Wadensten Barbro
Department of Caring Sciences, Orebro University, Orebro, Sweden.
J Clin Nurs. 2005 Sep;14(8B):84-9. doi: 10.1111/j.1365-2702.2005.01283.x.
The aim of this paper was to investigate what nursing home staff and residents converse about when they first meet each other in the morning and to investigate who starts the conversation. It is a pilot project about communication in a nursing home in Sweden and a basis for a practice development programme.
Studies in Sweden have shown that nurse assistants working in care of the older people felt they had too little training in how to communicate. Communicative behaviour influences patients, but little is known about the content of morning time communication in nursing homes.
Non-participant observation of 18 staff was carried out using an observation schema. Content analysis was performed.
The findings were that it was the staff who initiated conversation and chose the content of conversation. The most common topic in morning time conversation was residents' health and sickness.
Staff in nursing homes, both nurses and nurse assistants need to reflect on their interaction with residents and be conscious of their important role because they create the climate on the ward through conversation. Further studies are needed in order to explore residents' opinions of what the content of a good communication could be and also to find out how nurses and other staff members' communication with residents could be improved. Relevance to clinical practice. Staff need more training and knowledge about how to communicate with older people.
本文旨在调查养老院工作人员与居民在早晨初次见面时谈论的内容，并调查谁开启对话。这是一个关于瑞典一家养老院沟通情况的试点项目，也是一个实践发展项目的基础。
瑞典的研究表明，从事老年人护理工作的护士助理觉得他们在沟通方面接受的培训太少。沟通行为会影响患者，但对于养老院早晨沟通的内容却知之甚少。
使用观察表对18名工作人员进行非参与式观察。进行内容分析。
研究结果表明，是工作人员开启对话并选择对话内容。早晨对话中最常见的话题是居民的健康与疾病。
养老院的工作人员，包括护士和护士助理，需要反思他们与居民的互动，并意识到自己的重要角色，因为他们通过对话营造病房氛围。需要进一步研究，以探索居民对良好沟通内容的看法，以及找出如何改善护士和其他工作人员与居民的沟通。与临床实践的相关性。工作人员需要更多关于如何与老年人沟通的培训和知识。
