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Communication with a nursing home po...

Jaffe, Michelle Paula.

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Communication with a nursing home population.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Communication with a nursing home population./
Author:	Jaffe, Michelle Paula.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2005,
Description:	110 p.
Notes:	Source: Dissertations Abstracts International, Volume: 68-07, Section: B.
Contained By:	Dissertations Abstracts International68-07B.
Subject:	Psychotherapy. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3212907
ISBN:	9780542632297

Communication with a nursing home population.
Jaffe, Michelle Paula.

Communication with a nursing home population. - Ann Arbor : ProQuest Dissertations & Theses, 2005 - 110 p.

Source: Dissertations Abstracts International, Volume: 68-07, Section: B.

Thesis (Ph.D.)--New School University, 2005.

This item must not be sold to any third party vendors.

Socioemotional selectivity theory posits that an individual's perspective on future time left in life leads to prioritizing experiences (Carstensen, et al., 2000). Emotion-related goals are sought when the future is perceived as limited, whereas knowledge-related goals are sought when the future is perceived as open-ended. Attempting to extend this scope of research to communication between nursing home residents, staff and family members, the current study investigates whether (1) older residents, (2) residents in poor health, (3) residents with a terminal condition, and (4) residents living in a nursing home setting for a longer period of time would focus their communication to emotional/affective content, rather than instrumental/task-oriented content. The results showed that contrary to what was hypothesized, the older the resident the less frequently emotional/affective discussions took place with staff. Moreover, when the sample was divided into a younger group (ages 42-78) and an older group (ages 80-170), the younger residents judged discussing instrumental/task-oriented and socioemotional issues with staff more frequently than older residents, suggesting that older persons were less likely to talk about any category of communication. Results also showed that residents who perceived their health status to be poor/very poor and those diagnosed with a terminal condition judged more frequent discussions with staff about end-of-life issues. Neither length of time living in a nursing home setting, nor staff job title proved significant. There was, however, a significant effect of ethnicity, where Black residents rated having more frequent discussions about socioemotional issues with family than White residents. While the investigator set out to test five hypotheses and did not come up with strong findings, there were some results that suggest implications for practice. One reason the expected communication patterns in the present study may not have been realized could be that the nursing home environment overrides the theory by not providing enough communication opportunities. A more concerted effort to provide these opportunities needs to be made. Additionally, there are cultural differences in how people prefer to communicate and what they communicate about. Healthcare practice and professionals need to be sensitive to these personal and cultural differences and communicate accordingly.

ISBN: 9780542632297Subjects--Topical Terms:

519158
Psychotherapy.
Subjects--Index Terms:

Communication

Communication with a nursing home population.
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500 $a Source: Dissertations Abstracts International, Volume: 68-07, Section: B.
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506 $a This item must not be sold to any third party vendors.
506 $a This item must not be added to any third party search indexes.
520 $a Socioemotional selectivity theory posits that an individual's perspective on future time left in life leads to prioritizing experiences (Carstensen, et al., 2000). Emotion-related goals are sought when the future is perceived as limited, whereas knowledge-related goals are sought when the future is perceived as open-ended. Attempting to extend this scope of research to communication between nursing home residents, staff and family members, the current study investigates whether (1) older residents, (2) residents in poor health, (3) residents with a terminal condition, and (4) residents living in a nursing home setting for a longer period of time would focus their communication to emotional/affective content, rather than instrumental/task-oriented content. The results showed that contrary to what was hypothesized, the older the resident the less frequently emotional/affective discussions took place with staff. Moreover, when the sample was divided into a younger group (ages 42-78) and an older group (ages 80-170), the younger residents judged discussing instrumental/task-oriented and socioemotional issues with staff more frequently than older residents, suggesting that older persons were less likely to talk about any category of communication. Results also showed that residents who perceived their health status to be poor/very poor and those diagnosed with a terminal condition judged more frequent discussions with staff about end-of-life issues. Neither length of time living in a nursing home setting, nor staff job title proved significant. There was, however, a significant effect of ethnicity, where Black residents rated having more frequent discussions about socioemotional issues with family than White residents. While the investigator set out to test five hypotheses and did not come up with strong findings, there were some results that suggest implications for practice. One reason the expected communication patterns in the present study may not have been realized could be that the nursing home environment overrides the theory by not providing enough communication opportunities. A more concerted effort to provide these opportunities needs to be made. Additionally, there are cultural differences in how people prefer to communicate and what they communicate about. Healthcare practice and professionals need to be sensitive to these personal and cultural differences and communicate accordingly.
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