The Association Between new Nurses’ Gerontological Education, Personal Attitudes Toward Older Adults, and Intentions to Work in Gerontological Care Settings in Ontario, Canada

Background The older adult population in Canada is increasing, and many will require care within an acute geriatric unit (AGU) or long-term care facility (LTCF). However, the nursing workforce is not growing at the same pace as the population is aging. New graduate nurses may be able to fill this gap; therefore, it is important to understand their intentions of working in gerontological care settings (i.e., AGU or LTCF). Aim To examine if nursing education and personal attitudes toward older adults influence newly registered nurses’(RNs) intentions to work in a gerontological care setting. Method Nurses (n= 1,103) who registered with the College of Nurses of Ontario for the first time in 2018 were invited to complete a questionnaire. Results The majority of participants (n = 181) reported a positive attitude toward older adults. However, only 14% reported an intention to work in a gerontological care setting. Participants who completed multiple geriatric focused clinical placements were more likely to report an intention to work in these settings. Conclusion This study provides some information regarding the attitudes and intentions of newly RNs toward a career in gerontological care settings. Further research is needed to understand nurses’ intentions regarding working in AGUs or LTCFs.

Interviewing an Elder: Students’ Perceptions of Change in an Introduction to Gerontology Classroom

Within the gerontological classroom, high-impact practices and creative assignments have consistently shown to help engage students, optimize learning, and increase positive attitudes toward older adults and aging (e.g., Chonody, 2015; Yamashita, et al., 2018). One such creative assignment, interviewing an older adult, has been cited as both an influential and valuable experience to gerontology students (e.g., O’Hanlon & Brookover, 2002). Although this assignment has been popular in and out of gerontology courses, more data regarding this and student’s understanding is needed. As such, this presentation aims to 1) introduce and establish the value of using the written assignment, "Interview an Elder" in the gerontology classroom and 2) present preliminary qualitative data on how students’ perceptions of older adults changed after the assignment. Using thematic analysis, results suggest that students are not only surprised by what they learned, but have increased positive perceptions of older adults overall.

A Study of Knowledge, Attitudes, and Educational Needs for Gerontological Nursing in Cancer Hospital Nurses

Purpose: The purpose of this study was to investigate the knowledge, attitudes, and educational needs for gerontological nursing in cancer hospital nurses.Methods: Participants included 208 nurses who had been working in the general wards for more than 6 months. Data collection was conducted through self-reported questionnaires. The Knowledge Scale and Educational Needs for Gerontological Nursing Scale were used for data collection. Also, a Korean version of the Attitudes Toward Older Adults Scale developed by Lim was used. Data were analyzed using descriptive statistics, t-test, ANOVA and Duncan test for multiple comparisons.Results: The average score of the nurses’ knowledge on nursing care for older adults was 21.09 out of 30 points, and their attitudes toward older adults scored 4.29 out of 7 points, which was within a neutral range. The average score of the needs for gerontological nursing education was 4.10 out of 5. In the knowledge level assessment, the drug intervention area showed the lowest score. In terms of the educational needs, geriatric clinical symptoms such as a sore and delirium, and the drug intervention, including dose and toxicity, showed the highest score.Conclusion: Based on the above results, providing education is necessary for cancer hospital nurses so their knowledge on and positive attitudes toward older adults can improve.

The Moderating Role of Empathy Profiles in the Relationship Between Knowledge About Aging and Attitudes Toward Older Adults Among Nursing Students

Knowledge about aging (KA) and empathy affect nursing students’ attitudes toward older adults. However, little is known about the mechanisms underlying this phenomenon from an integrated, person-centered perspective. The purposes of the present study were (1) to identify empathy profiles based on the Interpersonal Reactivity Index (IRI) among Chinese nursing students and (2) to explore whether these latent empathy profiles moderate the association between KA and attitudes toward older people. A cross-sectional survey design was used, and a battery of questionnaires – including those on demographic information, the Chinese version of Palmore’s Facts on Aging Quiz (C-FAQ), the Chinese version of Kogan’s Attitude Toward Older People Scale (C-KAOP), and the IRI – was filled in by 622 Chinese nursing students (Mage 21.76; SD = 1.33). The mean total scores on KAOP and C-FAQ were 164.96 ± 18.32 and 10.436 ± 3.015, respectively, indicating relatively positive attitudes toward older people but low KA among Chinese nursing students. Latent profile analysis was used to identify a three-profile solution characterized by distinct levels of four dimensions of empathy, namely average empathy (AE, n = 399), high empathy (HE, n = 42), and low empathy (LE, n = 181). Subsequent linear regression analysis revealed that the LE rather than the HE profile predicted positive attitudes toward older adults. It is worth noting that the LE profile played a remarkable moderating role in associations between KA and negative attitudes toward older adults after controlling for covariant variables. Both the identification of distinct empathy profiles and the interplay between the LE profile and KA are of significance in reducing negative attitudes toward older adults among Chinese nursing students. Nursing educators should combine improving nursing students’ levels of KA and fostering greater empathy to reduce negative attitudes toward older adults. Such training should give priority to nursing students with LE.

The Extent to Which Ageism Has Affected Lifelong Learning Settings: Perspectives From Practitioners in Taiwan

As of 2018, Taiwan had a population of approximately 23.5 million people, of which 14% had reached 65 years old. To promote healthy and active aging for Taiwanese older adults, the Lifelong Learning Act was amended in 2018 in order to support older adults in terms of their personal development and leisure opportunities. The primary goal of the study was to explore the attitudes toward older adults and ageist behaviors shown by Taiwanese lifelong learning practitioners, including faculty members, lecturers, and volunteers. The results showed that Taiwanese lifelong learning practitioners, especially faculty members, had a high level of benevolent ageist attitudes toward older adults. However, associations between demographic factors on ageist behaviors were inconsistent. The findings of the study provide suggestions and research directions for the purpose of building a better age discrimination-free lifelong learning environment for current and prospective older learners.