Premium
Nurses' attitudes towards older people care: An integrative review
Author(s) -
Rush Kathy L,
Hickey Stormee,
Epp Sheila,
Janke Robert
Publication year - 2017
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.13939
Subject(s) - workforce , nursing , medicine , medline , inclusion (mineral) , population , population ageing , gerontological nursing , health care , demographics , gerontology , psychology , social psychology , demography , environmental health , sociology , political science , law , economics , economic growth
Aims and objectives To examine hospital nurses' attitudes towards caring for older adults and delineate associated factors contributing to their attitudes. Background Population ageing is of international significance. A nursing workforce able to care for the ageing population is critical for ensuring quality older adult care. A synthesis of research related to nurses' attitudes towards older adult care is important for informing care quality and the nursing workforce issues. Methods A systematic integrative review process guided the review. Cumulative Index of Nursing and Allied Health Literature and Medline databases were searched for primary research published between 2005–2017. A total of 1,690 papers were screened with 67 papers read in‐depth and eight selected for this review that met the inclusion/exclusion criteria. Results Nurses' held coexisting positive and negative attitudes towards generic and specific aspects of older adult care. Negative attitudes, in particular, were directed at the characteristics of older adults, their care demands or reflected in nurses' approaches to care. Across jurisdictions, work environment, education, experience and demographics emerged as influences on nurses' attitudes. Conclusion There is a paucity of research examining nurses' attitudes towards older adult care. The limited evidence indicates that attitudes towards older people care are complex and contradictory. Influences on nurses' attitudes need further study individually and collectively to build a strong evidence base. Interventional studies are needed as are the development of valid and reliable instruments for measuring nurses' attitudes towards older adult care. Relevance to clinical practice Bolstering postgraduate gerontological preparation is critical for promoting nurses' attitudes towards older adult care. Creating age‐friendly work environments, including appropriate resource allocation, is important to support older people care and facilitate positive nursing attitudes.