Attitudes towards oldest-old adults (age ≥80 years): A survey and international comparison between Swedish and Austrian nursing students.
Ageism
attitudes
nursing
older adults
oldest-old adults
questionnaires
students
surveys
Journal
Scandinavian journal of caring sciences
ISSN: 1471-6712
Titre abrégé: Scand J Caring Sci
Pays: Sweden
ID NLM: 8804206
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
revised:
25
04
2021
received:
17
09
2020
accepted:
30
04
2021
pubmed:
3
6
2021
medline:
15
11
2022
entrez:
2
6
2021
Statut:
ppublish
Résumé
Ageism in nursing, particularly regarding oldest-old adults (age ≥80 years), adversely affects patient safety and care quality. Nurse education can reduce ageist attitudes. Swedish and Austrian nursing students' attitudes towards adults age ≥80 years have not been assessed. To analyse attitudes towards adults age ≥80 years among nursing students from universities in Sweden and Austria. A prospective cross-sectional survey including the four-factor, 26-item validated Ageing Semantic Differential scale and demographic questions. A pen-and-paper survey was administered to nursing students at the Medical University of Graz, Austria (May-June 2019); an online survey was conducted at the University of Gothenburg, Sweden (January-June 2020). Demographic data were analysed descriptively; means and individual item ratings were calculated for each country. Multiple logistic regression was performed for each factor of the instrument: (1) Instrumentality, (2) Autonomy, (3) Acceptability and (4) Integrity. Six independent variables were included in the regression analysis. In total, 136 Austrian and 222 Swedish students responded (88% women). Compared with Austrian students, Swedish students were older and had more positive attitudes about oldest-old adults. Swedish students' median factor ratings (7-point scale) were 3.62 (Factor 1), 3.50 (Factor 2), 2.71 (Factor 3) and 3.80 (Factor 4). Austrian students' median ratings were 4.25 (Factor 1), 3.83 (Factor 2), 3.28 (Factor 3) and 4.00 (Factor 4). Regression analyses showed that the variables country, older family member/acquaintance, and age were associated with the different factors. Compared with Austrian students, Swedish students' attitudes towards oldest-old adults were more favourable. We discussed the findings at individual, interpersonal/intergroup and societal/cultural levels and present implications for education and research. Nurse education should address ageism as a multilevel phenomenon, and include the person-centred care perspective. Further research comparing nursing students' attitudes from different cultures is needed.
Sections du résumé
BACKGROUND AND RATIONALE
OBJECTIVE
Ageism in nursing, particularly regarding oldest-old adults (age ≥80 years), adversely affects patient safety and care quality. Nurse education can reduce ageist attitudes. Swedish and Austrian nursing students' attitudes towards adults age ≥80 years have not been assessed.
AIMS
OBJECTIVE
To analyse attitudes towards adults age ≥80 years among nursing students from universities in Sweden and Austria.
DESIGN
METHODS
A prospective cross-sectional survey including the four-factor, 26-item validated Ageing Semantic Differential scale and demographic questions.
METHODS
METHODS
A pen-and-paper survey was administered to nursing students at the Medical University of Graz, Austria (May-June 2019); an online survey was conducted at the University of Gothenburg, Sweden (January-June 2020). Demographic data were analysed descriptively; means and individual item ratings were calculated for each country. Multiple logistic regression was performed for each factor of the instrument: (1) Instrumentality, (2) Autonomy, (3) Acceptability and (4) Integrity. Six independent variables were included in the regression analysis.
RESULTS
RESULTS
In total, 136 Austrian and 222 Swedish students responded (88% women). Compared with Austrian students, Swedish students were older and had more positive attitudes about oldest-old adults. Swedish students' median factor ratings (7-point scale) were 3.62 (Factor 1), 3.50 (Factor 2), 2.71 (Factor 3) and 3.80 (Factor 4). Austrian students' median ratings were 4.25 (Factor 1), 3.83 (Factor 2), 3.28 (Factor 3) and 4.00 (Factor 4). Regression analyses showed that the variables country, older family member/acquaintance, and age were associated with the different factors.
DISCUSSION
CONCLUSIONS
Compared with Austrian students, Swedish students' attitudes towards oldest-old adults were more favourable. We discussed the findings at individual, interpersonal/intergroup and societal/cultural levels and present implications for education and research.
CONCLUSIONS
CONCLUSIONS
Nurse education should address ageism as a multilevel phenomenon, and include the person-centred care perspective. Further research comparing nursing students' attitudes from different cultures is needed.
Types de publication
Journal Article
Langues
eng
Pagination
1083-1093Informations de copyright
© 2021 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.
Références
Department of Economic and Social Affairs. World Population Ageing (Report). New York: United Nations; 2017. Available from: https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2017_Report.pdf.
Wiles JL, Jayasinha R. Care for place: the contributions older people make to their communities. J Aging Stud. 2013;27(2):93-101. Available from: https://doi.org/10.1016/j.jaging.2012.12.001
World Health Organization. Ageing and Health. Key facts [Internet]. World Health Organization; 2018 [cited 2020 Jul 9]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Buskens E, Vogt TC, Liefbroer AC, Reijneveld MSA, Bultmann U, Henkens KCJIM, et al. Healthy Ageing: Challenges and Opportunities of Demographic and Societal Transitions. In: Dijkman BL, Roodbol PF, editors. Older People: Improving Health and Social Care Focus on the European Core Competences Framework. Cham: Springer Nature; 2019. p. 9-32.
Campisi J. Aging, cellular senecence, and cancer. Annu Rev Physiol. 2013;75:685-705.
Department of Health & Human Services. Providing best care for older people [Internet]. Melbourne, Australia: Victoria State Government; 2020. Available from: https://www2.health.vic.gov.au/hospitals-and-health-services/patient-care/older-people/resources/improving-access/ia-care.
Tinker A. Older People in Modern Society. Abingdon: Routledge. 2014; 385 p.
World Health Organization. Decade of Healthy Ageing (2021-2030) [Internet]. 2021 [cited 2021 Jan 26]. Available from: https://www.who.int/initiatives/decade-of-healthy-ageing.
World Health Organization. Ageing: Healthy ageing and functional ability [Internet]. 2020 [cited 2021 Jan 26]. Available from: https://www.who.int/westernpacific/news/q-a-detail/ageing-healthy-ageing-and-functional-ability
Britten N, Ekman I, Naldemirci Ö, Javinger M, Hedman H, Wolf A. Learning from Gothenburg model of person centred healthcare. BMJ. 2020;m2738. Available from: https://doi.org/10.1136/bmj.m2738
Dijkman B, Casaca Soares CC. Competent health and social care professionals working with older people. In: Dijkman BL, Mikkonen I, Roodbol PF, editors. Older People: Improving Health and Social Care. Cham: Springer Nature Switzerland; 2019. p. 141-50. Available from: https://doi.org/10.1007/978-3-319-97610-5_6
Ekman I, Swedberg K, Taft C, Lindseth A, Norberg A, Brink E, et al. Person-centered care - Ready for prime time. Eur J Cardiovasc Nurs. 2011;10(4):248-51.
McCormack B, McCance TV. Development of a framework for person-centred nursing. J Adv Nurs. 2006/11/03 ed. 2006;56(5):472-9.
Ayalon L, Tesch-Römer C. Introduction to the Section: Ageism-Concept and Origins. In: Ayalon L, Tesch-Römer C, editors. Contemporary Perspectives on Ageism. International Perspectives on Aging. Cham: Springer; 2018. p. 1-10.
World Health Organization. Ageism. Ageing and Lifecourse. Available from: https://www.who.int/ageing/ageism/en/: World Health Organization; 2020.
United Nations Department of Economic and Social Affairs. Health Inequalities in Old Age. New York: United Nations Department of Economic and Social Affairs; 2018. Available from: https://www.un.org/development/desa/ageing/wp-content/uploads/sites/24/2018/04/Health-Inequalities-in-Old-Age.pdf
Lohrmann C, Dijkstra A, Dassen T. The care dependency scale: An assessment instrument for elderly patients in German hospitals. Geriatr Nur (Lond). 2003;24(1):40-3.
Jaul E, Barron J. Age-related diseases and clinical and public health implications for the 85 years old and over population. Front Public Health. 2017;5:335.
Burnes D, Sheppard C, Henderson CR, Wassel M, Cope R, Barber C, et al. Interventions to reduce ageism against older adults: A Systematic Review and Meta-Analysis . AJPH. 2019;109(8):e1-e9.
Gallo V. Ageism in nursing education: A review of the literature. Teach Learn Nurs. 2019;14(3):208-15.
Rosencranz HA, McNevin TE. A factor analysis of attitudes toward the aged. Gerontologist. 1969;9:55-9.
Holmberg C, Wolf A, Eide C, Großschädl F, Schüttengruber G, Patel H, et al. Classic tool, new opportunities: A psychometric analysis of a swedish online version of the aging semantic differential scale. Res Aging. 2020;016402752096361. Available from: https://doi.org/10.1177/0164027520963618
Gluth S, Ebner NC, Schmiedek F. Attitudes toward younger and older adults: The German Aging Semantic Differential. Int J Behav Dev. 2010;34(2):147-58.
Underwood DG, Eklund SJ, Whisler S. A reexamination fo the factor structure of teh Aging Semantic Differential using a generalized social object. Educ Gerontol. 1985;11(6):321-35.
Netemeyer R, Bearden WO, Sharma S. Scaling Procedures. Thousand Oaks, CA: SAGE Publications, Inc.; 2003.
Intrieri RC, von Eye A., Kelly JA. The aging semantic differential: a confirmatory factor analysis. Gerontologist. 1995;35(5):616-21. Available from: https://doi.org/10.1093/geront/35.5.616
Field AP. Discovering statistics using SPSS: and sex, drugs and rock “n” roll, 3rd edn. Los Angeles: SAGE Publications; 2009. p. 821.
Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice, 10th edn. Philadelphia: Wolters Kluwer Health; 2017. p. 784.
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;33:63-9.
Liu YE, Norman IJ. Nurses’ attitudes towards older people: a systematic review. Int J Nurs Stud. 2013;50(9):1271-82. Available from: https://doi.org/10.1016/j.ijnurstu.2012.11.021.
Hweidi IM, Al-Hassan MA. Jordanian nurses’ attitudes toward older patients in acute care settings. Int Nurs Rev. 2005;52:225-32.
Kearney N, Miller M, Paul J, Smith K. Oncology healthcare professionals’ attitudes toward elderly people. Ann Oncol. 2000;11:599-601.
Marques S, Mariano J, Mendonça J, De Tavernier W, Hess M, Naegele L, et al. Determinants of ageism against older adults: a systematic review. Int J Environ Res Public Health. 2020;17(7):e2560.
Liu Y-E, Norman IJ, While AE. Nurses’ attitudes towards older people and working with older patients: an explanatory model. J Nurs Manag. 2014;23:965-73.
Wild K, Wiles JL, Allen RES. Resilience: thoughts on the value of the concept for critical gerontology. Ageing Soc. 2013;33(1):137-58.
Wyman MF, Shiovitz-Ezra S, Bengel J. Ageism in the health care system: providers, patients, and systems. In: Ayalon L, Tesch-Römer C, editors. Contemporary perspectives on ageism international perspectives on aging. Cham: Springer; 2018. p. 193-212.
North MS, Fiske ST. Modern attitudes toward older adults in the aging world: A cross-cultural meta-analysis. Psychol Bull. 2015;141(5):993-1021.
Hofstede Insights. Country comparison [Internet]. Hofstede Insights; 2020. Available from: https://www.hofstede-insights.com/country-comparison/austria,sweden/
Dannefer D, Shura R. Experience, social structure and later life: meaning and old age in an aging society. In: Uhlenberg P, editor. International handbook of population aging international handbooks of population. Dordrecht: Springer; 2009. p. 747-55.
Gonzales E, Marchiondo LA, Tan J, Wang Y, Chen H. The aging semantic differential in mandarin Chinese: measuring attitudes toward older adults in China. J Gerontol Soc Work. 2017;60(3):245-54. Available from: https://doi.org/10.1080/01634372.2017.1295122
Holmberg C, Wolf A, Eide C, Grossschädel F, Schüttengruber G, Patel H, et al. Classic tool, new opportunities: A psychometric analysis of a Swedish online version of the Aging Semantic Differential Scale. Res Aging. 2020;e1-10. Available from: https://doi.org/10.1177/0164027520963618
Jager J, Putnick DL, Bornstein MH. II. More than just convenient: The scientific merits of homogeneous convenience samples. Monogr Soc Res Child Dev. 2017;82(2):13-30. Available from: https://doi.org/10.1111/mono.12296
Ebert JF, Huibers L, Christensen B, Christensen MB. Paper- or web-based questionnaire invitations as a method for data collection: cross-sectional comparative study of differences in response rate, completeness of data, and financial cost. J Med Internet Res. 2018;20(1):e24. Available from: https://doi.org/10.2196/jmir.8353.
Tuten TL. Conducting Online Surveys. In: Gosling SD, Johnson JAPC, editors. Advanced methods for conducting online behavioral research. Washington, DC, USA: American Psychological Association; 2010. p. 179-92. Available from: https://doi.org/10.1037/12076-012.
Colasante E, Benedetti E, Fortunato L, Scalese M, Potente R, Cutilli A, et al. Paper-and-pencil versus computerized administration mode: Comparison of data quality and risk behavior prevalence estimates in the European school Survey Project on Alcohol and other Drugs (ESPAD). PLoS One. 2019;14(11):e0225140.
Runkawatt V, Gustafsson C, Engström G. Different cultures but similar positive attitudes: a comparison between Thai and Swedish nursing students’ attitudes toward older people. Educ Gerontol. 2013;39(2):92-102.