Ageism among newly graduated nurses: The influence of sociodemographic variables and gerontogeriatric nursing education

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-02-01 DOI:10.1016/j.nepr.2025.104285

Maria José Catalão , Helena Arco , Nuno Carrajola , João Tavares

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Abstract

Aim

This study analyzed the relationship between ageism, sociodemographic variables and gerontogeriatric nursing education in newly graduated nurses to identify key factors influencing ageism.

Background

Ageism presents a significant challenge in healthcare, particularly in caring for older adults. Newly graduated nurses play a crucial role in shaping the future of gerontogeriatric care and their attitudes, behaviors and perceptions towards aging can impact the quality of care.

Design

A nationwide survey of newly graduated Portuguese nurses was performed.

Methods

The survey included sociodemographic variables, gerontogeriatric nursing education characterization and the Ambivalent Ageism Scale. The Mann–Whitney test, Kruskal–Wallis and Multiple linear regression were used for data analysis.

Results

The samples included 242 newly graduated Portuguese nurses (median age of 23; 83.9 % women). The results showed that nurses who reported that their clinical training primarily focused on basic care scored significantly higher on the Hostile Ageism (HA) scale (p = 0.038). Moreover, higher scores on the Benevolent Ageism (BA) subscale (p = 0.045) were associated with confidence working with older adults, while higher HA subscale scores were associated with communication difficulties, especially with patients with neurocognitive impairments (p = 0.048). Logistic regression showed a significant relationship between self-reported confidence and BA scores, as well as between an emphasis on basic care in training and increased HA scores.

Conclusions

Ageism among newly graduated nurses stems primarily from educational aspects of the nursing curriculum. These findings suggest improving gerontogeriatric education in nursing curricula, particularly in building confidence and communication skills, could attenuate ageism in this group of healthcare professionals.

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新毕业护士的年龄歧视：社会人口学变量与老年护理教育的影响

目的分析新毕业护士年龄歧视、社会人口学变量与老年护理教育的关系，找出影响年龄歧视的关键因素。年龄歧视是医疗保健领域的一个重大挑战，特别是在照顾老年人方面。新毕业的护士在塑造老年护理的未来方面发挥着至关重要的作用，他们对老龄化的态度、行为和看法会影响护理质量。设计对葡萄牙应届毕业护士进行了全国性调查。方法采用社会人口学变量、老年护理教育特征和矛盾年龄歧视量表进行调查。数据分析采用Mann-Whitney检验、Kruskal-Wallis检验和多元线性回归。结果样本包括242名刚毕业的葡萄牙护士(中位年龄23岁；83.9 %的女性)。结果显示，报告其临床培训主要集中在基本护理的护士在敌对年龄歧视（HA）量表上得分显著较高（p = 0.038）。此外，善意年龄歧视（BA）量表得分较高（p = 0.045）与老年人的自信工作有关，而HA量表得分较高与沟通困难有关，特别是与神经认知障碍患者（p = 0.048）。逻辑回归显示，自我报告的信心与BA分数之间存在显著关系，在训练中强调基本护理与HA分数的增加之间也存在显著关系。结论新毕业护士的性别歧视主要源于护理课程的教育层面。这些发现表明，改善护理课程中的老年医学教育，特别是在建立信心和沟通技巧方面的教育，可以减少这群医疗保健专业人员的年龄歧视。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.