Please use this identifier to cite or link to this item: http://scholarbank.nus.edu.sg/handle/10635/145872
Title: NURSES’ PERCEPTIONS OF ELDERLY PATIENTS’ SELF-CARE IN GERIATRIC MEDICAL WARD SETTINGS: A DESCRIPTIVE QUALITATIVE STUDY
Authors: TEO SHIN YUN
Keywords: Activities of daily living, Hospitalisation, Nurses, Elderly patients, Perceptions, Singapore, Self-care
Issue Date: 21-Jun-2018
Citation: TEO SHIN YUN (2018-06-21). NURSES’ PERCEPTIONS OF ELDERLY PATIENTS’ SELF-CARE IN GERIATRIC MEDICAL WARD SETTINGS: A DESCRIPTIVE QUALITATIVE STUDY. ScholarBank@NUS Repository.
Abstract: Background: When elderly patients were hospitalised, patients would engage in self-care, or nurses and/or family members would provide care or assistance. However, patients frequently depended and relied on nurses to provide care. This increased nurses’ workload, adversely affecting the quality of patient care provided. There is an imperative need to increase elderly patients’ self-care. Few qualitative studies have been conducted on nurses’ perceptions of elderly patients’ self-care. Aim: This study aimed to explore nurses’ perceptions of elderly patients’ self-care in geriatric medical ward settings in Singapore. Study Design: A descriptive qualitative approach was adopted. Methods: Data were collected through face-to-face individual semi-structured interviews. A purposive sample of 12 nurses working in geriatric medical ward settings was recruited from a tertiary hospital in Singapore from November 2017 to January 2018. Data collected were analysed using thematic analysis. Findings: Six themes emerged from the thematic analysis: nurses’ essential roles in managing patients’ care, presence of competing organisational factors, nurses’ limited ability and confidence, patients’ diminished abilities and elderly socio-demographic factors, patients’ and family members’ reliance on nurses, and motivating factors for patients’ involvement in self-care activities. Participants noted that nurses played an important role in managing elderly patients’ care. Competing organisational factors, nurses’ limited ability and confidence, patients’ diminished abilities and elderly socio-demographic factors, and patients’ and family members’ reliance on nurses were barriers to patient involvement in self-care activities. Participants reported various motivating factors that facilitated increased patient involvement in self-care activities. Conclusion: This study provided insights to nurses’ perceptions of elderly patients’ self-care in geriatric medical ward settings in Singapore. The findings provided implications for clinical practice, and baseline data for future studies to explore interventions to enhance patients’ and family members’ participation in elderly patients’ care.
URI: http://scholarbank.nus.edu.sg/handle/10635/145872
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