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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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