Factors related to perceived caring among older people residing in long-term care facilities: a cross-sectional study.

Abstract:

BACKGROUND:Healthcare providers who exhibit caring behaviours promote quality of care. Theoretical and empirical models have promoted a three-dimensional paradigm of care perception. However, the perception of elderly residents in long-term care facilities related to caring has not been investigated. OBJECTIVES:This study explored factors related to the elderly's perception of healthcare providers' caring in long-term care facilities. METHODS:A cross-sectional survey was conducted among 461 elderly residents living in 57 long-term care facilities in southern Taiwan. A structured questionnaire included demographic information, facility characteristics and the 12-item Caring Scale for Institutionalized Elders. Hierarchical regression analysis was used to determine significant factors related to the elderly residents' caring perceptions. FINDINGS:A hierarchical regression model showed 49.9% of the variance in elderly's perception of caring. Significant related factors included resident's age, number of comorbidities, need for caring, time spent being cared for, bed-to-nurse staffing ratios and accreditation status. CONCLUSIONS:Improved Registered Nurse staffing ratios with a higher level of accreditation status yield better perceptions of caring among residential elderly. Those with comorbid diseases and fewer caring needs have a higher perception of healthcare provider caring. IMPLICATIONS:The related factors of elderly's perceived caring provide long-term care managers and nursing staff with beneficial information to develop strategies that can manage residents with high expected-care needs. Policies to improve the accreditation standards of long-term care facilities are needed.

journal_name

Scand J Caring Sci

authors

Hwang HL,Tu CT

doi

10.1111/scs.12804

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

964-970

issue

4

eissn

0283-9318

issn

1471-6712

journal_volume

34

pub_type

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