Lombardi Nathaniel J, Buchanan Jefirey A, Afierbach Shelby, Campana Kristie, Sattler Adam, Lai Duc
J Gerontol Nurs. 2014 Nov;40(11):44-52. doi: 10.3928/00989134-20140407-02. Epub 2014 Apr 14.
Elderspeak is a form of patronizing speech that is sometimes used with older adults and can result in unintended negative consequences. Certified nursing assistants (CNAs) working in long-term care facilities may be particularly prone to using elderspeak because they frequently interact with vulnerable and frail older adults who require assistance with activities of daily living. The purpose of the current study was to assess contextual variables that may prompt the use of elderspeak by CNAs. One hundred thirty-four CNAs completed a 36-item questionnaire intended to determine their evaluations of the appropriateness of elderspeak in a variety of contexts. Results indicated that specific resident-related variables (e.g., age, cognitive impairment) and situational variables (e.g., the absence of others during a CNA-resident interaction) were associated with higher ratings of appropriateness of elderspeak. These findings may have implications for improving communication training for CNAs.
长辈语是一种有时用于老年人的居高临下的言语形式，可能会产生意想不到的负面后果。在长期护理机构工作的注册护理助理（CNA）可能特别容易使用长辈语，因为他们经常与需要日常生活帮助的脆弱和体弱的老年人互动。本研究的目的是评估可能促使CNA使用长辈语的情境变量。134名CNA完成了一份36项的问卷，旨在确定他们对长辈语在各种情境下适当性的评价。结果表明，特定的与居民相关的变量（如年龄、认知障碍）和情境变量（如CNA与居民互动时其他人不在场）与长辈语适当性的较高评分相关。这些发现可能对改进CNA的沟通培训有启示。
