Related Experiment Video
Updated: Jul 2, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Educational Intervention "Open Conversation and Reflection" to Enhance Person-Centeredness in Acute Geriatric Wards:
Karen Versluys1, Sarah Janssens2, Mieke Grypdonck3
1Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.
Background:
Person-centered supportive care for older persons with acute illness is much needed but not easily achieved.
Aims Of The Study:
To uncover processes and consequences of an educational intervention in acute geriatric wards intended as an exposure experience.
Design:
General inductive qualitative analysis was conducted on data from a four-step intervention: group coaching, an open conversation with a patient and family member (PT/FM), reflection on transcribed conversations with co-participant, and group peer reflection.
Methods:
Twelve participants engaged in the intervention. Transcripts from paired reflection sessions and peer reflections were analyzed using general inductive qualitative analysis.
Results:
The exposure experience of the participants involved three major processes: (1) fear before the conversation, (2) presence during the conversation, and (3) responsiveness after the conversation. Each process entailed several substeps. Not only the open conversation but also the whole process of reflection with a co-participant after reading the transcript and the peer-reflection sessions seem to be needed to realize the exposure experience.
Conclusions:
Through the educational intervention "open conversation and reflection," participants experienced that connecting with PT/FM and listening to what is important to them are essential to realize person-centered care. Thus, pending further studies, the educational intervention can be considered promising to enhance person-centeredness in older people's care.
Related Concept Videos
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Role of Communication in the Nursing Process II: Planning and Implementation
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
Patient-centered Care
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...

