title: Nurses' characteristics and organisational factors associated with their assessments of individualised care in care institutions for older people.
abstract: BACKGROUND
  Individualised care is considered a key attribute of the quality in clinical care. Despite the environment in which the care is delivered and the care providers can influence in this concept, perceptions of individuality in the care settings for older people are rarely studied.
  
  
  OBJECTIVE
  To identify nurses' characteristics and organisational factors associated with nurses' views about the provision of individualised care in care settings for older people.
  
  
  METHODS
  A cross-sectional multisite survey design.
  
  
  METHODS
  A multisite survey of nursing staff (N = 1513, n = 874, response rate 58%) working in 62 different units for older people in southwest Finland was carried out using self-administered questionnaires (The Individualised Care Scale-Nurse-B and a questionnaire gathering socio-demographic and organisational variables). Data were analysed using descriptive statistics, Spearman's correlation coefficients, paired-sample t-tests and one-way analyses of variance.
  
  
  RESULTS
  Participants' perceptions about the level of individualised care provided to older people were generally positive (Mean 3.92, SD 0.56). In this regard, taking into account the patients' clinical situation (Mean 4.31, SD 0.53) and the support of older patients' decisional control (Mean 3.80, SD 0.71) obtained the highest scores. Regarding nurses' socio-demographic variables, a positive correlation between age and type of organisation with the assessments of individualised care provision was found.
  
  
  CONCLUSIONS
  The findings of this study show that nurses' age and the type of organisation where the care is delivered have an impact on the perceptions of individualised care of nurses working in institutions for older people. The participants' assessments about individualised care delivery have practical utility as it may help managers better understand and develop areas that obtained the lowest scores. This information may lead to the reduction of barriers (structures and processes) that hinder individualised care delivery and facilitate programs aimed at developing professional environments that improve the delivery of older people's care.
authors.affiliation: Faculty of Occupational Therapy, Logopedia and Nursing, University of Castilla-La Mancha, Talavera de la Reina, Toledo, Spain.|Social and Health Care Research Center, University of Castilla-La Mancha, Cuenca, Spain.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Rodríguez-Martín
authors.affiliation: University of Turku, Department of Nursing, Turku, Finland.
authors.forename: Minna
authors.identifier: http://orcid.org/0000-0002-1845-9800
authors.initials: M
authors.lastname: Stolt
authors.affiliation: University of Turku, Department of Mathematics and Statistics, Turku, Finland.
authors.forename: Jouko
authors.initials: J
authors.lastname: Katajisto
authors.affiliation: University of Turku, Department of Nursing, Turku, Finland.
authors.forename: Riitta
authors.initials: R
authors.lastname: Suhonen
mesh_terms: D000368:Aged; D005387:Finland; D006299:Health Services for the Aged; D006801:Humans; D009740:Nursing Staff; D011795:Surveys and Questionnaires
keywords: elder care; evaluation research; long-term care; nursing assessment; survey designs