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QUALITY OF CARE RENDERED TO ELDERLY CLIENT BY STAFF NURSES ON SELECTED PRIVATE AND PUBLIC HOSPITAL IN LAGUNA.

Author

Ivan P. Detoyato,
Charlene G. Jimenez,
Edlin F. Kirk,
Rafelo Rei A. Legasto,
Paula Beatriz L. Librada,
Leodovico A. Llames

Related Institution

Publication Information

Publication Type
Thesis/Dissertations
Thesis Degree
BS
Specialization
BACHELOR OF SCIENCE IN NURSING
Publication Date
October 2012

Abstract

The Philippines has both private and public healthcare institutions. Most of the government hospitals provide quality healthcare in the same way private hospitals do. Although some people may have misconceptions, most of them are unfounded. In our country, more often than not, the older person who goes to the hospital to avail of free medical services are led to so many people before they are given the attention needed. Although there are no hard evidences that there is refusal to give them medical attention, there have been report s of mistreatment especially among the poor elderly. Even in institutions such as residential facilities that are tasked to provide basic care and support for the abandoned elderly, there is prevalence of abuse. Hence, this study aimed to determine the quality of care rendered to elderly clients by staff nurses in selected private and public hospitals in Laguna. Specifically, it aimed to determined the demographic profile of the respondents in terms of age, gender, civil status, religion, educational attainment, length and type of hospitalization. It also aimed to determine quality of care rendered to elderly clients by staff nurses in terms of knowledge, skills and attitude. The researchers have selected tow government hospitals namely Dr. Jose P. Rizal Memorial District Hospital and Laguna Provincial Hospital and two private hospitals named St. James Hospital Incorporated and St. John De Baptist Medical Hospital Incorporated.  The respondents were selected through quota sampling. There were twenty (20) elderly patients in each public hospital and fifteen (15) elderly patients in each private hospital who filled up the survey questionnaire.


The results of the questionnaire were tabulated and interpreted from which the findings and conclusion were drawn. As to age, half of the respondents are aged 60-69 years while 38.6% are aged 70-79 years and the oldest age group makes up 114% of the respondents. As to gender, 62.9% of the respondents are female while the 37.1% of the respondents are male. Most of the respondents or 72.9% are married while the remaining 27.1% are still single. Most of the respondents are married. As to religion, 82.9% are Catholic respondents and the rest are non-Catholics. Most of the respondents are Catholic. As to educational attainment, 58.6% are from the secondary level, 21.4% are from the tertiary level while 20% are from the primary level. More than half of the respondents are from the secondary level. As to length of hospitalization, 67.1% have been hospitalized from 1 to 4 days while the rest have been hospitalized for 5 to 8 days. Most of the respondents have had a length of stay in the hospital for less than 5 days only. As to type of hospital, 57.1% of the respondents have been admitted to a public hospital while the rest have been admitted to a private hospital. As to quality of care rendered by staff nurses on the respondents in terms of knowledge, "teaching of ways on how to prevent recurrence of condition or disease" obtained the highest weighted mean of 3.34 as assessed by the respondents. "Encouraging the family to participate in planning for the respondent's care and treatment" obtained the lowest weighted mean of 3.13. However, this is also qualitatively described as "very satisfactory". This is also indicates a high quality and efficiency in rendering care. As to quality of care rendered by staff nurses on the respondents in terms of skills. From the table, "giving of medication on time" obtained the highest weighted mean of 3.60 as assessed by the respondents. "Assisting the respondents in doing activity daily living". Obtained the lowest weighted mean of 2.83. As to quality of care rendered by staff nurses on the respondents in terms of attitude, "neatness and good grooming" of the staff nurses obtained the highest weighted men of 3.64 assessed by the respondents. "Promptness when responding to the client's request." Obtained the lowest weighted mean of 2.87. It reveals that the respondents aged 70-79 years indicated the highest rate in assessment for knowledge and skills of the staff nurses.


Respondents aged 80-89 years years indicated the highest assessment for attitude. The elderly respondents from 80-89 gives the highest rate in assessment for attitude of staff nurses. As to gender, it reveals that the female respondents indicated the highest assessment for knowledge, skills and attitude. It reveals that the single respondents indicated the highest assessment for attitude. It reveals that the catholic respondents from the secondary level indicated the highest assessment for knowledge. The elderly patients from secondary level indicated the highest assessment for knowledge. It reveals that the respondents hospitalized for 5 to 8 years indicated the highest assessment for knowledge and attitude. It reveals that the respondents for knowledge and attitude. Respondents admitted in a public hospital indicated the highest assessment for skills. There is no significant difference in the quality of care rendered by the staff nurses when the respondents are grouped according to hype of hospital. This indicates that with respect to the type of hospital admitted to, the respondents will have the same assessment of the quality of care rendered in terms of knowledge, skills and attitude of the staff nurses. This simply means that whether it is public or private hospital the care rendered was still the same, it didn't vary even though its public or private hospital.


In terms of the knowledge of the staff nurses, the quality of care rendered emphasizes on prevention of the recurrence of the condition underwent by the elderly clients. In terms of the skills of the staff nurses, the quality of care rendered emphasizes on promptness in giving medication to elderly clients. The quality of care rendered by the staff nurses is not dependent on the demographic variables of the elderly clients used in this study with the exception of civil status. In terms of the attitude of the staff nurses, the quality of care rendered emphasizes on the overall physical appearance to elderly clients. Elderly clients, who are3 single, assess the quality of care rendered in terms of the staff nurses' knowledge to be much better than the assessment of married elderly clients. Based on the findings of the study, the researchers arrived at the following conclusions that there is no significant difference in the quality of care rendered by the staff nurses when the respondents are grouped according to type of hospital. This indicates that with respect to the type of hospital admitted to, the respondents will have the same assessment of the quality of care rendered to elderly clients in terms of knowledge, skills and attitude of the staff nurses. This simply means that whether it is public or private hospital the care rendered was still the same, it didn't vary even though its public or private hospital.


 


 


 


 


 


 


 

Physical Location

LocationLocation CodeAvailable FormatAvailability
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