EVALUATION OF PRIMARY-CARE NURSING IN LONG-TERM-CARE - ATTITUDES, MORALE, AND SATISFACTION OF RESIDENTS AND STAFF

A primary care model of delivering nursing attendant care was evaluate d 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 a ttitudes toward primary care, and satisfaction with care and attitudes toward primary care were obtained from comparison and experimental gr oup units pre- and postimplementation of the primary care nursing inte rvention. For both samples, there was a significant group effect on st aff attitudes toward primary care: Experimental staff members were sig nificantly positive (than the comparison staff members) toward primary care following the intervention. At the large urban facility, there w as 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 car e intervention than did comparison group residents.