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Relational conversation as method for creating partnerships: pilot study.

Mary Hobbs Leenerts1, Cynthia S Teel

  • 1School of Nursing, University of Kansas Medical Centre, Kansas City, Kansas 66160, USA. mleenerts@kumc.edu

Journal of Advanced Nursing
|May 5, 2006
PubMed
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This study explored communication skills for advanced practice nurses building partnerships with caregivers using the Self-Care TALK intervention. Relational conversation, supported by specific communication skills, fostered caregiver self-care intentions.

Area of Science:

  • Nursing
  • Gerontology
  • Communication Studies

Background:

  • Nurse-client relationships are foundational for building partnerships.
  • Self-Care TALK is a theory-derived intervention based on the Self-Care for Health Promotion in Aging model.
  • The intervention was piloted with older spouse caregivers of individuals with early dementia.

Purpose of the Study:

  • To describe communication skills used by advanced practice nurses to create partnerships with caregivers.
  • To explore the communication process and skills within the Self-Care TALK intervention.
  • To evaluate the implementation of Self-Care TALK in a pilot study.

Main Methods:

  • Pilot testing of Self-Care TALK followed intervention phases: delivery, receipt, and enactment.

Related Experiment Videos

  • Advanced practice nurse communication was guided by Henson's communication elements for partnership.
  • Qualitative descriptive analysis of audiotaped phone conversations compared communication skills across interactions.

    • Main Results:

    • Communication examples illustrated the Self-Care TALK protocol structure and relational conversation process.
    • Caregivers identified outcomes, including intentions to enact self-care.
    • The study described the interaction structure, process, and caregiver-identified outcomes.

    Conclusions:

    • Partnership-building conversations relied on language supporting relational conversation.
    • Four key communication skills facilitated relational conversation: listening with intent, affirming emotions, creating relational images, and planning enactment.
    • Effective communication skills are crucial for fostering caregiver self-care and nurse-client partnerships.