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Table 2 The distribution of concerns and cues codes and elicitation by VR-CoDES sum categories and nursing staff

From: The use of supportive communication when responding to older people’s emotional distress in home care – An observational study

VR-CoDES – Concerns and cues sum category

 

VR-CoDES

Nurse assistant (%)

Registered nurse (%)

Total (%)

Emotional references (n = 224)

Code-related example

Concern: “Then I got a bit sad, thinking oh my God, are they that sick”

Cue a: “I really don’t like my eyes at the moment”

Cue f: (Crying and snivelling)

Cue g: “That was ghastly” (disgust, more than a month ago)

Nursing staff elicited*

Concern

24 (35)

21 (33)

45 (34)

Cue a

41 (59)

29 (46)

70 (53)

Cue fa

Cue g

4 (6)

13 (21)

17 (13)

Sum

69 (100)

63 (100)

132 (100)

Patient elicited**

Concern

5 (9)

13 (35)

18 (20)

Cuea

27 (49)

11 (30)

38 (41)

Cue f

23 (42)

12 (32)

35 (38)

Cue g

0 (0)

1 (3)

1 (1)

Sum

55 (100)

37 (100)

92 (100)

Emotional states/circumstances (n = 396)

Code-related example

Cue b: “yes, because everything is just dry”

Cue c: “I have no memory either, that is the worst”

Nursing staff elicited

Cue b

125 (97)

92 (99)

217 (98)

Cue c

4 (3)

1 (1)

5 (2)

Sum

129 (100)

93 (100)

222 (100)

Patient elicited

Cue b

90 (97)

81 (100)

171 (98)

Cue c

3 (3)

0 (0)

3 (2)

Sum

93 (100)

81 (100)

174 (100)

Contextual hints to emotion (n = 15)

Code-related example

Cue d: “I have a tumour in the stomach” (talking about food)

Cue e: “It still resides a bit” (third time repetition, about symptoms after stroke)

Nursing staff elicited

Cue d

1 (100)

0 (0)

1 (50)

Cue e

0 (0)

1 (100)

1 (50)

Sum

1 (100)

1 (100)

2 (100)

Patient elicited

Cue d

3 (27)

0 (0)

3 (23)

Cue e

8 (73)

2 (100)

10 (77)

Sum

11 (100)

2 (100)

13 (100)

  

Total

358 (56)

277 (44)

635 (100)

  1. “..” = Examples of older people’s expressions and designated concern/cue code found in the material
  2. *Fisher’s Exact Test: p = 0,036 between type of expression with emotional reference expressed to either nurse assistant or registered nurse
  3. **Fisher’s Exact Test: p = 0,005 between type of expression with emotional reference expressed to either nurse assistant or registered nurse
  4. anot applicable (only patient elicited)