Individuality in older people's care - challenges for the development of nursing and nursing management.

摘要

AIM: To explore nurses' perceptions about individuality in older people's care. BACKGROUND: Individualized care is enshrined in health-care policies and ethical and quality guidelines concerning older peoples' care but assessments of individualized care delivery are limited. METHODS: Using a descriptive survey design, Individualized Care Scale questionnaires (n = 147) were used to collect data from 96 registered or licensed practical nurses (response 65%) working in the inpatient wards of four randomly selected long-term care hospitals in 2008. The questionnaires were analysed statistically. RESULTS: Nurses perceived that they supported older patients' individuality well in the clinical situation and maintained patients' decisional control over their care. Nurses also perceived that although they moderately supported their patients' personal life situation they did not actively encourage patients' families to take part in care. CONCLUSIONS: This study revealed some shortcomings in the maintenance of individuality in older peoples' care and the need to change the focus of care from reactive management to a proactive prevention orientation to improve the well-being of older people. IMPLICATIONS FOR NURSING MANAGEMENT: There is a need to examine the care structures and processes and the role of nurse professionals in older peoples' care under the guidance of nurse leaders and managers.