ArticleJournal of the American Geriatrics Society2022
Elderspeak communication and pain severity as modifiable factors to rejection of care in hospital dementia care.
Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- How Can We Improve Personal Care Interactions to Reduce Care Refusals From People With Dementia? A Realist Synthesis.Journal of advanced nursing · 2026Review
- Attention to Elderspeak: A Call for Dignity-Affirming Communication in Advanced Nursing Care.Clinics and practice · 2026Review
- Elderspeak from the perspective of hospitalised geriatric patients-insights from a cross-sectional study using a mixed-methods design.Frontiers in medicine · 2026Article
- Perceptions and Practices of Clinicians Undertaking Invasive Procedures With Patients Experiencing Delirium in Hospital: A Sequential Mixed Methods Study.Nursing & health sciences · 2025Article
- The Iowa Coding Scheme for Elderspeak: Development and Validation.The Gerontologist · 2025Article
- Article
- Stigmatizing language in caring for older adults with cancer: Common patterns of use and mechanisms to change the culture.Journal of geriatric oncology · 2023Article
- The Relationship Between Rejection of Care Behaviors and Pain and Delirium Severity in Hospital Dementia Care.Innovation in aging · 2023Article
- Characteristics of elderspeak communication in hospital dementia care: Findings from The Nurse Talk observational study.International journal of nursing studies · 2022Observational
- Elderspeak communication and pain severity as modifiable factors to rejection of care in hospital dementia care.Journal of the American Geriatrics Society · 2022Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundRejection of care (RoC) occurs when persons living with dementia (PLWD) withstand or oppose the efforts of their caregiver. Improvements in hospital dementia care are needed, and one way to address this need is by identifying factors that lead to RoC, particularly those that are modifiable. Elderspeak communication is an established antecedent to RoC among PLWD in nursing homes. The purpose of this study was to extend these results to acute care settings by determining the impact of elderspeak communication by nursing staff on RoC by hospitalized PLWD.
methodsCare encounters between nursing staff and PLWD were audio-recorded, transcribed verbatim, and coded for semantic, pragmatic, and prosodic features of elderspeak. RoC behaviors was scored in real-time using the Resistiveness to Care Scale. A Bayesian repeated-measures hurdle model was used to evaluate the association between elderspeak and both the presence and severity of RoC.
resultsEighty-eight care encounters between 16 PLWD and 53 nursing staff were audio-recorded for elderspeak and scored for RoC. Nearly all (96.6%) of the encounters included some form of elderspeak. Almost half of the care encounters (48.9%) included RoC behaviors. A 10% decrease in elderspeak was associated with a 77% decrease in odds of RoC (OR = 0.23, 95% CI = 0.03, 0.68) and a 16% decrease (
conclusionsBoth elderspeak by nursing staff and RoC by PLWD are present and pervasive in acute care. Pain and elderspeak are two modifiable factors of RoC in hospitalized PLWD. Person-centered interventions are needed that address communication practices and pain management for hospitalized PLWD.
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