• Riitta Suhonen, Pilvi Alikleemola, Jouko Katajisto, and Helena Leino-Kilpi.
• Department of Nursing Science, University of Turku, Turku, Finland. suhonen.riitta@kolumbus.fi
• J Clin Nurs. 2012 Apr 1; 21 (7-8): 1178-88.

AimsThe aims of this study were to explore nurses' assessments of individualised care in long-term care wards and to examine how their sociodemographic variables were associated with their views of such care.BackgroundAlthough the importance of individualised care is highlighted both by nurses and by older people, there is a limited amount of research about individualised care, especially in the long-term care of older people.DesignAn exploratory design was employed.MethodsData were collected using questionnaires [Individualised Care Scale (ICS)-Nurse] from nurses (n = 283, n = 215, response rate 76%) working in the long-term care wards (n = 19) of four institutions in 2009. Data were analysed statistically.ResultsOverall, nurses perceived that they supported patient individuality during nursing activities but the care they provided was not so individualised. Nurses perceived that they supported older peoples' individuality in the clinical situation and in decisional control over care well but supported older peoples' individual life situation to a lesser extent. The higher the nurses' age, the longer the working experience in health care or experience in the current ward, the more positive views they had about the support of individuality.ConclusionsThis study identified some shortcomings in the realisation of individuality in the care of older people. Nurses seem to think they generally provide individualised care but this was not necessarily realised in the current evaluations of the care they delivered.Relevance To Clinical PracticeThere is need to identify issues that may help in developing individualised care in clinical practice. Nurses' attitude to older people in the geriatric care settings needs exploration. Nurses may focus on physiological needs that may hinder the recognition of older patient's individuality.© 2011 Blackwell Publishing Ltd.

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