Taking a shower

Jansson, Gunilla; Plejert, Charlotta

doi:10.1558/jircd.v5i1.27

Cited by 29 publications

(23 citation statements)

References 24 publications

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“…Jansson and Plejert () discuss interaction between three care workers when showering three residents with dementia. Whilst all the residents protest they do not want their hair to be washed, two of the workers perform this task in a more step‐by‐step and negotiated manner, taking account of the resident's wishes and discomfort.…”

Section: Review Findings: Conversation In Alzheimer's Disease Vasculmentioning

confidence: 99%

Everyday conversation in dementia: a review of the literature to inform research and practice

Kindell

Keady

Sage

et al. 2016

International Journal of Language & Communication Disorders

124

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BackgroundThere has been increasing interest in dementia care in recent years, including how practitioners, service providers and society in general can help individuals to live well with the condition. An important aspect to this is provision of advice to ensure conversation partners effectively support the person with dementia in conversation.AimsTo provide a descriptive review of the literature examining everyday conversation in dementia in order to inform practice and research.Methods & ProceduresThis review used a method specifically developed for reviewing conversation analytic and related literature. A range of databases were searched using key words and explicitly described inclusion criteria leading to a final corpus of 50 titles. Using this qualitative methodology, each paper was examined and data extracted. The contribution of each of these is described and the implications for practice and research are outlined.Main ContributionThis review examined studies into conversation in Alzheimer’s disease, vascular dementia and Lewy body dementia, grouping these into: early influential studies; work drawing on positioning theory; studies using social and linguistic approaches; collaborative storytelling; formulaic language; studies specifically using conversation analysis; and conversation as a target for individualized therapy. In addition, more recent work examining primary progressive aphasia and behavioural variant frontotemporal dementia was explored. Overall, this review indicates that research examining conversation in natural settings provides a rich source of data to explore not just the challenges within conversation for those taking part, but also the skills retained by the person with dementia. An important aspect of this understanding is the notion that these skills relate not only to information exchange but also aspects of social interaction. The role of others in scaffolding the conversation abilities of the person with dementia and the potential of this for developing interventions are discussed.Conclusions & ImplicationsThe review indicates that interventions targeting conversation in dementia are often advocated in the literature but currently such approaches remain to be systematically evaluated. In addition, many of the important insights arising from these studies have yet to inform multidisciplinary dementia care practice.

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Section: Review Findings: Conversation In Alzheimer's Disease Vasculmentioning

confidence: 99%

Everyday conversation in dementia: a review of the literature to inform research and practice

Kindell

Keady

Sage

et al. 2016

International Journal of Language & Communication Disorders

124

View full text Add to dashboard Cite

show abstract

“…Because some the same communication behaviours and strategies are used to accommodated to language, ethnocultural, and cognitive differences, it would be useful for future research to compare long-term care environments that systematically differ along these dimensions (e.g., language and ethnoculturally homogeneous or heterogeneous care contexts involving residents who do or do not have cognitive impairment). Finally, although this study examined interactions across several common activities in the two care settings, for ethical reasons, it was not possible to observe personal hygiene activities (e.g., bathing, toileting), where matters of imposition, privacy, and dignity are accentuated, and approaches to communication are paramount (see Jansson and Plejert 2014;Plejert et al 2014).…”

Section: Limitations and Future Researchmentioning

confidence: 99%

Verbal and nonverbal indicators of quality of communication between care staff and residents in ethnoculturally and linguistically diverse long-term care settings

Small

Chan

Drance

et al. 2015

J Cross Cult Gerontol

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Linguistic and ethnocultural diversity in long-term residential care is a growing trend in many urban settings. When long-term care staff and residents do not share the same language or ethnocultural background, the quality of their communication and care are jeopardized. There is very little research addressing how staff and residents communicate when they experience a mismatch in their language and ethnocultural backgrounds. Thus, the goals of the present study were to 1) document the verbal and nonverbal behaviours used by staff and residents in diverse interactions, and 2) identify and account for behaviours that either promoted or detracted from positive communication by drawing on principles from 'Communication Accommodation Theory'. Two long-term care facilities in British Columbia Canada were selected due to the diverse linguistic and ethnocultural backgrounds of their staff and residents. Twenty-seven staff and 27 residents consented to being video-recorded during routine activities (e.g., mealtimes, recreational activities). The recorded observations were transcribed, translated, and coded using qualitative descriptive and interpretive analyses. A number of verbal and nonverbal behaviours were identified and interpreted in relation to whether they promoted or detracted from positive communication. The findings point to considering a variety of proactive strategies that staff and administrators could employ to effectively accommodate to language and ethnocultural diversity in long-term care practice.

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“…Helping an elderly person to get clean and tidy is a caregiving setting that often entails elements of 'imposition' on that person. Previous research (Grainger 1993;Heinemann 2009a;Jansson and Plejert 2014) maintains that it is a great challenge for staff to be able to conduct such tasks in ways that maintain the elderly person's feeling of autonomy and integrity. We use the term language brokering to examine instances of bilingual interaction involving two or more interlocutors where such challenges are collectively managed.…”

Section: Communication and Medicinementioning

confidence: 99%

Language brokering in multilingual caregiving settings

Jansson

Wadensjö

2017

Communication & Medicine

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Using the methodology of conversation analysis to examine audio-recorded multi-party conversations between a Swedish-/Farsi-speaking resident and multilingual staff in a Swedish residential home, this article describes a practice for establishing shared understanding by one caregiver enacting the role of language broker. The focus is on caregiving settings where caregivers assist an elderly person with her personal hygiene. We demonstrate how brokering is used to (1) maintain the conversational flow in a small talk sequence and (2) address the contents in the resident's complaints. The article thus advances our understanding of language brokering as an activity that multilingual staff in a linguistically asymmetrical workplace setting take on to assist a colleague in performing client-oriented activities.Keywords: conversation analysis; Farsi; language brokering; multilingual interaction; residential elderly care; Swedish IntroductionIn Sweden, as throughout the Western world, elderly care is a setting that is becoming increasingly multilingual. This is not only because elderly care employs the highest proportion of migrant workers, but also because the proportion of elderly with a foreign background in need of long-term care is rapidly increasing. This situation poses new demands on care facilities that experience a sudden and dramatic rise in linguistically and culturally diverse clients. Even if Sweden has a fairly large population of immigrants, there are limitations in what cultural and linguistic adaptations can be made in relation to the individual needs of elderly immigrants. For this reason, elderly persons with a foreign background often live in residential homes where the linguistic background of the staff does not match that of the residents. In this article, we investigate how two caregivers in multi-party communication with a multilingual (Swedish/Farsi) Persian woman cope with such a linguistic mismatch. Communication & MedicineThe need for cultural and linguistic adjustments in elderly care has been acknowledged in previous research (e.g. Ekman 1993;Jansson 2014;Plejert et al. 2014). Plejert et al. (2014: 2) point out that the lack of cultural and linguistic matching between staff and residents in care contexts creates highly complex situations for all participants involved. Viewing utterances through a conversation analytic lens (e.g. drew et al. 2001), Plejert and colleagues highlight the use of different kinds of responses as an essential ingredient in the joint negotiation of meaning and in the establishment and maintenance of shared understanding. Their study focuses on how a client's complaints produced in the client's mother tongue are responded to by a carer with very limited knowledge of this language, demonstrating that when there is a lack of a common language, the handling of the resident's complaints becomes problematic, since the carer, most of the time, is unable to address the actual content of these complaints.The relevance of responses in interactions involving parti...

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Taking a shower

Cited by 29 publications

References 24 publications

Everyday conversation in dementia: a review of the literature to inform research and practice

Everyday conversation in dementia: a review of the literature to inform research and practice

Verbal and nonverbal indicators of quality of communication between care staff and residents in ethnoculturally and linguistically diverse long-term care settings

Language brokering in multilingual caregiving settings

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