Effects of snoezelen, integrated in 24 h dementia care, on nurse-patient communication during morning care

  • Van Weert J
  • Van Dulmen A
  • Spreeuwenberg P
 et al. 
  • 91


    Mendeley users who have this article in their library.
  • 57


    Citations of this article.


Objective: To investigate the effectiveness of snoezelen, integrated in 24-hour care, on the communication of Certified Nursing Assistants (CNAs) and demented nursing home residents during morning care. Methods: A quasi-experimental pre- and post-test design was conducted, comparing sic psychogeriatric wards, that implemented snoezelen, to six control wards, that continued in giving usual care. Measurements were performed at baseline and 18 months after a training 'snoezelen for caregivers'. Independent assessors analysed 250 video-recordings directly from the computer, using an adapted version of the Roter Interaction Analysis System (RIAS) and non-verbal measurements. Results: Trained CNAs showed a significant increase of resident-directed gaze, affective touch and smiling. The total number of verbal utterances also increased (more social conversation, agreement, talking about sensory stimuli, information and autonomy). Regarding residents, a significant treatment effect was found for smiling, CNA-directed gaze, negative verbal behaviours (less disapproval and anger) and verbal expressed autonomy. Conclusion: The implementation of snoezelen improved the actual communication during morning care. Practice implications: Teaching CNAs to provide snoezelen has added value for the quality of care. Morning care by trained CNAs appeared to take more time. This suggests that (some) time investment might be required to achieve positive effects on CNA- resident communication. © 2004 Elsevier Ireland Ltd. All rights reserved.

Author-supplied keywords

  • Dementia
  • Effects
  • Multi-Sensory Stimulation
  • Nurse-patient communication
  • Snoezelen

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document


  • Julia C.M. Van Weert

  • Alexandra M. Van Dulmen

  • Peter M.M. Spreeuwenberg

  • Miel W. Ribbe

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free