Factors influencing nursing students’ career intent in geriatric care: A qualitative study from nurse educators’ perspectives

IF 2.5 Q2 NURSING
Teaching and Learning in Nursing Pub Date : 2026-10-01 Epub Date: 2026-08-05 DOI:10.1016/j.teln.2026.07.012
Yixuan Xu, Yingli Li PhD, Yuwei Wang PhD, Gabor Halasz PhD, Feifei Wang PhD
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引用次数: 0

Abstract

Background

Understanding the factors shaping geriatric nursing education is key to addressing the shortage of the geriatric nursing workforce given global aging.

Aim

To identify factors influencing nursing students’ career intentions toward geriatric care from clinical and academic experts’ perspectives.

Methods

Semi-structured interviews were conducted with 10 purposively selected experts from Chinese hospitals, universities, and health schools. Thematic analysis with three-level coding was performed using NVivo.

Results

The analysis yielded 3 core dimensions: (1) Expression of career attitude, characterized by cognitive biases, affective burdens, and behavioral avoidance; (2) Influencing factors, dominated by institutional-educational factors (notably curriculum design, 67 references; institutional reform, 77 references), clinical experience factors (preceptor attitude, 20 references), and social-industry factors (unclear career pathways, 20 references); (3) Improvement strategies focused on educational and hospital management reforms. A logical model was constructed, illustrating an input-internalization-output process where educational foundations.

Conclusions

Experts perceived nursing undergraduates’ reluctance toward geriatric care not as a fixed personal trait but as an outcome shaped by systemic flaws in the education-to-practice pipeline.
影响老年护理专业护生职业意向的因素:护理教育者视角的质性研究
了解影响老年护理教育的因素是解决全球老龄化背景下老年护理劳动力短缺的关键。目的从临床和学术专家的角度探讨护生老年护理职业意向的影响因素。方法采用半结构化访谈法,对来自中国医院、大学和卫生学校的10名专家进行访谈。采用NVivo软件进行三层编码的专题分析。结果:(1)职业态度的表达,表现为认知偏差、情感负担和行为回避;(2)影响因素,以制度教育因素(主要是课程设计,67篇文献;机构改革,77篇文献)、临床经验因素(教师态度,20篇文献)和社会行业因素(职业道路不明确,20篇文献)为主;(3)以教育和医院管理改革为重点的改进策略。构建了一个逻辑模型,说明了教育基础的投入-内部化-产出过程。结论专家认为护理本科生对老年护理的不情愿不是一种固定的个人特质,而是由教育到实践管道的系统性缺陷形成的结果。
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
CiteScore
2.60
自引率
10.50%
发文量
119
审稿时长
37 days
期刊介绍: Teaching and Learning in Nursing is the Official Journal of the National Organization of Associate Degree Nursing. The journal is dedicated to the advancement of Associate Degree Nursing education and practice, and promotes collaboration in charting the future of health care education and delivery. Topics include: - Managing Different Learning Styles - New Faculty Mentoring - Legal Issues - Research - Legislative Issues - Instructional Design Strategies - Leadership, Management Roles - Unique Funding for Programs and Faculty
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