Williams Kristine N, Perkhounkova Yelena, Jao Ying-Ling, Bossen Ann, Hein Maria, Chung Sophia, Starykowicz Anne, Turk Margaret
1 The University of Kansas Medical Center, Kansas City, KS, USA.
2 The University of Iowa, Iowa City, IA, USA.
West J Nurs Res. 2018 Jul;40(7):1012-1031. doi: 10.1177/0193945917697226. Epub 2017 Mar 23.
Person-centered communication recognizes the individual as a person and responds to the individual's feelings, preferences, and needs. This secondary analysis tested four interdisciplinary strategies to measure changes in person-centered communication used by nursing home staff following an intervention. Thirty-nine nursing assistants were recruited from 11 nursing homes and participated in the three-session Changing Talk communication training. Video recordings were collected at baseline, immediately postintervention, and at 3-month follow-up. Staff communication was analyzed using behavioral, psycholinguistic, and emotional tone coding of elderspeak communication and content analysis of communication topics. Sign rank test was used to compare postintervention changes for each measure of communication. Postintervention improvements in communication occurred for each measure; however, the changes were statistically significant only for behavioral and psycholinguistic measures. Methods and results for each communication measure were compared. Implications for future research and use of measures of person-centered communication as a tool to improve care are discussed.
以患者为中心的沟通将个体视为人，并回应个体的感受、偏好和需求。这项二次分析测试了四种跨学科策略，以衡量疗养院工作人员在干预后使用的以患者为中心的沟通方式的变化。从11家疗养院招募了39名护理助理，他们参加了为期三阶段的“改变谈话”沟通培训。在基线、干预后即刻和3个月随访时收集视频记录。使用对老年护理沟通的行为、心理语言学和情感基调编码以及沟通主题的内容分析来分析工作人员的沟通情况。使用符号秩检验来比较每种沟通测量方法干预后的变化。每种测量方法在干预后沟通都有改善；然而，这些变化仅在行为和心理语言学测量方法上具有统计学意义。比较了每种沟通测量方法的方法和结果。讨论了对未来研究的启示以及将以患者为中心的沟通测量方法作为改善护理的工具的应用。
