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Evaluation of Primary Care Nursing in Long-Term Care

Attitudes, Morale, and Satisfaction of Residents and Staff

Hebrew Home for the Aged at Riverdale, Columbia University Center for Geriatrics and Gerontology, New York State Department of Mental Health

Douglas Holmes

Hebrew Home for the Aged at Riverdale

Esther Benenson

Flushing Manor Nursing Home

Charlene Monaco

Hebrew Home for the Aged at Riverdale

Virginia Barrett

Hebrew Home for the Aged at Riverdale, Columbia University School of Nursing

Mary Jane Koren

New York University Wagner Graduate School of Public Health

A primary care model of delivering nursing attendant care was evaluated using two samples of aides and of residents from a large, urban and a small, rural long-term care facility. Measures of staff morale and attitudes toward primary care, and resident satisfaction with care and attitudes toward primary care were obtained from comparison and experimental group units pre- and postimplementation of the primary care nursing intervention. For both samples, there was a significant group effect on staff attitudes toward primary care: Experimental staff members were significantly more positive (than the comparison staff members) toward primary care following the intervention. At the large urban facility, there was a significant group effect on both resident satisfaction with care and resident attitude toward primary care: Experimental residents were more satisfied and had a more positive attitude after the primary care intervention than did comparison group residents.

Research on Aging, Vol. 15, No. 4, 414-432 (1993)
DOI: 10.1177/0164027593154003


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