Knowledge And Attitudes Of Nurses Towards The Care Of The Elderly In Medical Wards Of Alex Ekwueme Federal Teaching Hospital, Abakaliki

Project and Seminar Material for Nursing (Science)

Knowledge And Attitudes Of Nurses Towards The Care Of The Elderly In Medical Wards Of Alex Ekwueme Federal Teaching Hospital, Abakaliki


Abstract


This study was carried out on the knowledge and attitudes of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki. The study was carried out to the effectiveness of the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki, find out the knowledge level of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki, find out the attitude of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki and ascertain whether there is a significant relationship between knowledge and attitude of nurses regarding care of elderly people in medical wards. The survey design was adopted and the simple random sampling techniques were employed in this study. The population size comprised of Nurses in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki. In determining the sample size, the researcher conveniently selected 160 respondents and 141 were validated. Self-constructed and validated questionnaire was used for data collection. The collected and validated questionnaires were analyzed using frequency tables. While the hypotheses was tested chi-square statistical tool. The result of the findings reveals that the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki is very effective. The result of the findings reveals that there is a significant relationship between knowledge and attitude of nurses regarding care of elderly people in medical wards. Therefore, it is recommended that special wards / department should be created for the elderly in the hospitals with well trained staff in the area of specialization. To mention but a few.


Table of Content


Chapter One:

Introduction

  • 1.1 Background of the Study
  • 1.2 Statement of the Problem
  • 1.3 Objective of the Study
  • 1.4 Research Questions
  • 1.5 Research Hypothesis
  • 1.6 Significance of the Study
  • 1.7 Scope of the Study
  • 1.8 Limitation of the Study
  • 1.9 Definition of Terms
  • 1.10 Organization of the Study

Chapter Two:

Review of Literature

  • 2.1 Conceptual Framework
  • 2.2 Theoretical Framework
  • 2.3 Empirical Review

Chapter Three:

Research Methodology

  • 3.1 Research Design
  • 3.2 Population of the Study
  • 3.3 Sample Size Determination
  • 3.4 Sample Size Selection Technique and Procedure
  • 3.5 Research Instrument and Administration
  • 3.6 Method of Data Collection
  • 3.7 Method of Data Analysis
  • 3.8 Validity of the Study
  • 3.9 Reliability of the Study
  • 3.10 Ethical Consideration

Chapter Four:

Data Presentation and Analysis

  • 4.1 Data Presentation
  • 4.2 Analysis of Data
  • 4.3 Answering Research Questions
  • 4.4 Test of Hypotheses

Chapter Five:

Summary, Conclusion and Recommendation

  • 5.1 Summary
  • 5.2 Conclusion
  • 5.3 Recommendation
  • References
  • APPENDIX
  • QUESTIONNAIRE

Chapter One


Introduction

1.1 Background of the Study

Globally, there is an increasing aging population (United Nations, 2009) and the people over 60 embrace the fastest growing age group with significant increase in developing countries (Adebusoye, et al 2011). The elderly people has been appraised to be two billion by 2050 and 80% of them will be resident in developing countries (Gao, et al 2007). According to statistics, Nigerian presenting affectrise number of elderly. This growing number of elderly carriages a thoughtful challenge of health care system in Nigerian Arabia, especially for nurses who proceed care to elderly as initial care givers assigning with the acute and chronic disorders experienced by this age group (Ferreira, & Ruiz, 2012). The elderly people are characterized by unique and varied entities which require a variety of healthcare professionals to meet their healthcare needs. Nurses are at the head of generous care to the elderly. The care of elderly people as a specialty in nursing is growing and caring for the elderly people demands specific knowledge and abilities (King, et al 2013). Existing demographic and health consumption trends highly indicate a fast growing mandate for nurses who are well qualified to care for elderly (Capezuti, et al 2012). However, the role of nurses in caring of the elderly people is deep; which includes direct care, and teaching of adaptable risk factors (e.g., healthy diet, physical activity, and stress management), as a manager and as an advocate (Ferreira, & Ruiz, 2012). As a fundamental view to several Eastern cultures, especially in Nigerian, elderly is respected as a blessed state of abundant religious consequence and they are obtained significant admiration within the family; (Abdulraheem and Abdulrahman 2008). In Nigerian culture, elderly people are viewed with abundant gratitude and respect.

Conventionally, elderly people are valued and are preserved consequently;as example, it is habitual for everybody to stand up when old one enter a place, they are assigned the finest places and they are offered any beverages before others. Also, they give a talk in soft voices and their cited to as the father or mother of the eldest son or daughter and not call them by first names. Furthermore, youthful Nigerian individuals are estimated to be civil and reserved, and evade smoking or mastication gum in front of elderly people. Moreover, Islam religion, comparable many other religions, sponsors that the Nigerian population should respect and value elderly people and this has been proved in many verses in the Holy Koran (The Holy Koran, 2015). Change for human services offices need achieved life span which will be recognized. Concerning illustration a standout amongst the best accomplishment of the twentieth century. For expanding age, there would likewise a number wellbeing problems, frequently all the chronic illnesses, which the elderly people must adapt to, which include; musculoskeletal disorders, hypertension, diabetes mellitus, and gastritis/ gastric ulcer (Doherty, et al 2011). These illnesses regularly need hospitalization in health care services, where they are cared by nurses and other health care providers.


1.2 Statement of the Problem

Researches stated that there is a lack of educational training for registered nurses as well as for all other groups of nurses provide care for elderly people and over the years. Moreover, the healthcare provided for the elderly people has been severely threatened by the negative stereotypic attitudes and misconceptions by nurses with 63% of elders expressing an unmet health need (King, et al 2013&Alsenany, 2009). This can lead to situation where elderly people developing a negative view of nurses and nursing services in health care settings. Attitude toward elderly is a form of feeling and principles that students hold toward the elderly either in a positive or negative way (Kim et al. 2004). Attitudes toward aging may be serious for alteration and survival. Attitudes may subsidize to perceived maladaptive performances among the aged, some of which may lead to premature death. Negative views of aging, life in general, and oneself may result in an elderly people’s reluctance or failure to seek required services, health care, or other types of assistance. Negative attitudes of elderly people may affect others in their surroundings, who in turn may feel free to respond negatively to or ignore elderly people (Eltantawy, 2013). Several studies on the nursing students’ attitudes, staff nurses and other health care givers, towards elderly people and their care have recognized negative results (Oyetunde, et al 2013& Eltantawy, 2013). Significantly, other study stated that last many decades, nursing students have advanced a bias about caring for elderly people. However, the study result presented that nurses interest to work with young and adult patients than to working at nursing homes caring for elderly (Doherty, et al 2011). The quality of nursing services towards the care of the elderlypeople is highly dependent on the preparedness of nursing students who will definitely grow up to become the geriatric care practitioners. Several researchers show that nurses’ knowledge and attitudes of aging influence their prospects about their ways of care for elderly people. Finally, with the increasing ageing population, and associated chronic illness as well decrease physical functionality and increase in dependency, the need for nurses with right attitude, adequate knowledge and skill will also be on the increase (Oyetunde, et al 2013 & Eltantawy, 2013).This study constitutes an effort to assess nurses’ knowledge and attitude toward caring of elderly people in health care settings.


1.3 Objectives of the Study

The main aim of this study is to examine the knowledge and attitudes of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki. Other aims of this study are:

  1. Find out the effectiveness of the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki.
  2. Find out the knowledge level of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki.
  3. Find out the attitude of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki.
  4. Ascertain whether there is a significant relationship between knowledge and attitude of nurses regarding care of elderly people in medical wards.

1.4 Research Questions

The following research questions will be answered:

  1. How effective is the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki?
  2. What is the knowledge level of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki?
  3. What is the attitude of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki?
  4. Is there a significant relationship between knowledge and attitude of nurses regarding care of elderly people in medical wards?

1.5 Research Hypotheses

The following research hypotheses will validate this study:

Ho1: The care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki is not effective.

Ho2: The knowledge level of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki is low.


1.6 Significance of the Study

The result will help to provide basic information for designing structures and programmes for the care of the elderly in the community. It will also provide evidence based information for health education on graceful ageing. It will serve as a reference material to other researchers in the field of community health practice.

Findings of the study will help in showing the level of knowledge and attitude of the health workers towards the care of the elderly and will help improve the decision making. The result will also help in building up knowledge base on the care of the elderly patients. Improving data base on elderly health nutrition and standard of living which will help for further research, advocacy, policy dialogue and programming.


1.7 Scope of the Study

This study focuses on the knowledge and attitudes of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki. Specifically, this study focuses on finding out the effectiveness of the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki, finding out the knowledge level of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki, finding out the attitude of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki, and ascertaining whether there is a significant relationship between knowledge and attitude of nurses regarding care of elderly people in medical wards.


1.8 Limitations of the Study

In the course of carrying out this study, the researcher experienced some constraints, which included time constraints, financial constraints, language barriers, and the attitude of the respondents. However, the researcher were able to manage these just to ensure the success of this study.

Moreover, the case study method utilized in the study posed some challenges to the investigator including the possibility of biases and poor judgment of issues. However, the investigator relied on respect for the general principles of procedures, justice, fairness, objectivity in observation and recording, and weighing of evidence to overcome the challenges.


1.9 Definition of Terms

Nursing:

Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life.


1.10 Organization of the Studies

The study is categorized into five chapters. The first chapter presents the background of the study, statement of the problem, objective of the study, research questions and hypothesis, the significance of the study, scope/limitations of the study, and definition of terms. The chapter two covers the review of literature with emphasis on conceptual framework, theoretical framework, and empirical review. Likewise, the chapter three which is the research methodology, specifically covers the research design, population of the study, sample size determination, sample size, and selection technique and procedure, research instrument and administration, method of data collection, method of data analysis, validity and reliability of the study, and ethical consideration. The second to last chapter being the chapter four presents the data presentation and analysis, while the last chapter(chapter five) contains the summary, conclusion and recommendation.


Chapter Five


Summary, Conclusions and Recommendations:

5.1 Introduction

This chapter summarizes the findings on the knowledge and attitudes of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki. The chapter consists of summary of the study, conclusions, and recommendations.


5.2 Summary of the Study

In this study, our focus was to examine the knowledge and attitudes of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki. The study specifically was aimed to find out the effectiveness of the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki, find out the knowledge level of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki, find out the attitude of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki and ascertain whether there is a significant relationship between knowledge and attitude of nurses regarding care of elderly people in medical wards.

The study adopted the survey research design and randomly enrolled participants in the study. A total of 141 responses were validated from the enrolled participants where all respondents are Nurses in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki.


5.3 Conclusions

Based on the findings of this study, the researcher made the following conclusion.

  1. The care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki is very effective.
  2. The knowledge level of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki is high.
  3. The attitude of nurses towards the care of the elderly in medical wards of Alex Ekwueme Federal Teaching Hospital, Abakaliki is positive.
  4. There is a significant relationship between knowledge and attitude of nurses regarding care of elderly people in medical wards.

5.4 Recommendations

Based on the findings of the study, the following recommendations are proffered.

  1. Special wards / department should be created for the elderly in the hospitals with well trained staff in the area of specialization.
  2. The researcher also suggested that the government should develop a health policy for the elderly that will capture the care of the elderly.
  3. Develop a system of periodical health workers evaluation to determine strategies of upgrading their knowledge and enhancing practice.
  4. Development of follow up courses and in service training programs should be conducted to maintain efficient performance of individuals previously trained in the care of the elderly.

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