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Morale and perceived control in institutionalized elderly.

M B Ryden

    Nursing Research
    |May 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Perception of situational control significantly impacts morale in institutionalized elderly. Differences in care levels affect how health and dependency influence elderly residents' morale.

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    Area of Science:

    • Gerontology
    • Social Psychology
    • Health Services Research

    Background:

    • Institutionalized elderly populations face unique challenges impacting their well-being.
    • Understanding factors influencing morale is crucial for improving care quality in nursing homes.

    Purpose of the Study:

    • To explore causal relationships between perception of situational control, health, socioeconomic status, functional dependency, length of stay, and morale.
    • To contrast these causal patterns between intermediate and skilled care units.

    Main Methods:

    • Path analysis was employed to model direct and indirect effects on morale.
    • Data collected from 113 residents in four urban nursing homes using interviews and validated scales (Philadelphia Geriatric Center Morale Scale, Chang's Situational Control Scale).

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    Main Results:

    • Perception of situational control was a key variable, strongly associated with morale in both intermediate and skilled care, particularly skilled care.
    • Functional dependency, health, and socioeconomic status significantly affected morale in intermediate care but not skilled care.

    Conclusions:

    • Situational control is a critical determinant of morale across different care levels in institutionalized elderly.
    • Care level significantly moderates the impact of health, dependency, and socioeconomic status on elderly residents' morale.