，CNA减少了对老年语言的使用，包括称呼语、不恰当的集体代词和缩短的句子长度。此外，工作人员对住院医生讲话的情绪基调在培训后被评为较少的控制性和更多的尊重，同时保持了关怀品质。语速无明显变化。寓意：教CNA减少老年人的语言作为一种改善养老院社会环境的方法是有希望的。
Purpose: Opportunities for social interaction are lacking within today's nursing homes and staff frequently communicate messages of dependence, incompetence, and control to residents. This study evaluated a brief educational program designed to increase staff awareness of intergenerational speech modifications such as elderspeak and strategies to enhance communication. Design and Methods: A communication-training program was provided to Certified Nursing Assistants (CNAs; n = 20) in five nursing homes. Audio recordings of staff interacting with residents before and after training were transcribed, coded, and compared on features of elderspeak. Results: After the training, CNAs reduced their use of elderspeak including terms of endearment, inappropriate collective pronouns, and shortened sentence length. In addition, the emotional tone of staff speech with residents was rated as less controlling and more respectful after the training while caring qualities were maintained. Speech rate did not change significantly. Implications: Teaching CNAs to reduce elderspeak holds promise as an approach to improving the social environment in nursing homes.