A thematic literature review of innovative strategies to prepare nursing students for aged-care

McAllister, Margaret; Ryan, Colleen; Dodd, Leanne; Goldenberg, Mitchell; Brien, Donna Lee

doi:10.1016/j.nedt.2020.104355

Cited by 18 publications

(15 citation statements)

References 38 publications

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“…Some participants noted that they did not even realise that some benevolent acts were ageist. We could not find other stud- Other literature reviews of teaching related to older people report that clinical placements with older people, role playing and reflective journals are some strategies that have been found effective for senior students (McAllister et al, 2020). Unfortunately, most of the strategies identified require face-to-face learning and some gerontological expertise on the part of the educator.…”

Section: Discussionmentioning

confidence: 85%

Improving student nurses’ perspectives towards older people with an e‐learning activity: A quasi‐experimental pre‐post design

Dukes

Dahlke

Pietrosanu³

et al. 2021

Int J Older People Nursing

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Background: Despite older people being the largest demographic accessing health care, nurses often lack knowledge about how to work with them and may hold ageist perceptions towards them. Previous research has identified the gaps in their education program and offered suggestions on what and how to fill those gaps in education related to older people. E-learning activities to fill these gaps were developed. Objective:The aim of this study was to determine if nursing students' perceptions about older people could be improved through an e-learning activity focused on communication and understanding older people. Methods:A quasi-experimental pre-post design was used to test whether the understanding and communication with older people e-learning activity improved student nurses' perceptions about older people. A feedback survey was also analyzed using descriptive statistics to understand students' perceptions of the learning activity.Results: There was a statistically significant decrease in participant's negative perceptions towards older people after completing the e-learning activity. Participants enjoyed the activity and believed that it improved their knowledge of older people, their confidence in working with older people, and their perceptions about older people. Conclusions:The strength of the e-learning activity in this study is that the educator need not be an expert in order to use the activity in their course. In this way, knowledge about older people is facilitated despite the dearth of nurse educators with gerontological expertise. More research to test this activity in other universities is needed.Implications for Practice: Improved understanding and communicating with older people could improve person-centered-care. The flexible delivery of this learning activity could facilitate practicing nurses understanding and communication strategies if offered to them.

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Section: Discussionmentioning

confidence: 85%

Improving student nurses’ perspectives towards older people with an e‐learning activity: A quasi‐experimental pre‐post design

Dukes

Dahlke

Pietrosanu³

et al. 2021

Int J Older People Nursing

View full text Add to dashboard Cite

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“…To spark interest among younger students as well, the starting point could be positive learning experiences acquired during clinical placements in nursing homes, for instance. Suggestively, students with an opportunity to develop nurse competencies and grow into the nursing role can be motivated to choose OPN as their future career (Husebø et al, 2018 ; McAllister et al, 2020 ). However, firm evidence for this is lacking, and thus, follow‐up studies examining how many students actually take up OPN positions are needed.…”

Section: Discussionmentioning

confidence: 99%

“…From the nursing education perspective, several initiatives have already proven their potential to enhance students’ interest and competence in OPN. By including geriatric and LTC content—both up‐to‐date theory and successful clinical placements—in the undergraduate nursing curriculum (Hsieh & Chen, 2018 ; Lea et al, 2016 ; McAllister et al, 2020 ) and by introducing educational solutions specifically targeted to promote career choice towards OPN (Koehler et al, 2016 ; Koskinen et al, 2016 ), the likelihood of meeting workforce projections can be increased. Nurse educators’ competence in enhancing students’ interest also requires strengthening (Garbrah et al, 2020 ).…”

Section: Implications For Practicementioning

confidence: 99%

“…Previous experiences with older people, having such experience increases intentions to work in OPN (Garbrah et al, 2017 ; Hebditch et al, 2020 ). Among educational factors, the undergraduate degree programme itself shapes students’ perceptions of the field (Garbrah et al, 2017 ; Husebø et al, 2018 ; McAllister et al, 2020 ), and the preferences for OPN appear to decrease over the duration of the education programme (Garbrah et al, 2017 ; Hebditch et al, 2020 ; Hunt et al, 2020 ). In terms of educational outcomes, there is strong evidence of a link between positive attitudes towards older people and patients and greater career preferences, whereas regarding gerontological knowledge, the previous findings are contradictory (Garbrah et al, 2017 ; Hebditch et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Graduating nurse students’ interest in older people nursing—A cross‐sectional survey in six European countries

Koskinen

Burke

Fatkulina

et al. 2022

Int J Older People Nursing

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Background: Countries vary in the number of qualified nurses employed in older adult services. Moreover, students' views of older people nursing as a career differ internationally. Studying future nurses and their career intentions for the field is warranted to meet the increased nurse workforce expectations in terms of quantity and competence.Aim: To analyse graduating nurse students' interest in older people nursing and the factors associated with it.Methods: A cross-sectional multicountry survey design was applied. Data were col-

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“…Despite a growing body of research on student clinical experiences in aged care citing negative perceptions and attitudes, little has changed over the last 40 years (Parker et al, 2021;Salmon, 1981). While researchers conclude innovative educational practices may improve perceptions towards working in aged care, to date, such approaches have failed to improve the recruitment of graduate nurses to work in this sector (Mc Allister et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

An exploration of how nurse education practices may influence student nurses’ perception of working in aged care as a registered nurse: A Foucauldian discourse analysis.

Foster¹,

Payne²,

Neville³

2022

Nurs Prax ANZ

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In Aotearoa New Zealand, fewer than two percent of graduating nurses identify aged care as a preferred employment option. Influences contributing to this statistic are multifactorial, ranging from societal norms and values, to health, education and economic policies. In this article, we argue that undergraduate nurse education is a contributor to this issue by constructing working in aged care as having lower status or less value than working in other health care areas. Foucauldian discourse analysis permitted us to examine this issue by exploring the dominant discourses being deployed in relation to clinical experience in aged care. Data were collected through semi-structured interviews with 10 senior academic staff members from Aotearoa New Zealand tertiary institutions. Interview data were analysed and revealed how a ‘nurse education discourse’ and a ‘work ready discourse’, were shaping perceptions of aged care as a clinical experience in a variety of ways. These two discourses constructed aged care either: as a convenient learning space for developing foundation skills, or as a learning space to access only when other more desirable spaces were unavailable. Aged care was also promoted as a place of employment for the less able nursing student on graduation. Findings suggest that how and why aged care is utilised as a space to learn a range of nursing skills has the unintended effect of devaluing and discouraging employment in aged care settings. This article argues there is a collective need to go beyond curricula and uncover what is actually conveyed through the educational process to students about working in aged care.

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A thematic literature review of innovative strategies to prepare nursing students for aged-care

Cited by 18 publications

References 38 publications

Improving student nurses’ perspectives towards older people with an e‐learning activity: A quasi‐experimental pre‐post design

Improving student nurses’ perspectives towards older people with an e‐learning activity: A quasi‐experimental pre‐post design

Graduating nurse students’ interest in older people nursing—A cross‐sectional survey in six European countries

An exploration of how nurse education practices may influence student nurses’ perception of working in aged care as a registered nurse: A Foucauldian discourse analysis.

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