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Nurse-patient Communication Expected from the Elderly with Hearing Loss: A Comparison with the Normal-hearing Elderly Based on the Kawakita Jiro/KJ Method Keiko Morita 1 , Hisao Osada 2 1Nihon Institute of Medical Science, Faculty of Health Science, Department of Nursing 2J. F. Oberlin University, Graduate School of Gerontology Keyword: 高齢者 , 看護師 , 難聴 , コニュニケーション , KJ法 , elderly , nurses , hearing-loss , communication , KJ method pp.41-50
Published Date 2017/7/31
  • Abstract
  • Reference

 A pure tone audiometry was conducted for inpatients above the age of 65, followed by semi-structured interview tests. The sample was categorized into two groups: seven with normal hearing and 8 with hearing loss. Using KJ method, the authors deepened interpretation of the hidden meaning of the interview findings. Discussion was focused on the nurse-patient communication expected from the elderly with hearing loss by comparison with that of the normal hearing group.

 The normal hearing group strongly felt that they were separated from their daily lives and experiencing “difficulty adjusting to ‘non-everyday’ living due to hospitalization, in which a nurse played a central role.” They expressed their “deep gratitude for the compassionate support of nurses.”

 The hearing loss group experienced “difficulties due to limited body movement”, which they accepted with “resignation accompanied by a sense of helplessness.” The situations included “experiencing confusion with the frequent nurse rotations”, “managing to get along without assistance” or “pretending to be unconcerned about the inconveniences.”

 Patients well recognized that they were obliged to “bear the burden of undesirable consequences” and, therefore, the accumulated communication failures due to hearing difficulties lead to their unconscious adoption of strategies such as “contriving to overcome difficulties” or “staying concerned with what is important.”

 In order not to be physically and mentally exhausted, the patients expected “sensitive care from the patients' perspectives” as well as “frequent confirmations of nurse-patient conversations” with deep concern for the hearing-disabled elderly people. Elderly with hearing loss expect “communication which can be interrupted midway through conversation” by their own initiative.


Copyright © 2017, Japan Academy of Gerontological Nursing All rights reserved.

基本情報

電子版ISSN 2432-0811 印刷版ISSN 1346-9665 日本老年看護学会

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