The use of supportive communication when responding to older people's emotional distress in home care - An observational study

BMC Nursing
Linda HafskjoldHilde Eide

Abstract

Responding to older people's distress by acknowledging or encouraging further discussion of emotions is central to supportive, person-centred communication, and may enhance home care outcomes and thereby promote healthy aging. This observational study describes nursing staff's responses to older people's emotional distress, and identify factors that encourage further emotional disclosure. Audio-recorded home care visits in Norway (n = 196), including 48 older people and 33 nursing staff, were analysed with the Verona Coding Definitions of Emotional Sequences, identifying expressions of emotional distress and subsequent provider responses. The inter-rater reliability (two coders), Cohen's kappa, was >0.6. Sum categories of emotional distress were constructed: a) verbal and non-verbal expressions referring to emotion, b) references to unpleasant states/circumstances, and c) contextual hints of emotion. A binary variable was constructed based on the VR response codes, differentiating between emotion-focused responses and responses that distanced emotion. Fisher's exact test was used to analyse group differences and determined variables included in a multivariate logistic regression analysis to identify factors promoting emotion-fo...Continue Reading

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Citations

Oct 6, 2020·BMC Nursing·Jessica HöglanderInger K Holmström
Apr 9, 2019·Nursing & Health Sciences·Jessica HöglanderJakob H Eklund

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Software Mentioned

SPSS Statistics
COMHOME
SPSS
VR
CoDES
CoDES Response

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