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Staff perceptions of staff-family interactions in nursing homes
Authors:Queen Utley-Smith  Cathleen S Coln-Emeric  Deborah Lekan-Rutledge  Natalie Ammarell  Donald Bailey  Kirsten Corazzini  Mary L Piven  Ruth A Anderson
Institution:aDuke University School of Nursing, DUMC P.O. Box 3322, Durham NC 27710, United States;bDepartment of Medicine, Division of Geriatrics, Duke University Medical Center, DUMC P.O. Box 3003, Durham, NC, 27710, United States;cUniversity of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, NC 27599, United States
Abstract:Each year thousands of older adults are admitted to nursing homes. Following admission, nursing home staff and family members must interact and communicate with each other. This study examined relationship and communication patterns between nursing home staff members and family members of nursing home residents, as part of a larger multi-method comparative case study. Here, we report on 6-month case studies of two nursing homes where in-depth interviews, shadowing experiences, and direct observations were completed. Staff members from both nursing homes described staff–family interactions as difficult, problematic and time consuming, yet identified strategies that when implemented consistently, influenced the staff–family interaction positively. Findings suggest explanatory processes in staff–family interactions, while pointing toward promising interventions.
Keywords:Staff–  family encounters  Demanding families  Relationship patterns  Qualitative study  Communication
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