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Cited by 103Geriatric Care and Nursing HomesPatient-Provider Communication in HealthcareDementia and Cognitive Impairment Research

Improving outcomes of nursing home interactions

Williams, Kristine Nordlie·2006·Research in Nursing & Health
DOI 10.1002/nur.20117
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Abstract

In this study, an intervention designed to improve staff-resident communication was evaluated in three nursing homes. Audio recordings of staff speech from baseline, and immediately and 2 months post-intervention, were compared on elderspeak (infantilizing speech) and rated for care, respect, and control. After the intervention, staff used less elderspeak (i.e., diminutives, collective pronoun substitutions, shortened statements, and simplistic vocabulary). Immediate post-intervention conversations were rated as less controlling, but more respectful and caring. After 2 months, communication was more controlling, less respectful, and less caring. Reduction in staff elderspeak use continued for psycholinguistic measures, but improvements in care, respect, and control decayed, suggesting the need for ongoing reinforcement of training.

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Crossref · 10.1002/nur.20117

Cites

52 of 52 references verified0 citation errors · 0 not checkable

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  • Elderspeak is commonly used by nursing staff while providing care to older adults in long-term care settings, especially to older adults with dementia.

    “Elderspeak (infantilizing communication) is commonly used by nursing staff while providing care to older adults in long term care (LTC) settings, especially to older adults with dementia.1, 2, 3”

    From Elderspeak's influence on resistiveness to care: focus on behavioral events (2009) · cites this paper as [2]

  • Elderspeak communication use by general nursing home staff has been significantly reduced by a brief intervention.

    “Elderspeak communication use by general nursing home staff has been significantly reduced by a brief intervention that should be tested in dementia care settings.2, 3”

    From Elderspeak's influence on resistiveness to care: focus on behavioral events (2009) · cites this paper as [2]

  • Because elderspeak communication is widely used by nursing staff in residential long term care settings, reduction in its use may decrease problematic RTC behaviors.

    “Because elderspeak communication is widely used by nursing staff in residential long term care settings, reduction in its use may decrease problematic RTC behaviors. 2, 3”

    From Elderspeak's influence on resistiveness to care: focus on behavioral events (2009) · cites this paper as [2]

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Authors
Williams, K. N.
Affiliations
University of Kansas (US)
Corresponding author
Williams, Kristine Nordlie
ORCID
Williams, Kristine Nordlie
Venue
Research in Nursing & Health
Publisher
Wiley
Published
2006
Volume
29
Issue
2
Pages
121-133
ISSN
  • 0160-6891 (ISSN-L)
  • 1098-240X
DOI
10.1002/nur.20117
OpenAlex
W1976577231
Semantic Scholar
543c0d589f4f94d7424462ffb400b54ffbc40f15
Cited by
103
References
52
Citations by year
2026: 2 · 2025: 5 · 2024: 1 · 2023: 2 · 2022: 6 · 2021: 7 · 2020: 7 · 2019: 4 · 2018: 6 · 2017: 8 · 2016: 7 · 2015: 6 · 2014: 2 · 2013: 8 · 2012: 7
FWCI
8.38
Type
journal article
Language
en
Open access
closed
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 3530 d)
Locations
  • Research in Nursing & Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
nursing homes, elderspeak, intervention evaluation, employee training, long-term care
MeSH terms
Adult, Aged, Communication, Dementia, Female, Humans, Inservice Training, Male, Middle Aged, Nonverbal Communication, Nurse-Patient Relations, Nursing Homes, Nursing Staff, Psycholinguistics, Tape Recording, Midwestern United States, Multivariate Analysis

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