Share This Article:

Nurses’ movements within and between various paths when improving their communication skills—An evaluation of validation method training

Full-Text HTML Download Download as PDF (Size:93KB) PP. 265-273
DOI: 10.4236/ojn.2013.32036    3,344 Downloads   5,326 Views   Citations

ABSTRACT

Aims and objectives: To explore any changes in nurses’ skills at communicating with residents with dementia disease when using the validation method, as observed in one-to-one videotaped conversations. Background: Communication difficulties due to cognitive impairment among residents with dementia disease may complicate care situations. Training can improve nurses’ communication skills and increase care quality. The validation method aims to facilitate communication with residents with dementia disease through empathic and confirmatory approaches. Evaluations of the validation method have primarily focused on the residents’ perspective, and reports on nurses’ experiences are sparse. Improved communication and relationships with residents after validation method training have been described previously. Videotaped data could provide additional information about these earlier results. Design: A descriptive qualitative design. Methods: Eight nurses participated in a year of validation method training, including videotaped conversations with eleven residents. Videotapes with at least five months between the first and last recording were analysed and compared qualitatively. Results: The analysis revealed an overall pattern: nurses’ movements within and between various paths when improving their communication skills. This was based on three sub-patterns: from controlling communication towards developing attentiveness in communication, from ambiguous communication towards developing coherence in communication, and from being open and attentive towards having a refined attuned communication. Conclusions: All nurses developed their communication skills during the programme, albeit to different degrees. The findings are in congruence with the experiences described by nurses, and so it is reasonable to believe that the programme helped to improve the nurses’ skills in communicating with residents with dementia disease. Relevance to clinical practice: A validation method training programme could give nurses the possibility to develop their skills in communicating with residents with dementia disease.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Söderlund, M. , Cronqvist, A. , Norberg, A. , Ternestedt, B. and Hansebo, G. (2013) Nurses’ movements within and between various paths when improving their communication skills—An evaluation of validation method training. Open Journal of Nursing, 3, 265-273. doi: 10.4236/ojn.2013.32036.

References

[1] Balalle, C., Jayalath, D., Shankar, K. and Ashaye, K. (2010) Prevalence and management of behavioural and psychiatric symptoms on a continuing care unit for patients with dementia. International Journal of Psychiatry in Medicine, 4, 425-438. doi:10.2190/PM.40.4.f
[2] Edberg, A., Bird, M., Richards, D.A., Woods, R., Keeley, P. and Davis-Quarrell, V. (2008) Strain in nursing care of people with dementia: Nurses’ experience in Australia, Sweden and United Kingdom. Aging & Mental Health, 2, 236-243. doi:10.1080/13607860701616374
[3] Cohen-Mansfield, J. and Parpura-Gill, A. (2008) Practice style in the nursing home: Dimensions for assessment and quality improvement. International Journal of Geriatric Psychiatry, 4, 376-386. doi:10.1002/gps.1888
[4] Ward, R., Vass, A.A., Aggarwal, N., Garfield, C. and Cybyk, B. (2008) A different story: Exploring patterns of communication in residential dementia care. Ageing and Society, 5, 629-651 doi:10.1017/S0144686X07006927
[5] McGilton, K.S., Boscart, V., Fox, M., Sidani, S., Rochon, E. and Sorin-Peters, R. (2009) A systematic review of the effectiveness of communication interventions for health care providers caring for patients in residential care settings. Worldviews on Evidence-Based Nursing, 3, 149- 159. doi:10.1111/j.1741-6787.2009.00155.x
[6] Vasse, E., Vernooij-Dassen, M., Spijker, A., Rikkert, M. O. and Koopmans, R. (2010) A systematic review of communication strategies for people with dementia in residential and nursing homes. International Psychogeriatrics, 2, 189-200. doi:10.1017/S1041610209990615
[7] Soderlund, M., Norberg, A. and Hansebo, G. (2012) Implementation of the validation method: Nurses’ descriptions of caring relationships with residents with dementia disease. Dementia, 5, 569-587. doi:10.1177/1471301211421225
[8] Feil, N. (2002) The validation breakthrough: Simple techniques for communicating with people with “Alzheimer’s-type dementia”. Health Professions Press, Baltimore.
[9] Neal, M. and Briggs, M. (2003) Validation therapy for dementia. The Cochrane Database of Systematic Reviews, Article ID: CD 001394. doi:10.1002/14651858.CD001394
[10] Fine, J.I. and Rouse-Bane, S. (1995) Using validation techniques to improve communication with cognitively impaired older adults. Journal of Gerontological Nursing, 6, 39-45.
[11] Finnema, E., Droes, R., Ettema, T., Ooms, M., Adèr, H., Ribbe, M. and van Tilburg, W. (2005) The effect of integrated emotion-oriented care versus usual care on elderly persons with dementia in the nursing home and on nursing assistants: A randomized clinical trial. International Journal of Geriatric Psychiatry, 4, 330-343. doi:10.1002/gps.1286
[12] The Validation Training Institute, Inc. (2011) http://www.vfvalidation.org/web.php?request=index
[13] Hawes, C., Morris, J.N., Phillips, C.D., Mor, V., Fries, B.E. and Nonemaker S. (1995) Reliability estimates for the minimum data set for nursing home resident assessment and care screening (MDS). The Gerontologist, 2, 172-178. doi:10.1093/geront/35.2.172
[14] Hansebo, G., Kihlgren, M., Ljunggren, G. and Winblad, B. (1998) Staff views on the Resident Assessment Instrument, RAI/MDS, in nursing homes, and the use of the Cognitive Performance Scale, CPS, in different levels of care in Stockholm, Sweden. Journal of Advanced Nursing, 3, 642-653. doi:10.1046/j.1365-2648.1998.00707.x
[15] Collier, J. and Collier, M. (1986) Visual anthropology: Photography as a research method. University of New Mexico Press, Albuquerque.
[16] Hansebo, G. and Kihlgren, M. (2002) Carers’ interactions with patients suffering from severe dementia: A difficult balance to facilitate mutual togetherness. Journal of Clinical Nursing, 2, 225-236. doi:10.1046/j.1365-2702.2002.00601.x
[17] Skovdahl, K., Larsson Kihlgren, A. and Kihlgren, M. (2003) Dementia and aggressiveness: Video recorded morning care from different care units. Journal of Clinical Nursing, 6, 888-898. doi:10.1046/j.1365-2702.2003.00809.x
[18] Dahlberg, K., Dahlberg, H. and Nystrom, M. (2008) Reflective lifeworld research. Studentlitteratur, Lund.
[19] Latvala, E., Vuokila-Oikkonen, P. and Janhonen, S. (2000) Videotaped recording as a method of participant observation in psychiatric nursing research. Journal of Advanced Nursing, 5, 1252-1257. doi:10.1046/j.1365-2648.2000.01383.x
[20] Hansebo, G. and Kihlgren, M. (2000) Patient life stories and current situation as told by carers in nursing home wards. Clinical Nursing Research, 3, 260-279. doi:10.1177/10547730022158582
[21] Hubbard, G., Cook, A., Tester, S. and Downs, M. (2002) Beyond words: Older people with dementia using and interpreting nonverbal behaviour. Journal of Aging Studies, 2, 155-167. doi:10.1016/S0890-4065(02)00041-5
[22] Bucks, R.S. and Radford, S.A. (2004) Emotion processing in Alzheimer’s disease. Aging and Mental Health, 3, 222-232. doi:10.1080/13607860410001669750
[23] Magai, C., Cohen, C.I. and Gomberg, D. (2002) Impact of training dementia caregivers in sensitivity to nonverbal emotion signals. International Psychogeriatrics, 1, 25-38. doi:10.1017/S1041610202008256
[24] Zyblock, D.M. (2010) Nursing presence in contemporary nursing practice. Nursing Forum, 2, 120-124. doi:10.1111/j.1744-6198.2010.00173.x
[25] Bunkers, S.S. (2010) The power and possibility in listening. Nursing Science Quarterly, 1, 22-27. doi:10.1177/0894318409353805
[26] Shipley, S.D. (2010) Listening: A concept analysis. Nursing Forum, 2, 125-134. doi:10.1111/j.1744-6198.2010.00174.x
[27] Hessel, J.A. (2009) Presence in nursing practice: A concept analysis. Holistic Nursing Practice, 5, 276-281. doi:10.1097/HNP.0b013e3181b66cb5.
[28] Klaver, K. and Baart, A. (2011) Attentiveness in care: Towards a theoretical framework. Nursing Ethics, 5, 686- 693. doi:10.1177/0969733011408052
[29] Todres, L., Galvin, K. and Dahlberg, K. (2007) Life-worldled healthcare: Revisiting a humanising philosophy that integrates emerging trends. Medicine, Health Care, and Philosophy, 1, 53-63. doi:10.1007/s11019-006-9012-8
[30] Ashworth, A. and Ashworth, P. (2003) The lifeworld as phenomenon and as research heuristic, exemplified by a study of the lifeworld of a person suffering Alzheimer’s disease. Journal of Phenomenological Psychology, 2, 179- 205. doi:10.1163/156916203322847137

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.