Touch--both touching another and being touched--is a primary form of communication. By old age, both the need and the desire for specific amounts and kinds of touching are well established for the individual. The present study was designed to obtain information about what elderly women in nursing and retirement homes report to be liked and disliked types of touching. Participants who volunteered for this study were 32 ambulatory females 65 years of age or older who were living in nursing or retirement homes. Each participant was shown a set of 20 photos and sketches depicting a staff person touching an elderly woman in various ways, and asked to rate their liking for the particular type of touching on a one to five scale ranging from "like very much" to "dislike very much." The set of photos and sketches included ten comparable scenes with one-half showing a male staff member and the other half showing a female staff member touching an elderly woman. Scenes included: foot massage, helping to stand, back rub, brushing hair, arm around shoulder, holding hand, helping to dress, stroking cheek, helping with toileting, and helping with a shower.

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Indiana University-Purdue University Indianapolis (IUPUI) / A move toward care of residents in nursing homes where they are respected and heard is finally emerging. Common strategies used in nursing homes to improve quality of care for residents are integration of person-centered care and assessing care using satisfaction surveys. Although approaches of integrating person-centered care and satisfaction surveys have been valuable in improving nursing home quality, strategies of care that include things that matter from residents’ perspectives while living in nursing homes need investigation. The purpose of this qualitative descriptive study was to describe things that residents age 65 and older state matter to them while living in the long-term care sections of nursing homes. A qualitative mode of inquiry using purposeful sampling led to a natural unfolding of data that revealed things that mattered to residents. Content analysis was used to reduce the data in a manner that kept the data close to the context yet moved the data toward new ideas about including things that mattered to residents in nursing care. The findings revealed residents’ positive and negative experiences and addressed the question: How can nurses manage residents’ positive and negative aspects of care in nursing homes? This study substantiated the importance of developing nursing care strategies derived from residents’ descriptions of care. Finding ways to promote nurses’ investment in attitudes about a person-centered care philosophy is essential for successful person-centered care implementation. Enhancing nurses’ knowledge, skills, and attitudes with an investment in person centeredness will be more likely to put nurses in a position to role-model care that is person-centered from residents’ perspectives.