Ageism In Health Care Research Articles

Perceived Ageism in Health Care: A Hybrid Concept Analysis.

Identifying perceived ageism is a critical step in eliminating ageism. This hybrid concept analysis aims to describe the concept of perceived ageism in health care. In the theoretical phase, a scoping review was conducted. In the field phase, semi-structured interviews were conducted with nine community-dwelling older adults. In the final analytical phase, results from the theoretical phase were integrated with those from the fieldwork phase. The perceived ageism in health care includes four dimensions: self-internalization (self-denial, a sense of unease, and passivity of behavior in seeking health care), interpersonal interaction (perceived negative perceptions, neglected attitudes, and unfair care behaviors), organization system (perceived strangeness caused by unfamiliar technology, unsupportive environment, and inadequate resources), and procedure policy (perceived uniformity of healthcare process and lack of targeted practice policies). Research related to this concept has contributed to developing measurement tools for assessing perceived ageism in healthcare practice and subsequent research.

Ageism Healthcare: Implications for the Psychological Well-Being of Atlantic Canadian Healthcare Professionals.

Ageism in healthcare is related to poor outcomes for older patients. The objective of this study was to evaluate the relationships between ageism and various aspects of the psychological well-being of healthcare professionals in Atlantic Canada. In 2023, an online survey of 294 healthcare professionals from various disciplines was conducted. This survey included items to measure expectations of aging, stress, burnout, emotional dissonance, and well-being. Results indicated that aging expectations were significantly related to burnout, perceived stress, well-being, and emotional dissonance. With the use of a path analysis, emotional dissonance partially mediated relationships between burnout and well-being with stress. However, aging expectations did not significantly predict emotional dissonance. Differences were found across professional groups on ageism. Conclusions support the need for increased awareness to the relationship between ageist attitudes and professionals' well-being, as well as the need for education and interventions to reduce false expectations about the aging process.

Carta of Florence Against Ageism: No Place for Ageism in Health Care.

Carta of Florence Against Ageism: No Place for Ageism in Health Care.

Carta of Florence Against Ageism: No Place for Ageism in Healthcare.

Carta of Florence Against Ageism: No Place for Ageism in Healthcare.

“Don’t Treat Us Like Fragile Babies”: Mentors’ Perspectives of an Intergenerational Mentoring Program for Medical Students

ABSTRACT Ageism in health care is a serious and complex issue which can have deleterious consequences for an older person’s health and well-being. Intergenerational mentoring programs that match medical students with non-familial, community-dwelling older adults provide an opportunity to cultivate more positive attitudes about aging. Intergenerational mentoring programs create prospects for reciprocal relationships that can enrich medical students’ learning while making meaningful contributions to how medicine is practiced with older people in the future. Mentor perspectives were explored by conducting secondary analysis of 41 older adult mentor interviews using a directed conceptual content analysis to identify the salience of generational guidance, volunteerism, and life satisfaction. In each of these categories, the most used codes were being involved, satisfying, and experience, which depict the positivity of the respondents’ engagement with the students and program. A better understanding of the benefits for such intergenerational mentoring programs may inform replication in other sectors.

Addressing ageism in healthcare through gerontological nursing

Addressing ageism in healthcare through gerontological nursing Sherry Dahlke, Associate Professor at the Faculty of Nursing, University of Alberta, discusses the impact of ageism in healthcare and why gerontological nursing education is vital for improving awareness and patient care. The World Health Organization’s (WHO, 2021) global report on ageism reports that one in every two people is ageist towards older people. Ageism includes stereotypes about aging and older adults (beliefs), prejudice (feelings) and/or discrimination through actions (WHO, 2021). Ageism can occur between people, be institutionalized, and/or self-directed. For example, ageism occurs in healthcare when older people who often have complex health and social needs are expected to fit into systems designed for younger people with one health concern (Kojima, 2018), resulting in adverse health outcomes (Chang et al., 2020). Exposure to negative stereotypes of aging can lead people to internalize negative beliefs of inevitable decline, resulting in them experiencing adverse effects of ageism as they age (Levy, 2009; Steward, 2022).

Exploring older people's experiences of the interpersonal care relationship between nurses and patients during hospitalization in the pandemic period: A qualitative study.

This article presents the findings of a qualitative study focusing on the experiences of people aged over 70 years in the interpersonal nurse-patient care relationship in hospital settings during and after the COVID-19 pandemic. The aim was to analyse different aspects of this relationship, including nurses' behaviour and caring attitudes, the person-centred model of care, patients' involvement in their own care and communication in the hospital context. An exploratory qualitative study was conducted on the basis of an interpretative framework. Six focus groups were conducted. A total of 34 participants were purposively recruited from three nursing homes in Spain, Italy and Portugal. Specific inclusion criteria were used to select participants. Five main categories were identified. Analysis revealed the importance of empathy and sensitivity in caring relationships, as well as the need for personalized and patient-centred care. The importance of effective communication and recognition of ageist behaviour by professionals was highlighted. In addition, independent of the pandemic, situational factors in the hospital environment were identified that influence the interpersonal care relationship. The study highlights the need to promote a person-centred model of care that takes into account the specific preferences and needs of older people. This is achieved by identifying elements of the interpersonal nurse-patient relationship. In addition to highlighting the disparity of opinion regarding an active or passive role in self-care and decision making, the importance of addressing ageism and improving communication is emphasized. WHAT PROBLEM DID THE STUDY ADDRESS?: The importance of the patient-nurse relationship in hospital care has been highlighted in previous studies. Critical elements of the patient care experience have been identified as empathy and effective communication. Ageism in healthcare has been recognized as a potential barrier to patient-centred care. WHAT WERE THE KEY FINDINGS?: The main findings highlight the importance of empathy and personalized care, emphasize the importance of effective communication and address ageist behaviours in the nurse-patient relationship. WHERE AND WHO WILL THE RESEARCH IMPACT?: By highlighting the need for person-centred care and improved communication strategies, particularly in the context of caring for older patients during and after the COVID-19 pandemic, this research will have an impact on healthcare professionals, policy makers and carers. The COREQ guideline was used. This study adopted a collaborative approach to ensure that patient perspectives were integrated into the research process. We organized regular focus groups. Patients were actively involved in shaping the research questions, refining the study design and interpreting the emerging findings. Their valuable input helped us to understand the nuances of their experience and to prioritize the aspects that were critical to their well-being. In addition, their insights guided the development of practical recommendations aimed at improving the interpersonal care relationship between nurses and patients in hospital settings, ensuring that their voices were heard and reflected in the proposed interventions. This patient-centred approach fostered a sense of empowerment among the participants. It reinforced the notion that their experiences and opinions are integral to shaping healthcare practice.

Nursing Education as a Key Strategy to Combat Ageism: Preparing Nurses to Proactively Dismantle Their Own Ageist Views as Well as Ageist Practices Within Health Care Settings.

The prevalence of ageism in health care prevents nurses from providing the best care to older adults. Nursing education can prepare nurses to proactively dismantle their own ageist views as well as ageist practices within health care settings. Active learning strategies, such as role-play and case studies, can be used to teach nurses how to become anti-ageism advocates and improve the quality of health care for older adults.

Educating dental students to provide compassionate age friendly care for older adults.

As the world population ages, the need for age friendly care increases. In dentistry, age friendly care requires an appropriate comprehension of multiple factors that can be categorized in socio-economic circumstances, systemic health problems, and oral health conditions. In addition to the understanding of these factors and its relationships among each other, the future dental workforce should also be aware of unconscious and pervasive societal stereotypical perception of older persons, aging, and being old, which results in ageism and ageist attitudes. Dental schools can play an important role on raising ageism awareness and combating ageism in healthcare, thus preparing the future of the dental workforce to provide compassionate age friendly care. This paper will discuss ageism in dental schools and learning strategies used to combat it and increase compassionate care delivery for older adults.

Ageism among dentists who are Facebook users in Greece.

The phenomenon of ageism in healthcare is a significant threat to elderly people's well-being. There is a literature gap regarding the topic of ageism among dental professionals in Greece. This study aims to contribute to filling this gap. A cross-sectional study was conducted using recently validated in Greece 15-item ageism 6-point Likert-scale. The scale has been previously validated in the environment of senior dental students. Purposive sampling was used to select participants. A total of 365 dentists responded to the questionnaire. As to the internal consistency of the scale, Cronbach's alpha found to be very low (α = 0.590) to support the reliability of a total of 15 Likert-type questions (items) of the scale. However, the factor analysis resulted in three factors that achieved high reliability towards validity. The demographic comparison with these factors and single items revealed statistically significant gender differences in ageism (with males being more ageist than females), and differences related to other socio-demographic factors, which however, were related to factors or items individually. The study revealed that the Greek version of the ageism scale for dental students had not further validity and reliability among dentists. However, some items were distributed into three factors that presented significant validity and reliability. This is of great importance for the ongoing research on the topic ″ageism in dental healthcare″.

CHALLENGING AGEISM IN HEALTHCARE THROUGH INTERPROFESSIONAL EDUCATION

Abstract Broadly defined as prejudice, discrimination, or stereotyping of older adults, ageism is prevalent in the healthcare system. It is implicated in the over- or under-diagnosis and/or treatments provided to older persons, resulting in decreased quality of life and increased costs of care. In Fall 2021, we developed a virtual interprofessional education (IPE) activity to increase professional health and social care trainees’ awareness of ageism and to biases they may hold. During the asynchronous portion of the training, participants complete the Harvard Implicit Association Test (age), watch a video, and respond to related threads on Blackboard, which provides an opportunity to discuss experiences prior to participating in a synchronous training activity incorporating a presentation on ageism in healthcare. To date, 98 trainees have provided qualitative data on the impact of the ageism training components. Overwhelmingly, trainees indicated the value of information provided; many of whom responded that the test revealed their own biases. Participants commented that the training was an opportunity to open their eyes to ageism and that it made them more aware of the importance of understanding older adults’ capabilities and limitations in a respectful way. More than half (55.86%) of threaded discussions noted that the ageism training helped them to realize their biases against older adults and understand older people’s challenges. Quantitative data from pre/post IPE surveys indicated increased interest in working with older adults. Responses illustrate the need to and value of incorporating anti-ageism content into educational programs of our future health and social care workforce.

Exploring the intersection of structural racism and ageism in healthcare.

The American Geriatrics Society (AGS) has consistently advocated for a healthcare system that meets the needs of older adults, including addressing impacts of ageism in healthcare. The intersection of structural racism and ageism compounds the disadvantage experienced by historically marginalized communities. Structural racism and ageism have long been ingrained in all aspects of US society, including healthcare. This intersection exacerbates disparities in social determinants of health, including poor access to healthcare and poor outcomes. These deeply rooted societal injustices have been brought to the forefront of the collective public consciousness at different points throughout history. The COVID-19 pandemic laid bare and exacerbated existing inequities inflicted on historically marginalized communities. Ageist rhetoric and policies during the COVID-19 pandemic further marginalized older adults. Although the detrimental impact of structural racism on health has been well-documented in the literature, generative research on the intersection of structural racism and ageism is limited. The AGS is working to identify and dismantle the healthcare structures that create and perpetuate these combined injustices and, in so doing, create a more just US healthcare system. This paper is intended to provide an overview of important frameworks and guide future efforts to both identify and eliminate bias within healthcare delivery systems and health professions training with a particular focus on the intersection of structural racism and ageism.

Photo-elicitation for teaching awareness of ageism in healthcare.

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We can do better: Addressing ageism against older adults in healthcare.

Ageism in healthcare is a pervasive reality that leads to negative health outcomes for older adults. While it is often implicit, the COVID-19 pandemic threw explicit age discrimination in healthcare into sharp relief globally. In medicine, ageism translates into myriad forms of age discrimination that impact the provision of ethical care and range from 'micro' individual issues like paternalistic medicine or therapeutic nihilism to 'macro' system issues including barriers to timely and effective healthcare or exclusion from research trials. The culture of ageism in medicine can be unintentionally transmitted through role-modelling and the hidden curriculum. Strategies to combat ageism and provide ethical healthcare include intergenerational learning, educational programs, and strong leadership from organizations to enact policy and practice changes.

Charting Our First Steps: An Update on the AGS Initiative to Address the Intersection of Structural Racism and Ageism.

With its long commitment to addressing ageism in healthcare, the American Geriatrics Society (AGS) began addressing the intersection of racism and ageism in 2020. An AGS writing group developed five priorities that tap into our shared values as individuals and as an organization, while remaining broad enough to allow for future flexibility, growth, and opportunities. AGS members then participated in focus groups to identify an initial set of strategies that individuals, our Society, and our partners can adopt together to achieve these priorities. The AGS has also taken some smaller steps as we work to infuse attention to equity and eliminating bias across our portfolio.

Charting our first steps: An update on the AGS initiative to address the intersection of structural racism and ageism

With its long commitment to addressing ageism in healthcare, the American Geriatrics Society (AGS) began addressing the intersection of racism and ageism in 2020. An AGS writing group developed five priorities that tap into our shared values as individuals and as an organization, while remaining broad enough to allow for future flexibility, growth, and opportunities. AGS members then participated in focus groups to identify an initial set of strategies that individuals, our Society, and our partners can adopt together to achieve these priorities. The AGS has also taken some smaller steps as we work to infuse attention to equity and eliminating bias across our portfolio.

Beyond longevity: healthy longevity

Beyond longevity: healthy longevity

Future forward: AGS initiative addressing intersection of structural racism and ageism in health care.

The American Geriatrics Society is committed to taking purposeful steps to address racism in health care, given its impact on older adults, their families, and our communities. In fall 2020, AGS added a statement to our vision for the future, which reflects that our commitment is central to mission: "We all are supported by and able to contribute to communities where ageism, ableism, classism, homophobia, racism, sexism, xenophobia, and other forms of bias and discrimination no longer impact healthcare access, quality, and outcomes for older adults and their caregivers." In 2021, we will be working to flesh out a multi-year, multi-pronged initiative that addresses the intersection of structural racism and ageism in health care. This will include engaging members in identifying strategies and with the goal of increasing member engagement around the idea that it will take all of us working together to achieve our vision for a collective future that is free of discrimination and bias. The Society has set as the first objective that by 2031, 100% of research presented at the AGS Annual Scientific Meeting and published in the Journal of the American Geriatrics Society (JAGS) will reflect the diversity of the population being studied. Other immediate efforts include undertaking a complete update of the Geriatrics Cultural Navigator, development of corresponding public education materials, and a webinar series focused on helping us all understand our own implicit bias, recognize implicit and explicit bias, and consider actions that we each might take to address bias when we observe it.

Plotting the steady march of progress: The American Geriatrics Society lays out its plans for a new initiative addressing the intersection of structural racism and ageism in healthcare

The American Geriatrics Society (AGS) announced this summer its commitment to working towards a just society, one in which all people are treated equally. Following its announcement, the AGS immediately began planning a multi-year, multi-pronged initiative that is focused on the intersection of structural racism and ageism in health care. The new initiative will take three main action steps to achieve the AGS' goals. Progress is already underway, and the AGS anticipates a long, but ultimately successful journey toward the equitable future it envisions.

The importance of addressing ageism in Swedish healthcare

Ageism is discrimination against individuals or groups based on their age. In the Swedish healthcare context, the term is uncommon, despite the fact that older people are a significant class of users. One of every five individuals in Sweden is 65 years of age or older, and the proportion of older people in the population is rising. Therefore, ageism in healthcare warrants more awareness and focus. In three recent articles that we have published relating to nutritional, depression and continence care for older people, we found indications of ageism even though we did not aim to study it. There is a need to identify the manifestations of ageism and label them, and to become alert to both the visible and invisible expressions of ageism. This will help in the development of interventions and policies to eliminate ageism in healthcare. With health inequalities growing and seemingly becoming the norm rather than the exception in Sweden and other European countries, it has become imperative to address and eliminate health inequalities through a range of initiatives and mechanisms. Fighting ageism in different settings must be a part of this larger goal.