We, not them and us?'
Views on the relationships and interactions between staff and relatives of older people
permanently living in nursing homes. This study describes relatives' and staffs'
experiences of each other in their relationships and interactions in connection with the
care of old people with dementia living in nursing homes. The aim was to identify
obstacles and promoters concerning these interactions.
A qualitative method was used. Data were collected from 27 hours of observations of
group discussions about relatives' and staffs' communication, interactions and
experiences. Three different groups, with eight participants, relatives, staff and a group
leader in each, met six times during a period of 3 months. Findings indicate that the
experiences that relatives and staff have of each other are related to issues about
influence, participation, trust and measures to avoid conflicts. These conclusions build
on concrete descriptions about care, activities, competence, communication and visits
given by research participants. Experiences of situations were sometimes contradictory
between relatives and staff. This implies that the potential for cooperation between
relatives and staff in care of the elderly is not fully utilized.
Suggestions for enhancing the relationships between relatives and staff are:
pre-planned informal, individual conversations between relatives and staff; development of
ways to give regular two-way feedback about matters concerning the resident and the
relationship between staff and relatives; giving staff credit for measures taken to
facilitate relatives' involvement in the nursing home care; measures to improve
documentation about families' involvement; and working together with minor practical
tasks.
