J Korean Acad Nurs Adm.  2019 Dec;25(5):393-403. 10.11111/jkana.2019.25.5.393.

Factors Influencing Ageism in General Hospital Nurses

Affiliations
  • 1Department of Nursing, Korean Bible University, Korea.
  • 2College of Nursing, Konyang University, Korea. jyhaha403@gmail.com

Abstract

PURPOSE
This study was done to identify the factors involved in ageism in nurses.
METHODS
The participants in this study were 178 general hospital nurses. Data were collected in March 2019 using self-report questionnaires, and were analyzed using descriptive statistics, independent t-test, Mann-Whitney U test, one-way ANOVA, Kruskal-Wallis test, and stepwise multiple linear regression.
RESULTS
The total score for ageism was 39.75±5.44 out of a maximum of 72. Ageism had a statistically significant relationship with contact experience (r=-.47, p < .001), attitude (r=.40 p < .001), and aging anxiety (r=.35 p < .001). The determining factors affecting ageism were contact experience (β=-.45, p < .001), attitude(β=.20, p=.002), work place (β=.22, p < .001), marital status (β=.21, p < .001), geriatric nursing preference (β=.18, p=.006), geriatric education (β=.17, p=.006), and aging anxiety (β=.14, p=.041). The explanation power of these variables was 39%.
CONCLUSION
The results suggest that contact experience with elders had the largest influence on ageism in nurses. Therefore, it is necessary to develop tailored education programs by hospital type to increase positive contact experience and promote understanding of older patients in acute care settings. Furthermore, the importance of the perception of ageism needs to be highlighted in nursing education and continuing education for nurses.

Keyword

Aged; Ageism; Attitude; Geriatric nursing; Nurses

MeSH Terms

Ageism*
Aging
Anxiety
Education
Education, Continuing
Education, Nursing
Geriatric Nursing
Hospitals, General*
Humans
Linear Models
Marital Status
Workplace

Reference

1. Kim W. An exploratory study on ageism experienced by the elderly and its related factors. Journal of the Korea Gerontological Society. 2003; 23(2):21–35.
2. Cho SH, Kim KM. The effects of the elderly's ageism and exclusion experience on suicidal ideation. Korean Journal of Gerontological Social Welfare. 2016; 71(3):359–387.
3. Kim JY, Kim MH, Min KH. Validation of the Korean Version of the Fraboni Ageism Scale (FSA): A study of Korean university students. Korean Journal of Social and Personality Psychology. 2012; 26(4):89–106. https://doi.org/10.21193/kjspp.2012.26.4.006.
4. Butler RN. Age-ism: Another form of bigotry. The Gerontologist. 1969; 9(4):243–246. https://doi.org/10.1093/geront/9.4_part_1.243.
Article
5. Iversen TN, Larsen L, Solem PE. A conceptual analysis of ageism. Nordic Psychology. 2009; 61(3):4–22. https://doi.org/10.1027/1901-2276.61.3.4.
Article
6. Ben-Harush A, Shiovitz-Ezra S, Doron I, Alon S, Leibovitz A, Golander H, et al. Ageism among physicians, nurses, and social workers: findings from a qualitative study. European Journal of Ageing. 2017; 14(1):39–48. https://doi.org/10.1007/s10433-016-0389-9.
Article
7. Allen JO. Ageism as a risk factor for chronic disease. The Gerontologist. 2016; 56(4):610–614. https://doi.org/10.1093/geront/gnu158.
Article
8. Hwang YH. Health service utilization and expenditure of the elderly based on KHP. Health and Welfare Policy Forum. 2011; 182:51–59.
9. Kim SO, Oh HS, Wang MS. A study on the nursing students' knowledge, attitudes and behavior towards the elderly. The Journal of Korean Academic Society of Nursing Education. 2016; 22(2):163–170. https://doi.org/10.5977/jkasne.2016.22.2.163.
Article
10. Lim YS, Kim JS, Kim KS. Nurses' knowledge and attitudes toward the elderly. Journal of the Korea Gerontological Society,. 2002; 22(1):31–46.
11. Kim JH. Ageism survey: a report on instrument development. Korea Journal of Population Studies. 2012; 35(1):53–75.
12. Lambrinou E, Sourtzi P, Kalokerinou A, Lemonidou C. Attitudes and knowledge of the Greek nursing students towards older people. Nurse Education Today. 2009; 29(6):617–622. https://doi.org/10.1016/j.nedt.2009.01.011.
Article
13. Liu YE, Norman IJ, While AE. Nurses' attitudes towards older people and working with older patients: an explanatory model. Journal of Nursing Management. 2015; 23(8):965–973. https://doi.org/10.1111/jonm.12242.
Article
14. Melia S, Choowattanapakorn T. The relationship between nurses' characteristics, ageism, perception of older people's care and nursing practice in hospitalized older people. Journal of Health Research. 2016; 30(2):109–114. https://doi.org/10.14456/jhr.2016.15.
15. Fraboni M, Saltstone R, Hughes S. The Fraboni Scale of Ageism (FSA): an attempt at a more precise measure of ageism. Canadian Journal on Aging. 1990; 9(1):56–60. https://doi.org/10.1017/S0714980800016093.
Article
16. Hutchison P, Fox E, Laas AM, Matharu J, Urzi S. Anxiety, outcome expectancies, and young people's willingness to engage in contact with the elderly. Educational Gerontology. 2010; 36(10-11):1008–1021. https://doi.org/10.1080/03601271003723586.
Article
17. Seo BR. The predicting models of the ageism among the university students [master's thesis]. Seoul: Chung-Ang University;2015.
18. Sanders GF, Montgomery JE, Pittman JF Jr, Balkwell C. Youth's attitudes toward the elderly. Journal of Applied Gerontology. 1984; 3(1):59–70. https://doi.org/10.1177/073346488400300107.
Article
19. Kim W. A study on the knowledge of and attitudes toward the elderly of college students in Korea and the United States. Journal of the Korea Gerontological Society. 2011; 31(3):505–526.
20. Lasher KP, Faulkender PJ. Measurement of aging anxiety: development of the anxiety about aging scale. The International Journal of Aging and Human Development. 1993; 37(4):247–259. https://doi.org/10.2190/1U69-9AU2-V6LH-9Y1L.
Article
21. Kim W. A study on anxiety about aging of college students. Korean Journal of Social Welfare Research. 2011; 26:27–56.
22. Palmore E. Ageism: negative and positive. 2nd ed. New York: Springer Publishing Company;1999.
23. Oral B, Gunay O, Cetinkaya F. Attitudes of health professionals working in a university hospital towards ageism. Medicine Science. 2019; 8(1):117–122. https://doi.org/10.5455/medscience.2018.07.8925.
Article
24. Soderhamn O, Lindencrona C, Gustavsson SM. Attitudes toward older people among nursing students and registered nurses in Sweden. Nurse Education Today. 2001; 21(3):225–229. https://doi.org/10.1054/nedt.2000.0546.
Article
25. Kearney N, Miller M, Paul J, Smith K. Oncology healthcare professionals' attitudes toward elderly people. Annals of Oncology. 2000; 11(5):599–601. https://doi.org/10.1023/A:1008327129699.
Article
26. Kang Y, Moyle W, Venturato L. Korean nurses' attitudes towards older people with dementia in acute care settings. International Journal of Older People Nursing. 2011; 6(2):143–152. https://doi.org/10.1111/j.1748-3743.2010.00254.x.
Article
27. Liu Y, Norman IJ, While AE. Nurses' attitudes towards older people: a systematic review. International Journal of Nursing Studies. 2013; 50(9):1271–1282. https://doi.org/10.1016/j.ijnurstu.2012.11.021.
Article
28. Liu Y, While AE, Norman IJ, Ye W. Health professionals' attitudes toward older people and older patients: a systematic review. Journal of Interprofessional Care. 2012; 26(5):397–409. https://doi.org/10.3109/13561820.2012.702146.
Article
29. Wells Y, Foreman P, Gething L, Petralia W. Nurses' attitudes toward aging and older adults. Journal of Gerontological Nursing. 2004; 30(9):5–9. https://doi.org/10.3928/0098-9134-20040901-04.
Article
30. Kim IS, Choi HS, Yim YY, Won SA, Kim JW, Lee SA. Quality of nursing work life scale-Korean: validity and reliability. Korean Journal of Adult Nursing. 2016; 28(6):646–658. https://doi.org/10.7475/kjan.2016.28.6.646.
Article
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