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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

1
National Tainan Junior College of Nursing, Tainan City, Taiwan.
2
Department of Education, National Kaohsiung Normal University, Kaohsiung City, Taiwan.

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.

KEYWORDS:

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

PMID:
31830320
DOI:
10.1111/scs.12804

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