Send to

Choose Destination
Scand J Caring Sci. 2019 Dec 12. doi: 10.1111/scs.12804. [Epub ahead of print]

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

Author information

National Tainan Junior College of Nursing, Tainan City, Taiwan.
Department of Education, National Kaohsiung Normal University, Kaohsiung City, Taiwan.



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.


This study explored factors related to the elderly's perception of healthcare providers' caring in long-term care facilities.


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.


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.


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.


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.


caring perceived; cross-sectional study; elderly residents; long-term care; related factors


Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center