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Dahlke S, Rayner JA, Fetherstonhaugh D, Butler JI, Kennedy M. Gerontological educational interventions for student nurses: a systematic review of qualitative findings. Int J Nurs Educ Scholarsh 2025; 22:ijnes-2023-0042. [PMID: 38459787 DOI: 10.1515/ijnes-2023-0042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 12/28/2023] [Indexed: 03/10/2024]
Abstract
OBJECTIVES This systematic review of qualitative studies explored interventions to improve student nurses' knowledge, attitudes or willingness to work with older people. Student nurses are likely to encounter older people in all health and aged care settings, however, research demonstrates that few have career aspirations in gerontological nursing. METHODS Qualitative systematic review method based on the Cochrane Handbook for Systematic Reviews of Interventions. RESULTS Search of Medline, Embase, PsycINFO, EBSCOhost and Scopus yielded 1841 articles which were screened to include primary research about educational interventions to improve student nurses' knowledge, attitudes and/or willingness to work with older people. Data extraction was performed on the 14 included studies, and data were analysed using directed content analysis. The Mixed Methods Appraisal Tool (MMAT) was used the assess the quality of the studies. CONCLUSIONS Educational interventions included theory or practice courses, or a combination of theory and practice. While most interventions changed nursing students' negative attitudes towards older people, few increased their willingness to work with them. Practice courses had the most significant impact on willingness to work with older people. Quality assessment revealed methodical limitations. More research is needed to better understand the elements of practice interventions that enhance student nurses' knowledge, attitudes, and willingness to work with older people, so that they can be replicated.
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Affiliation(s)
- Sherry Dahlke
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
| | - Jo-Anne Rayner
- ACEBAC, 2080 La Trobe University , Bundoora, VIC, Australia
| | | | | | - Megan Kennedy
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
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Tice-Brown D, Kelly P, Heyman JC, Phipps C, White-Ryan L, Davis HJ. Older adults' perceptions of ageism, discrimination, and racism. SOCIAL WORK IN HEALTH CARE 2024:1-18. [PMID: 38899560 DOI: 10.1080/00981389.2024.2365136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 06/03/2024] [Indexed: 06/21/2024]
Abstract
Older adults often experience different forms of discrimination, whether it be on the basis of their age, gender, race, or ethnicity (Rochon et al. 2021). Many older adults have stated they have experienced the health care system differently because of their race or ethnicity . Understanding older adults' experiences and their perceptions of ageism and racism can guide future work. This observational cross-sectional study captured community-dwelling older adults' perceptions about their experiences with ageism and racism. A few opened-ended questions were included in the cross-sectional survey. While results did not yield differences with respect to perceptions of ageism by race; there were statistically significant results in regard to perceived racism, with higher scores on the racism scales for individuals who self-identified as Black. Discussion and implications for practice, policy and research are explored.
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Affiliation(s)
- Derek Tice-Brown
- Graduate School of Social Service, Fordham University, New York, USA
| | - Peggy Kelly
- Graduate School of Social Service, Fordham University, New York, USA
| | - Janna C Heyman
- Graduate School of Social Service, Fordham University, New York, USA
| | - Colette Phipps
- Program Development, Westchester County Department of Senior Programs and Services, Mount Vernon, USA
| | - Linda White-Ryan
- Graduate School of Social Service, Fordham University, New York, USA
| | - Henry J Davis
- Programs, Research, and Evaluation, Graduate School of Social Service, New York, USA
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Cheng Y, Sun S, Hu Y, Wang J, Chen W, Miao Y, Wang H. Effects of different geriatric nursing teaching methods on nursing students' knowledge and attitude: Systematic review and network meta-analysis. PLoS One 2024; 19:e0300618. [PMID: 38820259 PMCID: PMC11142439 DOI: 10.1371/journal.pone.0300618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 03/03/2024] [Indexed: 06/02/2024] Open
Abstract
OBJECTIVE The purpose of this study was to evaluate the effect of different teaching methods of geriatric nursing on the mastery of geriatric knowledge among nursing students and their attitude toward the elderly. METHODS Relevant randomized controlled trials (RCTs) and quasi-experimental studies on teaching methods to improve nursing students' knowledge and attitude were systematically retrieved in electronic databases. The time scale of retrieval spans from the database establishment to January 2024, and the database consists of PubMed, the Cochrane Library, Web of Science, Embase, China National Knowledge Infrastructure Database (CNKI), China Biological literature database (CBM), Wanfang Database and VIP Database. Network meta-analysis was performed by Stata 16.0 software. RESULTS Thirty-nine studies involving 5310 nursing students met our inclusion criteria, and a total of 6 teaching methods were analyzed. According to the surface under the cumulative ranking (SUCRA) ranking, problem-based learning (PBL) was most effective in enhancing the knowledge mastery of geriatric nursing, while simulation-based learning (SBL) demonstrated the best application effect in improving nursing students' attitude toward the elderly. When considering both knowledge acquisition and attitude improvement simultaneously, service learning combined with traditional teaching method (SL+TTM) was found to exhibit the most optimal effectiveness. CONCLUSION Educators in geriatric nursing education should prioritize the adoption of PBL, SBL and SL + TTM to enhance nursing students' knowledge and attitude. PROTOCOL REGISTRY PROSPERO (CRD42023442001).
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Affiliation(s)
- Yifen Cheng
- Department of Orthopedics, The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei, Anhui, China
| | - Shuqin Sun
- School of Nursing, Anhui University of Traditional Chinese Medicine, Hefei, Anhui, China
| | - Yu Hu
- School of Nursing, Anhui University of Traditional Chinese Medicine, Hefei, Anhui, China
| | - Jing Wang
- Department of Endocrinology, The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei, Anhui, China
| | - Wenzhen Chen
- School of Nursing, Chuxiong Medical College, Chuxiong, Yunnan, China
| | - Yukuan Miao
- School of Nursing, Anhui University of Traditional Chinese Medicine, Hefei, Anhui, China
| | - Hui Wang
- School of Nursing, Anhui University of Traditional Chinese Medicine, Hefei, Anhui, China
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Wanko Keutchafo EL, Kerr J. Psychometric properties of the French version of the Kogan's Attitudes toward Older People scale: A cross-sectional study conducted on Cameroonian nursing students. GERONTOLOGY & GERIATRICS EDUCATION 2024; 45:197-211. [PMID: 36412983 DOI: 10.1080/02701960.2022.2149512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
To determine the psychometric properties of a French version of the KOP scale on Cameroonian French-speaking nursing students. A cross-sectional study was conducted where a self-administered questionnaire in French was given to a convenience sample of 296 nursing students registered for three different nursing programs. The French version of the KOP scale demonstrated moderate psychometric properties. The internal consistency, indicated by the Cronbach's alpha, was moderate, while the explanatory factor analysis showed two factor loadings, which explained 58.44% of the total variance. CONCLUSION The French version of the KOP scale can be a useful tool for studies in French-speaking African countries to assess the degree of ageism toward older adults. It is suggested that the original KOP scale be retranslated by African translators and administered to larger French-speaking populations in other countries.
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Affiliation(s)
| | - Jane Kerr
- Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
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Fhon JRS, Alves N, dos Santos AP, Djinan ARFS, Laurenti AV, Lima EFC. Attitudes and perceptions about ageism among nursing students: a scoping review. Rev Lat Am Enfermagem 2024; 32:e4116. [PMID: 38511735 PMCID: PMC10959072 DOI: 10.1590/1518-8345.6851.4116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2023] [Accepted: 11/12/2023] [Indexed: 03/22/2024] Open
Abstract
OBJECTIVE to map scientific knowledge on nursing students' attitudes and perceptions regarding ageism. METHOD scoping review according to the recommendations of the Joanna Briggs Institute. The study question was: What are scientific evidence available on the attitudes and perceptions of nursing students regarding ageism? The search was conducted in 12 databases using the Rayyan application and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. The studies were selected by two reviewers using a data extraction tool. RESULTS of the 4,595 files, 46 that were published between 1984 and 2022 were selected, and the quantitative method was the most used. The most commonly used instrument was the Kogan's Attitudes Toward Old People Scale. Positive, negative, mixed, neutral, and inconclusive attitudes and perceptions were identified. CONCLUSION attitudes and perceptions about ageism are diverse and not conclusive. Future intervention studies are recommended to detect changes in the behavior of nursing students in the face of ageism. BACKGROUND (1) Attitudes and perceptions about ageism are diverse and not conclusive. BACKGROUND (2) Importance of discussing ageism in the training of nursing students. BACKGROUND (3) Intervention studies to identify paradigm shifts in nursing students.
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Affiliation(s)
| | - Natalia Alves
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil
- Scholarship holder at the Programa Unificado de Bolsas da Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Alice Regina Felipe Silva Djinan
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil
| | - Anaclara Viggiano Laurenti
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil
- Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil
| | - Eveline Fontes Costa Lima
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil
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Bouwmeester Stjernetun B, Gillsjö C, Odzakovic E, Hallgren J. "It´s like walking in a bubble", nursing students´ perspectives on age suit simulation in a home environment - group interviews from reflection seminars. BMC Nurs 2024; 23:124. [PMID: 38365670 PMCID: PMC10870535 DOI: 10.1186/s12912-024-01792-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 02/06/2024] [Indexed: 02/18/2024] Open
Abstract
BACKGROUND Older persons with age-related and complex health problems will increasingly depend on care provision from nurses in their own homes. However, a barrier to quality care is ageism and nursing students´ disinterest in geriatrics. In addition, nurse education often falls short in preparing students for the complexity of geriatric care. Welfare technology (WT) is progressively implemented in home care to help older persons live at home despite their health problems. However, this process is intricate and requires acceptance and digital literacy among caregivers and older persons. Despite these challenges, nurse education can address and change negative attitudes through innovative teaching methods such as age suit simulation. Therefore, the study aims to describe nursing students´ experiences of age suit simulation in a home-like environment with WT and technical aids, and will reveal their perspective on ageing and providing care to older adults. METHODS A qualitative explorative design using semi-structured group interviews (n=39) among nursing students. Data was analysed through reflexive thematic analysis. RESULTS The analysis generated three main themes; "It's like walking in a bubble", "An eye opener" and "Concerns about ageing and the current structure of geriatric care". The main themes included eight subthemes. Adapting to the sensory and physical limitations of the age suit was an immersive experience and caused feelings of frustration, loneliness and disconnection. A prominent result was a raised awareness of cognitive loss, especially impaired vision, and students felt the simulations had made them aware of the everyday challenges older persons faced. Students highlighted the importance of patience and giving enough time in care situations by being present and having a critical perspective of WT. The students were mostly negative towards their own ageing and could better relate to older persons´ vulnerability. CONCLUSIONS Age suit simulation was described as an embodied and eye-opening experience, raising nursing students´ awareness of older persons´ functional limitations and the consequences for dignity and independence. Coping with cognitive loss was especially difficult. Students were motivated to apply their new knowledge to clinical practice. Age suit simulation can complement geriatric education, preparing students for the complex care needs of older persons.
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Affiliation(s)
- Björn Bouwmeester Stjernetun
- School of Health Sciences, University of Skövde, Box 408, SE-541 28, Skövde, Sweden.
- School of Health and Welfare, Jönköping University, Jönköping, Sweden.
| | - Catharina Gillsjö
- School of Health Sciences, University of Skövde, Box 408, SE-541 28, Skövde, Sweden
- College of Nursing, University of Rhode Island, Kingston, RI, USA
| | - Elzana Odzakovic
- School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Jenny Hallgren
- School of Health Sciences, University of Skövde, Box 408, SE-541 28, Skövde, Sweden
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Castro C, Antunes R, Simoes A, Bernardes C, Fernandes JB. Nursing students' knowledge and attitudes toward older adults. Front Public Health 2023; 11:1150261. [PMID: 37900038 PMCID: PMC10600372 DOI: 10.3389/fpubh.2023.1150261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 09/18/2023] [Indexed: 10/31/2023] Open
Abstract
Nursing students, as the future healthcare workforce, hold immense potential in providing quality care to older adults and becoming advocates for promoting aging and public health, thus contributing significantly to addressing the multifaceted challenges of our aging society. Nurses' knowledge and attitudes about aging affect health care quality. Negative and unattractive representations of the social problems associated with aging contaminate nursing students' attitudes. Nursing schools are challenged to develop new curricula to prepare future nurses for the inherent complexity of an aging society. This study aims to assess the knowledge and attitudes of nursing students toward older adults and identify the variables that can influence these attitudes. Quantitative research was carried out through the application of an online survey using a cross-sectional descriptive research design. A total of 182 nursing students completed the online survey. Progression in the nursing course was statistically significant; the more students advanced, the more positive attitudes and knowledge they revealed about aging; 39% of students have daily contact with their grandparents; however, only 14.8% would like to work with older adults. Multiple linear regression revealed that the most important factor for positive attitudes and knowledge about aging was regular contact with grandparents, followed by progression in the nursing course. The students' age was not a significant factor in improving attitudes or expanding knowledge regarding older adults. In a multidimensional logic, the deepening of knowledge about aging and the socialization of students with older adults are central factors that should reinforce curricula in nursing education.
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Affiliation(s)
- Cidália Castro
- Egas Moniz Center for Interdisciplinary Research (CiiEM)Egas Moniz School of Health & Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Ricardo Antunes
- Egas Moniz Center for Interdisciplinary Research (CiiEM)Egas Moniz School of Health & Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Aida Simoes
- Egas Moniz Center for Interdisciplinary Research (CiiEM)Egas Moniz School of Health & Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Catarina Bernardes
- Egas Moniz Center for Interdisciplinary Research (CiiEM)Egas Moniz School of Health & Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Júlio Belo Fernandes
- Egas Moniz Center for Interdisciplinary Research (CiiEM)Egas Moniz School of Health & Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
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Xiarchi LM, Palmér L, Nässén K, Cowdell F, Lindberg E. Balancing between familiarity and professionalism in caring for older persons: A phenomenological study from the perspective of nursing students. Nurse Educ Pract 2023; 71:103695. [PMID: 37429220 DOI: 10.1016/j.nepr.2023.103695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 06/20/2023] [Accepted: 06/23/2023] [Indexed: 07/12/2023]
Abstract
AIM To describe the meaning of caring for older persons based on the experiences of nursing students in Greece. BACKGROUND The present study is conducted based on a caring science perspective derived from a holistic viewpoint of human beings, aiming to support the well-being of older persons. In Greece, informal caregivers play an important role in caring for older people; however, as the population ages, the need for registered nurses specialising in caring for older people is also increasing. Previous research in other countries has reported a relative lack of interest in this field, which is a threat to the quality of care. To ensure an adequate number of new-generation nurses caring for older people, nursing students' perceptions of the phenomenon of caring for older persons should be well understood and explored in a context where the number of long-term care beds and residential care facilities are low and where informal caregiving is common. DESIGN Based on Descriptive Phenomenology, in line with the Reflective Lifeworld Research (RLR) approach. METHODS A total of 12 nursing students at a university in Greece underwent in-depth lifeworld interviews online during June and July 2021 and March 2022; Interviews were transcribed verbatim and were analysed according to the principles of RLR that approaches the phenomena with openness and constant reflection. The participants were students in their fourth or fifth year of nursing education; they had previous experience in older person care and were not acquainted with the authors. RESULTS The results show the essential structure of the meaning of caring for older persons, where otherness consists of intertwined demanding and rewarding elements. The essence is further conveyed by three constituents: otherness of the older person: witnessing someone's vulnerability; trustful caring: struggling with normative structures; and closeness and distance: balancing between familiarity and professionalism. CONCLUSION To ensure quality of care for older persons in the future, an understanding of how nursing students describe their experiences of caring for older persons during education is important. Balancing between familiarity and professionalism highlights the need for further reflection on professionalism and dignity and identifying the norms and values helps to highlight particularities of the context and national healthcare system. Curricula focusing on cultivating students' preunderstanding, regarding caring for older persons are required to promote a higher quality of care in the future. Caring science can contribute to a focus on a holistic perspective in caring for older people. TWEETABLE ABSTRACT There is an ever-increasing need for educated nurses in the field of caring for older people. With the lack of interest in this field of nursing, the overall quality of care is impacted. This study describes the meaning of caring for older persons based on the experiences of nursing students in the Greek health care system.
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Affiliation(s)
- Lamprini Maria Xiarchi
- Faculty of Caring Science, Work Life and Social Welfare, Department of Caring Science, University of Borås, 501 90 Borås, Sweden.
| | - Lina Palmér
- Faculty of Caring Science, Work Life and Social Welfare, Department of Caring Science, University of Borås, 501 90 Borås, Sweden
| | - Kristina Nässén
- Faculty of Caring Science, Work Life and Social Welfare, Department of Caring Science, University of Borås, 501 90 Borås, Sweden
| | - Fiona Cowdell
- School of Nursing and Midwifery, Birmingham City University, Westbourne Road, Birmingham B15 3TN, United Kingdom
| | - Elisabeth Lindberg
- Faculty of Caring Science, Work Life and Social Welfare, Department of Caring Science, University of Borås, 501 90 Borås, Sweden
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Fernández-Muñoz JJ, Parra-Fernández ML, Onieva-Zafra MD, Expósito-González R, Marquinez-Rengifo JM, Fernández-Martínez E. Adaptation and Validation of the Spanish Version of Kogan's Attitude toward Older People Scale (KAOP). Healthcare (Basel) 2023; 11:healthcare11091321. [PMID: 37174863 PMCID: PMC10178809 DOI: 10.3390/healthcare11091321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 04/17/2023] [Accepted: 04/27/2023] [Indexed: 05/15/2023] Open
Abstract
It is essential to understand the behavior and attitudes of nurses towards older people to improve clinical practice and quality of care in the gerontological sector. A clearer understanding of the attitudes that drive nurses toward the desire to work with older people would be a good starting point to encourage the development of positive and nurturing attitudes. A cross-sectional study with non-probabilistic sampling and a self-administered questionnaire was conducted among 381 nursing students of the Faculty of Nursing at the University of Castilla La-Mancha to evaluate the psychometric properties of the Spanish Version of the Kogan's Attitudes Towards Older People Scale (KAOP-S). Construct validity, internal consistency, and reliability were assessed. In total, 298 females and 83 males completed the questionnaires. Their mean age was 20.42 years. The results revealed a Cronbach's alpha coefficient of 0.75 for the scale, which is comparable with other published versions of the KAOP Scale. The results of the exploratory factor analysis established that the scale has a two-factor solution and an explained variance of 25% in the sample. The KAOP-S was found to be a reliable and valid tool with good content and construct validity for assessing nursing students' attitudes towards older people.
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Affiliation(s)
| | | | | | - Raúl Expósito-González
- Faculty of Nursing Ciudad Real, University of Castilla-La-Mancha, 13001 Ciudad Real, Spain
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Allué-Sierra L, Antón-Solanas I, Rodríguez-Roca B, Anguas-Gracia A, Echániz-Serrano E, Fernández-Rodrigo MT, Navas-Ferrer C, Subirón-Valera AB, Urcola-Pardo F, Satústegui-Dordá PJ. Ageism and nursing students, past or reality?: A systematic review. NURSE EDUCATION TODAY 2023; 122:105739. [PMID: 36731247 DOI: 10.1016/j.nedt.2023.105739] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 01/13/2023] [Accepted: 01/24/2023] [Indexed: 06/18/2023]
Abstract
OBJECTIVE This systematic review aimed to summarise and update existing knowledge about ageism among nursing students through the following research question: what is the perception and attitudes of ageism among student nurses? DESIGN A systematic review of longitudinal and cross-sectional studies of ageism in nursing students was carried out. DATA SOURCES The literature search was conducted in the scientific databases Pubmed and Scopus in February 2021. REVIEW METHODS After the screening process, 22 studies meeting the selection criteria were selected; 8 more were identified after manually searching the selected paper' reference lists. A total of 30 studies were included in the review. The JBI Critical Appraisal Checklists for Analytical Cross-Sectional studies and for Cohort Studies were used to appraise the articles' quality. RESULTS There was large variability in the manifestation of ageism among student nurses, as well as in the instruments used for assessment. Most of the articles analysed attitudes towards old age, the majority of which were positive. Being a female student, being on the final year of study and having regular contact or cohabitation with an older adult were three of the main determinants in the expression of positive attitudes towards the elderly. CONCLUSIONS Our findings suggest that student nurses generally have positive attitudes towards old age, although ageist beliefs and discriminatory behaviours were identified and should be studied in greater depth. Training programs for future care professionals have a responsibility to educate from a non-stereotypical perspective based on current societal needs.
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Affiliation(s)
| | - Isabel Antón-Solanas
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; Research group Nursing Research in Primary Care in Aragón (GENIAPA) (GIIS094), Institute of Research of Aragón, Zaragoza, Spain.
| | - Beatriz Rodríguez-Roca
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain.
| | - Ana Anguas-Gracia
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; Research group Water and Environmental Health (B43_20R), University Institute of Research in Environmental Science of Aragón, University of Zaragoza, Zaragoza, Spain; Research group Safety and Care (GIISA0021), Institute of Research of Aragón, Zaragoza, Spain.
| | - Emmanuel Echániz-Serrano
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain.
| | - María Teresa Fernández-Rodrigo
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; Research group Water and Environmental Health (B43_20R), University Institute of Research in Environmental Science of Aragón, University of Zaragoza, Zaragoza, Spain.
| | - Carlos Navas-Ferrer
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain.
| | - Ana Belén Subirón-Valera
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; Research group Water and Environmental Health (B43_20R), University Institute of Research in Environmental Science of Aragón, University of Zaragoza, Zaragoza, Spain.
| | - Fernando Urcola-Pardo
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; Research group Water and Environmental Health (B43_20R), University Institute of Research in Environmental Science of Aragón, University of Zaragoza, Zaragoza, Spain.
| | - Pedro J Satústegui-Dordá
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; Research group Water and Environmental Health (B43_20R), University Institute of Research in Environmental Science of Aragón, University of Zaragoza, Zaragoza, Spain.
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Willis JL, Hawley DA, Watson JB, Jackson DL, Severance JJ, Butler Carroll T, Knebl JA. Impact of interprofessional geriatric teamwork on students' perceptions of older persons and collaborative practice. GERONTOLOGY & GERIATRICS EDUCATION 2023; 44:118-130. [PMID: 34635031 DOI: 10.1080/02701960.2021.1979971] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Health professions programs lack sufficient exposure to geriatric education in curricula. The Seniors Assisting in Geriatric Education (SAGE) Program exposes interprofessional (IP) teams of health professions students to older adults. To determine the impact of an interprofessional geriatric educational experience on student perceptions of team collaboration and older adults. IP teams of three or four students (n = 662) representing eight disciplines from two institutions were paired with an older adult to promote person-centered care over three semesters. Students completed two online questionnaires (pre- and post-SAGE Program, ~10 min). 136 students completed both questionnaires. Three IP collaborative practice sub-competencies under the Roles & Responsibilities and Interprofessional Communication Core Competencies increased significantly from pre- to post-SAGE Program (p ≤ 0.002). Comparison of the means for attitudes toward geriatric patients revealed statistically significant improvement in one item, Compassion (p < .002). The SAGE Program had a positive impact on IP collaborative practice and attitudes toward older people in some, but not all, areas.
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Affiliation(s)
- Jada L Willis
- Department of Nutritional Sciences, College of Science & Engineering, Texas Christian University, Fort Worth, Texas, USA
| | - Diane A Hawley
- Nursing Harris College of Nursing & Health Sciences, Texas Christian University, Fort Worth, Texas, USA
| | - Jennifer B Watson
- Davies School of Communication Sciences and Disorders, Texas Christian University, Fort Worth, Texas, USA
| | - D Lynn Jackson
- Department of Social Work, Harris College of Nursing & Health Sciences, Texas Christian University, Fort Worth, Texas, USA
| | - Jennifer J Severance
- Department of Internal Medicine and Geriatrics, Texas College of Osteopathic Medicine, the University of North Texas Health Science Center at Fort Worth, Fort Worth, Texas, USA
| | - Traci Butler Carroll
- Department of Internal Medicine and Geriatrics, Texas College of Osteopathic Medicine, the University of North Texas Health Science Center at Fort Worth, Fort Worth, Texas, USA
| | - Janice A Knebl
- Department of Internal Medicine and Geriatrics, Texas College of Osteopathic Medicine, the University of North Texas Health Science Center at Fort Worth, Fort Worth, Texas, USA
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Devkota R, Dahlke S, Fox MT, Davidson S, Hunter KF, Butler JI, Shrestha S, Chasteen AL, Moody E, Martin LS, Pietrosanu M. E-learning modules to enhance student nurses' perceptions of older people: a single group pre-post quasi-experimental study. Int J Nurs Educ Scholarsh 2023; 20:ijnes-2023-0059. [PMID: 38029314 DOI: 10.1515/ijnes-2023-0059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 11/10/2023] [Indexed: 12/01/2023]
Abstract
OBJECTIVES To examine whether e-learning activities on cognitive impairment (CI), continence and mobility (CM) and understanding and communication (UC) improve student nurses' knowledge and attitudes in the care of older adults. METHODS A quasi-experimental single group pre-post-test design was used. We included 299 undergraduate nursing students for the CI module, 304 for the CM module, and 313 for the UC module. We administered knowledge quizzes, Likert scales, and a feedback survey to measure student nurses' knowledge, ageist beliefs, and feedback on the modules respectively. RESULTS Participants demonstrated significantly more knowledge and reduced ageist attitudes following the e-learning activities. CONCLUSIONS Findings suggest that e-learning activities on cognitive impairment, continence and mobility, and understanding and communication improve knowledge and reduce ageist attitudes among nursing students.
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Affiliation(s)
- Rashmi Devkota
- Faculty of Nursing, College of Health Sciences, University of Alberta, Edmonton Clinic Health Academy, Edmonton, AB, Canada
| | - Sherry Dahlke
- Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, AB, Canada
| | - Mary T Fox
- School of Nursing, York University Centre for Aging Research & Education, York University, Toronto, ON, Canada
| | - Sandra Davidson
- Faculty of Nursing, University of Calgary, Calgary, AB, Canada
| | | | - Jeffrey I Butler
- Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, AB, Canada
| | - Shovana Shrestha
- Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, AB, Canada
| | - Alison L Chasteen
- Department of Psychology, University of Toronto, Toronto, ON, Canada
| | - Elaine Moody
- School of Nursing, Dalhousie University, Halifax, NS, Canada
| | - Lori Schindel Martin
- Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, ON, Canada
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Podhorecka M, Husejko J, Woźniewicz A, Pyszora A, Kȩdziora-Kornatowska K. Who will treat older patients? Should medical education focus more on activities aimed at displaying positive attitudes toward older people? The prevalence of ageism among students of medical and health sciences. Front Public Health 2022; 10:1032487. [PMID: 36530671 PMCID: PMC9752869 DOI: 10.3389/fpubh.2022.1032487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 11/14/2022] [Indexed: 12/05/2022] Open
Abstract
In the conditions of an aging society, a justification is found to explain the issue of the attitude of future health care workers, who are to care for elderly people in the future, toward these people, which will make it possible to predict in advance what problems related to the care of seniors may soon arise. After clarifying this issue, it will be important to distinguish the individual factors influencing this attitude in order to determine which social phenomena will require special attention. Eight hundred and three medical and health sciences students participated in the research from various fields of medical studies. A Survgo system was used, where an online questionnaire was placed and then posted in social media. Only students of medicine and healthcare facilities participated in the study. The first questionnaire contained socio-demographic questions. Then, the KOAP questionnaire and Welch's t-test were used, and finally the proprietary questionnaire on contact with seniors. Analyses were conducted using the R Statistical language. Scores on the KAOP questionnaire ranged from 122.4 to 134.57. The highest scores were shown for physiotherapy students and the lowest for pharmacy students. The highest level of attitude toward elderly was reported in students of 1st to 3rd year of study. For 4th-5th year or supplementary level students, attitude levels were decreasing. Welch's t-test showed that the level of attitude toward old people in men was significantly higher than in women. There was no significant correlation between the age factor on the quotient scale and the KOAP score. Married individuals had significantly higher KAOP scores compared to singles and those in an informal relationship. No significant differences between the study stage factor and KAOP score have been found. Those who live and/or have regular contact with the elderly were characterized by higher KAOP questionnaire scores. The attitude toward the elderly depends on many factors, such as the chosen field of study, stage of education, contact with the elderly, gender or marital status. In order to develop proper contact with seniors, the solution may be to influence modifiable factors, especially the correct education of future health care workers.
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Affiliation(s)
- Marta Podhorecka
- Department of Geriatrics, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland,*Correspondence: Marta Podhorecka
| | - Jakub Husejko
- Department of Geriatrics, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland
| | - Agnieszka Woźniewicz
- Department of Geriatrics, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland
| | - Anna Pyszora
- Department of Palliative Care, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland
| | - Kornelia Kȩdziora-Kornatowska
- Department of Geriatrics, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland
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Rayner JA, Fetherstonhaugh D, Beattie E, Harrington A, Jeon YH, Moyle W, Parker D. “Oh, older people, it's boring”: Nurse academics’ reflections on the challenges in teaching older person's care in Australian undergraduate nursing curricula. Collegian 2022. [DOI: 10.1016/j.colegn.2022.08.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Hsu MHK, Ye QH, Ling MH. Career Preferences among Nursing Students: A Cross-Sessional Study. SAGE Open Nurs 2022; 8:23779608221094538. [PMID: 35509432 PMCID: PMC9058337 DOI: 10.1177/23779608221094538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 02/14/2022] [Accepted: 03/29/2022] [Indexed: 11/15/2022] Open
Abstract
Introduction It is estimated that mores nurses are needed in the future, nursing students’ career preferences are important to contribute the shortage of nursing manpower in Macao. Little is known regarding the preferences for nursing students’ career preferences and related factors among nursing students. Objective To explore and investigate the career preferences and related factors among nursing students in Macao. Methods A descriptive, cross-sectional survey study design was adopted to assess career preferences and related factors among nursing students in Macao. Results In total, 217 nursing students completed surveys. The most favorite career preferences among nursing students were community health nursing, paediatric nursing, medical surgical nursing, and obstetric & gynecological nursing; while the least career preferences among nursing students were oncology and hospice nursing, mental health nursing, and ER nursing. Factors were related to “gender”, “education”, and “nursing is my first study preference” among Macao nursing students for career preferences. Conclusion The senior nursing students prefer working in community health nursing and the junior and female nursing students prefer working in pediatric nursing and obstetric and gynecological nursing. The more understandings of nursing students’ career preferences, the better nursing curriculum design and implication to promote nursing students’ intention for working in the least career preferences work.
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Affiliation(s)
- Mei Hua Kerry Hsu
- Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao S.A.R., China
| | - Qian Hong Ye
- Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao S.A.R., China
| | - Man Ho Ling
- Department of Mathematics and Information Technology, The Education University of Hong Kong, Hong Kong S.A.R., China
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Kor PPK, Liu JYW, Kwan RYC. Exploring nursing students' learning experiences and attitudes toward older persons in a gerontological nursing course using self-regulated online enquiry-based learning during the COVID-19 pandemic: A mixed-methods study. NURSE EDUCATION TODAY 2022; 111:105301. [PMID: 35202963 PMCID: PMC8853847 DOI: 10.1016/j.nedt.2022.105301] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 01/17/2022] [Accepted: 02/14/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND During the COVID-19 pandemic, universities adopted online teaching as the primary teaching and learning method. Most of the online teaching, however, has been limited to the broadcasting of asynchronous lectures and sharing of teaching materials. OBJECTIVES To explore undergraduate nursing students' self-regulated learning experiences, satisfaction, and attitudes toward older persons in a gerontological nursing course using online self-regulated enquiry-based learning (EBL) during the COVID-19 pandemic. DESIGN A mixed-methods design was adopted. SETTING A university in Hong Kong providing pre-registration nursing programmes. PARTICIPANTS 155 students studying in the fourth year in a five-year Bachelor of Nursing programme participated in the quantitative study in which 18 joined the focus groups (4 groups with group size of 4-5). METHODS Five video-based scenarios along with two interactive online workshops, a mind-map development exercise, gamified assessments, reading materials, group discussions, and presentations were adopted in a gerontological nursing course offered in 2019-2020 to enhance the students' learning, driven by a process of enquiry. Attitudes toward older people were measured at baseline and one week after the course (post-test). Information on self-regulated learning experiences, satisfaction, and confidence were collected at post-test only. Paired t-tests and descriptive statistics were used to analyse the data. Focus groups were conducted through semi-structured interviews and transcribed verbatim for inductive content analysis. RESULTS A significant improvement was demonstrated in the students' attitude toward older people. The students appreciated the opportunities provided by the online EBL to apply key concepts of gerontology in the teaching and learning activities and to enhance their critical thinking skills. Three major themes were revealed from the focus group: Perception of the teaching pedagogy, Improvement of cognitive skills, and Positive and negative aspects of the learning experience. CONCLUSIONS The online self-regulated EBL improved the students' online learning experience in a gerontological nursing course during the pandemic and improved their attitudes toward older people.
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Affiliation(s)
- Patrick Pui Kin Kor
- Centre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
| | - Justina Yat Wa Liu
- Centre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
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Sakamoto RR. Influence of "RAP" experiences on nursing students' career choices in aging: A qualitative exploration. NURSE EDUCATION TODAY 2022; 109:105218. [PMID: 34799195 DOI: 10.1016/j.nedt.2021.105218] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 09/16/2021] [Accepted: 11/08/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Healthcare professions are ever challenged to meet the demands of a global aging society. Educators across the helping professions continuously explore ways to motivate students' interest in caring for older adults. Given new undergraduate nursing curriculum changes, increased demand for creative outpatient educational opportunities for clinical gerontological experiences has put tremendous urgency on all healthcare stakeholders. OBJECTIVE To analyze students' perceptions of clinical experiences at the Robust Aging Program clinic, a community wellness outpatient senior center. DESIGN Qualitative study using semi-structured interviews, exploring students' perspectives on whether they would consider gerontology/geriatrics-related careers. SETTING University extension senior clinic, serving Osher Lifelong Learning Center members who attend the Robust Aging Program, a School of Nursing community service. METHOD IRB-approved semi-structured interviews were conducted by phone and Zoom within a year of clinic experience. Preset questions centered on students' clinic experiences. Trained research assistants working under the guidance of a qualitative researcher collected and analyzed and categorized common and emergent themes. PARTICIPANTS 13 undergraduate nursing students who volunteered in the clinic in current or previous semesters. Students were about to graduate or new alumni; working nurses came from different specialties, including pediatrics. RESULTS Clinical immersion in a nurse-led senior wellness clinic that entailed close interactions with robustly aging adults increased students' knowledge and skills and their willingness to work with the aged. Mentorship was noted as a key emergent theme. CONCLUSIONS Exposure to community outpatient clinical experiences can spark interest in working with older adults. This is especially true of advanced practice nurse-led wellness clinics where students receive mentorship and are empowered to exercise holistic care. Further research is needed to determine educators', clinicians', and administrators' roles in sustaining students' interest in gerontology-related careers.
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Affiliation(s)
- Rosario Rose Sakamoto
- California State University, Fullerton, School of Nursing, 800 N. State College Blvd., Fullerton, CA 92831, United States of America.
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Kisvetrová H, Mandysová P, Tomanová J, Steven A. Dignity and attitudes to aging: A cross-sectional study of older adults. Nurs Ethics 2021; 29:413-424. [PMID: 34875911 PMCID: PMC8958642 DOI: 10.1177/09697330211057223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background: Dignity is a multidimensional construct that includes perception, knowledge, and emotions related to competence or respect. Attitudes to aging are a comprehensive personal view of the experience of aging over the course of life, which can be influenced by various factors, such as the levels of health and self-sufficiency and social, psychological, or demographic factors. Aim: The purpose of this study was to explore the attitudes to aging of home-dwelling and inpatient older adults, and whether dignity and other selected factors belong among the predictors influencing attitudes to aging in these two different groups of older adults. Research design: Cross-sectional study using a set of questionnaires: Patient Dignity Inventory, Attitudes to Aging Questionnaire, and Barthel Index. Pearson and Spearman correlation analyses and multivariable linear regression were used for statistical processing. Participants and research context: 233 inpatients and 237 home-dwelling older adults participated in the research in two regions of the Czech Republic. Ethical considerations: Institutional Review Board approval was received from the authors’ university. Findings: The inpatients had more negative attitudes to aging (M = 74.9±10.9; P <0.0001). The predictors of their attitudes to aging were gender and dignity. Women (β = −2.969, P = 0.045) and inpatients with poor dignity ratings (β = −0.332, P <0.0001) had more negative attitudes to aging. The predictors for home-dwelling older adults were education, living arrangement, and dignity. More negative attitudes to aging were found in older adults with lower levels of education (β = 2.716, P = 0.007) who lived alone (β = 2.163, P = 0.046) and rated their dignity as low (β = −0.325, P <0.0001). Discussion and Conclusions: The results of this study add to the understanding that a sense of dignity is an important predictor of attitudes to aging for both home-dwelling older adults and inpatients.
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Affiliation(s)
- Helena Kisvetrová
- The Centre for Research and Science, Faculty of Health Sciences, 156927Palacký University Olomouc, Czech Republic
| | - Petra Mandysová
- Department of Nursing, Faculty of Health Sciences, 156927Palacký University Olomouc, Czech Republic
| | - Jitka Tomanová
- Institut of Education and Social Studies, Faculty of Education, 161956Palacký University Olomouc, Czech Republic
| | - Alison Steven
- Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, 373117Northumbria University, Newcastle upon Tyne, UK
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Shropshire M, Hovey S, Ford C, Cecilia Wendler M. Older adults 'Have so Much to Teach Us': A qualitative study of BSN student perceptions when anticipating clinical in the nursing home. Int J Older People Nurs 2021; 17:e12438. [PMID: 34822740 DOI: 10.1111/opn.12438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Revised: 11/01/2021] [Accepted: 11/02/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND As the population of older adults is estimated to double by 2050, the growing demand for nurses to provide care to older adults will grow. Internationally, attitudes among nursing students towards caring for older adults range from negative to slightly positive. OBJECTIVE The purpose of this qualitative descriptive study was to examine undergraduate nursing students' thoughts, feelings and perspectives towards older adults residing in nursing homes prior to their clinical experience. METHODS/RESULTS Students enrolled in a clinical component of a course within a baccalaureate nursing programme were prompted to write a one-page reflection on their thoughts and feelings toward caring for older adults in a nursing home. Artefacts from 72 undergraduate students' were examined, and data saturation was obtained at 20 cases. Utilizing a one-time inquiry approach, we identified eight categories that emerged from the data: Range of emotions when anticipating clinical, building rewarding relationships with older adults, preparing for my nursing career, student pre-existing attitudes, providing the best care possible, relationships with grandparents, experience(s) in nursing homes and older adults 'have so much to teach us'. Two themes encompassed all the others: '[Older adults] have so much to teach us' and 'providing the best care possible'. A strong majority of students expressed enthusiasm for their upcoming clinical in a nursing home. CONCLUSION Students' attitudes were significantly more positive than those in prior studies. The results offer essential insight for nursing faculty who teach and design clinical experiences for undergraduate nursing students in nursing home facilities. Faculty should take account of their students' prior experiences, thoughts, and feelings to prepare them appropriately to care for older adults in their future nursing careers. IMPLICATIONS FOR PRACTICE Increasing staffing and retention of staff in nursing homes facilities remains a priority for stakeholders in long-term care of older adults. Nursing educators must continuously assess students' knowledge and attitudes assists to identify knowledge gaps and misconceptions, which must be addressed to teach student nurses how to provide high-quality, effective and culturally sensitive care to older adults. As students become more competent in caring for older adults, their desire to pursue a nursing career in gerontology care may increase. Early experiences of student nurses with older adults will prepare nursing students for their future career. Understanding students' thoughts and feelings will assist faculty in tailoring clinical orientation, designing clinical experiences and post-conference debriefings that address students' concerns. This research contributes to the knowledge of perceptions of nursing students and will assist to design educational experiences. Nursing educators who understand nursing students' attitudes toward caring for older persons can facilitate therapeutic interactions between nursing students and older adults. Designing experiences with these research results in mind may facilitate the development of positive attitudes towards caring for older adults.
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Affiliation(s)
- Michele Shropshire
- Mennonite College of Nursing at Illinois State University, Normal, Illinois, USA
| | - Susan Hovey
- University of Illinois at Chicago College of Nursing, Springfield, Illinois, USA
| | - Carolina Ford
- Mennonite College of Nursing at Illinois State University, Normal, Illinois, USA
| | - M Cecilia Wendler
- University of Illinois at Chicago College of Nursing, Springfield, Illinois, USA
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Cheon Y, Han K, Chung SJ. Attitudes Toward Older Adults and Need for Education Among Nurses and Nursing Assistants. J Contin Educ Nurs 2021; 52:517-524. [PMID: 34723719 DOI: 10.3928/00220124-20211008-07] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Attitudes toward older adults and education needs could influence the quality of care provided by nurses and nursing assistants. The goal of this study is to assess attitudes toward older adults and geriatric nursing education needs among nurses and nursing assistants working at long-term care hospitals in Korea. METHOD Data were collected with a structured self-reported questionnaire. The study included 124 nurses and 145 nursing assistants working at six long-term care hospitals in Korea. RESULTS No statistically significant difference was found between the nurses and nursing assistants in their attitudes toward older adults, with both groups showing neutral attitudes. Both nurses and nursing assistants had a high need for education in health issues affecting older adults. CONCLUSION To improve nursing quality, a practical and systematic curriculum on older adults and their health issues is needed for nursing staff working in long-term care hospitals. [J Contin Educ Nurs. 2021;52(11):517-524.].
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Schüttengruber G, Stolz E, Lohrmann C, Kriebernegg U, Halfens R, Großschädl F. Attitudes towards older adults (80 years and older): A measurement with the ageing semantic differential - A cross-sectional study of Austrian students. Int J Older People Nurs 2021; 17:e12430. [PMID: 34719117 PMCID: PMC9285706 DOI: 10.1111/opn.12430] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2021] [Revised: 08/31/2021] [Accepted: 09/28/2021] [Indexed: 01/02/2023]
Abstract
INTRODUCTION The aims of the study were to investigate the four-factor structure of the German version of the Aging Semantic Differential (ASD) and to gain initial insights into the attitudes of nursing, medical and humanities students towards older people in Austria. METHOD A cross-sectional study design with a convenience sample was chosen. RESULTS The ASD was completed by 255 Austrian nursing, medicine, and humanities students, who described their attitudes towards persons who are 80 years of age and older. The applicability of the four-factor structure (instrumentality, autonomy, acceptability and integrity) of the German version was confirmed by performing a confirmatory factor analysis. The mean age of students in our sample was 23.6 years; 79% of these were female. The sample displayed negative attitudes regarding the factors of autonomy and instrumentality, but more positive attitudes regarding the factors integrity and acceptability. The attitudes of the students in the three study programmes differed, with the medical students displaying the most negative attitudes. Students who displayed positive attitudes had statistically significantly higher levels of knowledge about ageism and better possibilities to hold personal conversations with older people (80+) in the family or circle of friends. CONCLUSION We conclude that having more knowledge about ageism and close personal contacts to older persons can support positive attitudes towards older individuals.
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Affiliation(s)
| | - Erwin Stolz
- Institute of Social Medicine and Epidemiology, Medical University of Graz, Graz, Austria
| | - Christa Lohrmann
- Institute of Nursing Sciences, Medical University of Graz, Graz, Austria
| | - Ulla Kriebernegg
- Center for Interdisciplinary Research on Aging and Care, University of Graz, Graz, Austria
| | - Ruud Halfens
- Department of Health Services Research, CAPHRI, Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands
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Laugaland K, Kaldestad K, Espeland E, McCormack B, Akerjordet K, Aase I. Nursing students' experience with clinical placement in nursing homes: a focus group study. BMC Nurs 2021; 20:159. [PMID: 34488739 PMCID: PMC8419895 DOI: 10.1186/s12912-021-00690-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 08/28/2021] [Indexed: 11/21/2022] Open
Abstract
Background A renewed interest in nursing homes as clinical placement settings for nursing students has been prompted by the growing healthcare needs of an ageing population. However, if future nurses are to be enthusiastic about working in this healthcare context, it is essential that higher education institutions that educate nurses and nursing homes that provide placement experiences to students do so with a supportive, positive, and enriched approach. Methods To explore first-year nursing students’ placement experience in nursing homes, we conducted an exploratory qualitative study in three city-based nursing homes in western Norway. Thirteen first-year nursing students participated in the study. Three focus group interviews were conducted to explore the students’ placement experiences. Data were analysed using thematic analysis. The findings were reported using the Standards for Reporting Qualitative Research (SRQR). Results The analysis describes five themes relating to first-year students’ placement experience in nursing homes; (1) variations in utility of pre-placement orientation and welcome at placement site; (2) a challenging learning environment; (3) spending considerable placement time with non-registered nurses; (4) considerable variability in supervision practices; and (5) a vulnerable and demanding student role. Conclusions The research provides insight into the contextual characteristics encountered by first-year students that influence the quality of their placement experiences. Consequently, these characteristics impede access to important role models who lend support to a student’s growth and professional development, preventing full utilisation of the learning potential offered in nursing homes. Hence, we propose that targeted efforts are warranted to foster positive placement experiences and enhance students’ clinical education in nursing homes. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-021-00690-4.
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Affiliation(s)
- Kristin Laugaland
- SHARE - Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Kjell Arholms Gate 41, 4036, Stavanger, Norway.
| | - Kari Kaldestad
- Faculty of Health Sciences, University of Stavanger, Stavanger, Norway
| | - Elin Espeland
- Faculty of Health Sciences, University of Stavanger, Stavanger, Norway
| | | | - Kristin Akerjordet
- SHARE - Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Kjell Arholms Gate 41, 4036, Stavanger, Norway
| | - Ingunn Aase
- SHARE - Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Kjell Arholms Gate 41, 4036, Stavanger, Norway
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Laugaland K, Billett S, Akerjordet K, Frøiland C, Grealish L, Aase I. Enhancing student nurses' clinical education in aged care homes: a qualitative study of challenges perceived by faculty staff. BMC Nurs 2021; 20:111. [PMID: 34174881 PMCID: PMC8235807 DOI: 10.1186/s12912-021-00632-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Accepted: 06/07/2021] [Indexed: 11/11/2022] Open
Abstract
Background Ageing populations are increasing the demand for geriatric care services. As nursing schools respond to this demand, more high-quality clinical placements are required, and aged care homes offer suitable placement sites. Although an aged care experience for students is beneficial, the basis for effective implementation of these placements is yet to be fully established. The aim of this study was to explore faculty staff perspectives on the challenges associated with providing effective clinical education in aged care homes for first-year student nurses. Methods An exploratory qualitative study was performed. Fifteen in-depth interviews were conducted with program leaders of nursing degree programs (n = 4), course leaders (n = 6) and practice coordinators (n = 5) in three Norwegian universities. Data were analysed using thematic analysis. The findings were reported using the Standards for Reporting Qualitative Research (SRQR). Results Five themes were identified regarding the perceived challenges to implementing effective clinical education in aged care homes: (1) low staffing levels of registered nurses limit the capacity to effectively host students; (2) prevalence of part-time teachers can compromise the quality of students’ learning experiences; (3) tensions about the required qualifications and competencies of nurse teachers; (4) variation in learning assessments; and (5) lack of quality assurance. Conclusions These challenges signal key areas to be addressed in quality assurance for effective aged care placements. Further research into the minimum staffing levels required to support student learning in the aged care setting is required. Methods for developing shared practices to facilitate learning in aged care homes need to address the prevalence of part-time teaching appointments. Further research into the levels of qualification and competence required to support student learning in aged care facilities can assist with setting standards for this sector. Finally, academic-practice institutions must engage with government officials and national nursing bodies to develop national standards for clinical education in aged care homes. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-021-00632-0.
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Affiliation(s)
- Kristin Laugaland
- SHARE- Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Kjell Arholms gate 41, 4036, Stavanger, Norway.
| | - Stephen Billett
- Education and Professional Studies, Griffith University, Brisbane, Australia
| | - Kristin Akerjordet
- SHARE- Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Kjell Arholms gate 41, 4036, Stavanger, Norway
| | - Christina Frøiland
- SHARE- Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Kjell Arholms gate 41, 4036, Stavanger, Norway
| | - Laurie Grealish
- Menzies Health Institute Queensland, Griffith University and Gold Coast Health, Gold Coast, Australia
| | - Ingunn Aase
- SHARE- Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Kjell Arholms gate 41, 4036, Stavanger, Norway
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An international effort examining nursing student attitudes toward older people. TEACHING AND LEARNING IN NURSING 2021. [DOI: 10.1016/j.teln.2020.12.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Bowling H, Murray L, Eichler T, Usher B, Fennimore L. Connecting Nursing Students and Older Adults: An Intergenerational Service-Learning Experience. Nurse Educ 2021; 47:56-61. [PMID: 33882532 DOI: 10.1097/nne.0000000000001017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Aging populations have an increased need for health care services. Nursing students are often introduced to care of older adults through a clinical experience in a skilled nursing facility, which can negatively bias a student's attitudes toward this population. PURPOSE The purpose of this quality improvement project was to improve the attitudes of undergraduate nursing students toward older adults. METHOD Students (N = 104) completed a minimum of 5 visits with an independent community-dwelling older adult. Student attitudes toward older adults were measured before and after the experience using the Polizzi Refined Aging Semantic Differential Scale. Student and older adult participants responded to satisfaction surveys. RESULTS Statistical and clinically significant improvements in student attitudes were noted after the service-learning intervention. CONCLUSIONS Nurse educators can impact the way nursing students view the older adult population by including intergenerational service-learning experiences in the curriculum.
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Affiliation(s)
- Hilary Bowling
- Author Affiliations: Clinical Instructor (Dr Bowling) and Clinical Assistant Professor (Dr Murray), Eleanor Mann School of Nursing, and Visiting Assistant Professor, College of Education and Health Professions (Dr Eichler), University of Arkansas, Fayetteville; and Associate Professor (Dr Usher) and Professor (Dr Fennimore), School of Nursing, University of Pittsburgh, Pennsylvania
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Zisberg A, Shulyaev K, Van Son C. Assessing attitudes and intention to work with older adults by American and Israeli nursing students: Adapting and testing a measure. NURSE EDUCATION TODAY 2021; 98:104735. [PMID: 33453557 DOI: 10.1016/j.nedt.2020.104735] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2020] [Revised: 07/08/2020] [Accepted: 12/17/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND Finding workers to care for older adults in healthcare settings has become a priority, and research identifying factors influencing a nursing student's intention to make geriatrics a career choice is needed. This calls for the development of a reliable measure of students' perceptions and attitudes. OBJECTIVES To determine the adaptability of Carolina Opinions on Care of Older Adults (COCOA) to assess nursing students' attitudes to older adults and their intentions to work with them in two countries. DESIGN Cross-sectional survey. SETTINGS Nursing students enrolled in an introduction to gerontological nursing course in the United States and Israel. PARTICIPANTS A convenience sample of 231 undergraduates pursuing a Bachelor of Science in nursing in the United States (N=122) and Israel (N=109). METHODS Students completed the COCOA instrument and basic demographics using an electronic platform. RESULTS Exploratory Factor Analysis (EFA) produced five factors explaining 59% of the variation, with the majority of the items (17, 71%) loading above 0.40 on subscales from the instrument's original structure. EFA led to the elimination of one subscale (Value of Older Adults) and the creation of a new subscale (Older versus Younger Adults) with three items. The reliability scores were good to acceptable for all subscales in both Israeli and American samples (α-Cronbach 0.80 to 0.60). Confirmatory FA supported the data's fit to the 21 items of the modified COCOA instrument (CMIN/DF=1.55, CFI=0.93, IFI=0.93, RMSEA=0.05). The analysis of model equivalence for American and Israeli samples revealed significant differences only on the Experience in Caring for Older Adults subscale. CONCLUSIONS The modified COCOA demonstrated good construct validity and reliability and can serve as estimation of nursing students' attitudes to older adults and their intention to make geriatrics a career choice. Future studies should further evaluate its predictive validity.
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Affiliation(s)
- Anna Zisberg
- The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Science, University of Haifa, Mount Carmel 31905, Israel.
| | - Ksenya Shulyaev
- The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Science, University of Haifa, Mount Carmel 31905, Israel.
| | - Catherine Van Son
- Washington State University College of Nursing - Vancouver, 14204 NE Salmon Creek Avenue, Vancouver, WA 98686-9600, United States of America.
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Ageism and the Factors Affecting Ageism among Korean Nursing Students: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041798. [PMID: 33673236 PMCID: PMC7918635 DOI: 10.3390/ijerph18041798] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 02/08/2021] [Accepted: 02/08/2021] [Indexed: 11/17/2022]
Abstract
With the increasing population of older adults, ageism is an obstacle to health equity and can negatively affect older adults’ quality of life and nursing care. This study aims to examine the level of ageism and the factors associated with ageism among nursing college students, who will become the main workforce for gerontological nursing. A cross-sectional survey was conducted among 238 nursing students in two nursing colleges in South Korea. The total score for ageism was 37.06 (SD 5.94) out of a maximum of 72. In the multiple regression model, the predictors of ageism were aging anxiety (β = 0.420, p < 0.001), frequency of contact (β = −0.204, p < 0.001), preference for gerontological nursing (β = 0.150, p = 0.003), age (β = 0.145, p = 0.003), and quality of contact (β = −0.143, p = 0.030), revealing that these were factors influencing ageism in the evaluated nursing students. The results suggest that tailored gerontological education programs or community link programs in the nursing curriculum are necessary to share feelings of contact, increase positive experiences with older adults, and reduce anxiety about aging.
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Valaitis R, Gaber J, Waters H, Lamarche L, Oliver D, Parascandalo F, Schofield R, Dolovich L. Health TAPESTRY: Exploring the Potential of a Nursing Student Placement Within a Primary Care Intervention for Community-Dwelling Older Adults. SAGE Open Nurs 2021; 6:2377960820909672. [PMID: 33415272 PMCID: PMC7774422 DOI: 10.1177/2377960820909672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2019] [Revised: 01/29/2020] [Accepted: 02/04/2020] [Indexed: 12/03/2022] Open
Abstract
The increasing prevalence of chronic diseases in aging places demands on
primary care. Nurses are the major nonphysician primary care
workforce. Baccalaureate nursing programs should expose students to
primary care and older adults to support these demands and help
recruit new graduates to this setting. However, many baccalaureate
nursing programs focus on acute care and placements aimed at older
adults are viewed negatively. To address these curriculum challenges,
third-year Canadian baccalaureate nursing students were placed in an
innovative primary care program—Health TAPESTRY—for community-dwelling
older adults. Health TAPESTRY involves an interprofessional primary
care team, trained lay volunteers conducting home visits, system
navigation, and an online software application. The goal of this study
was to explore third-year baccalaureate nursing students’ perceptions
of this unique clinical primary care placement. This qualitative
descriptive study explored students’ perceptions of this placement’s
strengths, weaknesses, opportunities, threats (SWOT), and outcomes.
Nursing students participated in focus groups
(n = 14) or an interview (n = 1) and
five completed narrative summaries following visits. Qualitative
content analysis was supported by NVivo 10. Strengths of the clinical
placement included training for the intervention; new insights about
older adults; and experience with home visiting, interprofessional
team functions, and community resources. Weaknesses included limited
exposure to older adult clients, lack of role clarity, lack of
registered nurse role models, and technology challenges. Opportunities
included more exposure to primary care, interprofessional teams, and
community resources. No threats were described. Nursing students’
clinical experiences can be enhanced through engagement in innovative
primary care programs. Adequate exposure to clients, including older
adults; interprofessional teams; mentoring by registered nurses or
advanced practice nurse preceptors; and role clarity for students in
the primary care team should be considered in supporting baccalaureate
nursing students in primary care clinical placements.
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Affiliation(s)
- Ruta Valaitis
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
| | - Jessica Gaber
- Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, Hamilton, Ontario, Canada
| | - Heather Waters
- Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, Hamilton, Ontario, Canada
| | - Larkin Lamarche
- Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, Hamilton, Ontario, Canada
| | - Doug Oliver
- Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, Hamilton, Ontario, Canada
| | - Fiona Parascandalo
- Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, Hamilton, Ontario, Canada
| | - Ruth Schofield
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
| | - Lisa Dolovich
- Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, Hamilton, Ontario, Canada
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Mapping evidence of nurses' attitudes toward older adults in Africa: a scoping review protocol. Syst Rev 2021; 10:19. [PMID: 33422131 PMCID: PMC7797139 DOI: 10.1186/s13643-021-01575-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 01/02/2021] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND Culture influences nurses' attitudes towards caring for older adults. Additionally, nursing students' perceptions and attitudes towards older adults affect their behavior, possibly their career choices and/or the quality of care provided to older adults after graduation. In the context of lower-middle-income countries with a faster growing older adults population compared to upper income countries, the improvement of the quality care, inclusive of nurses' attitudes towards older adults, is one of the strategies for strengthening nursing and midwifery in Africa. Furthermore, examining nurses and nursing students' attitudes towards older adults will answer the United Nations' call for more data to understand the needs and the status of older adults in Africa. METHODS This scoping review will be guided by Arksey and O'Malley's framework. The search will be performed using Scopus, PubMed databases, Academic search complete, CINAHL with full text, Education source, Health source: Nursing/Academic Edition, with words related to the topic. The reviewers will also use Google Scholar and the reference lists of the relevant articles. Primary studies and grey literature addressing the research question will be included. The search process will include a first stage where two reviewers will perform the title screening and the removal of duplicates, followed by a parallel abstract screening according to eligibility criteria. The second stage will involve the reading of full articles and the exclusion of articles, in accordance with the eligibility criteria. Data will be collated by two reviewers independently and parallel, using a predetermined data extraction form. Discrepancies will involve a third reviewer. The Mixed Methods Appraisal Tool, version 2018 will be used to assess the quality of the data of eligible articles. A narrative approach containing summary tables and graphs will facilitate synthesis. DISCUSSION The review will provide insight into nurses' and nursing students' attitudes towards older adults in African countries. The outcomes will guide future research, practice, and education in nursing.
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Parker CN, Harvey T, Johnston S, MacAndrew M. An exploration of knowledge of students and staff at residential aged care facilities and implications for nursing education. NURSE EDUCATION TODAY 2021; 96:104639. [PMID: 33142221 DOI: 10.1016/j.nedt.2020.104639] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Revised: 07/22/2020] [Accepted: 10/13/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Advances in healthcare have contributed to population longevity with many older adults living with complex comorbidities, including those in residential aged care facilities (RACFs). Nursing staff require knowledge of gerontology, normal ageing processes and expected physiological, psychosocial, function and cognitive changes in addition to health promotion in order to provide individualised care. The complexity inherent in the medical, palliative and basic care needs of the residents makes RACFs excellent places for learning for undergraduate student nurses who undertake clinical placement as part of a Bachelor of Nursing course. Previous research has identified that knowledge of care staff is relatively poor. OBJECTIVES To explore the knowledge and misconceptions of ageing among first year undergraduate nursing students and aged care staff facilitating a placement during a clinical learning experience. DESIGN Descriptive cross-sectional design. SETTING Three clinical RACFs in Australia. PARTICIPANTS First year nursing students and staff of three different RACFs. METHOD Pre and post-test clinical placement surveys. Students and staff completed Palmore's Facts on Ageing Quiz, a 25-item tool to assess knowledge and attitudes of ageing, before commencing the clinical placement and on the last day of a two week placement. RESULTS Physiological questions were answered correctly. A knowledge deficit was evident from a sociological perspective. Negative attitudes have been found to devalue care and can directly affect the quality of practice in an undesirable way, forming a barrier to effective and therapeutic relationships with older adults, potentially impacting on patient care. CONCLUSIONS From an education provider perspective, the inclusion of activities to enrich the learning activities of nurses within RACF- inclusive of reflective activities and guidance from an expert clinical facilitator - may assist in dispelling negative attitudes and stereotypes of the older adult and increase recognition of the value of working with older adults.
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Affiliation(s)
- C N Parker
- Faculty of Health, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, QLD 4059, Australia; Institute of Health & Biomedical Innovation, Queensland University of Technology, 60 Musk Ave. Kelvin Grove, QLD 4059, Australia.
| | - T Harvey
- Faculty of Health Sciences, Australian Catholic University, 1100 Nudgee Rd, Banyo, QLD 4014, Australia
| | - S Johnston
- Faculty of Health, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, QLD 4059, Australia; Institute of Health & Biomedical Innovation, Queensland University of Technology, 60 Musk Ave. Kelvin Grove, QLD 4059, Australia
| | - M MacAndrew
- Faculty of Health, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, QLD 4059, Australia; Institute of Health & Biomedical Innovation, Queensland University of Technology, 60 Musk Ave. Kelvin Grove, QLD 4059, Australia
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McCarthy F, Winter R, Levett T. An exploration of medical student attitudes towards older persons and frailty during undergraduate training. Eur Geriatr Med 2020; 12:347-353. [PMID: 33245506 DOI: 10.1007/s41999-020-00430-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 11/09/2020] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Older persons and patients with frailty constitute an ever increasing proportion of hospital patients. Improving student attitudes towards both groups is important in preparing future doctors for this demographic shift. We aimed to investigate medical student attitudes towards older persons and frailty over an entire medical school cohort. METHODS All current Brighton and Sussex Medical School students were invited to complete an online questionnaire consisting: (i) the Australian Ageing Semantic Differential (AASD), (ii) the Medical Condition Regard Scale (MCRS) with regards to frailty, (iii) a qualitative question asking participants to record three words regarding both a person over 70 years and frailty. RESULTS 187 students participated (66% female, 25.2% response rate). Participants reported positive attitudes with mean scores of 73.45/114 on the AASD and 52.4/66 on the MCRS. The most positive attitudes towards both older persons and frailty were held by year 1 students, and most negative by year 3 and year 4 students for older persons and frailty, respectively. Examining AASD subgroups, students held negative attitudes towards the instrumentality (function) of older persons (mean score: 17.6/36) with significant variation across year groups (p < 0.05), with the most negative attitudes expressed in year 3. Word clouds of qualitative responses showed that medical students consider the two concepts differently with frailty attracting more negative associations. CONCLUSION Generally medical student attitudes were positive towards older persons and frailty. However, these declined when focusing on the functionality, with word cloud analysis of attitudes revealing a dichotomy between the quantitative and qualitative data surrounding frailty.
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Affiliation(s)
- Fergus McCarthy
- Brighton and Sussex Medical School, University of Sussex, C/O BSMS Teaching Building, Brighton, BN1 9PX, East Sussex, UK.
| | - Rebecca Winter
- Department of Medical Education, Brighton and Sussex Medical School, Brighton, UK
| | - Tom Levett
- Department of Clinical and Experimental Medicine, Brighton and Sussex Medical School, Brighton, UK
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Melo RCCP, Queirós PJP, Tanaka LH, Henriques LVL, Neves HL. Nursing Students' Relational Skills with Elders Improve through Humanitude Care Methodology. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228588. [PMID: 33227990 PMCID: PMC7699295 DOI: 10.3390/ijerph17228588] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 11/08/2020] [Accepted: 11/15/2020] [Indexed: 11/16/2022]
Abstract
Nursing students have difficulties interacting with cognitively impaired elders. This study aimed to identify students' difficulties in interacting with elders, the causes of the difficulties in interacting with elders, the strategies used to reduce these difficulties, and the importance attributed to the Structured Sequence of Humanitude Care Procedures (SSHCP). It also aimed to assess the contribution of the Humanitude Care Methodology (HCM) to the development of interaction skills in nursing students. An exploratory descriptive study with a quasi-experimental design was conducted with a sample of 64 nursing students during their hospital clinical training. A control group (usual training) and an experimental group (HCM training) were used. Data were collected through a questionnaire applied at baseline and follow-up. Content analysis, chi-square tests, and Student's t-tests were performed. The main difficulty identified was caring for agitated and confused elders. Difficulties were associated with a lack of theoretical-practical teaching, the clinical training context, lack of experience, and personality traits. HCM impacted positively on the development of students' interaction skills. This study shows that HCM is an innovative methodology in nursing education that will allow for moving from an instrumental and technicist education into a more humanized training capable of transforming care.
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Affiliation(s)
- Rosa Cândida Carvalho Pereira Melo
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3046-851 Coimbra, Portugal; (P.J.P.Q.); (L.V.L.H.); (H.L.N.)
- Correspondence:
| | - Paulo Joaquim Pina Queirós
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3046-851 Coimbra, Portugal; (P.J.P.Q.); (L.V.L.H.); (H.L.N.)
| | - Luiza Hiromi Tanaka
- Department of Collective Health, Paulista School of Nursing, Federal University of São Paulo, São Paulo 04024-002, Brazil;
| | - Liliana Vanessa Lúcio Henriques
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3046-851 Coimbra, Portugal; (P.J.P.Q.); (L.V.L.H.); (H.L.N.)
| | - Hugo Leiria Neves
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3046-851 Coimbra, Portugal; (P.J.P.Q.); (L.V.L.H.); (H.L.N.)
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Cheng H, Liu X, Bi R, Liu L, Lam SC. Two versions of perspectives on caring for older patients scale: Translation and psychometric testing among Chinese nursing students. Nurs Health Sci 2020; 22:903-912. [DOI: 10.1111/nhs.12745] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 05/19/2020] [Accepted: 05/24/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Hui‐Lin Cheng
- School of Nursing The Hong Kong Polytechnic University Kowloon Hong Kong
| | - Xian‐Liang Liu
- Department of Nursing Huazhong University of Science and Technology Union Shenzhen Hospital Shenzhen China
| | - Rui‐Xue Bi
- School of Nursing Nanchang University Nanchang Jiangxi China
| | - Lan‐Fang Liu
- Department of Nursing Jiangxi Health Vocational College Nanchang Jiangxi China
| | - Simon Ching Lam
- School of Nursing The Hong Kong Polytechnic University Kowloon Hong Kong
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McAllister M, Ryan C, Dodd L, Goldenberg M, Brien DL. A thematic literature review of innovative strategies to prepare nursing students for aged-care. NURSE EDUCATION TODAY 2020; 87:104355. [PMID: 32062413 DOI: 10.1016/j.nedt.2020.104355] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Revised: 11/30/2019] [Accepted: 01/27/2020] [Indexed: 06/10/2023]
Abstract
BACKGROUND The exponential rise in people living longer but requiring residential care is adding pressure to already overstretched aged care nurses. Consequently, a person-centred care culture in residential care remains aspirational, rather than a reality. For nursing students in Australia and elsewhere, clinical placements in aged care facilities are under-utilised due to negative perceptions about the likelihood for learning. Creative strategies to engage students to safely challenge ageist thinking and to inspire enthusiasm for learning in this context are needed. OBJECTIVES The purpose of this thematic review of the literature is to better understand challenges related to learning in aged care settings and identify innovative strategies to enhance nursing student learning experiences in residential aged care placements. REVIEW METHODS A literature review was undertaken in 2019 using CINAHL, PUBMED, Elsevier, Medline, ProQuest and Google Scholar. The search was limited to papers that were peer reviewed, in English, and published between 2001 and the date of review (mid-2019) in order to situate the review in the new millennium. RESULTS 47 articles and books were included in the review that introduce solutions and innovative strategies that could be used to improve students' attitudes to learning in aged care and from older people. The literature review was categorized into three main themes, including: barriers to working with older people; the need for pedagogical change to foster empathy; and innovative strategies to address barriers. CONCLUSION These themes are useful to consider in designing engaging learning and teaching for nursing students to be effective in working in aged care.
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Affiliation(s)
- M McAllister
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Australia.
| | - C Ryan
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Australia
| | - L Dodd
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Australia
| | - M Goldenberg
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Australia
| | - D L Brien
- School of Education and the Creative Arts, Central Queensland University, Australia
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Hunt G, Verstappen A, Stewart L, Kool B, Slark J. Career interests of undergraduate nursing students: A ten-year longitudinal study. Nurse Educ Pract 2020; 43:102702. [PMID: 32062405 DOI: 10.1016/j.nepr.2020.102702] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Revised: 12/11/2019] [Accepted: 01/17/2020] [Indexed: 11/22/2022]
Abstract
An understanding of students' career interests at entry and exit from undergraduate nursing programmes could inform decisions regarding curricula and clinical placements. Since 2006, the University of Auckland has surveyed healthcare students at entry to and exit from their respective programmes, collecting information on a range of demographic, and career-related factors. This article describes career interests of over 500 undergraduate nursing students in New Zealand over a ten-year period. All Bachelor of Nursing cohorts commencing between 2006 and 2016 were invited to complete a questionnaire which included questions about their career interests. In total 1875 questionnaires were completed (89% response rate). Among the overall cohort at entry, there was strongest interest for emergency care and child health, and least interest in older person's health. At exit, child health and surgery (general) were of strongest interest to the cohort, while older person's health remained of least interest. The analysis of the paired data (n = 564) identified decreases in interest for mental health and child health over the course of the programme, while there was an increased interest in primary health care. Changes in career interests indicate that education and clinical exposure to specialty areas during the programme may influence career interests.
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Affiliation(s)
- Grace Hunt
- University of Auckland, School of Nursing, Level 2, Building 505, 85 Park Road, Grafton, Auckland, New Zealand
| | - Antonia Verstappen
- University of Auckland, School of Nursing, Level 2, Building 505, 85 Park Road, Grafton, Auckland, New Zealand
| | - Lisa Stewart
- University of Auckland, School of Nursing, Level 2, Building 505, 85 Park Road, Grafton, Auckland, New Zealand
| | - Bridget Kool
- University of Auckland, School of Nursing, Level 2, Building 505, 85 Park Road, Grafton, Auckland, New Zealand
| | - Julia Slark
- University of Auckland, School of Nursing, Level 2, Building 505, 85 Park Road, Grafton, Auckland, New Zealand.
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Wanko Keutchafo EL, Kerr J. Cameroonian nursing students’ attitudes towards older adults. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2020. [DOI: 10.1016/j.ijans.2020.100215] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Henríquez F, Retamal N, Silva F, Morales C. Attitudes towards ageing of Speech-language Pathology students in a Chilean University. Codas 2019; 32:e20190010. [PMID: 31859819 DOI: 10.1590/2317-1782/20192019010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Accepted: 05/19/2019] [Indexed: 11/22/2022] Open
Abstract
PURPOSE Describe the attitudes towards ageing of senior undergraduate Speech-language Pathology students in a Chilean University. METHODS This is a cross-sectional study in which the validated Spanish version of the Kogan's Attitudes Toward Old People Scale (KAOP) was applied to 43 students in the aforementioned course. The average scores were compared for the variables gender and interaction with the elderly. RESULTS A trend towards a positive attitude was observed. No differences were found for the variables described. An analysis was carried out with the items in which trends towards negative attitude were reported, and the implications were discussed. CONCLUSION Although a positive attitude was reported, aspects of student academic training should be more comprehensively studied with a view to improving the quality of assistance provided to the elderly.
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Affiliation(s)
- Felipe Henríquez
- Departamento de Procesos Terapéuticos, Facultad Ciencias de la Salud, Universidad Católica de Temuco - Temuco, Chile
| | - Natalia Retamal
- Departamento de Procesos Terapéuticos, Facultad Ciencias de la Salud, Universidad Católica de Temuco - Temuco, Chile
| | - Fernanda Silva
- Departamento de Procesos Terapéuticos, Facultad Ciencias de la Salud, Universidad Católica de Temuco - Temuco, Chile
| | - Camilo Morales
- Departamento de Procesos Terapéuticos, Facultad Ciencias de la Salud, Universidad Católica de Temuco - Temuco, Chile
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Kalanlar B, Kuru Alici N. Professional care team burden scale: cross-cultural adaptation and psychometric properties of the Turkish version. Scand J Caring Sci 2019; 34:971-978. [PMID: 31830319 DOI: 10.1111/scs.12805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2019] [Accepted: 11/17/2019] [Indexed: 12/01/2022]
Abstract
INTRODUCTION Care teams in nursing homes have to meet the expectations of the people they care for, their relatives and the institutions. This affects the quality of the care. An increased care burden may negatively affect the quality of work, lives and the health of formal caregivers. OBJECTIVES This methodological cross-sectional study was conducted to adapt the Professional Care Team Burden (PCTB) Scale, which was developed to assess the difficulties experienced by caregivers working in long-term care, to Turkish and test its validity and reliability. MATERIAL AND METHOD The study was conducted with 100 caregivers working at a nursing home and rehabilitation centre. The Caregiver Information Form and the Professional Care Team Burden Scale were used to collect data. The language and content validity, construct validity and reliability of the Turkish version of the scale were tested, respectively. RESULTS The factor analysis showed that the Professional Care Team Burden Scale could be used in two dimensions. When the test-retest was done, the reliability of the scale was found to be high (0.982). The construct validity of the scale showed that the three-factor model did not acceptably fit the data, while the two-dimensional model obtained by removing some of the variables from the model did fit the data (RMSEA = 0.106, GFI = 0.933, CFI = 0.916, IFI = 0.919, RFI = 0.778 and RMR = 0.078). The factor loadings for the construct validity of the scale demonstrated that the two-factor model showed an acceptable fit. CONCLUSIONS The study found that the two-factor Turkish version of the Professional Care Team Burden Scale met the validity and reliability criteria. The scale, which has an important place in the assessment of the formal caregivers' burden, can be used with healthcare professionals providing care for older adults.
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Affiliation(s)
- Bilge Kalanlar
- Department of Public Health Nursing, Hacettepe University Faculty of Nursing, Ankara, Turkey
| | - Nilgün Kuru Alici
- Department of Public Health Nursing, Hacettepe University Faculty of Nursing, Ankara, Turkey
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Gier VS, Kreiner DS. The effect of educational priming on face recognition from a silver alert. The Journal of General Psychology 2019; 147:140-168. [PMID: 31545146 DOI: 10.1080/00221309.2019.1656163] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
In a between-subjects' experimental design, we manipulated whether participants viewed an educational video on the importance of Silver Alerts before viewing an older Caucasian female in a Silver Alert. We also examined associations of target recognition with individual difference variables, including gender, ethnicity, Attitudes Towards Older People (ATOP), empathy, conscientiousness, as well as contact and experience with older adults. The results showed an advantage of the priming condition compared to the no-priming condition for correctly identifying the missing woman. Additionally, females correctly identified the missing woman more than males, and Caucasian participants correctly identified the missing woman more than African American participants. Lastly, participants who reported more experience with older adults were more likely to recognize the missing woman. The results suggest that preceding Silver Alerts with information about their importance may increase their effectiveness. Further research is needed to investigate how individual difference variables relate to recognition of missing senior citizens.
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Cronin C, Brooke J. Using the Relating to Older People Evaluation tool to measure ageism in higher education. Nurs Older People 2019; 31:29-38. [PMID: 31468788 DOI: 10.7748/nop.2019.e1127] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/19/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND The global population is ageing and this trend is expected to continue. Attitudes towards older people differ worldwide. Ageism is a complex, multifaceted concept that includes attitudes and behaviours. In the UK, ageism and discriminatory practices exist in nursing, and educationalists and clinicians need to address ageist attitudes and promote the care of older people. In nursing there is a lack of synthesised evidence measuring ageism among nursing students. AIM To explore the use of the Relating to Older People Evaluation (ROPE) questionnaire in different student populations in higher education, including nursing students. METHOD A systematic search was conducted for articles written in English describing the use of ROPE, published between 2007 and 2017. Six quantitative studies were identified that met the inclusion criteria. Statistical analysis was not possible and a thematic analysis of these studies was completed. FINDINGS Two themes emerged: attitudes predict behaviour and socialisation to ageism in higher education. Ageist attitudes were correlated with negative ageist behaviours and the socialisation of nursing students in clinical practice increased ageist attitudes. CONCLUSION Ageism and the ageist attitudes of nursing students must continue to be explored. ROPE is a suitable tool to measure nursing students' ageist attitudes and behaviours.
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Affiliation(s)
- Camille Cronin
- School of Health and Social Care, University of Essex, Southend Campus, Southend-on-Sea, England
| | - Joanne Brooke
- Centre for Social Care, Health and Related Research, Faculty of Health, Education and Life Sciences, Birmingham City University, Birmingham, England
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Aveyard H, Bradbury-Jones C. An analysis of current practices in undertaking literature reviews in nursing: findings from a focused mapping review and synthesis. BMC Med Res Methodol 2019; 19:105. [PMID: 31096917 PMCID: PMC6524227 DOI: 10.1186/s12874-019-0751-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2018] [Accepted: 05/07/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In this paper we discuss the emergence of many different methods for doing a literature review. Referring back to the early days, when there were essentially two types of review; a Cochrane systematic review and a narrative review, we identify how the term systematic review is now widely used to describe a variety of review types and how the number of available methods for doing a literature review has increased dramatically. This led us to undertake a review of current practice of those doing a literature review and the terms used to describe them. METHOD We undertook a focused mapping review and synthesis. Literature reviews; defined as papers with the terms review or synthesis in the title, published in five nursing journals between January 2017-June 2018 were identified. We recorded the type of review and how these were undertaken. RESULTS We identified more than 35 terms used to describe a literature review. Some terms reflected established methods for doing a review whilst others could not be traced to established methods and/or the description of method in the paper was limited. We also found inconsistency in how the terms were used. CONCLUSION We have identified a proliferation of terms used to describe doing a literature review; although it is not clear how many distinct methods are being used. Our review indicates a move from an era when the term narrative review was used to describe all 'non Cochrane' reviews; to a time of expansion when alternative systematic approaches were developed to enhance rigour of such narrative reviews; to the current situation in which these approaches have proliferated to the extent so that the academic discipline of doing a literature review has become muddled and confusing. We argue that an 'era of consolidation' is needed in which those undertaking reviews are explicit about the method used and ensure that their processes can be traced back to a well described, original primary source.
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Affiliation(s)
- Helen Aveyard
- Faculty of Health and Life Sciences, Oxford Brookes University, Jack Straw's Lane, Oxford, OX3 0FL, England, UK.
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Ridgway V, Mason-Whitehead E, McIntosh-Scott A. Visual perceptions of ageing; A longitudinal mixed methods study of UK undergraduate student nurses’ attitudes and perceptions towards older people. Nurse Educ Pract 2018; 33:63-69. [DOI: 10.1016/j.nepr.2018.08.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2018] [Revised: 08/12/2018] [Accepted: 08/17/2018] [Indexed: 10/28/2022]
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