Canadian Journal of Speech-Language Pathology and Audiology

Communication Difficulties Experienced by Nursing Home Residents with a Hearing Loss During Conversation with Staff Members

 
Author(s) Rachel Caissie, PhD
Elaine Rockwell, MSc
Volume 18
Number 2
Year 1994
Page(s) 127-134
Language English
Category
Keywords audiological
rehabilitation
repair
strategies
aging
audiologic
strategy
Abstract The purpose of this study was to analyze some of the communication difficulties experienced by eight nursing home residents with hearing loss during dyadic conversations with staff members, and to describe how breakdowns in communication are resolved. Thirty-minute samples of conversation were videotaped and analyzed for conversational dominance, occurrence of communnication breakdowns, and repairs strategies used by residents and staff members. Results showed that half of the residents tended to dominate communicative interaction by taking longer speaking turns than their partners and by controlling topics of conversation. Communication breakdowns were never repaired, in that the residents failed to request clarification, while staff members primarily repeated their original message and used few paraphrases. Results are discussed with regard to clinical implications for the improvement of audiological rehabilitation services to nursing homes.

L'étude a pour but d'examiner les difficultés de communication qu'éprouvent huit bénéficiaires d'une maison de soins infirmiers atteints d'une perte auditive lors de conversations dyadiques avec les membres du personnel, et de décrire les méthodes utilisées pour résoudre les ruptures de communication. On a analysé des échantillions de conversation de trente minutes enregistrés sur bande vidéo en ce qui concerne la dominance de la conversation, les ruptures de communication, et les stratégies utilisées par les bénéficiaires et les membres du personnel pour rétablir cette derniére. Les résultats indiquent que la moitié des bénéficiaires tendent à dominer la conversation en prenant la parole plus longtemps que leurs interlocuteurs et en contrôlant les sujets de conversation. On note des ruptures de communication dans, en moyenne, 10,5 % des cas où les bénéficiaires prennent la parole. Pour 40 % de ces ruptures, la communication n'est jamais rétablie, en ce sens que le bénéficiaire omet de demander des éclaircissements. Lorsqu'ils essaient de rétablir la communication, les bénéficiaires formulent fréquemment une demande non spécifique, plutôt que spécifique, d'éclairissements, tandis que les membres du personnel répétent principalement le message original et utilisent peu de paraphrases. On discute des résultats dans le contexte de leur portée clinique en ce qui concerne l'amélioration des services de réadaptation audiologique dans les maisons de soins infirmiers.
Record ID 265
Link http://cjslpa.ca/files/1994_JSLPA_Vol_18/No_02_78-144/Caissie_Rockwell_JSLPA_1994.pdf
 
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