Abstract
Ageism implies negative views and attitudes towards older people. These unconscious behaviors could make the elderly feel as if they were no longer useful for the family and community. Ageism is common in healthcare services. The objective of this study was to develop a tool to assess ageism in nursing care in Kashan/Iran 2015. This psychometric study was carried out in four stages: literature review for item generation; content validity testing; exploratory factor analysis (EFA) for evaluation of construct validity; and reliability assessment. The data analyzed with SPSS version 16. The final questionnaire had 24 items. The total CVI and CVR were 0.88 and 0.57. Explanatory factor analysis identified 3 factors of respecting older adult in nursing care (14 items); age discrimination and negative views towards older adults (5 items); attention to older adult and their basic caring needs (5 items). The three factors could explain 49.54% of variance. The test-re-test correlation stood at 0.9. The internal consistency of the questionnaire was Cronbach’s alpha =0.85. A valid and reliable instrument for the evaluation of ageism in nursing care was developed in this study.
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References
Askarizade-Mahani, M., Arab, M., Mohmdalyzdah, S., & Haghdost, A. (2008). Staff nurses knowledge of aging process and their attitudes toward elder people. Iranian Journal of Nursing, 55, 27–19.
Bowling, A. (2007). Honour your father and mother: Ageism in medicine. British Journal of General Practice, 538, 347–348.
Cary, L. A., Chasteen, A. L., & Remedios, J. (2017). The ambivalent ageism scale: Developing and validating a scale to measure benevolent and hostile ageism. Gerontologist, 2, e27–e36.
Centre for Policy on Ageing. (2009). Ageism and age discrimination in secondary health care in the United Kingdom. London: CPA publishing Available from: http://www.cpa.org.uk/reviews. Accessed 20 Mar 2016.
Cherry, K. E., & Palmore, E. (2008). Relating to older people evaluation (ROPE): A measure of self-reported ageism. Educational Gerontology, 34(10), 849–861.
Fraboni, M., Saltstone, R., & Hughes, S. (1990). The Fraboni scale of ageism (FSA): An attempt at a more precise measure of ageism. Canadian Journal on Aging, 1, 56–66.
Fukata, S., Ando, M., Amemiya, T., Kuroiwa, K., & Oda, K. (2012). Postoperative function following radical surgery in gastric and colorectal cancer patients over 80 years of age-an objection to "ageism". Nagoya Journal of Medical Science, 3-4, 241–251.
Gaynor, E. J., Geoghegan, S. E., & O'Neill, D. (2014). Ageism in stroke rehabilitation studies. Age and Ageing, 43(3), 429–431.
Hilt, M. (1997). The Kogan attitudes toward old people scale: Is it time for a revision? Psychological Reports, 80(3Pt2), 1372–1374.
Hoffman, G. (2012). Basic geriatric nursing (pp. 18–19). St. Louis: Mosby.
Jerant, A. F., Franks, P., Jackson, J. E., & Doecher, M. P. (2004). Age related disparaties in cancer screening: Analysis of 2001 behavioral risk factors surveillance system data. Annals of Family Medicine, 2, 481–487.
Kagan, S. H. (2012). Gotcha! Don’t let ageism sneak into your practice. Geriatric Nursing, 33, 60–62.
King, S. P., & Bryant, F. B. (2017). The workplace intergenerational climate scale (WICS): A self-report instrument measuring ageism in the workplace. Journal of Organizational Behavior, 38(1), 124–151.
Lawshe, C. H. (1975). A quantitative approach to content validity. Personnel Psychology, 28(4), 563–575.
McKenziea, E. L., & Brown, P. M. (2014). Nursing students' intentions to work in dementia care: Influence of age. Educational Gerontology, 8, 618–633.
North, M. S., & Fiske, S. T. (2013). A prescriptive, intergenerational-tension ageism scale: Succession, identity, and consumption (SIC). Psychology Assessment, 25(3), 706–713.
Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what’s being reported?, critique and recommendations. Research in Nursing and Health, 29(5), 489–497.
Polit, D. F., Beck, C. T., & Owen, S. V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing and Health, 30(4), 459–467.
Potter, G., Clarke, T., Hackett, S., & Little, M. (2013). Nursing students and geriatric care: The influence of specific knowledge on evolving values, attitudes, and actions. Nurse Education in Practice, 13(5), 449–453.
Pritchard, K. I. (2007). Have we been guilty of ageism in the primary treatment of breast cancer? British Journal of Cancer, 96(7), 1011–1012.
Rosencranz, H.A., & McNevin, T.E. (1969). A factor analysis of attitudes toward the aged. The Gerontologist, 9, 55-59.
Snaedal, J. (2011). Person centered medicine for the older patient, with specific reference to the person with dementia. The International Journal of Person Centered Medicine, 1, 53–55.
Thorsteinsdottir, B., Montori, V.M., Prokop, L.J & .Murad, M.H. (2013). Ageism vs. the technical imperative, applying the GRADE framework to the evidence on hemodialysis in very elderly patients. Clinical Interventions in Aging 8: 797–807.
Usta, Y. Y., Demir, Y., Yonder, M., & Yildiz, A. (2012). Nursing students' attitudes toward ageism in Turkey. Archives of Gerontology and Geriatrics, 54(1), 90–93.
Xiao, L. D., Shen, J., & Paterson, J. (2013). Cross-cultural comparison of attitudes and preferences for care of the elderly among Australian and Chinese nursing students. Journal of Transcultural Nursing, 24(4), 408–416.
Young, J. (2006). Ageism in services for transient ischaemic attack and stroke. British Medical Journal, 333(7567), 508–509.
Acknowledgements
We are grateful to all the experts who shared their comments and views with us, and the nurses who participated in this study. The authors acknowledge the research deputy of Kashan University of Medical Sciences for funding and supporting this research with the grant number 94038.
Funding
This study was funded and supported by deputy of research in Kashan University of Medical Sciences with grant number 94038.
Negin Masoudi Alavi has received research grants from Kashan University of Medical Sciences. Parvin Ahmadi was a master degree student in geriatric nursing in Kashan University of Medical Sciences. Dr. Hamidreza Gilasi, Azadeh Safa, and Mohammad Aghajani are faculty members in Kashan University of Medical Sciences who participated in this research project.
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The ethical committee of the Kashan University of Medical Sciences approved the study protocol with the code number: IR.KAUMS.REC.1394.38.
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Participants were informed about the aims of the study before they signed the consent form. In all stages of the study the anonymity of the participants was respected. The study protocol was based on Helsinki Declaration of Ethics in Research.
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Ahmadi, P., Alavi, N.M., Gilasi, H.R. et al. Developing a Tool for Evaluating Ageism in Nursing Care of Older People in Kashan/Iran. J Cross Cult Gerontol 34, 25–33 (2019). https://doi.org/10.1007/s10823-019-09364-w
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DOI: https://doi.org/10.1007/s10823-019-09364-w