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Nurses' attitudes towards older people care: An integrative review

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  • Kathy L Rush
  • Stormee Hickey
  • Sheila Epp
  • Robert Janke

Abstract

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.

Suggested Citation

  • Kathy L Rush & Stormee Hickey & Sheila Epp & Robert Janke, 2017. "Nurses' attitudes towards older people care: An integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4105-4116, December.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:4105-4116
    DOI: 10.1111/jocn.13939
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    References listed on IDEAS

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    1. Elizabeth Capezuti & Marie Boltz & Daniel Cline & Victoria Vaughn Dickson & Marie‐Claire Rosenberg & Laura Wagner & Joseph Shuluk & Cindy Nigolian, 2012. "Nurses Improving Care for Healthsystem Elders – a model for optimising the geriatric nursing practice environment," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(21-22), pages 3117-3125, November.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Mohammad Rababa & Ammar M. Hammouri & Issa M. Hweidi & Julie L. Ellis, 2020. "Association of nurses' level of knowledge and attitudes to ageism toward older adults: Cross‐sectional study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(3), pages 593-601, September.
    2. Paul Alhassan Issahaku & Alhassan Sulemana, 2021. "Older Adults’ Expectations and Experiences With Health care Professionals in Ghana," SAGE Open, , vol. 11(3), pages 21582440211, August.
    3. María del Carmen Giménez‐Espert & Vicente Javier Prado‐Gascó, 2018. "The role of empathy and emotional intelligence in nurses’ communication attitudes using regression models and fuzzy‐set qualitative comparative analysis models," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(13-14), pages 2661-2672, July.
    4. Hui‐Lin Cheng & Xian‐Liang Liu & Rui‐Xue Bi & Lan‐Fang Liu & Simon Ching Lam, 2020. "Two versions of perspectives on caring for older patients scale: Translation and psychometric testing among Chinese nursing students," Nursing & Health Sciences, John Wiley & Sons, vol. 22(4), pages 903-912, December.

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