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Related Experiment Videos

Touching by skilled nurses in elderly nursing care

P Routasalo1, A Isola

  • 1Department of Nursing, University of Turku, Finland. Pirkko.Routasalo@utu.fi

Scandinavian Journal of Caring Sciences
|November 5, 1998
PubMed
Summary

Touching is crucial in long-term care nursing, especially for non-verbal patients. Nurses develop unique interaction styles, but all demonstrate high competence and skill in patient care.

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Area of Science:

  • Nursing Care
  • Gerontology
  • Communication Studies

Background:

  • Touching is a vital communication method in nursing, particularly for patients with impaired verbal abilities.
  • Long-term care patients often require significant assistance with daily activities, increasing the need for physical contact.
  • The study addresses the role of touch in nursing for patients with limited communication capacity.

Purpose of the Study:

  • To explore the patterns of touching in nurse-patient interactions within a long-term care setting.
  • To analyze the nuances of non-verbal communication through touch in nursing practice.
  • To understand how established nurse-patient relationships influence the use of touch.

Main Methods:

  • Video recording of 10 nursing care situations in a long-term care facility.
  • Phenomenological data analysis inspired by Ricoeur's philosophy (naive understanding, structural analysis, comprehensive understanding).
  • Focus on patients with high dependency and communication difficulties.

Main Results:

  • Distinct, individualized patterns of interaction and touching were observed between nurse-patient pairs.
  • Some nurses employed frequent and close physical touch (hugging, patting, stroking), while others maintained a greater distance.
  • All nurses, regardless of their touching patterns, exhibited high levels of competence and skill.

Conclusions:

  • Nurse-patient interactions, including the use of touch, are highly personalized and develop over time.
  • Varied approaches to physical touch in nursing are effective, provided the nurse is skilled and competent.
  • The study highlights the significance of non-verbal communication and individualized care in long-term nursing.

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