6. Verbal and Nonverbal Turn-taking Actions of Care Staff and Residents in Linguistically Diverse Long-term Care Settings

Small, Jeff A.; Chan, Sing Mei; Drance, Elisabeth; Globerman, Judith; Ho, Lorraine; Hulko, Wendy; O’Connor, Deborah L.; Perry, JoAnn; Stern, Louise

doi:10.21832/9781783097678-008

Cited by 3 publications

(2 citation statements)

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“…In the review, examples of providing comfort include offering traditional language and food and addressing spiritual needs which made residents happy and appreciative (du Toit et al, 2020;Rosendahl et al, 2016). This is consistent with previous studies (Hanssen & Kuven, 2016;Keller, 2016;Milte et al, 2017;Powers & Watson, 2011;Small et al, 2015) which suggested that the influence of food, language and spirituality could bring immense comfort and alleviation of behavioural symptoms among dementia residents.…”

Section: Common Languagesupporting

confidence: 80%

The needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care: An integrative review

Cabote

Salamonson

Trajkovski

et al. 2023

Journal of Clinical Nursing

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Aims and ObjectivesTo synthesise information about the needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care from the perspectives of the residents, families and care staff.BackgroundOlder people with dementia from culturally and linguistically diverse backgrounds living in residential aged care have care needs that are complex. Identifying these needs is critical to ensure quality care is delivered.DesignAn integrative review of literature.MethodsFive databases were searched for relevant articles: APA PsychINFO, CINAHL, MEDLINE, Scopus and Google Scholar. The search and screening were guided by PRISMA guidelines and Whittemore and Knafl's five‐step framework.ResultsFifteen papers were included in this review consisting of 4 quantitative, 9 qualitative and 2 mixed method studies. Two themes described the needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care. The first was related to culture‐specific needs, and the second was related to dementia‐specific care needs. Culture‐specific needs comprised of three subthemes: (a) common language, (b) traditional food, and (c) social and spiritual requirements. Dementia‐specific needs comprised of (a) focusing on comfort in addition to clinical requirements and (b) individualised care that addresses behavioural symptoms of dementia.ConclusionsIdentifying and meeting the needs of older people with dementia from culturally and linguistically diverse backgrounds will improve quality care delivery in addition to increased caregiving satisfaction among residents, families and care staff, and the management of behaviours that characterise dementia.Relevance to Clinical PracticeCare needs of older people with dementia from culturally and linguistically diverse backgrounds living in the residential setting can be complex. Education and training of care staff including nurses must be considered so that provision of care is inclusive of the cultural and dementia needs for older people in residential aged care.

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Section: Common Languagesupporting

confidence: 80%

The needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care: An integrative review

Cabote

Salamonson

Trajkovski

et al. 2023

Journal of Clinical Nursing

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“…Further, the way the residents support their talk through audible signs and visible, bodily actions, and how they thereby facilitate the resolution of their discomfort, illustrate the importance of viewing recruitment of assistance in its multimodal environment. Our analysis highlights the interactive role of objects, gesture, and prosody, which have been investigated in very few prior studies on interaction in multilingual residential care settings (see Small et al 2017;Yazdanpanah and Author 2 2017). The acknowledgment of nonverbal practices and semiotic resources other than spoken language will be of increased importance in most countries worldwide, due to globalization, migration, and people simply living longer, which means that more individuals will be affected by age-related cognitive decline that may restrict their access to certain interactional resources.…”

Section: Concluding Discussionmentioning

confidence: 95%

The social organization of assistance in multilingual interaction in Swedish residential care

2018

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In this article, we explore the organization of assistance in multilingual interaction in Swedish residential care. The data that form the basis for the study cover care encounters involving three residents with a language background other than Swedish, totalling 13 hours and 14 minutes of video documentation. The empirical data consists of a collection of 134 instances where residents seek assistance with the realization of a practical action. For this article, three examples that involve the manipulation of an object have been selected for analysis. We use the concept of ‘recruitment’ to encompass the various methods by which assistance is sought in the care encounter. In the first example, the need for assistance concerns the transfer of an object that is recognizable and physically available for both participants. This, in combination with the resident’s gestural work that pinpoints the description of the action, facilitates its realization. In the second and third examples, the realization of the action becomes more difficult because the object involved is not recognizable for the caregiver. The article highlights the collaborative ways in which residents manage to support their talk through bodily practices, and the strong and empathetic engagement with which caregivers become involved in interpreting the meaning of these practices. Finally, we discuss the implications of our findings for care provision in multilingual circumstances.

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Small stories in short interactions

Koester

2021

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The study investigates story-telling in naturally-occurring interactions in a care home for older people with dementia in England. Stories were told by a range of discourse participants and varied from more relationally-oriented anecdotes occurring as part of small talk to more transactionally-oriented narratives embedded into work routines. The main aim of the study was to explore narratives as social practice in the interactions of the care staff and to discover what functions they perform in their workplace practice and more generally in that of the care home. The analysis focused principally on two primarily work-oriented narrative types: “working stories” and “narratives of professional practice”. The findings were that such stories performed a range of key functions in the professional practice of the care givers, in particular problem-solving, knowledge-sharing and critical evaluation.

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6. Verbal and Nonverbal Turn-taking Actions of Care Staff and Residents in Linguistically Diverse Long-term Care Settings

Cited by 3 publications

References 0 publications

The needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care: An integrative review

The needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care: An integrative review

The social organization of assistance in multilingual interaction in Swedish residential care

Small stories in short interactions

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