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View/Open - ARAN - National University of Ireland, Galway

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208<br />

Chapter 5 Findings<br />

and the nurse says ‘I think she has pain, will we wait?’ But the<br />

HCA replies ‘oh, she always cries’ and they carry on washing and<br />

dressing her.”<br />

(Obs – Day 2: 07.30-09.30hrs)<br />

Staff participants acknowledged that it is only when they get to “know”<br />

the residents through communication that they can build relationships<br />

with them:<br />

“Well I mean there has to be effective communication to build up a<br />

mutual relationship with them and to get to know them better.”<br />

(S11)<br />

Having fun with the resident also helps to build relationships:<br />

“One male resident is calling the HCA ‘the lady with the smiles’.<br />

They are having a laugh with him.”<br />

(Obs - Day 2: 10.30-12.30hrs)<br />

It was observed that residents <strong>of</strong>ten talk to non-direct care team members:<br />

“The laundry staff member is <strong>of</strong>ten able to stop and chat with the<br />

residents as she puts their clothes in their wardrobes and the<br />

residents appear to have a good relationship with her. Perhaps they<br />

see her as different to the other staff as she is not visibly rushing as<br />

much as the others and they seem to trust her with their clothes.”<br />

(Obs – Reflection on Day 1 – morning time)<br />

Staff participants acknowledged that they feel they don’t always have enough<br />

time to talk to the residents but it was also observed that there are many residents<br />

who don’t interact with each other either:<br />

“There are seven residents participating in art activity with an art<br />

tutor. They appear to be enjoying it but are not communicating with<br />

each other. They are working on their individual paintings. They<br />

appear to get on well with the tutor.”<br />

(Obs – Day 1: 15.30-16.30hrs)<br />

“Two <strong>of</strong> the ladies occasionally communicate with each other but<br />

one is very deaf and one is very confused so the conversation tends<br />

to not go very far.”<br />

(Obs – Day 1: 18.30-19.30hrs)

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