Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지

Nonverbal Communication between Patients with Dementia and Their Nurses in an Elderly Care Institution

일개 노인요양기관에 입소한 치매노인과 간호사의 비언어적 커뮤니케이션 연구

  • Received : 2008.12.05
  • Accepted : 2009.01.05
  • Published : 2009.02.28
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Abstract

Purpose: The purpose of the study was to describe nonverbal behaviors of nurses in communication with patients with dementia in an elderly care institution in Korea. Methods: Conversation analysis was utilized to analyze the data which were collected using video camera to capture non-verbal as well as verbal behaviors. A total of 66 episodes of everyday conversations were analyzed using seven nonverbal categories: affirmative head nodding; illustrative gestures; patient-directed eye gaze; smiling and/or laughing; forward leaning; affective touch; and instrumental touch. Results: Among seven categories, patient-directed eye gaze(94%) was the most frequently utilized among nurses followed by affirmative head nodding(67%) and forward leaning(67%), while smiling was the least used(32%). Affective touch was identified in 39 episodes(59%). Among them, the most frequently touched area was hand or handshaking(59%) followed by shoulder or back, arm, and face. There were wide differences among nurses in terms of using affective touch, ranging from 0% to 98%. Nonverbal behaviors were more frequently identified in effective episodes than in ineffective episodes. Conclusion: Actively utilizing effective nonverbal behaviors may help geriatric nurses in promoting communication and in establishing rapport with patients with dementia.

Keywords

References

  1. Anderson, P. A. (1985). Nonverbal immediacy in interpersonal communication. In A. W. Siegman & S. Feldstein(ed.), Multichannel integration of nonverbal behavior(pp. 1-36). London & Hillsdale: Erlbaum Associates.
  2. Argyle, M. (1972). Non-verbal communication in human social interaction. In R. Hinds(ed.), Nonverbal communication(pp. 243-267). Cambridge: Cambridge University Press.
  3. Atkinson, M., & Heritage, J. (1984). Structures of social action: Studies in conversation analysis. Cambridge: Cambridge University Press
  4. Bradley, J. C., & Edinberg, M. A. (1990). Communication in the nursing context(3rd ed.). East Norwalk, Connecticut: Appleton & Lange.
  5. Burgoon, J. K. (1994). Nonverbal signals. In M. L. Knapp & G. R. Miller(ed.), Handbook of interpersonal communication(2nd ed), (pp. 229-285). Thousand Oaks, CA: Sage.
  6. Caris-Verhallen, W., Kerkstra, A., & Bensing, J. M. (1997). The role of communication in nursing care for elderly people: A review of the literature. J Adv Nurs, 25(5), 915-933. https://doi.org/10.1046/j.1365-2648.1997.1997025915.x
  7. Caris-Verhallen, W., Kerkstra, A., & Bensing, J. M. (1999). Non-verbal behavior in nurse-elderly patient communication. J Adv Nurs, 29(4), 808-818. https://doi.org/10.1046/j.1365-2648.1999.00965.x
  8. Deppermann, A. (2002). Conversation analysis(Y. I. Bak, Trans.). Seoul: Doseochoolpan Yeog Lag (Orignal work published 2001).
  9. Drew, P., & Heritage, J. (ed.). (1998). Talk at work: Interaction in institutional settings. New York: Cambridge University Press.
  10. Ebersole, P., & Hess, P. (1998). Toward healthy aging(5th ed.). St Louis: Mosby
  11. Ekman, P., & Friesen, W. V. (1975). Unmasking the face. Englewood Cliffs, NJ: Prentice-Hall.
  12. Greene, M. C., Adelman, R. D., Friedmann, E., & Charon, R. (1994). Older patient satisfaction with communication during an initial medical encounter. Soc Sci Med, 38(9), 1279-1288. https://doi.org/10.1016/0277-9536(94)90191-0
  13. Gross, D. (1990). Communication and the elderly. Phys Occup Ther Geriatr, 9(1), 49-64.
  14. Guerrero, L. K., DeVito, J. A., & Hecht, M. L. (1999). (ed.) The nonverbal communication reader: Classic and contemporary readings(2nd ed.). Long Grove, IL: Waveland Press Inc.
  15. Hecht, M. L., DeVito, J. A., & Guerrero, L. K. (1999). Perspectives on nonverbal communication: Codes, functions, and context. In L. K. Guerrero, J. A DeVito, & M. L. Hecht, M. L., The nonverbal communication reader: Classic and contemporary readings(2nd Ed.), (pp. 3-18). Long Grove, IL: Waveland Press, Inc.
  16. Hecht, M. L., & Guerrero, L. K. (1999). Perspectives on nonverbal research methods. In L. K. Guerrero, J. A. DeVito, & M. L. Hecht, The nonverbal communication reader: Classic and contemporary readings (2nd Ed.), (pp. 24-41). Long Grove, IL: Waveland Press, Inc.
  17. Heintzman, M., Leathers, D. G., Parrott, R. L., & Cairns, A. B. III. (1993). Nonverbal rapport-building behaviors' effect on perceptions of a supervisor. Management Commun Q, 7(2), 181-208. https://doi.org/10.1177/0893318993007002003
  18. Jones, S. E. (1999). Communicating with touch. In L. K. Guerrero, J. A. DeVito, & M. L. Hecht, The nonverbal communication reader: Classic and contemporary readings (2nd Ed.), (pp. 192-201). Long Grove, IL: Waveland Press, Inc.
  19. Kim, E. J. (1998). Literature review for constructing a conceptual framework related to touch in patients with dementia. J Korean Acad Adult Nurs, 10(1), 76-84.
  20. Kim, U. R., & Chang, S. W. (2004). Nonverbal communication. Gyeonggi: Nanam Publishing Inc.
  21. Kong, B. H., Lee, W. H., Kim, I. S., Kim, S., & Lee, S. H. (2007). An ethical appraisal of informed consent in the clinical setting. J Korean Acad Adult Nurs, 19(4), 556-566.
  22. Lee, H. J., & Kim, Y. K. (2007). Curriculum analysis of gerontological nurse practitioner programs. J Korean Acad Adult Nurs, 19(4), 656-669.
  23. Mehrabian, A. (1972). Nonverbal communication. Chicago: Aldine Atherton.
  24. Mehrabian, A. (1981). Silent messages(2nd ed.). Belmont, CA: Wadsworth.
  25. Noller, P. (1984). Nonverbal communication and marital interaction. Oxford, UK: Pergamon.
  26. Oliver, S., & Redfern, S. J. (1991). Interpersonal communication between nurses and elderly patients: Refinement of an observation schedule. J Adv Nurs, 16(1), 30-38. https://doi.org/10.1111/j.1365-2648.1991.tb01494.x
  27. Patterson, M. L. (1983). Nonverbal behavior: A functional perspective. New York: Springer-Verlag.
  28. van Hooff, J. A. R. A. M. (1972). A comparative approach to the phylogeny of laughter and smiling. In R. A. Hinde (Ed.), Nonverbal communication (pp. 209-237). Cambridge, England: Cambridge University Press.
  29. Watson, W. H. (1975). The meanings of touch: Geriatric nursing. J Commun, 25(3), 104-112. https://doi.org/10.1111/j.1460-2466.1975.tb00611.x
  30. Yi, M. (2004). Secondary analysis: Focusing on qualitative research. J Korean Acad Nurs, 34(1), 35-44. https://doi.org/10.4040/jkan.2004.34.1.35
  31. Yi, M. & Yih, B. S. (2006), A conversation analysis of communication between patients with dementia and their professional nurses. J Korean Acad Nurs, 36(7), 1253-1264. https://doi.org/10.4040/jkan.2006.36.7.1253