Chapter I THE PROBLEM AND ITS SETTING This chapter includes the background, information concerning the study,

the statement of the problem, the hypothesis, the significance of the study and its scope and delimitation. Introduction Nursing care does not stop at the physiological needs of the patient; it includes emotional, intellectual and spiritual health. The Researchers Patient satisfaction is often defined in terms of the match between patients expectations of care and the actual care received. Patient satisfaction with nursing care is the patients subjective evaluation of the cognitive-emotional response resulting from the interaction between the expectations of nursing care and the perception of actual nurse behaviours/characteristics. Many factors have been shown to have an impact on patient satisfaction. Personal characteristics of patients, such as cultural background and degree of social support have been found to influence patient satisfaction ratings in some studies. Moreover, registered nurses make measurable contributions to the health and wellness of an elderly living in nursing homes. However, most hospitals do not employ adequate numbers of

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professional nurses with specialized training in the nursing care of older adults to positively impact resident outcomes. As a result, many people dont receive excellent gerontologic nursing while living in a long-term care facility. To begin meeting the nursing care needs of older adults throughout the nation, it is necessary to bring the current best practices in Gerontological nursing to the nurses whose area is caring for older adults. The researchers target respondents are elderly patients in St. Camillus Medhaven because the focus of the researchers study is about level of satisfaction of elderly patients in quality of care of staff nurses in Camillus Medhaven. This study prepares nurses to plan, manage and implement health care to meet the needs of older adults and to evaluate the effectiveness of such care. In developing the study, it is necessary to capture this elderly nursing science and deliver it to nurses who are currently caring for older adults.

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Statement of the Problem The study aims to determine the level of satisfaction of elderly patients in quality of care of staff nurses in Camillus Medhaven. Specifically, the study seeks to answer the following questions. 1. What is the demographic profile of the respondents in terms of:  age  gender

 highest educational attainment 2. What is the level of satisfaction of the respondents in the quality of nursing care of staff nurses? 3. Is there a significant difference between the level of satisfaction of the respondents when they are grouped according to demographic profile? 4. What recommendations can be addressed to increase the level of satisfaction of the respondents in the quality of care? Hypothesis Research Hypothesis: There is a significant difference between the level of satisfaction of the respondents when they are grouped according to demographic profile. Null Hypothesis: There is no significant difference between the level of satisfaction of the respondents when they are grouped according to demographic profile.

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Significance of the Study The results of the study would be beneficial to the following people: Staff Nurses.. To enhance their competency in giving quality care to elderly patients.And also this research will increase their professional awareness towards the care of the elderly. Elderly Patients. Through this research the elderly patients will receive better nursing care from the staff nurses. Elderly Caregivers. Elderly caregivers also have a professional

relationship towards the elderly patients.This research will enhance their knowledge about caring for the elderly.And this will also help them assist the nurses more efficiently. Hospital Administration. Through this research the hospital

administration will become aware of the things that the elderly patients needs,especially in a good quality nursing care.This will also make them improve their facilities and services. Nursing Students.Through this research,the nursing students will become more encouraged in giving quality care for the elderly patients.This will also serve as a reference for future studies.

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Scope and Delimitation

The focus of the study investigates the level of satisfaction of elderly patients in quality of care of staff nurses in Camillus Medhaven. The researchers will select the respondents of the study based on the following inclusion criteria. The patient must be 60-70 and above years old, conscious and coherent, male or female, a patient in Camillus Medhaven and willing to fully cooperate. On the other hand, in nurses inclusion criteria must be regularly employed as a staff nurse in the hospital, with at least 6 months of ward experience on any of the areas of the hospital. As for the exclusion criteria, the researchers will exclude patients below 60 years old, who are unconscious, not a patient in Camillus Medhaven and who are not willing to fully cooperate. And for nurses who are under probationary status, contractual and volunteer, and do not have at least 6 months of clinical experience in the said clinical areas are also excluded in the study because of inadequate experience since they are a volunteer or a trainee.

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Definition of Terms Acute illness. Typically will "run its course" regardless of whether or not there is drug intervention. Coughs, colds, teething, PMS, sleeplessness are all examples of such illnesses. Usually, medicines for acute illnesses are regulated as OTC (over-the-counter) drugs. Alzheimer's disease (AD), also called Alzheimer disease, senile dementia of the Alzheimer type, primary degenerative dementia of the Alzheimer's type, or simply Alzheimer's, is the most common form of dementia. This incurable, degenerative, and terminal disease was first described by German psychiatrist and neuropathologist Alois

Alzheimer in 1906 and was named after him. Most often, it is diagnosed in people over 65 years of age. Although the less-prevalent early-onset Alzheimer's can occur much earlier. Ambulatory. Capable of walking; not bedridden: an ambulatory patient. Cognition. Is the scientific term for "the process of thought". Usage of the term varies in different disciplines; for example in psychology and cognitive science, it usually refers to an information processing view of an individual's psychological functions. Other interpretations of the meaning of cognition link it to the development of concepts; individual minds, groups, and organizations. Comfort. The technical term for comfort (for health care research, practice, and education) is the immediate state of being strengthened by having the needs for relief, ease, and transcendence addressed in

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the four contexts of holistic human experience: physical, psychospiritual, sociocultural, and environmental. Chronic. Describing a disease of long duration involving very slow changes. Such disease is often of gradual onset. The term does not imply anything about the severity of a disease. Cultivate. Develop by practice. Curative Medicine. Is almost exclusively occupied by Homoeopathy, for this method alone cures without subjecting the patient to new pains and discomforts; it alone fulfils the highest aim of the physician - to heal quickly, gently, radically, according to scientific and rational methods. Dementia (taken from Latin, originally meaning "madness", from de"without" + ment, the root of mens "mind"). Is a serious loss of cognitive ability in a previously unimpaired person, beyond what might be expected from normal aging. It may be static, the result of a unique global brain injury, or progressive, resulting in long-term decline due to damage or disease in the body. Although dementia is far more common in the geriatric population, it may occur in any stage of adulthood. Exclusion. The process or state of excluding or being excluded. Gerontological Nursing. Is the specialty that concerns itself with the provision of nursing services to geriatric or aged individuals. Health. Is the diagnosis, treatment and prevention of disease, illness, injury, and other physical and mental impairments in humans.

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Health Professional. Is a qualified person who delivers proper health care in a systematic way professionally to any individual in need of health care services. Inclusion. The action or state of including or of being included Interpersonal. Relating to relationships or communication between people. Intellectual. Having a highly developed intellect. Urinary incontinence (UI). Is any involuntary leakage of urine. It is a common and distressing problem, which may have a profound impact on quality of life. Urinary incontinence almost always results from an underlying treatable medical condition but is under-reported to medical practitioners. There is also a related condition for defecation known as fecal incontinence. Medical Disciplines. A specific study of different medical related or interrelated in the medical field. Nursing. Is a healthcare profession focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life from conception to death. Physiology. The science of the functioning of living organisms and of their component parts. Quality. Excellence or the degree of this. Repercussion. An often indirect effect, influence, or result that is produced by an event or action.

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Chapter II REVIEW OF RELATED LITERATURE This chapter is focused on the review of related literature and studies both local and foreign which have been found relevant to the present study. These are presented to strengthen the background and enrich the content of this study. Foreign Literature According to Tabloski, 2006, the older population is the largest consumer of health care nursing services. This population will present societal challenges to nurses and citizens as we plan to meet the health care needs of an increasingly diverse group with higher expectation regarding quality of life and health in old age. Nurses and other health care workers in a wide range of setting will find themselves caring for larger numbers with a variety of health care needs. Additionally, we are all aging and encountering issues of aging within our own families, so there is a tremendous need for increase knowledge and preparation in gerontological nursing. According to Kinsella, et.al., 1998, elderly women greatly outnumber elderly men in most nations. Therefore, the health and socioeconomics problems of the elderly are to a large extent, the problems of elderly women.

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According to Meiner, et, al., 2007, low levels of education can impair older persons abilities to live a healthy lifestyle,access service and benefit programs,recognize health problems and seek appropriate care, and follow recommendations for care.The educational level of older adult client also affects the nurse-client health teaching process ad so is an important consideration in health promotion and disease prevention. According to ONeill, 2002, the goal for nurses who provide health care to older people is not only to help them live longer, but also to help them live better. The health care needs for older patients are unique because of their stage of life, just as the health needs of children are different from those of adults. According to Smith, 2005, nursing elderly patients frequently have conditions and needs that differ from other sectors of the community. Disease is more prevalent on elderly patients because of the alterations in physiologic functions. Communication is an important aspect of elderly nursing, because effective communication shapes relationship between nurse and patient. Compassion plays a big role in nursing care for elderly patients. The nurse caring for elderly must be independent enough to plan and create their own regimen for nursing care. According to Laschinger, et. al., 2005, patients satisfaction with nursing care is an important indicator of the quality care provided in

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hospitals. They stated that patients perceptions of the quality of care they experience during hospitalization are an important component of assessment of overall hospital quality. If the patients are satisfied with the care theyre receiving this will result to an improvement to their health. According to Volvrecht, 2002, Older adults deserve respect for their personhood. Inherently, they are worthy and valuable, especially in ways that make them unique individuals. According to Callaham,2004, The right to quality health care for older adults means that they have adequate access to quality care. This means that the older citizens have a right to the same high standards of health care as those in any other age group. Older adults have a right to complete evaluation of a problem, information on treatments options and participations in the decision making about the best course treatment. If a health care team, including the patient, may elect not to assess the problem using invasive techniques. However, the decision to elect a less aggressive course of assessment and treatment should not be based on age alone, or mean the quality of care should be compromised. According to ONeill, 2002, Women who can reach the age of 60 can expect to live another 19 years, while men can expect to live another 16. This increase in life expectancy has been attributed to improve health care, increase use of preventive services,and healthier

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lifestyles. Experts disagree as to whether this trend in life expectancy can continue without major treatment advances or even cures in heart diseases and cancer, the major causes of death in the elderly. According to Hampton, 2002, elderly patients who are

diagnosed with dementia require additional skilled nursing care as the disease progresses. She stated that communication with elderly patient with dementia, nursing staff should also be trained in providing proper nutrition and hydration, assistance in toileting is also an important skill. Nursing staff must be trained to redirect patients in a calm, firm manner. According to Helmuth, et. al., 2005, attitudes towards older patients significantly influences nurses practice. They stated that nurses who regards older patients as individuals like making an importance to talk to them held more positive attitudes than those nurses who perceived them as not being capable of making their own decisions as carrying out important functions like bathing or toileting. According to Carter and MacInnes, 2009, nurses with a higher level of professional education had more positive attitudes toward older people. They found educational interventions altered nurses decision making practices with older patients from a medically oriented professional approach to patient choice approach allowing patients more control over decisions relating to their care.

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According to Barba, et. al, 2007, older adults influence hospital environments. This patient population is now the predominant recipient services in all health care settings- 50% of hospital patients, 70% of home care patients, 90% of ambulatory patients. Hospitalized older patients use more resources and have higher charges and longer stays, accounting for up to 70% of cost outliers. With the growing population of older adults in hospitals, nurses face a challenge in their skills regarding gerontological nursing care According to Ebersole, et al., 2004, a major function of gerontologic nurses in the future will be dissemination of current knowledge in manner understandable and acceptable to a diverse population of elders. They stated that many elders will be managing their own care to the best of their ability and the gerontologic nurse will in a sense act as an information gatekeeper. According to Fulmer, 2005, nursing will evolve toward more interdisciplinary support, coordination. He stated that the patients needs and desires will be at the center of service and nurses will be central to the cohesion of the team. According to Hall & Owings, 2002, the elderly use acute care hospitals at a rate greater than any other group. The rate of hospitalization for the elderly increased by 23% over the past 30 years in spite of a decline in hospitalizations in the 1980s; hospitalizations for other age groups declined overall.

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According to Drinka, 2002, the specialized knowledge required to assess and treat the older adult has been developing through research and care over the past few decades and continuous to build as new gerontologic nursing scientist are trained. Unfortunately, he stated that health professionals inaccurately assume that they already know how to care for the elderly because they have older patients in their practice or setting. According to Miller, et al., 2001, older adults are prone to abrupt health care events. When health care delivery is fragmented, adverse outcomes may occur. He also stated that research has confirmed that those persons over the age of 65 are at twice the risks for a diverse hospital event. As result, monitoring for quality care is essential to prevent complications and adverse events as much as possible. According to Scott, et al., 2004, by effectively providing early intervention through a quality improvement process, unfavourable outcomes can be minimized and patient satisfaction can be improved. They stated that numerous studies have shown that interventions such as patient education and counselling and staff training can improve patient outcomes. Quality of care as well as patient satisfaction can be improved. According to Lueckenotte, 2005, Persons in advanced age are more vulnerable to the multiple loses typically associated with aging,

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thus, making them frailer. These frail older adults need more intensive care in all the health care setting in which they are found. Couple with the growth of life-extending therapies and the continuous development of highly sophisticated treatment measures, the structure, services, and financing of the current health care delivery system are still not equipped to effectively manage the needs of this population segment. According to Madison, 2008, with the steady growth in the number of older adults in this country, it is now estimated that most of a nurses career is spent working with older adults, and almost all nurses will care for older adults in the acute care setting at sometime. She added that nurses need to have specialized knowledge, skills, and abilities to care for older adults during hospitalization. Local Literature According to Dela Vega, 2010, the Philippines need to prepare for the burgeoning population of older persons. The population 60 years and above has grown at a very rapid rate, increasing from 3.2 million in 1990 to 4.6 million in 2000. By the year 2030, 10 percent of our population would be composed of senior citizens. She stated that this is an indication that nurses should be prepare for this occurrence. With the rapid growth of elderly population, it is with an utmost importance that nurses possess the necessary knowledge, attitude, and practice for the job that entails caring for the elderly. According to Fabrigar, et.al, 2010, the number of Filipinos aged 65 and above stands at 7 to 8 million, the fastest growing segment of

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the Philippine population. Nurses should prepare for this growing population. The quality of nursing care should improve to meet the needs of this growing population. According to Baltazar, et. al., 2001, in the last census of the elderly population in the Philippines comprises six percent of the population (4 million). The proportion of the female elderly population is higher demonstrating their longer life span, and resolving in more female single and widowed older people. He added that elderly women have lower educational attainment, and most are not working compared to elderly male. With regards to locality Ilocos region has the highest percentage of elderly where as the lowest is in the Autonomous Region of Muslim Mindanao. According to Manongdo, 2010, Filipinos, aged 60 and above, are now the fastest growing segment of the Philippine population, the UP Population Institute (UPPI) study showed. She stated that if only there were as much health professionals who are knowledgeable and welltrained to care for them holistically, the countrys senior citizens will grow even bigger. Foreign Studies According to the study of Mc Nutt, et. al., 2009, caring for the elderly requires a lot more training and specialization than what regular nursing and is exactly why geriatric nurses can be considered the heroes of the elderly. These traits are what give the gerontologic nurses their unique and respectable role in caring for the elderly.

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Gerontologic nurses should always remain competent. They should know the needs of the elderly. If one does not know what to look out for, these needs can easily go unnoticed with dangerous results for the elderly with high-risk medical conditions. According to Sombillo, et. al, 2006, the phenomenon of caring is unique to nursing. He elaborated that caring is an essential concept in nursing and it is widely accepted by nurses. Having an interpersonal professional relationship to the patients will enhance their physical, emotional, spiritual and mental health. According to Clavecilla, et. al, 2003, aging, described a transitional period into old age between ages 60 and 65 years old which he termed late adult transition, he said that the psychological changes that accompany aging create feelings of physical decline and mortality. Those feelings escalated by the increased incidence of illness and death that creative mental activity is normal and healthy substitute for reduced physical activity among the elderly. According to Modesto, et. al., 2003, the defense mechanism of the elderly is generally employ. That adaptation to aging is also depends on the defense mechanism used throughout adult life. The healthiest and most defenses included the suppression, anticipation of the reality, altruism and denial. According to Umale, et. al, 2004, the gerontology is considered old age as a triumph of survivor rather than a cause for despair. The

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population divides the well-old, who are healthy and do not suffer from carrying illness and the sick old who have psychology disorders that interferes with the functioning and that requires medication and psychology attention. He stated that the health needs of those adult have become enormous and the role of elderly physician and psychiatrist have never been more important. According to Kramer, 2006, nurses today will care for more adults over 65 than any other patient population. Caring for older adults requires specific expertise -- knowledge and skills that the majority of nurses did not learn in school, and for which less than one percent have had specialized training or certification. According to the study of Johansson, et.al., 2002, entitled Patient satisfaction with nursing care in the context of health care: a literature study to evaluate and improve the quality of care provided, it is of vital importance to investigate the quality of care in the context of health care. Patient satisfaction is a significant indicator of the quality of care. According to the study of Johansson, et.al., 2002, entitled Patient satisfaction with nursing care in the context of health care: a literature study , the aim of their literature study was to describe the influences on patient satisfaction with regard to nursing care in the context of health care. They used Henderson's nursing care model. The results describe eight domains that have an influence on patient

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satisfaction with nursing care: the socio-demographic background of the patients, patients' expectations regarding nursing care, the physical environment, communication and information, participation and involvement, interpersonal relations between nurse and patient, nurses' medical-technical competence, and the influence of the health care organization on both patients and nurses. Local Studies According to Maglaya, et. al, 2004, there are three ways of making sure that quality nursing care is delivered to satisfy patients nurses to deliver the care with familiarity and expertise in the line of work. The second way of ensuring quality care is the development and utilization of policies and procedures. The third way is to ensure the quality of care. It is the use of appropriate standards and practice guidelines in rendering services. Nurses should remember these ways of ensuring quality nursing care. This will increase the quality of care and will promote the health of the patient needs with high level of competence in a manner that is client-centered and outcomes oriented. First was a need to have qualified and competent According to Lorenzo, et. al, 2002, there is no shortage of nurses in the Philippines but there is a shortage in terms of quality. The ones who have left are the skilled and experienced nurses. Most of those still here are relatively unskilled and inexperienced, and go overseas after a year or two of gaining experience. This poses serious

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complications for the quality of health care that they provide. It is important to know the perception of patients on the nursing care theyre receiving. According to the study entitled Health Care given by the relative resulting to better care for Geriatrics at Ilang-Ilang St. Brygy. Payatas, Quezon City, it is a big health for the elderly the health that was given to them by the gerontologic nurses there are being considered as heroes of the elderly ; they give the attention and love that the elderly needs (Aguilar,2010). Theoretical Framework

The researchers used Comfort Theory of Katherine Kolcaba. Interestingly, Kolcaba's comfort theory presents the very essence of nursing. Provision of care and comfort are the initial interventions that a nurse does for a sick person. The comfort theory was highly acknowledged because of its universality across all disciplines, widely an extension of other theories and was holistically given

emphasis. (Kolcaba, 2003).

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Patient needs
Patient s health deficits where the body fails to meet the demands. demdemands

Nursing Interventions
Comfort measures to meet the patient s needs

Intervening variables
Age, gender, educational attainment,civil status etc.

Patient Satisfaction and enhanced comfort

Caring and Management of nurses

(Nurses action to promote optimal wellness and patient s satisfaction towards quality care Health seeking behaviors and management leads to utilization of health care facilities and services. In turn, this will improve the health care system helping more patients to become better)

Institutional integrity
Implementation of better health care systems for better patient progress.

High Quality Care

Application and reinforcement of quality care to patients

Best Practices

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 Demographic Profile of the respondents such as: age, gender, and educational attainment.

The research utilizes survey questionnaire, interview and observation to know the level of satisfaction of elderly patients.

The patients are moderately satisfied by the quality of care rendered by the staff nurses of Camillus Medhaven.

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Chapter III RESEARCH METHODOLOGY This chapter contains the research design that the researchers will use. This chapter also contains the research setting, research subjects, research instruments and the statistical treatment.

Research Design The research design that the researchers used in conducting the research is the descriptive method. It involves observing, describing and documenting aspects of situation as it naturally occurs. Descriptive method describe and interprets what is, and reveals conditions and relationships that exist or do not exist, practices that prevail or do not prevail, beliefs or points of view or attitudes that are held or not held, procedures that are not continuing or otherwise effects that are being felt or trend that are developing. The descriptive method is the most appropriate method that will enable the researchers to describe or present the quality of care rendered by the staff nurses in Camillus Medhaven.

Research Setting The researchers will conduct the study in Camillus Medhaven. Camillus Medhaven,a sprawling complex,is located at 29SE Apitong St,Marikina Heights,Marikina City,Philippines. aIn this locale the respondents were readily available.Questionnaires were distributed here in which the respondents were accessible.The facility is also a

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center for the orders outreach programs that help quadriplegics and take care of elderly, homeless people. Research Subjects The respondents of the study will consist of 20 patients all of which are elderly from Camillus Medhaven. Research Instruments To gather the needed data, the researchers used the following research instruments: 1. Questionnaire. To gather the data, the researchers used a set of questions that will elicit the needed data and information regarding to the topic under study.

2. Interview. The researchers used the unstructured interview to support the data needed which the questionnaire may not clearly explain and expound. The researchers also used this to gather information that will not be covered by the questionnaire.

3. Observation. Observation was an excellent tool to describe the study. This was supplemented by the knowledge and ideas of the researchers. Sampling Technique The researchers used purposive sampling as their sampling technique.This sampling technique was the most appropriate to be used in the study.Purposive sampling is a type of a non-probability sampling.In purposive sampling,the researcher handpicks subjects

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who are to be typical of the population or represent eacg type of the desired characteristics that bet serve the purpose of the study. Data Gathering Procedures After some readings of related studies and literature, the researchers planned and framed the topic problem of their research together with the theoretical framework and the statement of the problem. Based on this idea the researchers started to formulate the draft questionnaire to be used for the study. After some revisions, the researchers was able to present to their adviser a copy of the questionnaire. Then the researchers seeked permission from the Administrator of Camillus Medhaven,Bro.Eliseo Navarro,to distribute the

questionnaires to the respondents, for which a letter of approval will be obtained. The researchers also coordinated with the chief nurse of Camillus presented Medhaven,Mrs.Nilda a letter of V.Hilario. to The researchers a study to also the The

request attached

conduct the

respondents.This

was

with

questionnaire.

researchers also conducted non-formal interviews and observations on the elderly patients of Camillus Medhaven.

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Statistical Treatment The researchers used the following formulas to obtain the desired informations. 1.) Percentage (P)   2.) Weighted Mean

3.) T-test

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CHAPTER IV Presentation, Interpretation and Analysis of Data The following chapter is the presentation of the collected data in tabular form. It contains the demographic of the respondents according to gender, age and educational attainment.It also contains The level of satisfaction of the respondents when they are grouped according to demographic profile.And the difference between the level of satisfaction of the respondents and the demographic profile. A. Demographic Profile of the Respondents The table shows that 9 persons or 45% of the respondents were at the age of 60-69 and the 11 persons or the 55% of the clrespondents were at the age of 70 years and above. It shows that age 70 and above make up most the population. Table 1.1 Distribution of the Respondents According to Age AGE A. 60-69 B. 70 - above F 9 11 Percent (%) 45% 55% Rank 2nd 1st

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The table shows that 9 persons or 45% of the respondents were male and the 11 female persons or 55% of the respondents were female. It shows that 11 female make up most the population. Table 1.2 Distribution of the Respondents According to Gender GENDER Male Female F 9 11 Percent (%) 45% 55% Rank 2nd 1st

The table shows that 11 persons or 55% of the respondents were Elementary and High School graduate and 9 persons or 45% of the respondents were College graduate. It shows that Elementary and High School graduate make up most of the population. Table 1.3 Distribution of the Respondents According to Educational Attainment Educational Attainment Elem. & High S. College F 11 9 % 55% 45% Rank 1st 2nd

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B. Level of Satisfaction of the Respondents in the Quality of Nursing Care rendered by the Staff Nurses. Table 2 shows that the respondents were highly satisfied in terms of the courtesy,respect and restful atmosphere provided by the nurses. Whereas they were moderately satisfied to the rest of the nursing care provided by the nurses. Table 2 also shows that the elderly patients in Camillus Medhaven were Moderately Satisfied in the overall quality care rendered by the staff nurses. Table 2 Nursing Care 1 2 3 4 5 6 7 8 9 Weighted mean 3.1 3 3.4 3.3 3.3 3.2 2.8 3.2 3.5 VD MS MS MS MS MS MS MS MS HS Rank 5 6 2 3 3 4 7 4 1

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10 Overall

3.5 3.2

HS MS

C. Difference Between the Level of Satisfaction and Demographic Profile Table 3 shows that there is no significant difference between the level of satisfaction of the respondents when they are grouped according to demographic profile. Table 3 Summary of T-test Result to Determine the Difference Between the Level of Satisfaction and Demographic Profile

Demograph ic Profile ed Age

T-test Value Comput Tabular

Degree Of Freedo m

Level Of Significan ce

Decision

Interp retatio n

1.02

2.101

18

0.05

Accept Ho

There is no signific ant differe nce in the level of satisfa ction of the

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respon dents when they are groupe d accordi ng to age. Gender 0.16 2.101 18 0.05 Accept Ho There is no signific ant differe nce in the level of satisfa ction of the respon dents when they are groupe d accordi ng to gender . There is no signific ant differe nce in the level of

Educational Attainment

1.11

2.101

18

0.05

Accept Ho

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satisfa ction of the respon dents when they are groupe d accordi ng to educat ional attain ment.

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CHAPTER V Summary, Conclusions and Recommendations

Summary This study was conducted for the purpose of determining the level of satisfaction among elderly patients in the quality of care rendered by the staff nurses.The researchers used questionnaire for the elderly patients.The results was tallied,tabulated and statistically checked using Percentage,Weighted Mean and T-test.The results were then interpreted.After the interpretation of date,the results showed that the elderly patients in Camillus Medhaven were Moderately Satisfied with the quality of care rendered by the staff nurses. The results also shows that there is no significant difference between the level of satisfaction of the respondents when they are grouped according to demographic profile. Conclusions Based on the findings,the researchers conclude that there is

no significant difference between the level of satisfaction of the respondents when they are grouped according to demographic profile.The researchers also conclude that the demographic profile of patients does not affect their level of satisfaction. y The researchers also conclude that

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Recommendations Based on the analysis and conclusions,the following

recommendations were given: y The researchers recommends to the staff nurses

especially to those who is caring for the elderly to improve their competency in giving quality care to their patiens.The researchers also want to encourage the staff nurses to read more nursing research regarding to the care of the elderly. y The researchers recommends to the elderly patients to be more observant to the quality of care given to them. y The researchers recommends to the elderly caregivers to read articles or researches about the care of the elderly.For this will enhance their skills and knowledge. y The researchers recommends to the hospital

administration to be more aware to the needs of the elderly patients.The researchers also encourage the hospital

administration to create more recreational activities for the elderly and enhance their facility and services. y The researchers recommends to the nursing students to read more articles or researches about giving quality care to elderly patients.This will serve as a preparation when the times comes that they will take care of an elderly.

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References: Books Meiner, S.E., & Lueckenotte A.G. (2007). Gerontologic Nursing (3rd ed.). Singapore: Mosby Inc. Mauk, K.L. (2010). Gerontological Nursing Competencies For Care (2nd ed.). Philippines: Jones and Bartlett Publisher, LLC. Maglonzo, E.I.Y. Geriatric Medicine : Principle and practice. Manila: VST Publishing House. Eliopoulus, C. (2005). Gerontological Nursing. USA: Lippincot Williams & Wilkins. Unpublished Theses Abad (2006) The level of satisfaction of patient on services rendered by student nurses in Sapang Palay District Hospital, Bulacan, Our Lady of Fatima University, Philippines. Austria, et. al (2007) The type of services and the level of emotional coping mechanism among the elderly in Hospicio De San Jose as perceived by the practicumers, Our Lady of Fatima University, Quezon City, Philippines Barba, B.E., Tesh A.S., Kohlenberg E. (2007). Recognize the many facts of gerontological nursing. Nursing management. 38(1) ; 36-41.

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Iranista, et al (2010) Numbers of nurses assigned in a ward & the quality of patient care, Our Lady of Fatima University, Quezon City, Philippines. Magwaling, et. al (2006) The Quality of service rendered by the selected primary Health Care Centers in the City of San Jose Del Monte, Bulacan, Our Lady of Fatima University, Quezon City, Philippines. Tumandao, et. al (2008) Emotional & Psychological effects of solitary living as perceived by the elders in Caloocan City, Our Lady of Fatima University, Quezon City, Philippines. Journals Laschinger, H.S., Hall, L.M., Almost, J. (2005). A psychometric Analysis of the patient satisfaction with nursing care quality questionnaire. Journal of nursing care quality. 20(30), 220-230. Websites
Courtney, M., Tong, S., & Walsh, A. (). Acute care nurses attitude toward older patients: A literature Review. Retrieved January 12, 2011, from http://eprints.qut.edu.au/1597/1/1597.pdf Kany, K. () Nursing care of older adults: Lippincotts Nursing Center.com. RetrievedJanuary 09, 2011, from http://www.nursingcenter.com/library/static.asp?pageid=730388

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