Myungsun Yi

doi:10.4040/jkan.2009.39.2.166

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Original Article
Analysis of Conversation between Elderly Patients with Dementia and Nurses: Focusing on Structure and Sequential Patterns: Myungsun Yi; Journal of Korean Academy of Nursing 2009;39(2):166-176.
DOI: https://doi.org/10.4040/jkan.2009.39.2.166
Published online: April 28, 2009

Professor, College of Nursing, Seoul National University, Researcher, Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

Address reprint requests to: Yi, Myungsun. College of Nursing, Seoul National University, 28 Yeongeon-dong, Jongno-gu, Seoul 110-799, Korea. Tel: 82-2-740-8829, Fax: 82-2-740-8837, donam@snu.ac.kr

• Received: September 17, 2008 • Accepted: February 11, 2009

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Abstract
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REFERENCES

Abstract

Purpose
The purpose of the study was to identify functional structure and patterns of dialogue sequence in conversations between elderly patients with dementia and nurses in a long-term care facility.
Methods
Conversation analysis was used to analyze the data which were collected using video-camera to capture non-verbal as well as verbal behaviors. Data collection was done during February 2005.
Results
Introduction, assessment, intervention, and closing phases were identified as functional structure. Essential parts of the conversation were the assessment and intervention phases. In the assessment phase three sequential patterns of nurse-initiated dialogue and four sequential patterns of patient-initiated dialogue were identified. Also four sequential patterns were identified in nurse-initiated and three in patient-initiated dialogues in the intervention phase. In general, "ask question", "advise", and "directive" were the most frequently used utterance by nurses in nurse-initiated dialogue, indicating nurses' domination of the conversation. At the same time, "ask back", "refute", "escape", or "false promise" were used often by nurses to discourage patients from talking when patients were raising questions or demanding.
Conclusion
It is important for nurses to encourage patient-initiated dialogue to counterbalance nurse-dominated conversation which results from imbalance between nurses and patients in terms of knowledge and task in health-care institutions for elders.
Keywords: Communication; Dementia; Nurse-patient relations; Geriatric nursing; Qualitative research

This research was funded by the Korea Research Foundation in 2007 (KRF-2006-079-AM0049).

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Table 1

Functional Phases and Sequential Patterns of Conversation between Elderly Patients with Dementia and Nurses

Figure & Data

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A staff training intervention to improve communication between people living with dementia and health-care professionals in hospital: the VOICE mixed-methods development and evaluation study
Rowan H Harwood, Rebecca O’Brien, Sarah E Goldberg, Rebecca Allwood, Alison Pilnick, Suzanne Beeke, Louise Thomson, Megan Murray, Ruth Parry, Fiona Kearney, Bryn Baxendale, Kate Sartain, Justine Schneider
Health Services and Delivery Research.2018; 6(41): 1. CrossRef

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Analysis of Conversation between Elderly Patients with Dementia and Nurses: Focusing on Structure and Sequential Patterns

J Korean Acad Nurs. 2009;39(2):166-176. Published online April 28, 2009

DOI: https://doi.org/10.4040/jkan.2009.39.2.166

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Analysis of Conversation between Elderly Patients with Dementia and Nurses: Focusing on Structure and Sequential Patterns

Table 1

Functional Phases and Sequential Patterns of Conversation between Elderly Patients with Dementia and Nurses

Table 1 Functional Phases and Sequential Patterns of Conversation between Elderly Patients with Dementia and Nurses