The relationship of hospitalized elders' perceptions of nurse caring behaviors, type of care unit, satisfaction with nursing care, and the health outcome of functional status
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The relationship of hospitalized elders' perceptions of nurse caring behaviors, type of care unit, satisfaction with nursing care, and the health outcome of functional status
Elders use more hospital care, healthcare dollars, and are at the greatest risk for negative outcomes than any other age group. Researchers suggest that hospitalized elders are not always satisfied with nursing care and their health outcomes are poor. Nurses Improving Care for Health System Elders (NICHE) is an innovative care model that provides hospital nurses with best practices to improve elders’ healthcare. Two sub-models under NICHE were tested in a hospital that subscribed to the NICHE model of care: the Geriatric Resource Nurse (GRN) whereby nurses’ are knowledgeable to provide quality bedside nursing care to hospitalized elders; and the Acute Care Elder (ACE) unit, an environmental adaptation for elders that includes an interdisciplinary team focused on preventing geriatric syndromes. The purpose of the study was to investigate the relationships of hospitalized elders’ perceptions of nurse caring behaviors, the type of care unit (ACE or Telemetry), satisfaction with nursing care, and the health outcome of functional status. Also tested was, if the type of care unit (ACE or Telemetry) moderated ii the effect of elders’ perceptions of nurse caring behaviors on satisfaction with nursing care; and if the type of care unit (ACE or Telemetry) moderated the effect of elders’ perceptions of nurse caring behaviors on the health outcome of functional status. A non-experimental predictive correlational design was used to test the hypotheses. Elders’ perceptions of nurse caring behavior were associated with and predicted their satisfaction with nursing care, r(178) = .555, p = .000, and overall, elders felt cared for and satisfied with the nursing care delivered. Older elders experienced significantly more functional decline, and those married or partnered experienced significantly less functional decline. There was significantly less functional decline (14.4%) than had been reported in earlier research (33%) in the total subject population. No association was found between nurse caring behaviors and the health outcome of functional status or satisfaction with nursing care between units. A two-hour orientation given to all new nurses on the topic of geriatric syndromes hospitalized may have confounded the lack of difference in units, but might have contributed to the overall perceptions of nurse caring, satisfaction and positive health outcomes.
Subject (authority = RUETD)
Topic
Nursing
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_5240
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Form (authority = gmd)
electronic resource
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application/pdf
InternetMediaType
text/xml
Extent
vii, 136 p. : ill.
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = vita)
Includes vita
Note (type = statement of responsibility)
by Marlene Melchiorre Dey
Subject (authority = ETD-LCSH)
Topic
Geriatric nursing--United States
Subject (authority = ETD-LCSH)
Topic
Older people--Hospital care--United States
Subject (authority = ETD-LCSH)
Topic
Older people--Medical care--United States
Subject (authority = ETD-LCSH)
Topic
Nurses--Attitudes
RelatedItem (type = host)
TitleInfo
Title
Graduate School - Newark Electronic Theses and Dissertations
Identifier (type = local)
rucore10002600001
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PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.