Using Relational Conversational Skills in a Self-Care Intervention With Older Caregivers

2.50
Hdl Handle:
http://hdl.handle.net/10755/158995
Type:
Presentation
Title:
Using Relational Conversational Skills in a Self-Care Intervention With Older Caregivers
Abstract:
Using Relational Conversational Skills in a Self-Care Intervention With Older Caregivers
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Teel, Cynthia, PhD, RN
P.I. Institution Name:University of Kansas
Contact Address:School of Nursing, 3901 Rainbow Blvd., Mailstop 4043, Kansas City, KS, 66160, USA
Co-Authors:M.H. Leenerts, School of Nursing, University of Kansas, Kansas City, KS
Background and Purpose: Although the importance of establishing caring relationships with clients has been well-documented in the literature, description of the skills needed for building health-promoting partnerships with diverse client groups is limited. In a previous study with older spouse caregivers of persons with dementia, the relational conversation skills (RCSs) used to build health-promoting partnerships included: listening with intent, affirming emotions, creating relational images, and planning enactment. In the current study, RCSs are used by advanced practice nurses (APNs) to facilitate intervention conversations and build health care partnerships with older spouse caregivers of stroke survivors. Treatment group participants in the ongoing, randomized, controlled trial receive 6 weekly intervention sessions provided by an APN. Each week's content is focused on a self-care topic, such as healthy habits, building self-esteem, focusing on the positive, avoiding role overload, communicating, and building meaning. Although standardized, content also is individualized. The purpose of this analysis was to assess APN use of RCSs and development of health care partnerships for spouse caregivers randomized to the treatment arm of the clinical trial. Methods: The first 6 treatment group participants completing all intervention sessions in the ongoing clinical trial were selected for data analysis. Detailed transcripts of each session were reviewed to identify APN use of RCSs and evidence of partnership formation between nurses and caregivers. Data from each session were mapped onto a RCS matrix to identify instances of use of each conversational strategy. Examples illustrating caregiver perceptions of partnership formation were identified within and across sessions. Results: Analysis of session transcripts provides evidence of RCS use within each session for each participant. The transcripts also include descriptions of the formation of health-promoting self-care partnerships. Conclusions: The APN can use RCSs in a self-care intervention for older spouse caregivers of stroke survivors, which can facilitate development of health-promoting partnerships.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUsing Relational Conversational Skills in a Self-Care Intervention With Older Caregiversen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158995-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Using Relational Conversational Skills in a Self-Care Intervention With Older Caregivers</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Teel, Cynthia, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Kansas</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 3901 Rainbow Blvd., Mailstop 4043, Kansas City, KS, 66160, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cteel@kumc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">M.H. Leenerts, School of Nursing, University of Kansas, Kansas City, KS</td></tr><tr><td colspan="2" class="item-abstract">Background and Purpose: Although the importance of establishing caring relationships with clients has been well-documented in the literature, description of the skills needed for building health-promoting partnerships with diverse client groups is limited. In a previous study with older spouse caregivers of persons with dementia, the relational conversation skills (RCSs) used to build health-promoting partnerships included: listening with intent, affirming emotions, creating relational images, and planning enactment. In the current study, RCSs are used by advanced practice nurses (APNs) to facilitate intervention conversations and build health care partnerships with older spouse caregivers of stroke survivors. Treatment group participants in the ongoing, randomized, controlled trial receive 6 weekly intervention sessions provided by an APN. Each week's content is focused on a self-care topic, such as healthy habits, building self-esteem, focusing on the positive, avoiding role overload, communicating, and building meaning. Although standardized, content also is individualized. The purpose of this analysis was to assess APN use of RCSs and development of health care partnerships for spouse caregivers randomized to the treatment arm of the clinical trial. Methods: The first 6 treatment group participants completing all intervention sessions in the ongoing clinical trial were selected for data analysis. Detailed transcripts of each session were reviewed to identify APN use of RCSs and evidence of partnership formation between nurses and caregivers. Data from each session were mapped onto a RCS matrix to identify instances of use of each conversational strategy. Examples illustrating caregiver perceptions of partnership formation were identified within and across sessions. Results: Analysis of session transcripts provides evidence of RCS use within each session for each participant. The transcripts also include descriptions of the formation of health-promoting self-care partnerships. Conclusions: The APN can use RCSs in a self-care intervention for older spouse caregivers of stroke survivors, which can facilitate development of health-promoting partnerships.</td></tr></table>en_GB
dc.date.available2011-10-26T21:36:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:36:00Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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