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Israel : perceptions of nurses, families, and residents in nursing homes concerning residents’ needs

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This study examined the congruence between needs identified as significant by older adults in comparison with caregivers (nurses) and elders’ families. The study involved 44 patients, 94 nurses and 44 families from the Shoham Geriatric Center in Pardes Hanna, Israel. The findings are based on data gathered through questionnaires distributed at the nursing home. The findings indicate a discrepancy between residents’ needs as identified by the staff, the families and the elderly residents themselves. An analysis based on primary needs showed that in comparison with the residents and their families, the nurses attributed greater significance to values and personal outlook of the residents, provision of proficient physical care, skilled mental support, social life and institutional requirements. Families attributed the most significance to the provision of information and family involvement, and in contrast, according to the residents, the most important area was skilled mental/emotional support. Also discussed are the research and practical implications of these findings.

INTRODUCTION

The number of elderly people in Israel (65+) is increasing at a previously unknown rate. Since 1955, this population has increased by 7.7%; although, the general population has multiplied by 3.7%. The elderly population is rising persistently because of the increase in life expectancy in Israel.

Long-term geriatric nursing care must reflect the needs and preferences of elderly residents and their families in order to promote quality of care.2 Certain needs are routinely provided by nursing homes; however, sometimes, in order to fulfil a need, the nursing staff must be aware of the needs of the residents and of their families. Presented in this paper are the findings of a study examining the needs of elderly residents at a nursing home according to their own perception and in comparison with the perceptions of their families and the nursing staff.

SUMMARY

Identifying the needs of nursing home residents is crucial to the quality of life of these elderly people. In light of the study results, which indicate a lack of correlation
between needs perceived by the residents as significant, compared with those seen as essential by their families and/or by the nurses, it is highly recommended to formulate an institutional procedure using a questionnaire that can identify the needs of residents as the residents themselves see them and as their families see them at suitable points during the residents’ stay. This questionnaire could be distributed to residents and their families twice during their first year. It is critical to inform the nursing and medical staff and the management of the nursing home regarding needs identified as significant and to coordinate residents’ care accordingly.

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Par K.S. Date 22-05-2008

 

 

 

 


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