TY - JOUR
T1 - Exploring communication patterns among hospice nurses and family caregivers
T2 - A content analysis of in-home speech interactions
AU - Cloyes, Kristin G.
AU - Berry, Patricia H.
AU - Reblin, Maija
AU - Clayton, Margaret
AU - Ellington, Lee
N1 - Funding Information:
This work was supported by grants from Progetti Finalizzati: “Ingegneria Genetical’ and “Applicazioni Cliniche della Ricerca Oncologica,” CNR (Rome) and by funds from the Associazione Italiana per la Ricerca sul Cancro (Milan). We thank Drs. Rodolfo Quarto and Francesco Minuto for suggestions and helpful discussions, and Silvio Garofalo, who specifically contributed to Section IX. We also thank Ms. Barbara Minuto and Ms. Daniela Giacoppo for editorial and secretarial help.
PY - 2012/8
Y1 - 2012/8
N2 - Interactions among hospice care providers and caregivers are a promising area of exploration, as we seek to better understand the context of hospice care and how to support those engaged in this complex relationship. This study examines patterns within naturally occurring speech between nurses and family caregivers during hospice visits. Based on previous work, we propose that nurse communication can be more or less facilitative or directive in style and this in turn shapes nurse-family caregiver interactions. We analyzed nurse-caregiver speech interactions recorded during seven hospice encounters. Findings show significant differences in the speech patterns associated with facilitative or directive styles. Directive styles tended to be denser and nurse oriented and offered less opportunity for caregiver self-expression, while facilitative styles were more caregiver oriented and more vivid and responsive and made more space for caregiver expression. There were also significant differences in the amount of cognitive, emotional, or task-oriented speech and how these terms shaped the nature and focus of the interactions. This study provides empirical support for best communication practices and may help us better understand how specific communication patterns facilitate positive outcomes by supporting caregivers' own needs for interaction and self-expression.
AB - Interactions among hospice care providers and caregivers are a promising area of exploration, as we seek to better understand the context of hospice care and how to support those engaged in this complex relationship. This study examines patterns within naturally occurring speech between nurses and family caregivers during hospice visits. Based on previous work, we propose that nurse communication can be more or less facilitative or directive in style and this in turn shapes nurse-family caregiver interactions. We analyzed nurse-caregiver speech interactions recorded during seven hospice encounters. Findings show significant differences in the speech patterns associated with facilitative or directive styles. Directive styles tended to be denser and nurse oriented and offered less opportunity for caregiver self-expression, while facilitative styles were more caregiver oriented and more vivid and responsive and made more space for caregiver expression. There were also significant differences in the amount of cognitive, emotional, or task-oriented speech and how these terms shaped the nature and focus of the interactions. This study provides empirical support for best communication practices and may help us better understand how specific communication patterns facilitate positive outcomes by supporting caregivers' own needs for interaction and self-expression.
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U2 - 10.1097/NJH.0b013e318251598b
DO - 10.1097/NJH.0b013e318251598b
M3 - Article
AN - SCOPUS:84863717222
SN - 1522-2179
VL - 14
SP - 426
EP - 437
JO - Journal of Hospice and Palliative Nursing
JF - Journal of Hospice and Palliative Nursing
IS - 6
ER -