Behavioral reciprocity in person-centered care: an analysis of residents and nurse aides
Medvene, Louis J. Runyan, Amanda M. Nilsen, Kyle
Medvene, Louis J.
Runyan, Amanda M.
Nilsen, Kyle
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2012-11
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Medvene, Louis J.; Runyan, A.; Nilsen, Kyle. 2012. Behavioral reciprocity in person-centered care: an analysis of residents and nurse aides. Gerontologist, v.52 no.1 p.532
Abstract
Resident/aide relationships in long-term care are an important source
of resident (Bowers et al., 2001) and aide satisfaction (Mittal et al.,
2009). Recent work has focused on aides’ person-centered abilities.
Innovatively, the present study highlights the resident’s role in creating
and maintaining relationships with aides. This study adapted two operational
coding measures previously used to assess aide’s person-centered
behaviors: the Person-Centered Caregiving Behavioral Inventory
(PCBI) and the Global Behavioral Scale (GBS; Lann-Wolcott et al.,
2011). Participants were 20 independent, distinct resident/aide dyads
who were videotaped in 48 caregiving episodes. Independent raters used
the caregiving videos to assess person-centeredness of residents by coding
for nine verbal and three nonverbal relationship- and communication-
based behaviors, as well as seven global categories. Good concurrent
validity of the behavioral inventory and the global rating scale was
found: r (48) = .38, p < .05. A strong relationship was found between
residents’ PCBI-R scores and their respective aides’ PCBI scores: r (48)
= .65, p < .05. A moderate relationship was found between resident’s
GBS-R and their aides’ GBS ratings: r (48) = .35, p < .05. These correlations
indicate substantial reciprocity between the aide and resident
in engaging in person-centered behaviors, and suggest that residents
influence their relationships with aides. Future research should explore
how residents can be empowered to use their communication skills to
influence their care and satisfaction even more. Attendees of the session
will be able to assess residents’ communication skills in contributing
to the person-centeredness of their relationships with aides.
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Presented at the Gerontological Society of America
65th Annual Scientific Meeting, San Diego, CA, November 14–18, 2012
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Oxford University Press
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Gerontologist
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0016-9013