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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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Karikari G, Lohrmann DK, Huber L, Adamek M, Omodior O. An application of the reasoned action approach to clinical students' intention toward a career in geriatrics. Nurs Health Sci 2024; 26:e13076. [PMID: 38356094 DOI: 10.1111/nhs.13076] [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: 03/15/2023] [Revised: 09/28/2023] [Accepted: 12/13/2023] [Indexed: 02/16/2024]
Abstract
Guided by the reasoned action approach, this study examined select individual, information, and social factors that influence intention toward pursuing a career in geriatrics among 314 clinical medical and nursing students in Ghana. A Poisson regression showed attitude toward older persons was a significant influencing factor of intention to choose a career in geriatrics for medical students (B = 0.015, SE = 0.0048, p = 0.002) but not nursing students (B = 0.009, SE = 0.0145, p = 0.512). Personal interest was, however, a significant influencing factor for both medical and nursing students (B = 0.462, SE = 0.0592, p = 0.000) and (B = 0.015, SE = 0.0048, p = 0.002), respectively. Nursing students with moderate to strong interest were 1.6 times more likely to express an intention to specialize in geriatrics, and medical students were 1.5 times more likely to express an intention to specialize in geriatrics. The results show that the most important factor influencing geriatric career intention is students' personal interest in the field. Evidence-based interventions such as early educational and practice exposure to the field and interactions with older adults are recommended.
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Affiliation(s)
- Grace Karikari
- Department of Indigenous Health, University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota, USA
| | - David K Lohrmann
- Applied Health Science Department, Indiana University Bloomington School of Public Health, Bloomington, Indiana, USA
| | - Lesa Huber
- Applied Health Science Department, Indiana University Bloomington School of Public Health, Bloomington, Indiana, USA
| | - Margaret Adamek
- School of Social Work, Indiana University Purdue University Indianapolis, Indianapolis, Indiana, USA
| | - Oghenekaro Omodior
- Recreation, Park, And Tourism Studies, Indiana University Bloomington School of Public Health, Bloomington, Indiana, USA
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Hassan E, Hicks B, Tabet T, Farina N. Factors associated with dementia attitudes in an adolescent cohort: Structural Equation Modelling. COGENT PSYCHOLOGY 2023; 10:23311908.2023.2235125. [PMID: 38304300 PMCID: PMC7615582 DOI: 10.1080/23311908.2023.2235125] [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: 02/21/2023] [Accepted: 07/06/2023] [Indexed: 02/03/2024] Open
Abstract
Objective Dementia-related stigma is a key barrier to people living well with dementia, leading to social isolation and poor well-being. Adolescents represent an under-researched group that will become future carers and healthcare workers for the estimated 83.2 million people who will be living with dementia by 2030. Understanding the factors involved in dementia attitude formation in adolescents is useful for the development of evidence-based anti-stigma initiatives. This study aims to identify predictors of dementia attitudes in adolescents. Methods This is a cross-sectional study using secondary data analysis. 470 participants aged 12-15 years old from secondary schools in the Southeast of England, United Kingdom completed validated questionnaires relating to dementia attitudes (KIDS and Brief A-ADS) as well as demographic information. Multiple regressions were employed as well as a path analysis via a structural equation model to test for direct and mediatory effects. Results Multiple regression models revealed that being female, having higher levels of contact with dementia, and higher levels of empathy are positively associated with dementia attitudes in adolescents (p<0.05). Within the accepted structural equation model, empathy was a key mediator between contact and dementia attitudes. Conclusion This study highlights the pivotal role that contact with dementia can have in influencing dementia attitudes in adolescents with empathy serving as a mediator between contact and dementia attitudes. Interventions that use contact should consider how to stimulate empathetic responses to ultimately shape dementia attitudes.
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Dansereau L, Campbell M, Addison C. Engaging post-secondary students in a multidisciplinary aging studies interest group. GERONTOLOGY & GERIATRICS EDUCATION 2023; 44:574-587. [PMID: 36117420 DOI: 10.1080/02701960.2022.2123320] [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: 06/15/2023]
Abstract
Little is known about student aging interest groups (AIGs) in post-secondary institutions. Our study evaluated awareness of a student aging interest group at a western Canadian university with no gerontology program. Additional goals included assessing interest in joining the AIG, participation rates among group members, and preferences for group activities. Using a mixed method approach we analyzed 13 years of administrative data recording 65 meetings and conducted a survey among group members and nonmember students across the university with a potential interest in aging (n = 52). Almost two-thirds of respondents (n = 33) were nonmembers with most of these (n = 24) having no prior knowledge of the AIG; 77% of students already aware of the AIG learned about it from a professor. Sixty per cent of respondents were in health-related faculties, with the remainder representing multiple disciplines and faculties. Group attendance was strongly influenced by student workloads and schedules, with average attendance rising by 27.3% during the shift to virtual meetings in 2020-21. Our results highlight the interdisciplinary nature of aging studies, the key role faculty members play in informing students about AIGs, and the broad range of interests that students have in issues related to age and aging.
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Affiliation(s)
| | - Megan Campbell
- Community Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Courtney Addison
- Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Canada
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Mayer JF, Green MR, White LW, Lemley T. Perspectives of Speech-Language Pathologists and Students on Providing Care to People Living With Dementia: A Scoping Review. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2023; 32:2351-2373. [PMID: 37532246 DOI: 10.1044/2023_ajslp-22-00410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/04/2023]
Abstract
PURPOSE This scoping review aimed to explore the extant literature on the experiences and views of speech-language pathologists (SLPs) and SLP students regarding the provision of care to people living with dementia (PLWD). METHOD A systematic search was conducted using 10 databases for sources published in English from January 2000 through January 2022. Sources were included if participants were practicing SLPs and/or students enrolled in undergraduate communicative disorders or graduate SLP programs and if the concepts of experiences or views on the provision of SLP services to PLWD were explored in the context of any clinical or educational setting. Included sources were systematically extracted for pertinent study characteristics, including SLP roles and settings, concept domains, measures utilized, and facilitators/barriers to effective dementia care. RESULTS The majority of the 29 included sources were published in either academic journals (n = 20) or professional organization publications (n = 5) and used a cross-sectional study design (n = 19). Participants included SLPs (n = 22 studies) and graduate (n = 6 studies), undergraduate (n = 3 studies), and doctoral students (n = 1 study). The included studies addressed five primary conceptual domains: experiences, attitudes, roles, knowledge, and confidence. The most commonly addressed barriers and facilitators of effective dementia care were education and training. CONCLUSIONS Mapping and analysis of the current body of knowledge within this scoping review illuminated several knowledge gaps that we propose need to be addressed to meet the education and training needs of SLPs to provide optimal care to PLWD. These include systematically measuring access to and outcomes of evidence-based education and training programs both within and outside of an interprofessional collaborative context.
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Affiliation(s)
- Jamie F Mayer
- School of Allied Health and Communicative Disorders, Northern Illinois University, DeKalb, IL
| | - Makenna R Green
- School of Allied Health and Communicative Disorders, Northern Illinois University, DeKalb, IL
| | - Laura W White
- Department of Physical Therapy, University of South Alabama, Mobile, AL
| | - Trey Lemley
- William Beaumont School of Medicine, Department of Foundational Medical Studies, Oakland University, Rochester, MI
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Craig S, Wilson CB, Mitchell G. Translating 'dementia friends' programme to undergraduate medical and nursing practice: a qualitative exploration. BMC MEDICAL EDUCATION 2023; 23:555. [PMID: 37550708 PMCID: PMC10408182 DOI: 10.1186/s12909-023-04561-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 07/31/2023] [Indexed: 08/09/2023]
Abstract
INTRODUCTION Dementia awareness is a key priority of medical and nursing pre-registration education. The 'dementia friends' programme is an internationally recognised and accredited dementia awareness workshop that is led by a trained facilitator. While this programme has been associated with positive outcomes, few studies have examined how medical and nursing students apply their learning in practice after the workshop. The aim of his study was to explore how nursing and medical students apply the dementia friend's programme into practice when caring for people living with dementia. METHODS Seven focus-group interviews were conducted with 36 nursing students and 14 medical students at one university in Northern Ireland (n = 50), following 'the dementia friends programme. Interview guides were co-designed alongside people living with dementia. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Ethical approval was granted for this study. RESULTS Four themes emerged: 'reframing dementia', which highlighted how the education had enabled students to actively empower and support people living with dementia in practice; 'dementia friendly design', which focused on how students had modified their clinical environments when providing care for people living with dementia, 'creative communication', which considered how students had used their education to adapt their verbal and non-verbal communication with people living with dementia and 'realities of advanced dementia' which contemplated how students believed their dementia education could be improved within their current curriculum. DISCUSSION The Dementia Friends programme has actively supported nursing and medical students to improve the lives of people with dementia in their care through environmental adaptions and creative approaches to communication. This study provides an evidence base that supports the provision of 'a dementia friends programme to healthcare professional students. The study also highlights how this education can actively influence how nursing and medical students support people living with dementia in their practice in the months and years after education.
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Affiliation(s)
- Stephanie Craig
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland.
| | | | - Gary Mitchell
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern, Ireland
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Oosterhouse KJ, Skemp L, Abdallah L, Grealish L. The role of awards in promoting educational leadership in nursing: A qualitative descriptive study in gerontological nursing. Heliyon 2023; 9:e16113. [PMID: 37251834 PMCID: PMC10209396 DOI: 10.1016/j.heliyon.2023.e16113] [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: 10/24/2022] [Revised: 04/12/2023] [Accepted: 05/05/2023] [Indexed: 05/31/2023] Open
Abstract
Background As the population ages, the need for high quality nursing education in the unique health and illness needs of older people is required at undergraduate and postgraduate levels. Gerontological nursing and gerontological nursing education are critically important in this new age of human longevity and chronic disease. To facilitate high quality and engaging educational practices in gerontology, the National Hartford Center for Gerontological Nursing Excellence offered a professional recognition award program, entitled the Distinguished Educator in Gerontological Nursing Award (the Award). Objectives Describe participants' perceptions of an awards program in gerontological nursing education. Design Qualitative descriptive research. Settings National Hartford Center for Gerontological Nursing Excellence, a professional body that aims to enhance and sustain the capacity and competency of nurses to provide quality care to older adults, opened the Award to international applications in 2018. Participants Nine awardees, residing in North America and Asia. Methods Semi-structured individual interviews followed by inductive, thematic analysis. Results The Award was valued for its prestige and recognition; the process of applying was affirming; and achievement of the Award strengthened awardee confidence to lead and advocate for gerontological nursing education. A model for understanding the Award, focused on value, application and confidence is proposed. Conclusions The use of award programs for gerontological education expertise may improve nurse educators' confidence and performance within educational settings. How the Award impacts student learning remains unknown. Further research into the benefits and limitations of award programs for nurse educators specializing in gerontological nursing and other fields, their managers, and students is required to fully understand the role of educational award programs in nursing.
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Affiliation(s)
- Kimberly J. Oosterhouse
- Loyola University Chicago, Marcella Niehoff School of Nursing, 2160 S. 1st Ave. Bldg. 125, Rm. 2522, Maywood, IL 60153, USA
| | - Lisa Skemp
- Loyola University Chicago, Marcella Niehoff School of Nursing, Chicago, IL 60606, USA
| | - Lisa Abdallah
- University of Massachusetts Lowell, Solomont School of Nursing, Lowell, MA 01854, USA
| | - Laurie Grealish
- Griffith University, Gold Coast Campus, Southport 4215, Australia
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Hunter S, Callisaya M, Lawler K. Physiotherapy students' experiences of working with people with dementia during their clinical placements: a qualitative study. Physiother Theory Pract 2023; 39:794-802. [PMID: 35042447 DOI: 10.1080/09593985.2022.2028324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE To explore the experiences of physiotherapy students on working with people with dementia during their clinical placements. METHODS Qualitative study using a Web-based survey of students in a 2-year entry-level Masters of Physical Therapy (MPT) program. Students were asked to reflect on their experiences during clinical placements within the MPT program. Qualitative content analysis was used to analyze the survey responses. RESULTS A total of 55 students (93%) completed the survey. Two overarching themes were mastery and inequity. Mastery described dementia care physiotherapy as a complex and potentially rewarding area of practice, requiring education and development throughout the professional continuum from student to expert. Inequity captured the barriers people with dementia experience to receiving excellent physiotherapy care. Six categories supported the themes: 1) physiotherapist characteristics for a successful therapeutic relationship; 2) communication strategies; 3) best practice physiotherapy skills and knowledge; 4) education strategies; 5) desire to work with people living with dementia; and 6) equity. CONCLUSIONS The study found physiotherapy students' experiences were informed by the preceptors' approach to delivery of care for people living with dementia. The students also articulated areas they wish they had known before placement and provided suggestions for teaching development in this area.
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Affiliation(s)
- Susan Hunter
- School of Physical Therapy, Elborn College, University of Western Ontario, London, ON, Canada
| | - Michele Callisaya
- Peninsula Clinical School, Monash University, Melbourne, Australia
- Menzies Institute for Medical Research, College of Health and Medicine, University of Tasmania, Hobart, Australia
| | - Katherine Lawler
- Wicking Dementia Research and Education Centre, College of Health and Medicine, University of Tasmania, Hobart, Australia
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Manchha AV, Way KA, Thai M, Tann K. "The Stigma is what you do": Examining the Relationship Between Occupational Stigma and Worker Outcomes in the Aged Care Context. J Appl Gerontol 2023; 42:221-230. [PMID: 36191053 DOI: 10.1177/07334648221129849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
Negative social evaluations about aged-care work continue to discredit those who perform this type of work. Drawing on 'dirty work' literature from the field of management and stigma theory from the field of psychology, this study examines occupational stigma in the context of aged-care work and its relationship with negative outcomes for people who work in aged care. Findings from a path analysis revealed that aged-care workers (n = 185) who ascribe occupational taints and poor occupational conditions with aged-care work perceive aged-care work as being stigmatized, and in turn, are more likely to internalize this stigma. Through this process of perceiving and internalizing occupational stigma, aged-care workers experience greater psychological distress, job dissatisfaction, and turnover intentions. This research fills a void within the gerontology literature regarding the psychological processes underlying how occupational stigma may come to negatively impact this workforce. Findings offer practical implications for policy reform and managerial training.
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Affiliation(s)
- Asmita V Manchha
- School of Psychology, 1974The University of Queensland, Brisbane, QLD, Australia
| | - Kïrsten A Way
- School of Psychology, 1974The University of Queensland, Brisbane, QLD, Australia
| | - Michael Thai
- School of Psychology, 1974The University of Queensland, Brisbane, QLD, Australia
| | - Ken Tann
- The University of Queensland 1974Business School, Brisbane, QLD, Australia
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Atakro CA. Gerontological nursing in Ghana: Preferences and perceptions of nursing students. GERONTOLOGY & GERIATRICS EDUCATION 2022; 43:482-498. [PMID: 35380940 DOI: 10.1080/02701960.2022.2060419] [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: 06/14/2023]
Abstract
Undergraduate nursing students in developed countries are reported to have poor perceptions and low preference for gerontological nursing. However, perceptions and preferences of undergraduate nursing students toward gerontological nursing in low-income countries have not been well explored. This study explored the perceptions and preferences of undergraduate nurses in Ghana toward gerontological nursing. A mixed method study design was used to explore Ghanaian undergraduate nursing students' perceptions and preferences for caring for older people. One hundred and seventy-four nursing students were surveyed and 30 of them were interviewed. Quantitative data were analyzed descriptively using SPSS version 27. Content analysis was used to analyze qualitative data to generate themes. Response rate in the study was 73%. The majority of participants (95.4%) were below the age of 29. Gerontological nursing was ranked as the least preferred nursing specialty among graduating undergraduate nurses. Poor perceptions and inadequate knowledge about the care of older people were largely responsible for the lack of preference for gerontological nursing. Improving undergraduate nursing students' knowledge about gerontological nursing is critical in correcting poor perceptions about gerontological nursing.
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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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Tang W, Gao R, Wang Y. Death Anxiety and Willingness to Work in Geriatric Care: The Role of Contact With Older Adults. J Gerontol Nurs 2022; 48:49-56. [PMID: 35648579 DOI: 10.3928/00989134-20220509-01] [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
The current study sought to examine the moderating role of contact with older adults in the relationship between medical and nursing students' death anxiety and their willingness to work in geriatric care. A total of 385 Chinese freshman and sophomore medical and nursing students were included in this cross-sectional study. Logistic regression results showed that death anxiety was negatively related to students' willingness to work in geriatric care. The negative association between death anxiety and willingness was moderated by contact with general older adults (i.e., students who had frequent contact with general older adults were more willing to work in geriatric care even with a high level of death anxiety). However, contact with grandparents did not have a significant moderation effect. Interventions to reduce the negative impact of death anxiety on students' willingness to work with older adults should consider increasing medical and nursing students' quality and frequency of contact with older adults. [Journal of Gerontological Nursing, 48(6), 49-56.].
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Rice SD, Neff AN, Woodall T, Scott MA. Pharmacy student attitudes towards a career in older adult care. CURRENTS IN PHARMACY TEACHING & LEARNING 2022; 14:626-634. [PMID: 35715104 DOI: 10.1016/j.cptl.2022.04.012] [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: 11/05/2021] [Revised: 01/31/2022] [Accepted: 04/28/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION The United States (US) health care workforce is significantly unprepared to meet the needs of the growing older adult population. The primary purpose of this study is to examine the reasons that current pharmacy students are interested or not interested in pursuing a career or postgraduate training in geriatrics and to evaluate factors that influence this choice. METHODS This is a qualitative study utilizing focus groups of pharmacy students from the doctor of pharmacy (PharmD) curriculum of one public school of pharmacy in the US. Student pharmacists were invited to participate in the focus groups, and focused interviews were conducted by two postgraduate year two geriatric residents. Each discussion was audio recorded and subsequently transcribed, extracting key factors through open thematic coding. RESULTS Focus group participants (n = 8) most commonly identified job security, relationship value add, and past positive experiences with older adults as encouraging factors promoting interest, and inadequate geriatric exposure, emotional impact of death and dying, and heightened professional liability as discouraging factors deterring interest in a career in geriatrics. CONCLUSIONS Enhancing early exposure to geriatric patients and pharmacists, emphasizing common geriatric considerations in the PharmD curriculum, and increasing specialized older adult and end of life content could encourage more student pharmacists to seek careers in geriatrics.
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Affiliation(s)
- Shannon D Rice
- Department of Clinical Sciences, The University of Texas at Tyler Ben and Maytee Fisch College of Pharmacy, Office WTB 256, 3900 University Blvd, Tyler, TX 75799, United States.
| | - Autumn N Neff
- Bronson Healthcare Group, 955 S. Bailey Ave, South Haven, MI 49090, United States
| | - Tasha Woodall
- Department of Pharmacotherapy, Mountain Area Health Education Center, 123 Hendersonville Rd, Asheville, NC 28803, United States; UNC Eshelman School of Pharmacy, 121 Karpen Hall, 1 University Heights, Asheville, NC 28804, United States; UNC School of Medicine and UNC Health Sciences at MAHEC, 123 Hendersonville Rd, Asheville, NC 28803, United States.
| | - Mollie Ashe Scott
- Department of Pharmacotherapy, Mountain Area Health Education Center, 123 Hendersonville Rd, Asheville, NC 28803, United States; UNC Eshelman School of Pharmacy, 121 Karpen Hall, 1 University Heights, Asheville, NC 28804, United States; UNC School of Medicine and UNC Health Sciences at MAHEC, 123 Hendersonville Rd, Asheville, NC 28803, United States.
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McCloskey R, Keeping-Burke L, Witherspoon R, Cook J, Morris P. Experiences of faculty and staff nurses working with nursing students during clinical placement in residential aged care facilities: a systematic review of qualitative evidence. JBI Evid Synth 2022; 20:1176-1208. [PMID: 34882103 DOI: 10.11124/jbies-21-00033] [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: 10/31/2022]
Abstract
OBJECTIVE The objective of this review was to synthesize evidence on the experiences of faculty and staff nurses working with nursing students in clinical placement in residential aged care facilities. INTRODUCTION Nursing education helps prepare students to provide quality care to older adults. Nursing programs across the globe are championing the integration of content on the care of older adults into their curricula as well as recognizing the value of clinical placements that focus exclusively on this population. Staff nurses who work in residential aged care facilities often work alongside students. In this role, they can support faculty and mentor students. This review explored faculty and staff experiences of nursing student placements in such facilities. INCLUSION CRITERIA This review considered qualitative studies that address the experiences of faculty and staff nurses working with nursing students in residential aged care facilities. Studies published in English from 1995 onward were included. METHODS The literature search was conducted in CINAHL, MEDLINE, Embase, and ERIC. The search for unpublished articles included Proquest Dissertations and Theses and Google searches of the Canadian Nurses Association and American Nurses Association websites. Papers were screened by two reviewers independently against the inclusion criteria. Those meeting the criteria were appraised using the JBI critical appraisal checklist for qualitative research. Key findings from included studies were extracted using a standardized tool and classified as unequivocal, credible, or not supported. This review followed the principles of meta-aggregration in line with the JBI approach. RESULTS Six studies, published between 2001 and 2017, were included in the review. A total of 32 findings were extracted and aggregated into nine categories. From the nine categories, four synthesized findings were developed: i) students enhance the environment, whereby faculty and staff perceive that student presence enhances the residential aged care work and living environment, ii) effort is required by faculty and staff to make the experience work, reflecting a need for faculty and staff to accept and work with negativities, iii) residential aged care facilities provide rich learning experiences, indicating an appreciation for available learning opportunities, and iv) importance of a residential aged care-academic partnership for a collaborative approach in creating positive experiences for faculty and staff working with students in this setting. CONCLUSION Faculty and staff experiences highlight that residential aged care has the potential to provide students with valuable learning experiences, including how to provide comprehensive and quality nursing care to older adults. A lack of resources in residential aged care inspires faculty and staff to be creative in how they work with students. However, working with students can be challenging for faculty who lack interest and expertise in caring for older adults in this setting. Additionally, staff can become frustrated when they perceive that students do not value the learning opportunities that are available or do not appreciate the expertise required to work with older adults. Partnerships between residential aged care facilities and academic programs can ensure that faculty and staff have the support and resources required to optimize the clinical placements for students. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42020168698.
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Affiliation(s)
- Rose McCloskey
- Department of Nursing & Health Sciences, University of New Brunswick, Saint John, NB, Canada
- The University of New Brunswick (UNB) Saint John Collaboration for Evidence-Informed Healthcare: A JBI Centre of Excellence, The University of New Brunswick, Saint John, NB, Canada
| | - Lisa Keeping-Burke
- Department of Nursing & Health Sciences, University of New Brunswick, Saint John, NB, Canada
- The University of New Brunswick (UNB) Saint John Collaboration for Evidence-Informed Healthcare: A JBI Centre of Excellence, The University of New Brunswick, Saint John, NB, Canada
| | - Richelle Witherspoon
- The University of New Brunswick (UNB) Saint John Collaboration for Evidence-Informed Healthcare: A JBI Centre of Excellence, The University of New Brunswick, Saint John, NB, Canada
- UNB Libraries, University of New Brunswick, Fredericton, NB, Canada
| | - Jessica Cook
- Department of Nursing & Health Sciences, University of New Brunswick, Saint John, NB, Canada
| | - Patricia Morris
- The University of New Brunswick (UNB) Saint John Collaboration for Evidence-Informed Healthcare: A JBI Centre of Excellence, The University of New Brunswick, Saint John, NB, Canada
- School of Graduate Studies, University of New Brunswick, Fredericton, NB, Canada
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White LW, Dawson N, Saale BP, Lemley T. Physical Therapists' and Physical Therapist Students' Experiences and Views on the Provision of Physical Therapy Services to People With Dementia: A Scoping Review. J Geriatr Phys Ther 2022:00139143-990000000-00002. [PMID: 35420572 DOI: 10.1519/jpt.0000000000000351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND AND PURPOSE Physical therapists (PTs) require specialized education and training to increase the capacity and competence of the dementia care workforce. Four areas of critical dementia workforce education and training gaps that apply to the physical therapy profession have been identified, including recruitment/retention, financing and cost of training, interprofessional education, and translation/implementation of effective dementia care. A critical step in developing effective training programs and educational curricula is to understand PTs' and PT students' experiences and views on working with people with dementia (PwD). Therefore, the purpose of this scoping review was to examine the extent and types of evidence that explore the experiences and views of PTs and PT students on the provision of physical therapy services to PwD. METHODS The Cochrane Database of Systematic Reviews, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsychINFO, ERIC, PEDro, Web of Science, and Medline databases and sources of gray literature were searched for sources of evidence that met the inclusion criteria of the review protocol. The literature was mapped according to author, participant role, setting, publication type, study design, study aim, key findings, and dementia workforce training gaps addressed. RESULTS AND DISCUSSION A total of 552 sources of evidence were screened for eligibility, and 16 studies were selected for inclusion. Twelve studies included PTs as participants, and 5 included PT students. Included sources explored PTs' experiences, behaviors, knowledge, attitudes, and confidence in working with PwD and the influence of educational, organizational, and other factors on these domains. Challenges to and strategies for delivering effective care to PwD were examined in multiple sources. The 4 areas of critical dementia workforce education and training gaps were each addressed by at least 1 of the included studies. CONCLUSIONS The current body of literature identifies several gaps in both research and education that need to be addressed before our profession is truly prepared to effectively manage this challenging population of patients with specialized needs.
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Affiliation(s)
- Laura W White
- Department of Physical Therapy, University of South Alabama, Mobile
| | - Nicole Dawson
- School of Kinesiology and Physical Therapy, University of Central Florida, Orlando
| | - Blair P Saale
- Department of Physical Therapy, University of South Alabama, Mobile
| | - Trey Lemley
- Biomedical Library, University of South Alabama, Mobile
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Hebditch M, Daley S, Grosvenor W, Sherlock G, Wright J, Banerjee S. Student nurses' career preferences for working with people with dementia: A longitudinal cohort study. NURSE EDUCATION TODAY 2022; 111:105303. [PMID: 35240400 DOI: 10.1016/j.nedt.2022.105303] [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: 12/07/2021] [Revised: 02/09/2022] [Accepted: 02/15/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Internationally there are too few suitably skilled registered nurses to meet the demands for dementia care. Research has established low preferences in undergraduate nursing students for working with older people. However, there is limited research on preferences for dementia care. Understanding career preferences is one component of ensuring future workforce capacity. OBJECTIVE To assess student nurses' preferences during undergraduate training in relation to working with people with dementia. METHODS Data from a longitudinal survey collected at two UK universities were analysed (n = 488). Measures included career preferences, demographics, participation in a dementia educational intervention, and measures of attitude, knowledge, and empathy to dementia. Open text responses were also included to explore the students' reasons for their preferences. RESULTS The preference for working with older people and people with dementia was low and decreased during training. A linear regression analysis supports a strong relationship of preferences with attitudes to dementia. Content analysis of students' reasons for their preferences found that perceived difficulty and lack of confidence contributes to the negative evaluation of working with people with dementia. CONCLUSION Undergraduate nursing education needs to continue to review its contribution to preparing the dementia workforce and act to support positive attitudes to working with people with dementia across nursing specialties.
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Affiliation(s)
- Molly Hebditch
- Centre for Dementia Studies, The Trafford centre, Room 101, Brighton & Sussex Medical School, University of Sussex, Falmer, BN1 9RY, UK.
| | - Stephanie Daley
- Centre for Dementia Studies, Brighton & Sussex Medical School, University of Sussex, Falmer BN1 9RY, UK.
| | - Wendy Grosvenor
- School of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
| | - Gina Sherlock
- Centre for Dementia Studies, Brighton & Sussex Medical School, University of Sussex, Falmer BN1 9RY, UK.
| | - Juliet Wright
- Department of Medical Education, Brighton and Sussex Medical School, Brighton BN1 9PH, UK.
| | - Sube Banerjee
- Faculty of Health, University of Plymouth, Plymouth PL4 8AA, UK.
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17
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Midwifery Now: Narratives about Motivations for Career Choice. EDUCATION SCIENCES 2022. [DOI: 10.3390/educsci12040243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The objective of this study was to analyse nursing students’ motivation to choose the midwifery career. This is a cross-sectional study with a qualitatively driven mixed-methods approach. The settings are three higher education institutions located in Portugal. The study was conducted between September 2019 and November 2021, with the participation of 74 midwifery master’s students, through convenience sampling. The data were collected through the LimeSurvey software and were subsequently analysed in the SPSS and IRaMuTeQ software programs. The emerging thematic areas were as follows: (1) building a professional identity and (2) knowledge construction. From these two thematic areas, six classes emerged that revealed commitment to the profession. It is in Class 6 that the ancestral essence of the profession lies, revealing the meanings of competence and care perpetuation linked to gender. Midwifery is a first-line profession, and the career choice reflects a commitment to support the mother/newborn dyad in view of the inevitability of human care for the preservation of the species. Midwives with a Socratic inspiration are the model for the profession. Given the development of professional identity, it can be interesting to have an educational curriculum where human values are reinforced. A woman-centred birth environment and birth territory are elementary for midwifery education.
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Laura PA, Dolores LFM, Rafael DPC, Pedro GFF, Luis PHP. Undergraduate nursing students' knowledge of Alzheimer's disease and related dementias care. J Prof Nurs 2022; 39:101-108. [DOI: 10.1016/j.profnurs.2022.01.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 01/04/2022] [Accepted: 01/04/2022] [Indexed: 01/14/2023]
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Cheng HL, Lam SC, Cruz JP, Almazan JU, Machuca-Contreras FA, Cecily HSJ, Rady HEAEA, Papathanasiou IV, Ghrayeb F, Qtait M, Liu XL, Balay-Odao EM. Willingness to care for older people and associated factors in pre-registered student nurses: A multi-country survey study. NURSE EDUCATION TODAY 2022; 110:105279. [PMID: 35121237 DOI: 10.1016/j.nedt.2022.105279] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 01/10/2022] [Accepted: 01/19/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Addressing nursing students' lack of interest in providing care for the aged population is a global challenge for nursing educators. Despite global interest in student nurses' readiness for older people care, almost all the literature has been identified from single countries, predominantly with high income per capita. At present, no study has been conducted to provide evidence-based data related to this topic from a multi-country perspective. OBJECTIVE The study's purpose was to examine the willingness to work with older persons and associated factors among student nurses from nine countries (or regions). DESIGN This study utilized a correlational and cross-sectional design. SETTINGS This was a multi-country survey study conducted in China, Chile, Egypt, Hong Kong, India, Greece, the State of Palestine (henceforth Palestine), the Philippines, and Saudi Arabia. PARTICIPANTS 2250 baccalaureate nursing students were recruited from 10 universities in this study. METHODS The survey that was used to collect data comprised four parts: socio-demographic data, attitude toward aging, older person care perception, and willingness to work with such group. RESULTS Respondents in five regions (including Mainland China, Greece, Hong Kong, Palestine, and Saudi Arabia) stated that older persons were the least favored group for future career choices. In comparison with mainland China, respondents in Chile, India, and the Philippines were significantly more likely to be willing to care for older patients, but those in Egypt and Greece indicated a lower tendency to choose this option. Favorable attitudes toward aging and older person care perception were significantly associated with having the willingness to provide care to gerontologic patients in the future. CONCLUSIONS Although attitudes toward aging and older person care perception have long been confirmed as important factors that are linked with willingness in caring for older people, this study adds that location is a more influential factor. Additional research in other countries is needed to advance the knowledge in this important area.
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Affiliation(s)
- Hui-Lin Cheng
- School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR; College of Nursing and Midwifery, Charles Darwin University, 410 Ann Street, Brisbane, QLD 4000, Australia
| | - Simon Ching Lam
- School of Nursing, Tung Wah College, Homantin, Kowloon, Hong Kong SAR. https://twitter.com/SimonCLAM1
| | - Jonas Preposi Cruz
- Department of Medicine, School of Medicine, Nazarbayev University, Kerey and Zhanibek Khans St 5/1, Nur-Sultan 010000, Kazakhstan; Nursing Department, College of Applied Medical Sciences, Shaqra University, Dawadmi, Saudi Arabia.
| | - Joseph U Almazan
- Department of Medicine, School of Medicine, Nazarbayev University, Kerey and Zhanibek Khans St 5/1, Nur-Sultan 010000, Kazakhstan
| | | | - Helen Shaji John Cecily
- Shri Sathya Sai College of Nursing, Shri Sathya Sai Medical College & Research Institute Campus, Sri Balaji Vidyapeeth University, Tamilnadu, India
| | | | | | - Farid Ghrayeb
- Nursing Department, Faculty of Health Professions, Al-Quds University, Jerusalem, Palestine
| | - Mohammed Qtait
- College of Applied Professions, Palestine Polytechnic University, Hebron, Palestine
| | - Xian-Liang Liu
- College of Nursing and Midwifery, Charles Darwin University, 410 Ann Street, Brisbane, QLD 4000, Australia
| | - Ejercito Mangawa Balay-Odao
- Nursing Department, College of Applied Medical Sciences, Shaqra University, Dawadmi, Saudi Arabia; School of Advanced Studies, Saint Louis University, Baguio, Philippines
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Felber NA, Pageau F, McLean A, Wangmo T. The concept of social dignity as a yardstick to delimit ethical use of robotic assistance in the care of older persons. MEDICINE, HEALTH CARE, AND PHILOSOPHY 2022; 25:99-110. [PMID: 34822097 PMCID: PMC8614079 DOI: 10.1007/s11019-021-10054-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/16/2021] [Indexed: 06/13/2023]
Abstract
With robots being introduced into caregiving, particularly for older persons, various ethical concerns are raised. Among them is the fear of replacing human caregiving. While ethical concepts like well-being, autonomy, and capabilities are often used to discuss these concerns, this paper brings forth the concept of social dignity to further develop guidelines concerning the use of robots in caregiving. By social dignity, we mean that a person's perceived dignity changes in response to certain interactions and experiences with other persons. In this paper, we will first present the concept of social dignity, and then identify a niche where robots can be used in caregiving in an ethical manner. Specifically, we will argue that, because some activities of daily living are performed in solitude to maintain dignity, a care recipient will usually prefer robotic assistance instead of human assistance for these activities. Secondly, we will describe how other philosophical concepts, which have been commonly used to judge robotic assistance in caregiving for the elderly so far, such as well-being, autonomy, and capabilities, are less useful in determining whether robotic assistance in caregiving is ethically problematic or not. To conclude, we will argue that social dignity offers an advantage to the other concepts, as it allows to ask the most pressing questions in caregiving.
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Affiliation(s)
- Nadine Andrea Felber
- Institute of Biomedical Ethics, Faculty of Medicine, University of Basel, Basel, Basel, Switzerland.
| | - Félix Pageau
- Institute of Applied Ethics, Faculty of Philosophy, Faculty of Medicine, University Laval, Quebec, QC, Canada
| | - Athena McLean
- Department of Sociology, Anthropology and Social Work, Central Michigan University, Mount Pleasant, MI, USA
| | - Tenzin Wangmo
- Institute of Biomedical Ethics, Faculty of Medicine, University of Basel, Basel, Basel, Switzerland
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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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22
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Koskinen S, Burke E, Fatkulina N, Fuster P, Löyttyniemi E, Salminen L, Stubner J, Thorsteinsson HS, Leino-Kilpi H. Graduating nurse students' interest in older people nursing-A cross-sectional survey in six European countries. Int J Older People Nurs 2022; 17:e12446. [PMID: 35080809 PMCID: PMC9285737 DOI: 10.1111/opn.12446] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Revised: 10/27/2021] [Accepted: 12/30/2021] [Indexed: 12/29/2022]
Abstract
BACKGROUND Countries vary in the number of qualified nurses employed in older adult services. Moreover, students' views of older people nursing as a career differ internationally. Studying future nurses and their career intentions for the field is warranted to meet the increased nurse workforce expectations in terms of quantity and competence. AIM To analyse graduating nurse students' interest in older people nursing and the factors associated with it. METHODS A cross-sectional multicountry survey design was applied. Data were collected between May 2018 and March 2019 from several educational institutions in Finland, Germany, Iceland, Ireland, Lithuania and Spain. Non-probability convenience sampling was used to recruit graduating nurse students (n = 1796). The data were collected with a structured questionnaire comprising background factors and the Willingness sub-scale (six items) of the Students' Interest in Nursing Older People Scale. Data were analysed using a linear mixed model including relevant background variables. RESULTS Overall, students' interest in older people nursing was low (score 20.5, on a 0-100 scale). Among the studied countries, Spanish students scored the highest (38.8) and German students the lowest (3.6). Students' interest in older people nursing was associated with country (p < .001), the length of work experience (p = .006), plans for further study (p = .007), competence (p < .001) and the extent that nursing is valued by society (p < .001). The students who were most interested in older people nursing had higher self-reported competence level (p < .001). CONCLUSION In the studied sample of future nurse professionals, interest in older people nursing is low at a time when the field suffers from workforce shortage. As for quality workforce, it was promising that the students who considered working in the field also evaluated themselves as competent. IMPLICATIONS FOR PRACTICE Multidimensional actions are required to promote interest in the field, including continued development of competence in both undergraduate education and workplaces, and investing in various career pathways to envisage potential opportunities.
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Affiliation(s)
- Sanna Koskinen
- Department of the Nursing Science, University of Turku, Turku, Finland
| | - Eimear Burke
- School of Nursing and Midwifery, National University of Ireland, Galway, Ireland
| | - Natalja Fatkulina
- Institute of Health Sciences, Vilnius University, Vilnius, Lithuania
| | - Pilar Fuster
- Nursing Department, Universitat Internacional de Catalunya, Sant Cugat del Valles, Spain
| | | | - Leena Salminen
- Department of the Nursing Science, University of Turku, Turku, Finland.,Turku University Hospital, Turku, Finland
| | - Juliane Stubner
- Institute of Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle, Germany
| | | | - Helena Leino-Kilpi
- Department of the Nursing Science, University of Turku, Turku, Finland.,Turku University Hospital, Turku, Finland
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Hebditch M, Banerjee S, Wright J, Daley S. Preferences of newly qualified healthcare professionals for working with people with dementia: a qualitative study. Age Ageing 2022; 51:6427232. [PMID: 34794174 PMCID: PMC8753027 DOI: 10.1093/ageing/afab206] [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: 02/02/2021] [Revised: 07/14/2021] [Indexed: 11/13/2022] Open
Abstract
Background there is little research on preferences in students and newly qualified healthcare professionals for working with people with dementia. Understanding the development of these preferences can help inform strategies to increase workforce capacity in response to current suboptimal dementia care and the increasing numbers of people with dementia. Objective to explore the factors that influence career preferences in relation to working with people with dementia. Specifically, to understand how these factors relate to early career doctors’ and nurses’ preferences and how they influence decisions and perspectives on their careers. Methods qualitative in-depth interviews were conducted with 27 newly qualified doctors and nurses within 2 years of graduation. This included a subset of participants that had taken part in a dementia educational intervention during their undergraduate training. Transcripts were analysed using grounded theory methods. Results the results present six main categories representing complex interlinked factors influencing preferences for working with people with dementia as well as exploring the definition of a career working with people with dementia. The factors include the importance of making a difference; seeing dementia care as a different type of care; its perceived alignment with personal characteristics; perceptions of people with dementia; care environments and career characteristics. Discussion this is the first study to explore the factors influencing preferences for working with people with dementia in newly qualified healthcare professionals. It provides useful data to inform workforce planning, and curriculum and practice development to stimulate interest and drive improved quality of care.
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Affiliation(s)
- Molly Hebditch
- Centre for Dementia Studies, Brighton & Sussex Medical School, Falmer, BN1 9RY, UK
| | - Sube Banerjee
- Faculty of Health, University of Plymouth, Plymouth, PL4 8AA, UK
| | - Juliet Wright
- Department of Medical Education, Brighton & Sussex Medical School, Falmer, BN1 9PH, UK
| | - Stephanie Daley
- Centre for Dementia Studies, Brighton & Sussex Medical School, Falmer, BN1 9RY, UK
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24
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Rossler KL, Tucker C. Simulation helps equip nursing students to care for patients with dementia. TEACHING AND LEARNING IN NURSING 2022. [DOI: 10.1016/j.teln.2021.08.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Fisher K, Watson J, Willis JL, Hawley D, Severance J, Butler Carroll T, Jackson L. Collective Perceptions of Aging and Older Persons Held by Students From Eight Healthcare Professions. J Appl Gerontol 2021; 41:855-866. [PMID: 34958243 DOI: 10.1177/07334648211061734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
In order to increase the number of students entering the geriatric workforce, an understanding of factors influencing career preference and what may prevent students from pursuing geriatric careers is necessary. Using a convergent parallel mixed methods approach, the aim of this study was to provide insight for geriatric educators regarding the collective perceptions of aging and older persons held by 864 students from eight healthcare professions. Quantitative questions assessed students' attitudes (Geriatric Attitudes Scale). Student responses to four open-ended questions were assessed using conventional content analysis. Results included rich narrative examples of healthcare professions students' perceptions and understanding of the aging process, as well as myths and misconceptions of aging and older persons that can be used to inform geriatric curricula across multiple health professions training and education programs. Geriatric education is a critical avenue to correct misperceptions, quell ageism and address the current shortage in the geriatrician workforce.
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Affiliation(s)
- Kelly Fisher
- Department of Nutritional Sciences, 3402Texas Christian University, Fort Worth, TX, USA
| | - Jennifer Watson
- Davies School of Communication Sciences and Disorders, 3402Texas Christian University, Fort Worth, TX, USA
| | - Jada L Willis
- Department of Nutritional Sciences, Texas Christian University, Fort Worth, TX, USA
| | - Diane Hawley
- Harris College of Nursing and Health Sciences-Nursing, 3402Texas Christian University, Fort Worth, TX, USA
| | - Jennifer Severance
- Department of Internal Medicine & Geriatrics, 53417University of North Texas Health Science Center, Fort Worth, TX, USA
| | - Traci Butler Carroll
- Department of Internal Medicine & Geriatrics, University of North Texas Health Science Center, Fort Worth, TX, USA
| | - Lynn Jackson
- Department of Social Work, 3402Texas Christian University, Fort Worth, TX, USA
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Atakro CA, Adatara P, Afaya A. Improving undergraduate nurses' perceptions of and preferences for gerontological nursing in Ghana. THE LANCET HEALTHY LONGEVITY 2021; 2:e312-e313. [DOI: 10.1016/s2666-7568(21)00096-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Accepted: 04/19/2021] [Indexed: 11/25/2022]
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Hartung B, Lalonde M, Vanderspank-Wright B, Phillips JC. New graduate nurses and dementia care in acute care: A qualitative study. Nurse Educ Pract 2021; 53:103049. [PMID: 33992877 DOI: 10.1016/j.nepr.2021.103049] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 03/01/2021] [Accepted: 03/26/2021] [Indexed: 11/29/2022]
Abstract
With the increasing older adult population, new graduate nurses will be providing care for patients with dementia more frequently. The purpose of this qualitative study was to explore the experiences of new graduate nurses when providing care for patients with dementia in acute care environments. We conducted semi-structured interviews with eleven new graduate nurses in Ontario, Canada. Three themes emerged from the thematic analysis: (1) building of vision and values; (2) clashing of vision and values; and (3) making do with what you have. Barriers to providing dementia care in acute care were similar to barriers experienced by non- new graduate nurses reported in the literature, such as challenges with responsive behaviours, maintaining safety and providing psychosocial care. Facilitators identified were supportive colleagues and early exposure to dementia care.
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Affiliation(s)
- Benjamin Hartung
- School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road Ottawa, ON K1H 8M5 Canada.
| | - Michelle Lalonde
- School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road Ottawa, ON K1H 8M5 Canada.
| | - Brandi Vanderspank-Wright
- School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road Ottawa, ON K1H 8M5 Canada.
| | - J Craig Phillips
- School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road Ottawa, ON K1H 8M5 Canada.
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