Analysis of Nursing Students' Attitudes Toward the Elderly: A Cross-Sectional Study Using Latent Profile Methods

Analysis of Nursing Students' Attitudes Toward the Elderly: A Cross-Sectional Study Using Latent Profile Methods

Authors

  • Zhenti Cui School of Medicine, Sias University, Henan, China
  • Jingjie Ren School of Medicine, Sias University, Henan, China
  • Xiaoxiao Lin School of Medicine, Sias University, Henan, China
  • Xiaojie Hou School of Medicine, Sias University, Henan, China
  • Yingdong Cao School of Medicine, Sias University, Henan, China

DOI:

https://doi.org/10.53469/jsshl.2023.06(06).19

Keywords:

Nursing Students, Attitude Towards Older Adults, Latent Profile Analysis

Abstract

Background: Nursing students' attitudes toward older adults was considered as one of the main reasons of willingness to provide elderly care. Previous studies could not consider the heterogeneity characteristics of nursing students' attitudes towards older adults. This study was to identify nursing students' attitude towards the elderly using Latent Profle Analysis (LPA) and discussed the influence factors of different potential attitudes. Methods: 622 participants were included. Palmore's Facts on Aging Quiz, Kogan's Attitude Toward Older People Scale and Interpersonal Reactivity Index were completed. LPA and Logistic regression were used to categorize participants into distinct KAOP subgroups and identify predictors of KAOP subgroup classification, respectively. Results: Latent Profles Analysis produced two profiles: Positive attitude (60.1%, n = 373), negative attitude (39.9%, n = 249). Positive attitude towards the elderly was decreased from 95.8% to 60.1% based on the population heterogeneity. Logistic regression analysis revealed that multiple-child family, the relationship with older adults, knowledge of aging, perspective-taking and empathic concern affect nursing students' attitude towards the elderly. Conclusions: Targeted interventions to improve attitudes might focus on those subgroups from person-oriented approach through helping them to build good relationship with older adults, strengthening knowledge of aging and cultivating empathy.

References

Fang, E. F.; Xie, C.; Schenkel, J. A.; Wu, C.; Long, Q.; Cui, H.; Aman, Y.; Frank, J.; Liao, J.; Zou, H.; Wang, N. Y.; Wu, J.; Liu, X.; Li, T.; Fang, Y.; Niu, Z.; Yang, G.; Hong, J.; Wang, Q.; Chen, G.; Li, J.; Chen, H.; Kang, L.; Su, H.; Gilmour, B. C.; Zhu, X.; Jiang, H.; He, N.; Tao, J.; Leng, S. X.; Tong, T.; Woo, J. A research agenda for ageing in china in the 21st century (2nd edition): focusing on basic and translational research, long-term care, policy and social networks. Ageing Res Rev. 2020, 64, 101174.

Cheon, Y.; Han, K.; Chung, S. J. Attitudes toward older adults and need for education among nurses and nursing assistants. Journal of continuing education in nursing. 2021, 52, 517-524.

Rababa, M.; Hammouri, A. M.; Hweidi, I. M.; Ellis, J. L. Association of nurses' level of knowledge and attitudes to ageism toward older adults: cross-sectional study. Nurs Health Sci. 2020, 22, 593-601.

Chi, M.; Shyu, M.; Wang, S.; Chuang, H.; Chuang, Y. Nursing students' willingness to care for older adults in taiwan. J Nurs Scholarsh. 2016, 48, 172-178.

Rush, K. L.; Hickey, S.; Epp, S.; Janke, R. Nurses' attitudes towards older people care: an integrative review. J Clin Nurs. 2017, 26, 4105-4116.

Rathnayake, S.; Athukorala, Y.; Siop, S. Attitudes toward and willingness to work with older people among undergraduate nursing students in a public university in sri lanka: a cross sectional study. Nurse Educ Today. 2016, 36, 439-444.

Alqahtani, R.; Almuhaidib, S.; Jradi, H. A cross-sectional study: exploring knowledge and attitude of medical and nursing students to care for elders in the future. BMC Geriatr. 2022, 22, 856.

López-Hernández, L.; Martínez-Arnau, F. M.; Castellano-Rioja, E.; Botella-Navas, M.; Pérez-Ros, P. Factors affecting attitudes towards older people in undergraduate nursing students. Healthcare (Basel). 2021, 9, 1231.

Veronek, J.; Bajs Janović, M.; Janović, `.; Barić, H.; Zurc, J.; Gvozdanović, Z. Attitudes towards older people in croatian and slovenian nursing students. Psychiatr Danub. 2020, 32, 484-490.

Chai, X.; Cheng, C.; Mei, J.; Fan, X. Student nurses' career motivation toward gerontological nursing: a longitudinal study. Nurse Educ Today. 2019, 76, 165-171.

Jang, I.; Oh, D.; Kim, Y. S. Factors associated with nursing students' willingness to care for older adults in korea and the united states. Int J Nurs Sci. 2019, 6, 426-431.

Waldrop, D.; Nochajski, T.; Davis, E. L.; Fabiano, J.; Goldberg, L. Empathy in dentistry: how attitudes and interaction with older adults make a difference. Gerontol Geriatr Educ. 2016, 37, 359-380.

Ayoǧlu, F. N.; Kulakçı, H.; Ayyıldız, T. K.; Aslan, G. K.; Veren, F. Attitudes of turkish nursing and medical students toward elderly people. J Transcult Nurs. 2014, 25, 241-248.

Melanson, P. M.; Downe-Wamboldt, B. L. Antecedents of baccalaureate student nurses' attitudes toward the elderly. J Adv Nurs. 1985, 10, 527-532.

Cheng, W. L. Roles of knowledge and attitude in the willingness of nursing students to care for older adults in hong kong. Int J Environ Res Public Health. 2021, 18, 7757.

Wang, C. C.; Liao, W. C.; Kao, M. C.; Chen, Y. J.; Lee, M. C.; Lee, M. F.; Yen, C. H. Taiwanese medical and nursing student interest levels in and attitudes towards geriatrics. Ann Acad Med Singap. 2009, 38, 230-236.

Wang, C.; Liao, W.; Kuo, P.; Yuan, S.; Chuang, H.; Lo, H.; Liao, H.; Elaine, M.; Lee, M.; Yen, C. The chinese version of the facts on aging quiz scale: reliability and validity assessment. Int J Nurs Stud. 2010, 47, 742-752.

Yen, C.; Liao, W.; Chen, Y.; Kao, M.; Lee, M.; Wang, C. A chinese version of kogan's attitude toward older people scale: reliability and validity assessment. Int J Nurs Stud. 2009, 46, 37-43.

Davis, M. H. A multidimensional approach to individual differences in empathy. J. Pers. Soc. Psychol. 1980.

Zhao, Q.; Neumann, D. L.; Cao, Y.; Baron-Cohen, S.; Yan, C.; Chan, R. C. K.; Shum, D. H. K. Culture-sex interaction and the self-report empathy in australians and mainland chinese. Front Psychol. 2019, 10, 396.

Tein, J.; Coxe, S.; Cham, H. Statistical power to detect the correct number of classes in latent profile analysis. Struct Equ Modeling. 2013, 20, 640-657.

Che, C. C.; Chong, M. C.; Hairi, N. N. What influences student nurses' intention to work with older people? A cross-sectional study. Int J Nurs Stud. 2018, 85, 61-67.

Hsu, M. H. K.; Ling, M. H.; Lui, T. L. Relationship between gerontological nursing education and attitude toward older people. Nurse Educ Today. 2019, 74, 85-90.

Abudu-Birresborn, D.; McCleary, L.; Puts, M.; Yakong, V.; Cranley, L. Preparing nurses and nursing students to care for older adults in lower and middle-income countries: a scoping review. Int J Nurs Stud. 2019, 92, 121-134.

Luo, B.; Zhou, K.; Jin, E. J.; Newman, A.; Liang, J. Ageism among college students: a comparative study between u.s. And china. J Cross Cult Gerontol. 2013, 28, 49-63.

Zhao, H.; Wu, B.; Shi, J.; Reifsnider, E.; Fan, J.; Li, J.; Mao, J. Chinese medical students' attitudes toward older adults and willingness to consider a career in geriatric medicine: a cross-sectional survey. Teach Learn Med. 2020, 32, 486-493.

Darling, R.; Sendir, M.; Atav, S.; Buyukyilmaz, F. Undergraduate nursing students and the elderly: an assessment of attitudes in a turkish university. Gerontol Geriatr Educ. 2018, 39, 283-294.

Ayalon, L.; Dolberg, P.; Mikulionienė, S.; Perek-Białas, J.; Rapolienė, G.; Stypinska, J.; Willińska, M.; de la Fuente-Núñez, V. A systematic review of existing ageism scales. Ageing Res Rev. 2019, 54, 100919.

Jie, W.; Xiaoling, Y.; Lian, L.; Qin, Z.; Jing, F. Investigate the attitude of nursing postgraduates towards the elderly and their willingness to engage in geriatric nursing. Health Vocational Education. 2018, 36, 116-118.

Minhui, X.; Hang, Z. Influence of grandparenting on the development of non-cognitive ability of junior middle school students —empirical research based on ceps data. Journal of National Academy of Education Administration. 2020, 86-95.

Zhang, S.; Liu, Y.; Zhang, H.; Meng, L.; Liu, P. Determinants of undergraduate nursing students' care willingness towards the elderly in china: attitudes, gratitude and knowledge. Nurse Educ Today. 2016, 43, 28-33.

Sheffler, S. J. Do clinical experiences affect nursing students' attitudes toward the elderly? J Nurs Educ. 1995, 34, 312-316.

de Guzman, A. B.; Jimenez, B. C. B.; Jocson, K. P.; Junio, A. R.; Junio, D. E.; Jurado, J. B. N.; Justiniano, A. B. F. Filipino nursing students' behavioral intentions toward geriatric care: a structural equation model (sem). Educ Gerontol. 2013, 39, 138-154.

Yu, C.; Chen, K. Experiencing simulated aging improves knowledge of and attitudes toward aging. J Am Geriatr Soc. 2012, 60, 957-961.

Wyman, J. F.; Abdallah, L.; Baker, N.; Bell, C.; Cartwright, J.; Greenberg, S. A.; Kim, J.; Krichbaum, K.; Mueller, C. A.; Overcash, J.; Skemp, L.; Van Son, C. R. Development of core competencies and a recognition program for gerontological nursing educators. J Prof Nurs. 2019, 35, 452-460.

Strugala, M.; Talarska, D.; Wysocki, J. Attitudes towards the elderly among nursing students in poland–initial findings. J Gerontol Geriatr Res. 2016, 5, 1-8.

Cheng, W. L.; Ma, P. K.; Lam, Y. Y.; Ng, K. C.; Ling, T. K.; Yau, W. H.; Chui, Y. W.; Tsui, H. M.; Li, P. P. Effects of senior simulation suit programme on nursing students' attitudes towards older adults: a randomized controlled trial. Nurse Educ Today. 2020, 88, 104330.

Gholamzadeh, S.; Khastavaneh, M.; Khademian, Z.; Ghadakpour, S. The effects of empathy skills training on nursing students' empathy and attitudes toward elderly people. BMC Med Educ. 2018, 18, 198.

Chen, A. M. H.; Kiersma, M. E.; Yehle, K. S.; Plake, K. S. Impact of the geriatric medication game® on nursing students' empathy and attitudes toward older adults. Nurse Educ Today. 2015, 35, 38-43.

Downloads

Published

2023-12-29
Loading...