| Summary: | 碩士 === 國立臺北護理健康大學 === 護理研究所 === 100 === According to statistics announced by Department of Health, Executive Yuan, R.O.C. in 2012. Accounted for 42.15% of hospital admission individuals in 2011, Investigations on nurses’ recognition and caring toward patients published in domestic and foreign journals have majorly emphasized elderly patients’ “needs” acquiring from nurses, but have a lack of elderly inpatients’ “perception” from nurses’ caring behaviors. This study aims to understand elderly patients’ feelings toward nurses caring behaviors, and nurses’ self-awareness caring behaviors. Cross-sectional survey was applied and subjects recruited were elderly inpatients and nurses from wards of internal medicine, surgery, and general departments at a medical center and its two branches in Northern Taiwan. Data collected with four-point Likert scale by assessing structured questionnaires; 10- and 50-item questionnaires of “Client Perception of Caring Scale” and “Modified CARE-Q Instrument” were acquired from elderly patients and nurses, respectively. For illiteracy elderly inpatients, data collectors changed the 4-point frequencies of Likert scale to four colors as choices. A total of 180 and 502 questionnaires were issued for elderly inpatients and nurses, responding with 164 and 460 valid questionnaires, respectively. Results show that 1.A score of 3.36 (SD=.49) was obtained from feelings of elder inpatients to the overall nursing caring behaviors, between often and always. The highest score was “I felt frustrated by this nurse’s attitude.”(Reversed), and the lowest score was “I felt free to talk to this nurse about what concerned me.” Patients’ marital status, children numbers, recognitions, depression degrees and truma, neoplasms diagnosis were causes significant differences toward nurses’ caring behaviors; 2. The two highest scores, 3.04 (SD=.43) for both, were “Monitors and Follows Through” and “Trusting Relationships” were obtained from 6 sub-questionnaire of caring behaviors. Nurses’ self-awareness caring behaviors show significant differences on age, marital status, living with elders or not, occupational position, clinical department, the highest degree in nurse, as well as took or participated courses and practices related to elderly caring; We suggest that nurses shall offer more caring to elders with poorer recognition and higher degrees of depression during clinical practices. Nurses shall have continuing education to strengthen elder caring and caring behaviors in order to provide appropriate cares for elder inpatients.
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