Accessible Requires Authentication Published by De Gruyter October 1, 2019

Student Nurses’ Perceptions About Older People

Sherry Dahlke, Sandra Davidson, Uira Duarte Wisnesky, Maya R. Kalogirou, Vince Salyers, Cheryl Pollard, Mary T. Fox, Kathleen F. Hunter and Jennifer Baumbusch

Abstract

Educating nursing students about the ageing population is situated within negative societal, heath care and nursing perceptions. A cross-sectional design using Burbank’s perceptions towards older people scale was used to survey students in a pre-licensure nursing program in western Canada. Findings revealed that students’ perceptions about older people were lower in the third year of the nursing program and after four clinical experiences. We suggest that students’ first experiences in long-term care settings, in which they learn to provide basic care to older people, be balanced with experiences of older people in a variety of settings. Such experiences would allow students to develop the knowledge and skill needed to work with an ageing population with complex healthcare needs. More research is needed to better understand students’ experiences and perceptions about where in the program more learning strategies about how to best work with older people would be helpful.

Funding source: Social Sciences and Humanities Research Council of Canada

Award Identifier / Grant number: 430-2018-00014

Funding statement: This work was supported by the Social Sciences and Humanities Research Council of Canada (Funder Id: http://dx.doi.org/10.13039/501100000155, Grant Number: 430-2018-00014).

References

Arbaji, A. I., Maron, D. D., Yu, Q., Wnedel, V. I., Tanner, E., Boult, C., … Durso, S. C. (2010). The geriatric floating interdisciplinary transition team. Journal of the American Geriatrics Society, 58, 364–370. doi:10.1111/j.1532-5415.2009.02682 Search in Google Scholar

Bahn, D. (2001). Social learning theory: Its application in the context of nurse education. Nurse Education Today, 21(2), 110–117. doi:10.1054/nedt.2000.0522 Search in Google Scholar

Bandura, A. (1971). Social learning theory. New York, NY: General Learning Press. Search in Google Scholar

Baumbusch, J., & Andrusyszyn, M. (2002). Gerontological content in Canadian baccalaureate nursing programs: Cause for concern? Canadian Journal of Nursing Research, 34(1), 119–129. Retrieved from http://cjnr.archive.mcgill.ca/issue/archive Search in Google Scholar

Baumbusch, J., Dahlke, S., & Phinney, A. (2012). Nursing students’ knowledge and beliefs about care of older adults in a shifting context of nursing education. Journal of Advanced Nursing, 68(11), 2550–2558. Search in Google Scholar

Boltz, M., Resnick, B., Capezuti, E., Shuluk, J., & Secic, M. (2013). Functional decline in hospitalized older adults: Can nursing make a difference? Geriatric Nursing, 33(4), 272–279. Search in Google Scholar

Brown, J., Nolan, M., Davies, S., Nolan, J., & Keady, J. (2008). Transforming students’ views of gerontological nursing: Realising the potential of ‘enriched’ environments of learning and care: A multi-method longitudinal study. International Journal of Nursing Studies, 45(8), 1214–1232. doi:10.1016/j.ijnurstu.2007.07.00 Search in Google Scholar

Burbank, P., Dowling-Castrononvo, A., Crowther, M. R., & Capezuti, E. A. (2006). Improving knowledge and attitudes toward older adults through innovative educational strategies. Journal of Professional Nursing, 22(2), 91–97. doi:10.1016/j.profnurs.2006.01.007 Search in Google Scholar

Butler, R. N. (1969). Age-ism: Another form of bigotry. Gerontologist, 9(4, Pt. 1), 243–246. doi:10.1093/geront/9.4Part1.243 Search in Google Scholar

Canadian Institute for Health Information. 2017. Regulated Nurses, 2017. Ottawa, ON: Author. Retrieved from https://www.cihi.ca/en/regulated-nurses-2017 Search in Google Scholar

Canadian Institute for Health Information. 2018. National health expenditure trends, 1975-2018. Ottawa, ON: Author. Retrieved from https://www.cihi.ca/en/health-spending/2018/national-health-expenditure-trends Search in Google Scholar

Cohen, J. (1992). Quantitative methods in Psychology: A power primer. Psychological Bulletin, 112(1), 155–159. Search in Google Scholar

Cooper, E., Spilsbury, K., McCaughan, D., Thompson, C., Butterworth, T., & Hanratty, B. (2017). Priorities for the professional development of registered nurses in nursing homes: A Delphi study. Age and Ageing, 46(1), 39–45. doi:10.1093/ageing/afw160 Search in Google Scholar

Dahlke, S., & Fehr, C. (2010). Implementing a gerontological clinical practice with an interdisciplinary focus. Geriatrics and Gerontology Education, 31(2), 133–148. Search in Google Scholar

Dahlke, S., Hall, W. A., & Baumbusch, J. (2017). Constructing definitions of safety risks while nurses care for hospitalized older people: A secondary analysis of qualitative data. International Journal of Older People Nursing, 1–10. doi:10.1111/opn.12148 Search in Google Scholar

Dahlke, S., & Phinney, A. (2008). Caring for hospitalized older adults at risk for delirium: The silent unspoken piece of nursing practice. Journal of Gerontological Nursing, 34(6), 41–47. Search in Google Scholar

Dahlke, S., Phinney, A., Hall, W. A., Rodney, P., & Baumbusch, J. (2015). Orchestrating care: Nursing practice with hospitalized older adults. International Journal of Older People Nursing, 10(4), 252–262. doi:10.1111/opn.12075 Search in Google Scholar

de Almeida Tavares, J. P., Da Silva, A. L., Sá-Couto, P., Boltz, M., & Capezuti, E. (2015). Portuguese nurses’ knowledge of and attitudes toward hospitalized older adults. Scandinavian Journal of Caring Sciences, 29, 51–61. doi:10.1111/scs.12124 Search in Google Scholar

Deschodt, M., de Casterlé, D. B., & Milisen, K. (2010). Gerontological care in nursing education programmes. Journal of Advanced Nursing, 66(1), 139–148. doi:q10.111/j.1365–2646.2009.05160.x Search in Google Scholar

Dillman, D. A., Smith, J. D., & Christian, L. H. (2009). Internet, mail and mixed-mode surveys: The tailored design method (3rd ed.). Hoboken, New Jersey: John Wiley & Sons. Search in Google Scholar

Duggan, S., Mitchell, E. A., & Moore, K. D. (2013). ‘With a bit of tweaking … we could be great’. An exploratory study of the perceptions of students on working with older people in a preregistration BSc (Hons) nursing course. International Journal of Older People Nursing, 8(3), 2070215. doi:10.1111/j.1748-3743.2012.00317.x Search in Google Scholar

Flood, M. T., & Clark, R. B. (2009). Exploring knowledge and attitudes toward aging among nursing and nonnursing students. Educational Gerontology, 35(7), 587–595. doi:10.1080/03601270802605333 Search in Google Scholar

Fox, M. T., Butler, J. I., Persaud, M., Tregunno, D., Sidani, S., & McCague, H. (2016). A multi-method study of the geriatric learning needs of acute care hospital nurses in Ontario, Canada. Research in Nursing & Health, 39, 66–76. doi:10.1002/nur.21699 Search in Google Scholar

Garbrah, W., Välimäki, T., Palovaara, M., & Kankkunen, P. (2017). Nursing curriculums may hinder a career in gerontological nursing: An integrative review. International Journal of Older People Nursing, Advance online publication. doi:10.1111/opn.12152 Search in Google Scholar

Gilje, F., Lacey, L., & Moore, C. (2007). Gerontology and geriatric issues and trends in US nursing programs: A national survey. Journal of Professional Nursing, 23(1), 21–29. doi:10.1016/j.profnurs.2006.12.001 Search in Google Scholar

Gould, O. N., Dupuis-Blanchard, S., & Mac Lennan, A. (2015). Canadian nursing students and the care of older patients: How is geriatric nursing perceived? Journal of Applied Gerontology, 34(6), 797–814. doi:10.1177/0733464813500585 Search in Google Scholar

Hartgerink, J. M., Cramm, J. M., Bakker, T. J. E. M., van Eijsden, A. M., Mackenbach, J. P., & Nieboer, A. P. (2014). The importance of multidisciplinary teamwork and team climate for relational coordination among teams delivering care to older patients. Journal of Advanced Nursing, 70(4), 791–799. doi:10.1111/jan.12233 Search in Google Scholar

Health and Social Care Information Centre. (2015). Hospital episode statistics: Admitted patient care, England −2013-14. Retrieved from http://www.hscic.gov.uk/catalogue/PUB16719/hosp-epis-stat-admi-summ-rep-2013-14-rep.pdf. Search in Google Scholar

Higgins, I., Van Der Piet, P., Slater, L., & Peek, C. (2007). The negative attitudes of nurses towards older patients in the acute hospital setting: A qualitative descriptive study. Contemporary Nurse, 26(2), 225–237. doi:10.5172/conu.2007.26.2.225 Search in Google Scholar

Hirst, S. P., Lane, A. M., & Stares, B. (2012). Gerontological content in Canadian nursing and social work programs. Canadian Geriatrics Journal, 15(1). doi:10.5770/cgj.15.21 Search in Google Scholar

Holroyd, A., Dahlke, S., Fehr, C., Jung, P., & Hunter, A. (2009). Attitudes towards aging: Implications for a caring profession. Journal of Nursing Education, 48(7), 374–380. Search in Google Scholar

Hovey, S. L., Dyck, M. J., Kim, M., & Reese, C. (2018). The effect of first clinical assignments on prelicensure nursing students’ attitudes toward older people: An observational study. Contemporary Nurse, 54(2), 139–149. doi:10/1080/10376178.2018.1459759 Search in Google Scholar

Ironside, P. M., Tagliareni, M. E., McLaughlin, B., King, E., & Mengel, A. (2010). Fostering geriatrics in associate degree nursing education: An assessment of current curricular and clinical experiences. Journal of Nursing Education, 49(5), 246–251. Search in Google Scholar

Kjorven, M., Rush, K., & Hole, R. (2011). A discursive exploration of the practices that shape and discipline nurses’ responses to postoperative delirium. Nursing Inquiry, 18, 325–335. doi:10.1111/j.1440-1800.2011.00534x Search in Google Scholar

Koehler, A. R., Davies, S., Smith, L. R., Hooks, T., Schanke, H., Loeffler, A., … Ratzlaff, N. (2016). Impact of a stand-alone course in gerontological nursing on undergraduate nursing students’ perceptions of working with older adults: A quasi-experimental study. Nurse Education Today, 46, 17–23. doi:10.1016/j.nedt.2016.06.015 Search in Google Scholar

Kostinen, S., Salminen, L., Stolt, M., & Leino-Kilpi, H. (2015). The education received by nursing students regarding nursing older people: A scoping literature review. Scandinavian Journal of Caring Sciences, 29, 15–29. doi:10.1111/scs.12135 Search in Google Scholar

Kramer, M., Schmalenberg, C., & Keller-Unger, J. L. (2009). Incentives and procedures effective in increasing survey participation of professional nurses in hospitals. Nursing Administration Quarterly, 33(2), 174–187. Search in Google Scholar

Kydd, A., Engström, G., Touhy, T., Newman, D., Skela-Savič, B., Hvalič-Touzery, S., & Fagerberg, I. (2014). Attitudes of nurses, and student nurses towards working with older people and to gerontological nursing as a career in Germany, Scotland, Slovenia, Sweden, Japan and the United States. International Journal of Nursing Education, 6(2), 182–190. doi:10.5958/0974-9357.2014.00630.8 Search in Google Scholar

Lea, E., Marlow, A., Bramble, M., Andrews, S., Eccleston, C., McInerney, F., & Robinson, A. (2014). Improving student nurses’ aged care understandings through a supported placement. International Nursing Review, 62, 28–35. Search in Google Scholar

Liu, Y., Norman, I., & While, A. E. (2013). Nurses’ attitudes toward older people: A systematic review. International Journal of Nursing Studies, 50, 1271–1282. doi:10.1016/j.ijnurstu.2012.11.021 Search in Google Scholar

Negrin, K., & Dahlke, S. (2019). Examining gerontological education: A call to action. Perspectives, 40(3), 17–25. Search in Google Scholar

Plonczynski, D. J., Ehrlich-Jones, L., Robertson, J. F., Rossetti, J., Munroe, D. J., & Koren, M. E. (2007). Ensuring a knowledgeable and committed gerontological nursing workforce. Nurse Education Today, 27(2), 113–121. doi:10.1016/j.nedt.2006.04.00 Search in Google Scholar

Ridgway, V., Mason-Whitehead, E., & McIntosh-Scott, A. (2018). Visual perceptions of ageing: A longitudinal mixed methods study of UK undergraduate student nurses’ attitudes towards older people. Nurse Education in Practice, 33, 63–60. doi:10.1016/j,nepr.2018.08.005 Search in Google Scholar

Sellman, D. (2009). Ethical care for older persons in acute care settings. Nursing Philosophy, 10(2), 69–70. doi:10.1111/j.1466–769X.2009.0039 Search in Google Scholar

Statistics Canada (2017, May 3). Population by broad age groups and sex, 2016 counts for both sexes, Canada, provinces and territories, 2016 Census – 100% data (table). Age and sex highlight tables, Census 2016. 2016 Census: Release topics. Statistics Canada Catalogue no. 98-402-X2016002. Ottawa, ON: Author. Retrieved from http://www12.statcan.gc.ca/census-recensement/2016/dp-pd/hltfst/as/Table.cfm?Lang=E&T=11 Search in Google Scholar

United Nations, Department of Economic and Social Affairs, Population Division (2017). World Population Ageing 2017 - Highlights (ST/ESA/SER.A/397). Search in Google Scholar

Van Leeuwen, E., Oosterhuis, M., & Ruyter, S. (2016). Anxiety and categorisation effects in student nurses’ attitudes towards young and older patients: A dual pathway model. Nurse Education Today, 39, 170–175. doi:10.1016/jnedt.2016.01.023 Search in Google Scholar

Wareing, M., Taylor, R., Wilson, A., & Sharples, A. (2017). The influence of placements on adult nursing graduates choice of first post. British Journal of Nursing, 26(4), 228–233. Search in Google Scholar

Wilson, D. M., Nam, M., Murphy, J., Victorino, J. P., Gondim, E. C., & Low, G. (2017). A critical review of published research literature reviews on nursing and healthcare ageism. Journal of Clinical Nursing, Advance online publication. doi:10.1111/jocn.13803 Search in Google Scholar

World Health Organization (WHO). (2015). World report on ageing and health. Geneva, Switzerland: Author. Retrieved from http://apps.who.int/iris/bitstream/10665/186463/1/9789240694811_eng.pdf?ua=1 Search in Google Scholar

Xiao, L. D., Paterson, J., Henderson, J., & Kelton, M. (2008). Gerontological education in undergraduate nursing programs: An Australian perspective. Educational Gerontology, 34, 763–781. doi:10.1080/03601270802016424 Search in Google Scholar

Zisberg, A., Shadmi, E., Gur-Yaish, N., Tonkikh, O., & Sinoff, G. (2015). Hospital associated functional decline: The role of hospitalization processes beyond individual risk factors. Journal American Geriatrics Society, 63, 55–62. doi:10.1111/jgs.13193 Search in Google Scholar

Received: 2019-04-29
Revised: 2019-08-23
Accepted: 2019-08-26
Published Online: 2019-10-01

© 2019 Dahlke et al., published by De Gruyter