Nurses' emotional tone toward older inpatients: Do cognitive impairment and acute hospital setting matter?

Autor: Schnabel EL; Network Aging Research, Heidelberg University, Bergheimer Straße 20, 69115 Heidelberg, Germany., Wahl HW; Network Aging Research, Heidelberg University, Bergheimer Straße 20, 69115 Heidelberg, Germany., Schönstein A; Network Aging Research, Heidelberg University, Bergheimer Straße 20, 69115 Heidelberg, Germany., Frey L; Network Aging Research, Heidelberg University, Bergheimer Straße 20, 69115 Heidelberg, Germany., Draeger L; Network Aging Research, Heidelberg University, Bergheimer Straße 20, 69115 Heidelberg, Germany.
Jazyk: angličtina
Zdroj: European journal of ageing [Eur J Ageing] 2019 Oct 03; Vol. 17 (3), pp. 371-381. Date of Electronic Publication: 2019 Oct 03 (Print Publication: 2020).
DOI: 10.1007/s10433-019-00531-z
Abstrakt: The emotional tone of nurses' voice toward residents has been characterized as overly controlling and less person-centered. However, it is unclear whether this critical imbalance also applies to acutely ill older patients, who represent a major subgroup in acute hospitals. We therefore examined nurses' emotional tone in this setting, contrasting care interactions with severely cognitively impaired (CI) versus cognitively unimpaired older patients. Furthermore, we included a general versus a geriatric acute hospital to examine the role of different hospital environments. A mixed-methods design combining audio-recordings with standardized interviews was used. Audio-recorded clips of care interactions between 34 registered nurses ( M age  = 38.9 years, SD = 12.3 years) and 92 patients ( M age  = 83.4 years, SD = 6.1 years; 50% with CI) were evaluated by 12 naïve raters ( M age  = 32.8 years, SD = 9.3 years). Based on their impressions of the vocal qualities, raters judged nurses' emotional tone by an established procedure which allows to differentiate between a person-centered and a controlling tone (Cronbach's α  = .98 for both subscales). Overall, findings revealed that nurses used rather person-centered tones. However, nurses' tone was rated as more controlling for CI patients and in the geriatric hospital. When controlling for patients' functional status, both effects lost significance. To our knowledge, this is the first study that examined nurses' emotional tone in the acute hospital setting. Findings suggest that overall functional status of older patients may play a more important role for emotional tone in care interactions than CI and setting differences.
Competing Interests: Conflict of interestThe authors declare that they have no conflict of interest.
(© Springer Nature B.V. 2019.)
Databáze: MEDLINE
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