养老院工作人员与痴呆症患者之间的餐时间互动:对语言特征的行为分析
Wen Liu1, Ying-Ling Jao2, Anju Paudel2
1College of Nursing, The University of Iowa, 50 Newton Rd, Iowa City, IA, 52242, USA. wen-liu-1@uiowa.edu.
BMC geriatrics
|September 23, 2023
概括
工作人员在餐时间的沟通往往是积极的,以居民为导向. 随着痴呆症的进展,员工和住院人员的发言时间越来越短,这凸显了简化沟通策略的必要性.
科学领域:
- 老年学是一门学科.
- 沟通研究 沟通研究
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 护理人员和痴呆症患者之间的有效沟通对于积极的结果至关重要,特别是在餐时间.
- 了解餐点期间员工居民语言的细微差别可以提高沟通效率,但目前的证据有限.
- 本研究探讨了在养老院内员工与居民的餐时间互动中影响语言特征的因素.
研究的目的:
- 分析在养老院的用餐时间内员工与居民互动的语言特征.
- 识别与发言长度和用名字称呼相关的因素,包括痴呆阶段.
- 为改善痴呆症护理中的沟通策略提供见解.
主要方法:
- 对160张餐时间互动视频录制的二次分析,涉及36名工作人员和27名中度至重度痴呆症住户.
- 混合效应模型被用来检查独立变量 (演讲者,发言质量,干预,痴呆阶段) 和依赖变量 (发言长度,以姓名对待伴侣) 之间的关系.
- 模型以随机效应计算了工作人员,居民和二位数.
主要成果:
- 与居民 (平均2.6个单词) 相比,工作人员主要参与积极和更长的发言 (平均4.3个单词).
- 随着痴呆症严重程度的增加 (p=.009),员工和住院人员都观察到更短的发言 (p=.009).
- 工作人员更频繁地以姓名对待居民 (18%) 比居民对待工作人员 (2.0%),严重痴呆病例的使用增加 (p<.0001).
结论:
- 工作人员与居民的餐时间沟通在很大程度上是积极的,由工作人员发起,以居民为重点.
- 痴呆症的严重程度显著影响发言的长度和名称的使用,需要适应性沟通方法.
- 工作人员应使用简单,简短的表达式,并以姓名对待居民,以加强以人为中心的对语言能力下降的个体的照顾.
相关概念视频
01:29Documentation in Long-Term and Home Healthcare Setting
909
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
909
01:25Role of Communication in the Nursing Process I: Assessment and Diagnosis
4.4K
The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
4.4K
01:27Language and Cognition
367
Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
367
01:30Dementia
131
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
131
01:25Role of Communication in the Nursing Process II: Planning and Implementation
1.9K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.9K
01:14SBAR II: Application of SBAR
4.5K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.5K