Assessing knowledge and ageist attitudes and behaviors toward older adults among undergraduate nursing students

ABSTRACT Caring for older adults is viewed as a low prestigious profession and a less attractive career option for nursing students. Knowledge deficit is a major perceived barrier to reliving ageist attitudes and behaviors among nursing students. In the Middle East, there is limited evidence regarding ageism among nursing students. This study aimed to examine the association of nursing students’ demographics and knowledge of aging with ageist attitudes and behaviors. A cross-sectional design was used to recruit a convenience sample of 290 undergraduate nursing students in Jordan. The majority of nursing students reported poor knowledge, held ageist attitudes, and expressed ageist behaviors. A significant difference was found between senior and junior nursing students in the level of knowledge about aging. Also, significant correlations were found among students’ knowledge about aging and ageist attitudes and behaviors. Targeting knowledge deficit and ageist attitudes and behaviors among nursing students is crucial for optimal geriatric care.

[1]  J. Bongaarts,et al.  United Nations Department of Economic and Social Affairs, Population Division World Family Planning 2020: Highlights, United Nations Publications, 2020. 46 p. , 2020 .

[2]  Mohammad Rababa,et al.  Association of Nurses' Level of Knowledge and Attitudes to Ageism Toward Older Adults: Cross-sectional Study. , 2020, Nursing & health sciences.

[3]  R. Sadana,et al.  On the ethics of healthy ageing: setting impermissible trade-offs relating to the health and well-being of older adults on the path to universal health coverage , 2019, International Journal for Equity in Health.

[4]  Anca M. Miron,et al.  Improving nursing students’ perspective taking, perceptions of humanness, and attitudes toward older adults , 2019, Gerontology & geriatrics education.

[5]  C. Amado,et al.  Ageism in Health Care: A Systematic Review of Operational Definitions and Inductive Conceptualizations , 2019, The Gerontologist.

[6]  L. Guse,et al.  Does restructuring theory and clinical courses better prepare nursing students to manage residents with challenging behaviors in long-term care settings? , 2020, Gerontology & geriatrics education.

[7]  Emel Bahadır-Yılmaz The relationship between nursing students' professional values and their attitudes towards the elderly people: A cross-sectional study. , 2018, Nurse education today.

[8]  Funda Buyukyilmaz,et al.  Undergraduate nursing students and the elderly: An assessment of attitudes in a Turkish university , 2018, Gerontology & geriatrics education.

[9]  Mohammad Rababa,et al.  The association of nurses' assessment and certainty to pain management and outcomes for nursing home residents in Jordan , 2017, Geriatric nursing.

[10]  A. Larsson,et al.  Researching Ageism in Health-Care and Long Term Care , 2018 .

[11]  Sharon Shiovitz-Ezra,et al.  Ageism in the Health Care System: Providers, Patients, and Systems , 2018 .

[12]  Ayman M Hamdan Mansour,et al.  Investigating Physical, Psychological and Social Well-being of Older Persons in Jordan. , 2017, Current aging science.

[13]  C. Liou A Comparative Study of Undergraduates’ Attitudes Toward Aging in Taiwan and the United States Through Student Drawings , 2017, International journal of aging & human development.

[14]  L. Ayalon,et al.  Ageism among physicians, nurses, and social workers: findings from a qualitative study , 2016, European Journal of Ageing.

[15]  Justyna Stypinska,et al.  Hard and soft age discrimination: the dual nature of workplace discrimination , 2017, European journal of ageing.

[16]  E. Walker,et al.  Self-Reported Ageism Across the Lifespan , 2016, International journal of aging & human development.

[17]  L. Ayalon,et al.  Measuring Ageism Based on Knowledge, Attitudes and Behavior: Findings from an Israeli Pilot Study , 2016 .

[18]  L. Grealish,et al.  Assessing ageist behaviours in undergraduate nursing students using the Relating to Older People Evaluation (ROPE) survey , 2016, Australasian journal on ageing.

[19]  S. Noh,et al.  Mediating and Moderating Effects in Ageism and Depression among the Korean Elderly: The Roles of Emotional Reactions and Coping Reponses , 2015, Osong public health and research perspectives.

[20]  S. Rathnayake,et al.  Attitudes toward and willingness to work with older people among undergraduate nursing students in a public university in Sri Lanka: A cross sectional study. , 2016, Nurse education today.

[21]  G. Jerusalem,et al.  Ageism and caring attitudes among nurses in oncology , 2015, International Psychogeriatrics.

[22]  I. Norman,et al.  Nurses' attitudes towards older people and working with older patients: an explanatory model. , 2015, Journal of nursing management.

[23]  Priscilla D. Allen,et al.  Contributions of Social Desirability to Self-Reported Ageism , 2015, Journal of applied gerontology : the official journal of the Southern Gerontological Society.

[24]  I. Fagerberg,et al.  Attitudes towards caring for older people in Scotland, Sweden and the United States. , 2014, Nursing older people.

[25]  P. M. Brown,et al.  Nursing Students' Intentions to Work in Dementia Care: Influence of Age, Ageism, and Perceived Barriers , 2014 .

[26]  C. Sumaya,et al.  Geriatric Workforce Capacity: A Pending Crisis for Nursing Home Residents , 2013, Front. Public Health.

[27]  Maxim Topaz,et al.  Nurses' attitudes toward older patients in acute care in Israel. , 2013, Online journal of issues in nursing.

[28]  B. Bowers,et al.  Nursing Student Attitudes Toward and Preferences for Working With Older Adults , 2013, Gerontology & geriatrics education.

[29]  Stefanie S. Boswell Predicting Trainee Ageism Using Knowledge, Anxiety, Compassion, and Contact with Older Adults , 2012 .

[30]  L. Xiao,et al.  Factors affecting nursing students' intention to work with older people in China. , 2012, Nurse education today.

[31]  E. Bodner,et al.  Different dimensions of ageist attitudes among men and women: a multigenerational perspective , 2012, International Psychogeriatrics.

[32]  L. Castle The care of frail older people with complex needs: time for a revolution , 2012 .

[33]  L. Wilson The American Association of Colleges of Nursing's Geriatric Nursing Education Consortium. , 2010, Journal of gerontological nursing.

[34]  S. Kapucu,et al.  Views and attitudes of nursing students towards ageing and older patients , 2010, Australian Journal of Advanced Nursing.

[35]  J. A. Johnson,et al.  Undergraduate Attitudes Toward the Elderly: The Role of Knowledge, Contact and Aging Anxiety , 2008 .

[36]  E. Bodner,et al.  Ageism among Israeli students: structure and demographic influences , 2008, International Psychogeriatrics.

[37]  K. Cherry,et al.  Relating to Older People Evaluation (ROPE): A Measure of Self-Reported Ageism , 2008 .

[38]  A. Kalache,et al.  Attitudes toward the elderly among students of health care related studies at the University of Salamanca, Spain , 2008, The Journal of continuing education in the health professions.

[39]  I. Hweidi,et al.  Jordanian nursing students' attitudes toward the elderly. , 2006, Nurse education today.

[40]  S. Kemper,et al.  Enhancing communication with older adults: overcoming elderspeak. , 2005, Journal of gerontological nursing.

[41]  Robert Saltstone,et al.  The Fraboni Scale of Ageism (FSA): An Attempt at a More Precise Measure of Ageism , 1990, Canadian Journal on Aging / La Revue canadienne du vieillissement.

[42]  E. Palmore Facts on aging. A short quiz. , 1977, The Gerontologist.