No full-text available
To read the full-text of this research,
you can request a copy directly from the authors.
Nursing Homes Nurses Attitudes Toward Older People and Affecting Factors
Abstract
Introduction: The quality of nursing care for older people in nursing homes is closely related to nurses' attitudes toward older people. This study was conducted to determine the attitudes of nurses working in nursing homes and to determine the factors affecting attitudes of nurses. Materials and Method: A descriptive study design was used. The sample consisted of 83 nurses, accounting for 79% of the research population. Participant Information Form and Kogan's Attitudes Toward Old People scale were used. The study utilized the value, mean, percentage frequency distribution and correlation, independent t test, Mann-Whitney U test, and Kruskal-Wallis test. Results: Mean total of Kogan's score of the nurses who were working in seven nursing homes at the time of the study reached 144.75 [standard deviation (sd)=16.6]. Mean age of participants was 33.9 (sd=7.6); 88% of the participants were females. The number of participants who received no geriatric education before working and while they were students totaled 91.6% and 72%, respectively. Nearly half of the participants (47%) claimed previous experience of care giving for older people. A statistically significant difference was observed between gender, previous experience of care for older people, and average score in Kogan's scale. Conclusion: Results showed that the nurses working in nursing homes showed slightly positive attitudes toward older people. Gender and care giving experience were determined as factors that influence attitudes toward older people.
... 13,15 There are studies in the literature showing that older individuals have optimistic perceptions and experiences of nursing care 16 and that nurses also have positive perceptions and attitudes toward older individuals. 17 There are quantitative studies in the literature that have determined the patients' perceptions of nursing care. Studies that deeply examine the patients' perceptions and opinions using qualitative methods are rather limited. ...
Background:
Nursing students' experiences during clinical training in aged care placements is a well-studied topic. However, there is less research on the connection between nursing students' prior experiences as assistants in nursing (AIN) and their perception of aged care nursing.
Aim:
The aim of this study was to identify and synthesize undergraduate nursing students' experiences as working as AIN in aged care settings.
Method:
A systematic review was carried out by searching the CINAHL, Scopus, Medline and Medic databases, supplemented by manual searches. The searches focused on peer-reviewed scientific empirical research articles published in English, with a 10-year date limitation. The data were analysed by the qualitative content method.
Results:
The review identified 11 articles, which showed that nursing students' prior work experience shifts their perceptions of older adults' care. The findings were organized under four major themes. Through their employment as AIN, (1) nursing students' ability to reflect and develop skills needed in clinical work strengthened, (2) they became aware of the independent role of the nurse, (3) they feel part of the workplace community and (4) they recognized their feelings and views about aged care as a career.
Conclusion:
Students' work experience in aged care helps them to observe aged care settings as a unique set up and nursing comprehensively from the perspective of an older adult's care needs and they can observe the dynamics of a workplace community. They can see many positive features in working in aged care and assess their experience with positive descriptions.
This short piece which is written in the format of the notes from the field discusses plans to do life narratives and wisdom research among Turkish older adults. The starting point was a brief literature review of gerontology-related research in Turkey which will not be presented here due to space limitations. Secondly, the site and accordingly the sample of the anthropological study had to be decided. Thirdly, international gerontology-related research was reviewed to decide on theoretical discussions, methodology and conceptual tools to analyze the data. The notes conclude with a proposal for research in gero-narratology which is proposed to be the study of the structural and authorship properties of older adults' narratives.
Previous international studies have indicated that a range of factors influence knowledge and attitudes toward older people were education, past work experiences, and social contact with healthy older people. This article reports on the findings of a literature review in relation to attitudes toward older people among health professionals working in primary healthcare centers in Saudi Arabia. The findings of this narrative literature are reported through 5 themes: the instruments used in the selected studies to measure attitudes toward older people; the instruments used to measure knowledge on ageing; attitudes toward older people; knowledge of the care of older people; and factors that influence knowledge and attitudes toward older people. Further investigation is needed to identify the level of knowledge on ageing, attitudes toward older people, and the factors which affect health professionals’ knowledge and attitudes toward older people in primary healthcare centers in Saudi Arabia.
The purpose of this study was to evaluate and compare attitudes towards the elderly of Turkish students of various disciplines in health sciences at the level of associate and bachelor degree.
685 students participated in this descriptive study. Data were collected with a questionnaire administered to the students and the Turkish version of Kogan's Attitudes Towards Old People Scale (KAOP). Statistical evaluation of the data was included in percentage, mean, median, t-test, and one-way variance analysis.
The average age of the students was 20.91±2.25years, and mean and median scores of KAOP for these students were 131.21±14.403 and 130, respectively. The attitudes of physiotherapy students towards older people were better than students in other health disciplines (p<0.05), and there were no differences in the attitudes of health science students towards the older persons in eastern and western cities of Turkey (p<0.05).
The attitudes of the health science professionals of tomorrow towards older people should be evaluated currently to be able to improve the provision of health care standards and to prevent possible negative beliefs and opinions in the future.
Copyright © 2015 Elsevier Ltd. All rights reserved.
Introduction: The aim of this study was to determine ageing anxiety and attitudes towards the elderly in students studying in the Faculty of Health Sciences at Adnan Menderes University in Turkey. Materials and Method: This cross-sectional study carried out during 2016 and included 236 students enrolled at the university. Of these students, 146 were from the nursing department, 54 from the midwifery department and 36 from the nutrition and dietetics department. The students completed a questionnaire on demographic features, University of California, Los Angeles Geriatrics Attitudes Scale (14 items) and Anxiety about Aging Scale (20 items). Results: Most of the participants were female nursing students. Approximately one-fifth of the students reported that their families shared their home with older relatives. Approximately half of the students reported that they participated in activities for older people. Mean scores for University of California, Los Angeles Geriatrics Attitudes Scale and Anxiety about Aging Scale were 48.22±5.44 and 66.38±8.75, respectively. First-year students, studying nutrition and dietetics and those not participating in nursing home activities had significantly lower scores on the University of California, Los Angeles Geriatrics Attitudes Scale. Students staying with older relatives had significantly higher scores on the Anxiety about Aging Scale. Conclusion: Although health sciences students who will provide care for older people in the future had positive attitudes towards them, they also had high ageing anxiety. Undergraduate education should, therefore, be restructured to create positive communication between students and older people.
At times when populations are aging and nursing services for elders are needed, gerontology as a nursing specialty is not a highly sought career choice. The purposes of this study were to assess the overall attitudes of nursing students at a Turkish university toward the elderly and to identify the effects of demographic and social factors on attitudes. Using a non-experimental design, the Turkish version of the Kogan’s Attitudes towards Old People (KAOP) Scale was given to undergraduate nursing students. Significant findings demonstrated that the older the student, the worse the attitude and that students willing to work with elders had significantly better total KAOP and better positive item scores than those not willing to work with elders. The findings support educational preparation as a major factor in shaping student attitudes. Geriatric education should be integral to nursing education to help ensure sustainability of nursing services for the elderly population.
In clinical practice, identifying positive and negative attitudes toward older patients is very important to improve quality of care provided to them. The Older People in Acute Care Survey - United States (OPACS-US) is an instrument measuring hospital nurses attitudes regarding older patients. However, psychometrics have never been assessed. Furthermore, knowledge being related to attitude and behavior should also be measured complementing the OPACS-US. The purpose of this study was to assess structural validity and reliability of the OPACS-US and assess whether the OPACS-US can be complemented with the Knowledge about Older Patients-Quiz (KOP-Q). A multicenter cross sectional design was conducted. Registered nurses (n = 130, mean age 39,9 years; working experience 14,6 years) working in four general hospitals were included in the study. Nurses completed the OPACS-US section A: practice experiences, B: general opinion and the KOP-Q online. Findings demonstrated that the OPACS-US is a valid and reliable survey instrument that measures practice experiences and general opinion. Furthermore, the OPACS-US can be combined with the KOP-Q adding a knowledge construct, and is ready for use within education and/or quality improvement programs in the USA.
Background:
An aging population has become a serious problem in China. Improving the nursing students' care willingness is a critical way to solve this dilemma. Few studies reveal the relationship between the knowledge, care willingness, attitude towards the elderly and gratitude. This research has found that the attitude towards the elderly, the knowledge about aging, and gratitude showed correlation with care willingness.
Objective:
The purpose of this study is to explore the relationships among knowledge about aging, care willingness, attitude towards the elderly and gratitude.
Design:
A cross-sectional descriptive design has been used.
Methods:
From November to December 2015, a total of 382 undergraduate nursing students in China completed the questionnaires. The response rate was 95.5%. Four questionnaires including Care Willingness to the Elderly Scale (CW), Kogan's Attitudes towards Old People scale (KAOP), the Facts on Aging Quiz (FAQ), and the Gratitude Scale. Structural equation modeling (SEM) was used to explore the relationship among those variables in this study.
Results:
For Chinese nursing students, the care willingness of elderly was in medium-high level. Their attitude towards the elderly and gratitude were at the medium degree, while the knowledge about aging was at a lower level. The attitude towards older people, knowledge about aging, and gratitude were significantly correlated with care willingness. The knowledge about aging has no relationship with the attitude. Gratitude plays a mediation role between the knowledge about aging and care willingness. The experience of caring the elderly could lead to a positive impact in care willingness.
Conclusions:
The nursing students' knowledge about aging had a direct influence on their care willingness. Gratitude plays a mediating role between the knowledge about aging and care willingness to the elderly.
Background:
With the increased number of older people globally, caring for older people has become a challenge for many countries. Nurses have a pivotal role in providing quality care for older people and care is affected by their attitudes. The preparation of nurses to deliver quality care needs to be instilled during their studying in the Schools of Nursing.
Objective:
To examine the attitudes of nursing students toward and their willingness to work with older people in Sri Lanka.
Methodology:
A purposive sample of 98 first to fourth year undergraduate nursing students in the Department of Nursing, University of Peradeniya completed a self-administered questionnaire consisting of socio-demographic variables, Kogan's Attitudes toward Older People Scale, and questions related to willingness to work with older people.
Results:
Fifty percent of the respondents (n=49) held slightly positive attitudes toward older people while 45% (n=44) held slightly negative attitudes. About one-third of the respondents (29.9%, n=29) selected the elderly group as the least preferred group for their future career from the categorized seven age groups. Only 5.1% (n=5) of the respondents ranked the elderly group as the first preferred group. There was a significant difference in attitudes between students who lived with older people and students who did not live with older people (t=2.565, p=.012). There was a positive relationship between attitudes and preference for working with older people (r=.342, p=.001).
Conclusion:
Nursing students have moderately positive attitudes toward older people; however, they show little interest in working with older people. Living with older people develops positive attitudes of young people toward older people. Attitudes are related to the selection in area of specialty in nursing. Nursing curricula need to include Gerontological Nursing as a major area.
The world's population of older people is increasing,The World Health Organization (WHO) (2013 a) defines 'elderly'as those 65 years and older. Currently there are deficits in good basic care, partially resulting from the negative attitudes of some nursing staff.
This systematic review was conducted by searching the CINAHL, MEDLINE and Inter nurse databases, which produced 119 results. Three original research papers were extracted,the fourth was obtained from a reference list and the final paper was taken from the internet.
Both student and qualified nurses can portray a negative attitude towards older people, thus negatively affecting care. The reasons for these negative attitudes are numerous, although lack of knowledge of the ageing process and gerontology prevail.
Further research is required and in-depth interviews to establish why some nurses portray negative attitudes. Strategies need to be implemented to address these issues,so encouraging better care provision.
Background:
There is little known about nurses' attitudes toward older people in Turkish society, particularly within centers providing care to older patients.
Objective:
This research was conducted to determine nurses' attitudes toward older patient care and the difficulties they experience.
Design:
A descriptive research design was used.
Settings:
The research population comprised 282 nurses working in the clinics of public hospitals in central Erzurum that mostly accommodate older patients.
Methods:
Participants completed questionnaires regarding descriptive characteristics, the type of difficulties they experienced in older patient care, and the Turkish version of Kogan's Attitudes Toward Old People Scale. Data were evaluated by using percentage, Kruskal-Wallis variance analysis, t test and Mann-Whitney U test.
Results:
The study revealed that nurses experienced difficulties due to the inadequacy of physical conditions and technical equipment in hospitals; administrative problems; communication problems; and insufficient knowledge, skills and experience in older patient care. The nurses' overall attitude toward the older people was found to be positive (98.83 ± 11.19).
Conclusions:
The difficulties experienced by nurses in this sample resulted from the lack of technically equipped hospitals or clinics for older patients and the inadequacy of nurses' gerontology education. Despite these factors, the nurses' attitude toward older people was positive.
To assess the reliability and validity of a Turkish version of Kogan's Attitudes Toward Older People Scale.
To explore nursing students' attitudes towards older people, standardised, well-tested instruments are needed. Kogan's Attitudes Toward Older People is a comprehensive instrument for assessment of attitudes toward older adults and has been validated in several languages. However, a validated Turkish version has not been available until now.
The study used psychometric testing to establish reliability and validity of the Turkish version of Kogan's Attitudes Toward Older People Scale.
A convenience sample of 237 nursing students in Turkey was used to collect data regarding attitudes towards older people. Content validity, construct validity, internal consistency and stability reliability of the Kogan's Attitudes Toward Older People were assessed.
Kogan's Attitudes Toward Older People scores were between 74-224. All of the 34 items were found to have significant item-to-total correlations (p < 0·05). Results of the confirmatory factor analysis established that the scale had a two-factor construct and was appropriate use in this student population. The Cronbach's alpha was 0·89 for the total scale (0·82 for negative, 0·85 for positive). In addition, test-retest correlation was 0·83 (negative subscale 0·77, positive subscale 0·73) (p < 0.001).
The Turkish version of the Kogan's Attitudes Toward Older People was found to be a reliable and valid tool for assessing Turkish nursing students' attitudes toward older adults.
This study provided evidence that the Kogan's Attitudes Toward Older People is a reliable and valid instrument for assessing Turkish nursing student's positive and negative attitudes toward older adults. It is easy and practical to use for both informants and investigators and acceptable for Turkish Culture.
To identify and describe Jordanian nurses' attitudes toward older patients in acute care settings. The effects of socio-demographics and nursing work characteristics on nurses' attitudes were also examined.
Descriptive correlational design was used. Kogan's (1961) Attitudes Toward Old People Scale was administered to a total population of Jordanian nurses (n = 200) working in selected units in acute care settings of three public hospitals in northern Jordan. Nurses' attitudes were described by using descriptive statistics. ANOVA and Pearson correlation were used to examine the effects of selected socio-demographic details and work characteristics on nurses' attitudes.
Jordanian nurses who participated in this study had marginally positive attitudes toward older patients in acute care settings. Years of clinical experience correlated significantly with their attitudes. Male nurses had significantly more positive attitudes than their female counterparts. Surgical nurses also demonstrated significantly more positive attitudes than those working in medical units.
Although positive attitudes emerged towards older people, it was also apparent that efforts should be made to enhance them further so that quality care is delivered to this population. In addition, Jordanian nurse educators should put a greater focus on issues related to the care of the older person in their nursing curriculum.
The aging population is currently one of the main issues facing international health care systems. It is a recognized fact that with advancing age, the likelihood of developing health problems and chronic disease will increase and the demand for health care resources will escalate. This will impact hospitals and long-term care facilities. Our young nurses of the future will be faced with the challenging task of caring for this elderly population. A review of the literature revealed that nursing students have a negative attitude toward the elderly. This may be affected by personal beliefs, values, culture, experience, or observations. Their perceived attitudes toward the gerontology field will make it difficult to recruit the nurses required in this area. This article will explore these issues and examine the role of all health care professionals to help change their attitudes and develop a more positive relationship to meet the needs of this unique population.
Considerable variations in the quality of care older adults receive may depend much on the attitude of staff towards them. The attitudes of nurses, assistant personnel and porters towards older adults were assessed. Determinants affecting this judgement, such as age, gender, education, years in practice and care setting, were also assessed. Ninety-nine (acute) and 87 (long-term) hospital employees completed the self-report Kogan's Attitude Towards Old People scale. Significant statistical differences in negative attitudes were found between assistant personnel and nurses and between porters and nurses; these non-professionals believed that older adults were irritable, grouchy, complaining and untidy. Practice area had no influence on attitudes; attitudes were, however, significantly predicted by education levels. Findings suggest that, irrespective of setting, assistant personnel and porters possess significantly greater negative attitudes towards older adults than nursing staff. Furthermore, these negative attitudes seem to be a function of lower educational achievement. Implications for informing practice, education and policy-makers are discussed.
Directorate General of Services for Persons with Disabilities and Elderly People. Institutional care needs for elderly in Turkey
- B Karakuş
Karakuş B. Ministry of Family and Social Policies,
Directorate General of Services for Persons with
Disabilities and Elderly People. Institutional
care needs for elderly in Turkey. 2015; pp
18.24. [Internet] Available from: http://eyh.
aile.g.,ov.tr/data/595de492290eac101cfd1a92/
Kurumsal%20Yaşlı%20Bakım%20İhtiyacı%20
Tespit%20ve%20Öneriler%20Raporu%202015.pdf.
Accessed:12.01.2018. (in Turkish)..
Evaluation of attitude towards the elderly in geriatric centre workers
- D Ünalan
- F Soyuer
- F Elmalı
Ünalan D, Soyuer F, Elmalı F. Evaluation of attitude
towards the elderly in geriatric centre workers.
Nurses' attitudes towards elderly people and examining affecting factors
- L Aydın
- G H Yönet
- E Bayat
- B Günay
Aydın L, Yönet GH, Bayat E, Günay B. Nurses'
attitudes towards elderly people and examining
affecting factors. Yıldırım Beyazıt University, Nursing
E-Journal 2016;3(1):10-8. (in Turkish).
Attitudes toward old people: the development of a scale and an examination of corraletes
- N Kogan
Kogan N. Attitudes toward old people: the
development of a scale and an examination of
corraletes. J Abnorm Soc Psychol 1961;64:44-54.
(PMID:14457779).
Psycho-social risk for older care: The evaluation of the professionals who work in the institutional care of reasons of stress, burnout and job satisfaction level
- E Özmete
Özmete E. Psycho-social risk for older care: The
evaluation of the professionals who work in the
institutional care of reasons of stress, burnout
and job satisfaction level. Cumhuriyet University
Journal of Economics and Administrative Sciences
2016;17(1):243-264. (in Turkish).
Attitudes of healthcare workers towards older people in a rural population: A survey using the Kogan Scale
- M Doherty
- E A Mitchell
- O Neill
Doherty M, Mitchell EA, O'Neill S. Attitudes of
healthcare workers towards older people in a rural
population: A survey using the Kogan Scale. Nurs
Res Pract 2011;1-7. (PMID:21994823).