Improving outcomes of nursing home interactions

Improving outcomes of nursing home interactions
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DOI:
10.1002/nur.20117
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发表时间:
2006-04-01
影响因子:
2
通讯作者:
Williams, KN
Williams, KN
中科院分区:
医学4区
文献类型:
--
作者:
Williams, KN

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在本研究中,一种旨在改善工作人员与住院医师沟通的干预措施在三所疗养院进行了评估。从基线、立即和干预后2个月的工作人员讲话录音,比较老年人讲话(幼儿化讲话),并对关怀、尊重和控制进行评分。干预后,员工使用较少的长者语(即,小名,集体代词替代,缩短陈述和简化词汇)。干预后立即进行的谈话被认为控制欲较弱,但更尊重和关心。2个月后,交流变得更有控制欲,更少尊重,更少关心。在心理语言学方面,工作人员使用老人话的情况继续减少,但在护理、尊重和控制方面的改善却减少了,这表明需要不断加强培训。(c) 2006 Wiley期刊公司
In this study, an intervention designed to improve staff-resident communication was evaluated in three nursing homes. Audio recordings of staff speech from baseline, and immediately and 2 months post- intervention, were compared on elderspeak (infantilizing speech) and rated for care, respect, and control. After the intervention, staff used less elderspeak (i.e., diminutives, collective pronoun substitutions, shortened statements, and simplistic vocabulary). Immediate post-intervention conversations were rated as less controlling, but more respectful and caring. After 2 months, communication was more controlling, less respectful, and less caring. Reduction in staff elderspeak use continued for Psycholinguistic measures, but improvements in care, respect, and control decayed, suggesting the need for ongoing reinforcement of training. (c) 2006 Wiley Periodicals, Inc.