Sachiyo Koyama, Kyoko Chiba, MachikoTaruduka Shahzad, Minako Katai, Emiko Watanuki and Mineko Sugawara
Kitasato University School of Nursing, Japan
The Red Cross College of Nursing, Japan
Kyoritsu Women’s University Deperttment of Nursing, Japan
Posters & Accepted Abstracts: J Nurs Care
The purpose of this study was to elucidate the communication skills required to elicit role-behavior by comparing
situations in which role-behavior was elicited and those in which such behavior was not elicited.ã??A group home
for elderly people with dementia was selected for the field study, and activities of study participants in the dining
room/living room were video-recorded. Study participants were eight women with dementia and seven care staff.
The recorded videos and their transcripts were used to perform an ethnomethodological interaction analysis for the
assessment of how the participants achieved or did not achieve the role-behavior. This study was conducted after
approval by the ethical review committee of the principal investigatorâ??s institution.
A total of 17 situations related to the role-behavior of the elderly people with dementia were observed, including
meal preparation, cleaning up, and so on. The role-behavior was elicited in 13 situations and was not in 4 situations.
In situations in which the role- behavior was elicited, interaction between the resident and care staff occurred in
which the care staff invited or suggested the resident to engage in behavior, followed by the resident accepting the
proposal and engaging in the action. Invitations or suggestions made by the care staff were never refused. On the
other hand, in situations in which role- behavior was not elicited, a sequence was observed in which the resident
initiated the conversation by making a proposal, the care staff refused it with a reason, and the resident accepted the
refusal.
Sachiyo Koyama, RN, PhD teaches gerontological nursing in graduate and undergraduate programs. Her research topic is communication skills in dementia care Recently, she is developing an education program for communication skills to elicit daily life behaviors among elderly people with dementia.
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