Comparison of nurses and general caregivers’ knowledge, attitude, and practice on medication administration process and their distress level in long-term care facilities across Penang, Kuala Lumpur, and Selangor of Malaysia
Comparing nurses and general caregivers’ knowledge, attitude, and practices (KAP) on medication administration process in long-term care (LTC) setting and an assessment of their stress, anxiety, and depression (SAD) level.
A cross-sectional survey was conducted among nurses and general caregivers working in LTC using a validated questionnaire. Consisting of demographic characteristics (Section 1); 40 questions on KAP (Section 2); and assessment of Depression, Anxiety, and Stress Scale (DASS-21) (Section 3).
155 formally paid staffs in 26 LTC facilities were recruited. Nurses scored significantly higher in the knowledge section compared to caregivers (12.4 ± 1.7 vs. 4.5 ± 3.8; P < 0.001); better attitude (41.5 ± 4.8 vs. 30.8 ± 7.3; P < 0.001); and better practice (65.2 ± 8.5 vs. 40.3 ± 10.9; P < 0.001), respectively. SAD scores reveal that caregivers had significantly higher level of stress, anxiety, and depression compared to the nurses.
General caregivers exhibit poorer knowledge on aspects pertaining to posology, appropriate methods of drug administration, and side effects of common drugs used by the elderly. Compared to nurses, the general caregivers also reported poorer medication administration practices; including not checking labels and expiry dates prior to administration, and not providing basic information about medication therapy to the residents. However, both nurses and general caregivers reported positive attitudes in their role as caregivers. They take pride and satisfaction in their occupation providing support to the elderly.
General caregivers demonstrated lesser knowledge, poorer attitude, and practices towards medication administration processes, in addition to higher SAD score in LTC facilities.
KeywordsCaregivers Knowledge Attitude Medication administration Nursing homes
We would like to thank all individuals involved in this study and C Lucie from the National Poison Centre for her assistance in editing this manuscript.
Compliance with ethical standards
Informed consent was obtained from all individual participants included in the study.
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
This research is not supported by any fund.
This study has shown that general caregivers have poorer knowledge, attitude, and practice on the medication administration process and more stressed compared to nurses. The findings highlight the necessity for caregivers to be trained adequately to provide optimum care for the elderly.
- 2.Home | Nursing Homes and Assisted Living (Long-term Care Facilities | CDC. http://www.cdc.gov/longtermcare/
- 3.Khairani AN (2016) Finance: addressing Malaysia’s long-term care needs. The Edge. http://agedcare.com.my/addressing-malaysias-long-term-care-needs/. Accessed 10 Nov 2016
- 5.Department of Health and Human Services, USA (2015) Nursing Home Data Compendium 2015 Edition. Centers for Medicare and Medicaid Services. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/nhs.html. Accessed 10 Nov 2016
- 10.Nursing Homes & Aged Care (2016) Dondangsayangcom. Available at: http://www.dondangsayang.com/Articles/Nursing%20Homes%20Directory.html. Accessed 16 June 2016
- 11.The Kap Survey model - Knowledge attitude and practices (2012) Medecinsdumondeorg. Available at: http://www.medecinsdumonde.org/en/actualites/publications/2012/02/20/kap-survey-model-knowledge-attitude-and-practices. Accessed 16 June 2016
- 13.Medicines Act 1968 (2016) Legislationdatagovuk. Available at: http://legislation.data.gov.uk/ukpga/1968/67/contents/data.htm?wrap=true. Accessed 16 June 2016
- 15.MSD Manual Professional Edition. (2016). Drug Bioavailability - Clinical Pharmacology - MSD Manual Professional Edition. [online] Available at: http://www.merckmanuals.com/professional/clinical-pharmacology/pharmacokinetics/drug-bioavailability. Accessed 20 June 2016
- 27.Han K, Trinkoff AM, Storr CL, Lerner N, Johantgen M, Gartrell K (2014 Aug) Associations between state regulations, training length, perceived quality and job satisfaction among certified nursing assistants: cross-sectional secondary data analysis. Int J Nurs Stud 51:1135–1141CrossRefPubMedGoogle Scholar
- 29.Schwendimann R, Dhaini S, Ausserhofer D et al (2016) Factors associated with high job satisfaction among care workers in Swiss nursing homes – a cross sectional survey study. BMC Nurs 15. doi: 10.1186/s12912-016-0160-8
- 30.Saeed SA, Antonacci DJ, Bloch RM (2010) Exercise, yoga, and meditation for depressive and anxiety disorders. Am Fam Physician 81:987Google Scholar