Received: 29th December 2020; Revised: 10th March 2021, 22nd March 2021; Accepted: 15th June 2021


  • Manuela P. Tirazona RN, MAN, Pamantasan ng Lungsod ng Maynila, Manila, Philippines
  • Anielyne G. Penetrante RN, MAN, Pamantasan ng Lungsod ng Maynila, Manila, Philippines
  • Ronie M. Tiamson RN, MAN, Pamantasan ng Lungsod ng Maynila, Manila, Philippines
  • Kahlil Z. Arbo RN, MAN, Pamantasan ng Lungsod ng Maynila, Manila, Philippines
  • Ma. Cecilia O. Martinez RM, RN, MAN, EdD., Pamantasan ng Lungsod ng Maynila, Manila, Philippines
  • Karen G. Sablas RN, MAN, Pamantasan ng Lungsod ng Maynila, Manila, Philippines



Safety Attitudes, Nurse’s Safety Attitudes, Geriatric Patients in Homecare Institutions, Pandemic Safety Attitudes of Nurses


The corona virus pandemic this year has given everyone bizarre health situations and an incommensurate danger, especially to the geriatric patients’ health, living conditions, interrelationships and overall well-being (Adhikari et al., 2020). No one knows how long this will last or when it will stop; its spread has affected many lives especially geriatric patients living in homecare institutions. The purpose of this study is to determine the nurse’s safety attitudes in times of pandemic as perceived by the geriatric patients in home care institutions. Data were gathered using an adapted and modified questionnaire entitled, “Nursing Home Survey on Patient Safety” from the research study of Alvin C. Ogalesco and Janet B. Lim of the University of Texas, for whom the authors were asked permission for its use. The research results showed: that most of the geriatric patients were 60 to 69 years old, female, married, and stayed for 0 to 9 years in the homecare institution; a very much evident nurse’s safety attitudes was noted as perceived by the geriatric patients in terms of cognitive, affective and psychomotor aspects; and that there were significant differences between the nurse’s safety attitudes when the respondents were grouped according to their gender, civil status and length of stay in the institution. It was recommended that: geriatric patients should view old age as an opportunity for continuous development, satisfaction, and well-being; and that nurses must always carry with them their best safety attitudes while taking care of them, keeping in mind all these characteristics especially on critical times like the pandemic; they must also become more sensitive to the needs of the geriatric patients, focusing on counseling them to become aware of the necessary steps to avoid infection during the pandemic; accept their limitations and mental health management.


Adhikari, S. P., Meng, S., Wu, Y. J., Mao, Y. P., Ye, R. X., Wang, Q. Z., Sun, C., Sylvia,

S., Rozelle, S., Raat, H., Zhou, H. (2020). Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: A scoping review. Infectious Diseases of Poverty.

Beliran, S. P., Legaspi, M.S. (2014). Health-Promoting Behaviors and Quality of Life of Filipino Older Persons. Asia Pacific Journal of Education, Arts and Sciences, Vol. 1, No. 5.

Bell, S.P., Patel, N., Patel, N., Sonani, R., Badheka, A., Forman, D.E. (2016). Care of older adults. J Geriatr Cardiol., 13(1): 1–7.

Boltz, M., Capezuti, E., Bowar‐Ferres, S. et al. (2008). Hospital nurses' perception of the geriatric nurse practice environment. Journal of Nursing Scholarship, 40: 282– 289.

Boltz, M. (2011). A system-level approach to improving the care of the older critical care patient. AACN advanced critical care, 22(2):142 9.

Challis, D., Mozley, C., Sutcliffe, C., Bagley, H., Price, L., Burns, A., (2000). Dependency in older people recently admitted to care homes. Age Ageing, 29: 255–260.

Chang, C.W., Chen, Y.M., Su, C.C. (2012). Care needs of older patients in the intensive care units. J Clin Nurs., 21:825–32.

Coban, G.I., Kurca, N., Yurtas, A. (2015). Analysis of Nurses’ Attitudes about the Nursing Profession in Southern Turkey. International Journal of Caring Sciences, Volume 8: Issue 3: Page 665.

Elo, S., Saarnio, R., Isola, A. (2011). The physical, social and symbolic environment supporting the well-being of home-dwelling elderly people. Int. J. Circumpolar Health, 70:90–100.

Espinosa, J., Evans, W.N. (2008). Heightened mortality after the death of a spouse: marriage protection or marriage selection? J Health Econ., 27:1326–42.

Gastmans, C. (2006). The care perspective in healthcare ethics’ in essentials of teaching and learning. In: Nursing Ethics (eds A.J. Davis, V. Tschudin & L. de Raeve), pp. 135–148. Churchill Livingstone, London.

Gramm, J.M., van Dijk, H.M., Nieboer, A.P. (2012). The importance of neighbourhood social cohesion and social capital for the wellbeing of older adults in the community. Gerontologist, ;53:142–150.

Kinley, J., Hockley, J. (2010). A baseline review of medication provided to older people in nursing care homes in the last month of life. Int J Palliat Nurs, 15: 216–223.

Leininger, M. (2007). Theoretical questions and concerns: response from the theory of culture care diversity and universality perspective. Nurs Sci Q., 20(1):9–13.

Makaroun, L. K., Bachrach, R. L., Rosland, A. M. (2020). Elder abuse in the time of COVID-19—Increased risks for older adults and their caregivers. American Journal of Geriatric Psychiatry, 28(8), 876-880.

Miller, S.C., Teno, J.M., Mor, V. (2004). Hospice and palliative care in nursing homes. Clin Geriatr Med, 20: 717–734 .

Moradi, T., Maghaminejad, F., Azizi-Fini, I. (2014). Quality of Working Like of Nurses and its Related Factors. Nurs Midwifery Stud., 3(2): e19450.

Nayeri, N.D., Salehi, T., Noghabi, A.A. (2011). Quality of work life and productivity among Iranian nurses. Contemp Nurse, 39 (1):106–18.

Portegijs E., Keskinen, K.E., Tsai, L-T., Rantanen, T., Rantakokko, M. (2017). Physical limitations, walkability, perceived environmental facilitators and physical activity of older adults in Finland. Int. J. Environ. Res. Public Health, 14:333.

Rush, K.L., Hickey, S., Epp, S., Janke, R. (2017). Nurses' attitudes towards older people care: An integrative review. J Clin Nurs., 26:4105–16.

Sakari R., Rantakokko, M., Portegijs, E., Iwarsson, S., Sipilä, S., Viljanen, A., Rantanen, T. (2016). Do associations between perceived environmental and individual characteristics and walking limitations depend on lower extremity performance level? J. Aging Health, 1–17.

Schoenhofer, S. O. (2002). Choosing personhood: intentionality and the theory of Nursing as caring. Holistic Nursing Practice, July 2002. 16(4), 36-40.Taber, C. W., 1870-1968. Taber’s Cyclopedic Medical Dictionary, Ed. 17. p 322. Philadelphia: F. A. Davis Company.

Shrivastava, S.R.B.L., Shrivastava, P.S., Ramasamy, J. (2013). Healthcare of Elderly: Determinants, Needs and Services. Int J Prev Med., 4(10): 1224–1225.

Smith, C. (2006). From theory to practice: Capturing the uniqueness of nursing. Nursing Older People, 18: 16– 20.

United Nations (2020). Policy brief: The impact of COVID-19 on older persons.

Viola, R. (2011). National Statistical Coordination Board: Philippines’ policy making and coordinating body on statistical matters. Retrieved from /headlines/StatsSpeak/2011/071111_rav.asp

Viola, L. F., Nunes, P. V., Yassuda, M. S., Aprahamian, I., Santos, F. S., Santos, G. D., . . . Forlenza, O. V. (2011). Effects of a multidisciplinar cognitive rehabilitation program for patients with mild Alzheimer’s disease. Clinics, 66, 1395-1400.

World Health Organization (2013). Towards policy for health and ageing. Available from:

Zhand, W., and Liu, Y-L. (2016). Demonstration of caring by males in clinical practice: A literature review. International Journal of Nursing Sciences, Volume 3, Issue 3, Pages 323-327.




How to Cite

Tirazona, M. P., Penetrante, A. G., Tiamson, R. M., Arbo, K. Z., Martinez, M. C. O., & Sablas, K. G. (2021). NURSE’S SAFETY ATTITUDES AS PERCEIVED BY GERIATRIC PATIENTS IN HOMECARE INSTITUTIONS: Received: 29th December 2020; Revised: 10th March 2021, 22nd March 2021; Accepted: 15th June 2021. LIFE: International Journal of Health and Life-Sciences, 7(2), 24–39.