title: Communicative barriers and resources in nursing homes from the enrolled nurses' perspective: A qualitative interview study.
abstract: OBJECTIVE
  Managing communicative disability is a pervasive issue in long-term care facilities. The aim of this study was to explore how enrolled nurses experience their everyday interactions with residents in nursing homes, particularly focusing on interactions with residents with communicative disability.
  
  
  METHODS
  A qualitative exploratory design including content analysis was used.
  
  
  METHODS
  Eight individuals working at six nursing homes in western Sweden were interviewed.
  
  
  METHODS
  The interviews were semi-structured with questions about the participants' experiences in communicating with residents, feelings associated with interactions involving residents with communicative disability, meaning ascribed to interactions, and factors influencing interactions. The interviews were analysed using content analysis.
  
  
  RESULTS
  A dynamic interplay between interpersonal relations, daily interactions and the managing of communicative disability was revealed. The enrolled nurses had good knowledge of supportive strategies and an awareness of the importance of the development of personal relationships with residents in order to facilitate interaction. However, factors in the environment presented barriers to communication.
  
  
  CONCLUSIONS
  The organisation and physical environment of nursing homes prevent the enrolled nurses from taking full advantage of the communicative resources they have in interaction with residents with communicative disability, hence affecting staff-resident relationships and the delivery of person-centred care.
authors.affiliation: Institute of Neuroscience and Physiology, Division of Speech and Language Pathology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; University of Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden. Electronic address: emma.forsgren@neuro.gu.se.
authors.forename: Emma
authors.initials: E
authors.lastname: Forsgren
authors.affiliation: Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. Electronic address: carola.skott@telia.com.
authors.forename: Carola
authors.initials: C
authors.lastname: Skott
authors.affiliation: Institute of Neuroscience and Physiology, Division of Speech and Language Pathology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; University of Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden. Electronic address: lena.hartelius@neuro.gu.se.
authors.forename: Lena
authors.initials: L
authors.lastname: Hartelius
authors.affiliation: Institute of Neuroscience and Physiology, Division of Speech and Language Pathology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; University of Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden. Electronic address: charlotta.saldert@neuro.gu.se.
authors.forename: Charlotta
authors.initials: C
authors.lastname: Saldert
mesh_terms: D000328:Adult; D003144:Communication Barriers; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009735:Nursing Homes; D013548:Sweden; D000078329:Workforce
keywords: Communicative disability; Content analysis; Conversational interaction; Enrolled nurses; Nursing homes; Person-centred care