Elderspeak's influence on resistiveness to care: focus on behavioral events.
Resistiveness to care (RTC) in older adults with dementia commonly disrupts nursing care. Research has found that elderspeak (infantilizing communication) use by nursing home (NH) staff increases the probability of RTC in older adults with dementia. The current analysis used general sequential querier (GSEQ) software to analyze behavior sequences of specific behavioral events. We found that older adults with dementia most frequently reacted to elderspeak communication by negative vocalizations (screaming or yelling, negative verbalizations, crying). Because negative vocalizations disrupt nursing care, reduction in elderspeak use by staff may reduce these behaviors thereby increasing the quality of care to these residents. The results clearly demonstrate that sequential analysis of behavioral events is a useful tool in examining complex communicative interactions and targeting specific problem behaviors.
Herman
Ruth E
RE
University of Kansas School of Nursing, Kansas City, Kansas 66160, USA.
Williams
Kristine N
KN
D000368:Aged; D000374:Aggression / Q000523:psychology; D003144:Communication Barriers; D003220:Conflict, Psychological; D003299:Cooperative Behavior; D003704:Dementia / Q000451:nursing* / Q000523:psychology*; D005851:Geriatric Nursing / Q000379:methods*; D006801:Humans; D016901:Intergenerational Relations; D009723:Nurse-Patient Relations; D009735:Nursing Homes; D010349:Patient Compliance / Q000523:psychology*; D011287:Prejudice; D011578:Psycholinguistics
Am J Geriatr Psychiatry. 2001 Fall;9(4):361-81
11739063
J Gerontol Nurs. 2004 Sep;30(9):22-9; quiz 55-6
15471060
J Psychiatr Ment Health Nurs. 2006 Oct;13(5):611-8
16965482
Nurs Res. 1997 May-Jun;46(3):126-32
9176501
Nurs Res. 2002 Jul-Aug;51(4):219-28
12131234
Int J Geriatr Psychiatry. 2002 May;17(5):403-8
11994927
J Psychiatr Ment Health Nurs. 1995;2(3):159-67
7655920
J Am Geriatr Soc. 1994 Nov;42(11):1173-9
7963204
Outcomes Manag Nurs Pract. 1999 Jan-Mar;3(1):43-6
9934198
Res Nurs Health. 2006 Apr;29(2):121-33
16532478
Int Psychogeriatr. 2000 Dec;12(4):495-511
11263716
J Gerontol B Psychol Sci Soc Sci. 2002 Sep;57(5):P461-8
12198105
J Gerontol Nurs. 1997 May;23(5):16-23
9180505
J Psychosoc Nurs Ment Health Serv. 2005 Jul;43(7):38-45
16116925
Psychol Aging. 1999 Dec;14(4):656-70
10632152
Res Nurs Health. 1991 Apr;14(2):87-95
2047539
Am J Alzheimers Dis Other Demen. 2009 Feb-Mar;24(1):11-20
18591210
Int J Nurs Stud. 1998 Feb-Apr;35(1-2):95-108
9695016
Gerontologist. 2003 Apr;43(2):242-7
12677081
Ageing Soc. 1992;12:269-87
11654434