Visual Cues for Person-centered Communication

Nursing home communication is frequently limited and task-focused and fails to affirm resident personhood. We tested the feasibility and effects of automated digital displays of resident photographs to remind staff (N = 11) of resident (n = 6) personhood. Historical photographs were displayed in dig...

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Bibliographic Details
Published in:	Clinical nursing research Vol. 20; no. 4; pp. 448 - 461
Main Authors:	Williams, Kristine, Harris, Brynn, Lueger, Amy, Ward, Kathleen, Wassmer, Rebecca, Weber, Amy
Format:	Journal Article
Language:	English
Published:	Los Angeles, CA SAGE Publications 01-11-2011 SAGE PUBLICATIONS, INC
Subjects:	Adult Aged Aged, 80 and over Assisted living facilities Automation Communication Cues Displays Feasibility Feasibility Studies Female Follow-Up Studies Holistic nursing Home health care Humans Intervention Male Middle Aged Nurse-Patient Relations Nursing Nursing Evaluation Research Nursing Homes Nursing Staff - psychology Patient-centered care Person centred approach Personhood Photography Verbal communication Visual aids Young Adult United States > US clinical research areas geriatrics nursing actions nursing interventions long-term care health care settings nursing home person-centered care communication personhood
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Summary:	Nursing home communication is frequently limited and task-focused and fails to affirm resident personhood. We tested the feasibility and effects of automated digital displays of resident photographs to remind staff (N = 11) of resident (n = 6) personhood. Historical photographs were displayed in digital photo frames mounted in each resident’s room. To evaluate the intervention’s effects, staff–resident conversations were audio-recorded prior to displaying the frames and repeated 2 weeks and 3 months later. Conversations were transcribed and statements were topic coded (task-focused vs. interpersonal). Staff person-centered talk increased from 11% to 32% (z = 2.37, p = .02) after the intervention and task-talk decreased from 64% to 40%. Resident interpersonal topics increased from 20% to 37%. Staff statements increased from 29 at baseline, to 37 postintervention, and 41 at 3-month follow-up and resident engagement and reminiscence also increased. Effects were reduced after 3 months. Automated photo displays are an easily implemented, low-cost intervention to promote person-centered communication.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	1054-7738 1552-3799
DOI:	10.1177/1054773811416866