J Korean Acad Nurs.  2006 Dec;36(7):1253-1264.

A Conversation Analysis of Communication between Patients with Dementia and Their Professional Nurses

• Yi M
• Yih BS

Abstract

PURPOSE: The purpose of this study was to understand conversations and to identify typical conversational problems between nurses and patients with dementia. METHOD: A conversation analysis method was used. The data was collected in a geriatric institutional setting, using a videotape recorder, and transcribed. The transcribed data was analyzed in terms of expressions, contents, and relationships to identify communicative problems and their resolutions. RESULTS: Among a total of 532 episodes, 440(82.7%) were identified as nurse-involved episodes. In addition, 66 of the 440 episodes were selected based on the significance of the conversation. The communicative problems between nurses and patients in terms of expressions were identified as "directive and authoritative expressions", "emotional and competitive expressions", "evasive and on-looking expressions", and "excessive use of title only", such as calling them granny or grandpa without proper names. In terms of content and relationships, "lack of themes in psychosocial areas" and "nurse-led relations" were identified respectively as communicative problems. CONCLUSION: The results of this study will provide substantial guidelines for nurses in caring for elderly patients with dementia by deeply understanding linguistic structures and problems of everyday conversations between nurses and patients with dementia.

Keyword

Communication; Communication barrier; Dementia; Geriatric nursing; Verbal behavior

MeSH Terms

Aged
Attitude of Health Personnel
*Communication
Dementia/*nursing/psychology
Female
Geriatric Nursing
Guidelines as Topic
Humans
Male
Nurse-Patient Relations
Nursing Staff/*psychology
Tape Recording