Abstract
We have conducted a series of studies on communication between nurses and elderly patients in geriatric facilities in Japan. The average speech duration per day for elderly people in nursing homes was roughly 4 minutes. The reason for such a short speech duration was that 76% of the nurses’ communication content was composed of “type I” communication (“task oriented” communication) and that “type II” communication (“life-worldly” communication) made up for only 24% of the total. We also analyzed the ways in which “type I” communication constrained spontaneous speech by the elderly whereas “type II” communication tended to promote and encourage it. This article, based on the findings obtained from our research, aims to encourage reconsideration and advancement in the research of nursing communication.
Highlights
This paper, based on a brief review of the previous literature on nurse-patient communication, introduces the findings obtained from our research and aims to encourage reconsideration of the research and practice of nursing communication.Communication is the fundamental basis for human sociality through its work of creating and maintaining our social world [1]
Factors affecting caregiver and elderly resident utterances were evaluated. In this stage of research, the two types of communication between the two parties were identified: type I and type II [15]
The first is the high burden of work and the unrelenting work environment; the second is the lack of awareness and skills towards Type II communication; and the third is, most importantly in relation to this article, that Type II communication is not taken seriously as an integral and constitutive part of nursing per se
Summary
This paper, based on a brief review of the previous literature on nurse-patient communication, introduces the findings obtained from our research and aims to encourage reconsideration of the research and practice of nursing communication. Despite the importance of the communication between the patient and the nurse being frequently underlined in the previous literature in this way, the numerous problems and challenges that nurses face in the clinical setting have been reported. One such problem is a lack in the amount of verbal communication at the nursing site [4-6]. Factors affecting caregiver and elderly resident utterances were evaluated In this stage of research, the two types of communication between the two parties were identified: type I (instrumental speech/communication related to staff nursing tasks) and type II (life-worldly speech/communication related to elderly life) [15]. For 18.9% of the individuals, the total duration of speech was less than 1 minutehighlighting the troubling speech situation of elderly residents currently living in geriatric care facilities in Japan, and the situation that we will face when we become older
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