This study examined the congruence between needs identified as significant by older adults in comparison with caregivers (nurses) and elders' families. The study involved 44 patients, 94 nurses and 44 families from the Shoham Geriatric Center in Pardes Hanna, Israel. The findings are based on data gathered through questionnaires distributed at the nursing home. The findings indicate a discrepancy between residents' needs as identified by the staff, the families and the elderly residents themselves. An analysis based on primary needs showed that in comparison with the residents and their families, the nurses attributed greater significance to values and personal outlook of the residents, provision of proficient physical care, skilled mental support, social life and institutional requirements. Families attributed the most significance to the provision of information and family involvement, and in contrast, according to the residents, the most important area was skilled mental/emotional support. Also discussed are the research and practical implications of these findings.Key words: families, needs, nurses, nursing home, residents.
INTRODUCTIONThe number of elderly people in Israel (65+) is increasing at a previously unknown rate. Since 1955, this population has increased by 7.7%; although, the general population has multiplied by 3.7%. The elderly population is rising persistently because of the increase in life expectancy in Israel.1 Long-term geriatric nursing care must reflect the needs and preferences of elderly residents and their families in order to promote quality of care.2 Certain needs are routinely provided by nursing homes; however, sometimes, in order to fulfil a need, the nursing staff must be aware of the needs of the residents and of their families. Presented in this paper are the findings of a study examining the needs of elderly residents at a nursing home according to their own perception and in comparison with the perceptions of their families and the nursing staff.
LITERATURE REVIEWThe needs of elderly persons residing in nursing homes are varied and connected to their health problems, the manner in which they experience their illnesses and their needs when healthy.3 Various definitions are suggested to define the concept of needs of elderly people. Von Wright 4 defined a need as an element which a person requires and cannot do without. He claimed that needs are broadly defined and that residents might be harmed by a reduction of this definition. Lindrooth et al. 5 claimed that the needs of elderly residents vary according to their health condition, age, gender and culture.Various studies indicate that the most significant need for elderly nursing home residents is the need to trust the When residents are admitted to a nursing home they expect to acquire trust in the caregiving staff. Residents usually expect the nursing and medical staff to provide for their needs, based on the degree of trust that develops between them. Situations, in which the staff do not respond appropriately to significan...