Communicative barriers and resources in nursing homes from the enrolled nurses’ perspective: A qualitative interview study

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• 作者：Emma Forsgren^a ; ^b ; ^{emma.forsgren@neuro.gu.se" class="auth_mail" title="E-mail the corresponding author} ; Carola Skott^c ; ¹ ; ^{carola.skott@telia.com" class="auth_mail" title="E-mail the corresponding author} ; Lena Hartelius^a ; ^b ; ² ; ^{lena.hartelius@neuro.gu.se" class="auth_mail" title="E-mail the corresponding author} ; Charlotta Saldert^a ; ^b ; ³ ; ^{charlotta.saldert@neuro.gu.se" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Communicative disability ; Content analysis ; Conversational interaction ; Enrolled nurses ; Nursing homes ; Person-centred care
• 刊名：International Journal of Nursing Studies
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：54
• 期：Complete
• 页码：112-121
• 全文大小：421 K

文摘

Managing communicative disability is a pervasive issue in long-term care facilities. The aim of this study was to explore how enrolled nurses experience their everyday interactions with residents in nursing homes, particularly focusing on interactions with residents with communicative disability.

Design

A qualitative exploratory design including content analysis was used.

Participants and setting

Eight individuals working at six nursing homes in western Sweden were interviewed.

Method

The interviews were semi-structured with questions about the participants’ experiences in communicating with residents, feelings associated with interactions involving residents with communicative disability, meaning ascribed to interactions, and factors influencing interactions. The interviews were analysed using content analysis.

Results

A dynamic interplay between interpersonal relations, daily interactions and the managing of communicative disability was revealed. The enrolled nurses had good knowledge of supportive strategies and an awareness of the importance of the development of personal relationships with residents in order to facilitate interaction. However, factors in the environment presented barriers to communication.

Conclusions/implications

The organisation and physical environment of nursing homes prevent the enrolled nurses from taking full advantage of the communicative resources they have in interaction with residents with communicative disability, hence affecting staff–resident relationships and the delivery of person-centred care.