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Year : 2019  |  Volume : 24  |  Issue : 2  |  Page : 137-143

Communication behaviors in nursing homes in South-East Iran: An ethnographic study

1 Department of Community Health, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
2 Department of Pediatric and Neonatal Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Management, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Prof. Nahid Dehghan-Nayeri
School of Nursing Midwifery, Tehran University of Medical Sciences, Nosrat St. Tohid Sq. Tehran 141973317
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijnmr.IJNMR_101_18

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Background: Because of the increasing number of the elderly, the need for care in aged nursing homes (NHs) is increasing. As a cultural perspective toward care is new, it is very important to understand the communication behavior of the elderly in various cultures. This study aimed to explore the communication behaviors among the elderly in NHs in Kerman, Iran. Materials and Methods: This ethnographic focused study was conducted on 25 staff members and 8 residents in two NHs in 2015. Data were collected through observation of the participants, field notes, and semi-structured deep interviews in Kerman. Cuba and Lincoln method was used to ensure the trustworthiness of the data. The collected data were analyzed through content analysis. Results: By analyzing primary codes, 3 categories and 8 subcategories were extracted through content analysis including fluctuation in communication (task-oriented communication, avoidance of communication, and establishment of effective communication), artificial collaboration (fake friendships, jealousy, and its consequences, and cooperation in concealing error), and lack of collaboration among team members (fragmented teamwork, extreme working conditions, and physical burnout among the elderly). Conclusions: The results of this study indicate that communication problems between caregivers and the elderly are high. Thus, it is necessary that people who care for elderly indiviuals are trained regarding special communication strategies and skills, and they are not influenced by fatigue and burnout resulting from caring.

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