title: Roles of Communication Problems and Communication Strategies on Resident-Related Role Demand and Role Satisfaction.
abstract: This study investigated the impact of dementia-related communication difficulties and communication strategies used by staff on resident-related indicators of role demand and role satisfaction. Formal/paid long-term care staff caregivers (N = 109) of residents with dementia completed questionnaires on dementia-related communication difficulties, communication strategies, role demand (ie, residents make unreasonable demands), and role satisfaction (measured by relationship closeness and influence over residents). Three types of communication strategies were included: (a) effective repair strategies, (b) completing actions by oneself, and (c) tuning out or ignoring the resident. Analyses using structural equation modeling revealed that communication problems were positively linked with role demand. Repair strategies were positively linked with relationship closeness and influence over residents. Completing actions by oneself was positively linked to role demand and influence over residents, whereas tuning out was negatively linked with influence over residents. The findings underscore that effective caregiver communication skills are essential in enhancing staff-resident relationships.
authors.affiliation: 1 Faculty of Health Sciences, School of Health Studies, Western University, London, Ontario, Canada.
authors.forename: Marie Y
authors.initials: MY
authors.lastname: Savundranayagam
authors.affiliation: 1 Faculty of Health Sciences, School of Health Studies, Western University, London, Ontario, Canada.
authors.forename: Christopher
authors.initials: C
authors.lastname: Lee
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology*; D003142:Communication; D003704:Dementia / Q000451:nursing*; D005260:Female; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D011369:Professional-Patient Relations
keywords: caregiving; communication; dementia; long-term care; role demand; role satisfaction