Maintenance of patients' integrity in long-term institutional care.
This study aimed to describe and compare the views of nurses and older patients' relatives on factors restricting the maintenance of patient integrity in long-term care. The purposive sample comprised 222 nurses and 213 relatives of older patients in four Finnish long-term care institutions. The data were collected using a self-developed questionnaire addressing five sets of factors relating to patients, relatives, nurses, the organization and society. The maintenance of patient integrity was restricted by: (1) social factors, including lack of respect for long-term geriatric care and lack of adequate resources; (2) patient factors relating to forgetfulness; and (3) factors relating to nurses and relatives in maintaining patient integrity. Better maintenance of patient integrity requires that more consideration is paid to issues of social respect and to the availability of adequate resources. Closer attention must be given to patients who are forgetful and unable to take part in decision making.
University of Turku, Turku, Finland. sari.teeri@samk.fi
Sari
S
Teeri
Maritta
M
Välimäki
Jouko
J
Katajisto
Helena
H
Leino-Kilpi
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D016009:Chi-Square Distribution; D003657:Decision Making / Q000941:ethics; D003704:Dementia / Q000451:nursing; D005190:Family / Q000523:psychology*; D005260:Female; D005387:Finland; D005851:Geriatric Nursing / Q000941:ethics / Q000458:organization & administration; D006301:Health Services Needs and Demand; D006801:Humans; D008134:Long-Term Care / Q000941:ethics / Q000458:organization & administration / Q000523:psychology; D008297:Male; D016743:Mental Competency; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000941:ethics / Q000458:organization & administration / Q000523:psychology*; D010344:Patient Advocacy / Q000941:ethics / Q000523:psychology; D010358:Patient Participation / Q000523:psychology; D011795:Surveys and Questionnaires