| Summary: | 碩士 === 國立台北護理學院 === 護理研究所 === 92 === Paralanguage used by nurses effect their impression toward clients and may further influence the establishment of nurse-patient relationship and therapeutic effects. However, prior research on paralanguage has not emphasized empirical study on psychiatric nurses. Therefore, this study describes and analyzes the use of paralanguage by psychiatric acute ward nurses in therapeutic individual interview situation. Eleven participants working in psychiatric acute wards in a major hospital in northern Taiwan were recruited in the study. The between the patient and the nurse in charge of the client was taped during individual interviews. Coding and analyzing content by Cool Edit Pro and Praat software. Variables have 9 parts such as fill pause, silence pause, response voice, clear throat, quivering, speech rate, duration, intensity, and pitch. According the result we can’t coding the clear throat and quivering. So 7 parts were analyzed using SPSS for Windows version 11. Background information on participating nurses and clients were collected.
Results showed that psychiatric nurses used 0.515 seconds duration of fill pause and 0.751 seconds duration of silence pause duration. The most frequently used response voice were “m-hmm”, “hmm”, “hei”, and “ah”. Their average speech rate was 259 syllables per minute. Their average duration was 4.3 seconds. Their average speech volume was 64 dB . Their average pitch was 200.7 Hz . Results also showed that the use of “tsk“ has significant different with training; the use of speech rate and duration has significant different with nurse-patient relationship; the use of pitch has significant different with patient diagnosis.
These findings may be useful to psychiatric nurses on communication skills and to instructors training nursing students on the use of paralanguage.
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