Analysis shows trust mediates the link between communication and self-efficacy in nursing homes, emphasizing support for caregivers in dementia care contexts.
Purpose: Family surrogate decision-makers in nursing homes (NHs) face complex challenges, influenced by communication quality, trust, and cultural norms. The current study examined how communication fosters trust to enhance surrogate self-efficacy in Israeli NHs, where cultural values strongly shape caregiving and decision-making. Method: Data from 235 family caregivers of individuals with moderate to advanced dementia in Israeli NHs were analyzed using validated scales and mediation analysis (Hayes' PROCESS Macro). Results: Communication quality positively correlated with trust and self-efficacy; trust fully mediated this relationship. Conclusion: Trust-building communication is crucial for empowering surrogates within the unique Israeli cultural context, improving decision confidence and care quality. Future work should explore culturally tailored interventions to support diverse caregiving families.
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Anna Zisberg (2025) studied this question.
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