Command Use and Compliance in Staff Communication With Elderly Residents of Long-Term Care Facilities
Command Use and Compliance in Staff Communication With Elderly Residents of Long-Term Care Facilities
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DOI：
10.1016/j.beth.2010.07.001
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发表时间：
2011-03-01
期刊：
影响因子：
3.7
通讯作者：
Wanzek, Megan
中科院分区：
文献类型：
--
作者：
Christenson, Angela M.;Buchanan, Jeffrey A.;Wanzek, Megan
护理助理与痴呆症患者之间的口头沟通可能具有挑战性，特别是在实际护理任务中。尽管口头交流的许多方面都会影响互动的质量，但一个潜在的重要交流变量是护理助理在需要住院医生完成任务时发出的命令类型。本研究的目的是检查护理人员在日常生活活动中与痴呆症患者互动时使用的各种命令。命令根据其可行性/特殊性以及形式进行分类。本研究的另一个目标是测量与各种命令类别相关的遵从率和不遵从率。结果表明，与beta命令（含糊、中断和不可行）相比，alpha命令（清晰、简洁和可行）具有更高的遵从性和更少的不遵从性。此外，直接声明的命令、澄清先前命令的命令以及精确重复的命令会产生更好的遵从性。结论是，培训护理人员改变他们在护理任务中提供的命令类型可能会减少工作人员和居民的痛苦体验。
Verbal communication between nursing assistants and individuals with dementia can be challenging, particularly during hands-on caregiving tasks. Although there are many aspects of verbal communication that can affect the quality of an interaction, one potentially important communication variable is the types of commands issued by nursing assistants when they need a resident to complete a task. The purpose of this study was to examine the kinds of commands used by nursing care staff when they interact with patients with dementia during activities of daily living. Commands were categorized according to their feasibility/specificity as well as form. An additional goal of this study was to measure compliance and noncompliance rates associated with the various categories of commands. Results indicate that alpha commands (clear, concise, and feasible) account for higher compliance and less noncompliance compared with beta commands (ambiguous, interrupted, and not feasible). In addition, commands that are stated directly, that clarify a previous command, and that are repeated exactly produce better compliance. It is concluded that training nursing staff to change the types of commands they provide during caregiving tasks may reduce distress experienced by both staff and residents.