Evaluation of a Model of Relational Expectation Misalignments in Care: Case study of a public nursing home in Japan

Abstract

Solving caregiving issues requires a perspective that captures the interaction between caregivers and care recipients, rather than focusing on a single individual. We previously developed a model to systematically analyze the "expectation misalignments" between two parties. This study verified the applicability of this model using video observations and reflection workshops at a nursing home. We analyzed two contrasting cases. In the case of Resident B (dementia with high physical ability), the model successfully visualized a "behavioral conflict" caused by a lack of prediction, highlighting the need for environmental design. Conversely, in the case of Resident A (high cognitive ability), while behavioral expectations appeared aligned, the workshop revealed a "latent discrepancy" caused by the resident's "over-adaptation" to the caregivers' busyness. The results suggest that while the model is effective for structuring observable interactions, it requires extension to represent "hidden expectations" and "personal backgrounds" that are not expressed in action. Future work will aim to implement this model as a practical reflection tool for caregivers to design appropriate conflict resolution strategies.

Keywords: Elderly Care, Special Nursing Home, Mutual Expectation, Expectation Misalignment, Caregiver-care Recipient Interaction, Reflection

DOI: 10.54941/ahfe1007569