[en] Background: It is well recognised that healthcare professionals are particularly at risk for developing a negative perception of older people. Indeed, in addition to receiving education centred on a biomedical view of ageing, they are constantly exposed to the most vulnerable and dependent older individuals. Aim: The purpose of our study is to compare the perception of older people between health professionals, working in a nursing home and the general population. Methods: This is a cross-sectional study. The perception of older people was measured using two different instruments: the image-of-ageing question and the Aging Semantic Differential (ASD) scale. We performed t-test to compare the perception of older individuals between the general population and healthcare professionals. Results: The image-of-ageing question does not show any difference between the general population (n = 148) and healthcare professionals (n = 107). In these both groups, almost half of the words cited in reference to older individuals were negative. Concerning the ASD, results show that healthcare professionals have significantly more negative perceptions towards older individuals than the general population (with the control of age, gender and educational level). Conclusion: Healthcare professionals seem to have a more negative view of older people than the general population. Their regular contact with the frailest older adults could explain this finding. Another hypothesis could be a non-optimal quality of contact in nursing homes. Implications for practice: Such results highlight the importance to promote a more holistic view of ageing in educational programs of healthcare professional. Improving the quality of contact with nursing homes residents should be strongly considered to reduce ageism among healthcare professionals.
Disciplines :
Social, industrial & organizational psychology Social & behavioral sciences, psychology: Multidisciplinary, general & others
Author, co-author :
Crutzen, Coline ; Université de Liège - ULiège > Adaptation, Résilience et CHangement (ARCH)
Missotten, Pierre ; Université de Liège - ULiège > Département de Psychologie > Psychologie de la sénescence et du vieillissement
Adam, Stéphane ; Université de Liège - ULiège > Adaptation, Résilience et CHangement (ARCH)
Schroyen, Sarah ; Université de Liège - ULiège > Adaptation, Résilience et CHangement (ARCH)
Language :
English
Title :
Does caring lead to stigmatisation? The perception of older people among healthcare professionals and the general population: A cross-sectional study
Abreu, M., & Caldevilla, N. (2015). Attitudes toward aging in Portuguese nursing students. Procedia - Social and Behavioral Sciences, 171, 961–967. https://doi.org/10.1016/j.sbspro.2015.01.215
Adam, S., Missotten, P., Flamion, A., Marquet, M., Clesse, A., Piccard, S., Crutzen, C., & Schroyen, S. (2017). Healthy ageing in an ageist society. NPG Neurologie - Psychiatrie - Geriatrie, 17(102), 389–398. https://doi.org/10.1016/j.npg.2017.05.001
Allan, L. J., & Johnson, J. A. (2008). Undergraduate attitudes toward the elderly: The role of knowledge, contact and aging anxiety. Educational Gerontology, 35(1), 1–14. https://doi.org/10.1080/03601270802299780
Ayalon, L., Lev, S., & Lev, G. (2020). What can we learn from the past about the future of gerontology: Using natural language processing to examine the field of gerontology. The Journals of Gerontology: Series B, 76(9), 1828–1837. https://doi.org/10.1093/geronb/gbaa066
Ben-Harush, A., Shiovitz-Ezra, S., Doron, I., Alon, S., Leibovitz, A., Golander, H., Haron, Y., & Ayalon, L. (2017). Ageism among physicians, nurses, and social workers: Findings from a qualitative study. European Journal of Ageing, 14(1), 39–48. https://doi.org/10.1007/s10433-016-0389-9
Boswell, S. S. (2012). Predicting trainee ageism using knowledge, anxiety, compassion, and contact with older adults. Educational Gerontology, 38(11), 733–741. https://doi.org/10.1080/03601277.2012.695997
Boudjemadi, V., & Gana, K. (2009). L’ âgisme: Adaptation française d ’une mesure et test d’ un modèle structural des effets de l ’empathie, l’orientation à la dominance sociale et le dogmatisme sur l’âgisme. La Revue Canadienne Du Vieillissement, 28(4), 371–389. https://doi.org/10.1017/S071498080999016X
Brunton, R. J., & Scott, G. (2015). Do we fear ageing? A multidimensional approach to ageing anxiety. Educational Gerontology, 41(11), 786–799. https://doi.org/10.1080/03601277.2015.1050870
Burnes, D., Sheppard, C., Henderson, C. R., Wassel, M., Cope, R., Barber, C., & Pillemer, K. (2019). Interventions to reduce ageism against older adults- a systematic review and meta-analysis. American Journal of Public Health, 109(8), e1–e9. https://doi.org/10.2105/AJPH.2019.305123
Butler, R. N. (1969). Age-Ism: Another form of bigotry. The Gerontologist, 9, 243–246. https://doi.org/10.1093/geront/9.4_Part_1.243
Chang, E. S., Kannoth, S., Levy, S., Wang, S. Y., Lee, J. E., & Levy, B. R. (2020). Global reach of ageism on older persons’ health: A systematic review. PLoS One, 15(1), 1–24. https://doi.org/10.1371/journal.pone.0220857
De Almeida Tavares, J. P., da Silva, A. L., Sá-Couto, P., Boltz, M., & Capezuti, E. (2015). Portuguese nurses’ knowledge of and attitudes toward hospitalized older adults. Scandinavian Journal of Caring Sciences, 29(1), 51–61. https://doi.org/10.1111/scs.12124
De Biasio, J. C., Parkas, V., & Soriano, R. P. (2015). Longitudinal assessment of medical student attitudes toward older people. Medical Teacher, 38(8), 823–828. https://doi.org/10.3109/0142159X.2015.1112891
Dobrowolska, B., Jędrzejkiewicz, B., Pilewska-Kozak, A., Zarzycka, D., Ślusarska, B., Deluga, A., Kościołek, A., & Palese, A. (2019). Age discrimination in healthcare institutions perceived by seniors and students. Nursing Ethics, 26(2), 443–459. https://doi.org/10.1177/0969733017718392
Doherty, M., Mitchell, E. A., & O’Neill, S. (2011). Attitudes of healthcare workers towards older people in a rural population: a survey using the Kogan scale. Nursing Research and Practice, 2011, 1–7. https://doi.org/10.1155/2011/352627
Dolnicar, S., Laesser, C., & Matus, K. (2009). Online versus paper: Format effects in tourism surveys. Journal of Travel Research, 47(3), 295–316. https://doi.org/10.1177/0047287508326506
Dovidio, J. F., Love, A., Schellhaas, F. M., & Hewstone, M. (2017). Reducing intergroup bias through intergroup contact: Twenty years of progress and future directions. Group Processes & Intergroup Relations, 20(5), 606–620. https://doi.org/10.1177/1368430217712052
Drury, L., Abrams, D., Swift, H. J., Lamont, R. A., & Gerocova, K. (2017). Can caring create prejudice? An investigation of positive and negative intergenerational contact in care settings and the generalisation of blatant and subtle age prejudice to other older people. Journal of Community & Applied Social Psychology, 27(1), 65–82. https://doi.org/10.1002/casp.2294
Eymard, A. S., & Douglas, D. H. (2012). Ageism among healthcare providers and interventions to improve their attitudes toward older adults: An integrative review. Journal of Gerontological Nursing, 38(5), 26–35. https://doi.org/10.3928/00989134-20120307-09
Fiske, S. T., Cuddy, A. J. C., Glick, P., & Xu, J. (2002). A model of (often mixed) stereotype content: Competence and warmth respectively follow from perceived status and competition. Journal of Personality and Social Psychology, 82(6), 878–902. https://doi.org/10.1037/0022-3514.82.6.878
Flamion, A., Missotten, P., Marquet, M., & Adam, S. (2017). Impact of contact with grandparents on children’s and adolescents’ views on the elderly. Child Development, 90(4), 1155–1169. https://doi.org/10.1111/cdev.12992
Frost, J., Ranse, K., & Grealish, L. (2016). Assessing ageist behaviours in undergraduate nursing students using the Relating to Older People Evaluation (ROPE) survey. Australian Journal on Ageing, 35(1), 58–61. https://doi.org/10.1111/ajag.12260
Gallagher, S., Bennett, K. M., & Halford, J. C. (2006). A comparison of acute and long term health care personnel’s attitudes towards older adults. International Journal of Nursing Practice, 12(5), 273–279. https://doi.org/10.1111/j.1440-172X.2006.00582.x
Gaymard, S. (2006). The representation of old people: Comparison between the professionals and students. Revue Internationale de Psychologie Sociale, 19(3), 69–91.
Getting, L., Fethney, J., McKee, K., Churchward, M., Goff, M., & Matthews, S. (2002). Knowledge, stereotyping and attitudes towards self ageing. Australian Journal on Ageing, 21(2), 74–79. https://doi.org/10.1111/j.1741-6612.2002.tb00421.x
Giles, L. C., Paterson, J. E., Butler, S. J., & Stewart, J. J. (2002). Ageism among health professionals: A comparison of clinical educators and students in physical and occupational therapy. Physical & Occupational Therapy in Geriatrics, 21(2), 15–26. https://doi.org/10.1080/J148v21n02_02
Gillis, A., MacDonald, B., & MacIsaac, A. (2008). Nurses’ knowledge, attitudes, and confidence regarding preventing and treating deconditioning in older adults. The Journal of Continuing Education in Nursing, 39(12), 547–554. https://doi.org/10.3928/00220124-20081201-07
Greene, M. G., Adelman, R., Charon, R., & Hoffman, S. (1986). Ageism in the medical encounter: An exploratory study of the doctor–elderly patient relationship. Language & Communication, 9(1–2), 113–124. https://doi.org/10.1016/0271-5309(86)90010-8
Happell, B. (2002). The role of nursing education in the perpetuation of inequality. Nurse Education Today, 22(8), 632–640. https://doi.org/10.1016/S0260-6917(02)00104-1
Higgins, I., Der Riet, P. V., Slater, L., & Peek, C. (2007). The negative attitudes of nurses towards older patients in the acute hospital setting: A qualitative descriptive study. Contemporary Nurse, 26(2), 225–237. https://doi.org/10.5172/conu.2007.26.2.225
Hughes, C. (2016). Understanding prejudice and education: The challenge for future generations (Taylor and). https://doi.org/10.4324/9781315681672
Inker, J. L. K. (2019). Ageism among healthcare professionals: the influence of personal aging anxiety, job role, and work setting on attitudes toward older patients. Innovation in Aging, 3(1), S81. https://doi.org/10.1093/geroni/igz038.313
Iversen, T. N., Larsen, L., & Solem, P. E. (2009). A conceptual analysis of ageism. Nordic Psychology, 61(3), 4–22. https://doi.org/10.1027/1901-2276.61.3.4
Jackson, J., Clark, A., Pearse, L., Miller, E. A., Stanfield, H., & Cunningham, C. J. L. (2017). Explaining student interest and confidence in providing care for older adults: The role of demographics and life experiences. Journal of Gerontological Nursing, 43(3), 13–18. https://doi.org/10.3928/00989134-20160901-04
Kalu, M. E., Abaraogu, U. O., & Norman, K. E. (2018). Physical & occupational therapy in geriatrics do physiotherapy students demonstrate ageist attitude ? A scoping review of literature. Physical and Occupational Therapy in Geriatrics, 36(1), 72–89. https://doi.org/10.1080/02703181.2018.1440040
Kearney, N., Miller, M., Paul, J., & Smith, K. (2000). Oncology healthcare professionals’ attitudes toward elderly people. Annals of Oncology, 11(5), 599–601. https://doi.org/10.1023/A:1008327129699
Kishimoto, M., Nagoshi, M., Williams, S., Masaki, K. H., & Blanchette, P. L. (2005). Knowledge and attitudes about geriatrics of medical students, internal medicine residents, and geriatric medicine fellows. Journal of the American Geriatrics Society, 53(1), 99–102. https://doi.org/10.1111/j.1532-5415.2005.53018.x
Koder, D. A., & Helmes, E. (2008). Predictors of working with older adults in an Australian psychologist sample: Revisiting the influence of contact. Professional Psychology: Research and Practice, 39(3), 158–171. https://doi.org/10.1080/02701960802223233
Koukouli, D. A., Pattakou-Parasyri, V., & Kalaitzaki, A. E. (2013). Self-reported aging anxiety in Greek students, health care professionals, and community residents: A comparative study. The Gerontologist, 54(2), 201–210. https://doi.org/10.1093/geront/gnt036
Kydd, A., & Fleming, A. (2015). Ageism and age discrimination in health care: Fact or fiction? A narrative review of the literature. Maturitas, 81(4), 432–438. https://doi.org/10.1016/j.maturitas.2015.05.002
Laurence, J., Schmid, K., & Hewstone, M. (2018). Ethnic diversity, inter-group attitudes and countervailing pathways of positive and negative inter-group contact: An analysis across workplaces and neighbourhoods. In Social Indicators Research, 136(2), 719–749. https://doi.org/10.1007/s11205-017-1570-z
Lee, J., Garfin, D. R., Vaughn, S., & Lee, Y. S. (2018). Factors associated with gerontological career choice: The role of curriculum type and students’ attitudes. Journal of Nursing Education and Practice, 8(4), 1–9. https://doi.org/10.5430/jnep.v8n4p1
Lev, S., Wurm, S., & Ayalon, L. (2018). Originis of ageism at the individual level. In A. Liat, & T. R. Clemens (Eds.), Contemporary perspectives on ageism (pp. 51–72). Springer.
Levy, B. (2017). Age-stereotype paradox: Opportunity for social change. The Gerontologist, 57(2), S118–S126. https://doi.org/10.1093/geront/gnx059
Levy, B. (2018). Toward reducing ageism- PEACE (Positive Education about Aging and Contact Experiences) Model. The Gerontologist, 58(2), 226–232. https://doi.org/10.1093/geront/gnw116
Levy, B., & Langer, E. (1994). Aging free from negative stereotypes: Successful memory in china and among the American Deaf. Journal of Personality and Social Psychology, 66(6), 989–997. https://doi.org/10.1037/0022-3514.66.6.989
Liu, Y. E., Norman, I. J., & While, A. E. (2012). Nurses’ attitudes towards older people: A systematic review. International Journal of Nursing Studies, 50(9), 1271–1282. https://doi.org/10.1016/j.ijnurstu.2012.11.021
Liu, Y. E., Norman, I. J., & While, A. E. (2015). Nurses’ attitudes towards older people and working with older patients: An explanatory model. Journal of Nursing Management, 23(8), 965–973. https://doi.org/10.1111/jonm.12242
Liu, Y. E., While, A. E., Norman, I. J., & Ye, W. (2012). Health professionals’ attitudes toward older people and older patients: A systematic review. Journal of Interprofessional Care, 26(5), 397–409. https://doi.org/10.3109/13561820.2012.702146
Lucchetti, A. L. G., Lucchetti, G., de Oliveira, I. N., Moreira-Almeida, A., & da Silva Ezequiel, O. (2017). Experiencing aging or demystifying myths?–impact of different “geriatrics and gerontology” teaching strategies in first year medical students. BMC Medical Education, 17(1), 1–9. https://doi.org/10.1186/s12909-017-0872-9
Lytle, A., Nowacek, N., & Levy, S. R. (2020). Instapals: Reducing ageism by facilitating intergenerational contact and providing aging education. Gerontology & Geriatrics Education, 41(3), 308–319. https://doi.org/10.1080/02701960.2020.1737047
Marques, S., Mariano, J., Mendonça, J., De Tavernier, W., Hess, M., Naegele, L., Peixeiro, F., & Martins, D. (2020). Determinants of ageism against older adults: A systematic review. International Journal of Environmental Research and Public Health, 17(7), 2560. https://doi.org/10.3390/ijerph17072560
Maximiano-Barreto, M. A., Luchesi, B. M., & Chagas, M. H. N. (2019). Implicit attitudes toward the elderly among health professionals and undergraduate students in the health field: A systematic review. Trends in Psychiatry and Psychotherapy, 41(4), 415–421. https://doi.org/10.1590/2237-6089-2018-0108
Meisner, B. A. (2012). Physicians attitudes toward aging, the aged, and the provision of geriatric care: A systematic narrative review. Critical Public Health, 22(1), 61–72. https://doi.org/10.1080/09581596.2010.539592
Miller, M., Kearney, N., & Smith, K. (2000). Measurement of cancer attitudes: A review. European Journal of Oncology Nursing, 4(4), 233–245. https://doi.org/10.1054/ejon.2000.0109
Nash, P., Stuart-Hamilton, I., & Mayer, P. (2014). The continuation of prejudice: Addressing negative attitudes in nurse training and continuing professional education. Educational Gerontology, 40(1), 53–60. https://doi.org/10.1080/03601277.2013.768084
Nelson, T. D. (2005). Ageism: Prejudice against our feared future self. Journal of Social Issues, 61(2), 207–221. https://doi.org/10.1111/j.1540-4560.2005.00402.x
Newell, D. A., Raji, M., Lieberman, S., & Beach, R. E. (2004). Integrating geriatric content into a medical school curriculum. Gerontology & Geriatrics Education, 25(2), 15–32. https://doi.org/10.1300/J021v25n02_02
Ng, R., Allore, H. G., Trentalange, M., Monin, J. K., & Levy, B. (2015). Increasing negativity of age stereotypes across 200 years: Evidence from a database of 400 million words. PLoS One, 10(2), e0117086. https://doi.org/10.1371/journal.pone.0117086
Polat, U., Karadag, A., Ulger, Z., & Demir, N. (2014). Nurses and physicians perceptions of older people and attitudes towards older people Ageism in a hospital in Turkey. Contemporary Nurse, 48(1), 88–97. https://doi.org/10.5172/conu.2014.48.1.88
Rathnayake, S., Athukorala, Y., & Siop, S. (2016). Nurse Education Today 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 Education Today, 36, 439–444. https://doi.org/10.1016/j.nedt.2015.10.007
Rattan, S. I. S. (2014). Aging is not a disease: Implications for intervention. Aging and Disease, 5(3), 196–202. https://doi.org/10.14336/AD.2014.0500196
Reyna, C., Goodwin, E. J., & Ferrari, J. R. (2007). Older adult stereotypes among care providers in residential care facilities. Journal of Gerontological Nursing, 33(2), 50–55. https://doi.org/10.3928/00989134-20070201-08
Roberts, T. J. (2018). Nursing home resident relationship types: What supports close relationships with peers & staff? Journal of Clinical Nursing, 27(23-24), 4361–4372. https://doi.org/10.1111/jocn.14554
Rogers, S. E., Thrasher, A. D., Miao, Y., Boscardin, W. J., & Smith, A. K. (2015). Discrimination in healthcare settings is associated with disability in older adults: Health and retirement study, 2008–2012. Journal of General Internal Medicine, 30(10), 1413–1420. https://doi.org/10.1007/s11606-015-3233-6
Rosher, R. B., & Robinson, S. (2005). The eden alternative: Impact on student attitudes. Educational Gerontology, 31(4), 273–282. https://doi.org/10.1080/03601270590916777
Rush, K. L., Hickey, S., Epp, S., & Janke, R. (2017). Nurses’ attitudes towards older people care: An integrative review. Journal of Clinical Nursing, 26(23–24), 4105–4116. https://doi.org/10.1111/jocn.13939
Schimidt, T. C. G., & Paes da Silva, M. J. (2012). The perception and understanding of health professionals and undergraduate students regarding aging and the elderly. Revista Da Escola de Enfermagem Da USP, 46(3), 609–614. https://doi.org/10.1590/S0080-62342012000300012
Schwartz, L. K., & Simmons, J. P. (2001). Contact quality and attitudes toward the elderly. Educational Gerontology, 27(2), 127–137. https://doi.org/10.1080/03601270151075525
Stewart, J. J., Giles, L., Paterson, J. E., & Butler, S. J. (2005). Knowledge and attitudes towards older people: New Zealand students entering health professional degrees. Physical & Occupational Therapy in Geriatrics, 23(4), 25–36. https://doi.org/10.1080/J148v23n04_02
Uğurlu, Z., Kav, S., Karahan, A., & Akgün Çıtak, E. (2019). Correlates of ageism among health care professionals working with older adults. Journal of Transcultural Nursing, 30(3), 303–312. https://doi.org/10.1177/1043659618810128
Wells, Y., Foreman, P., Gething, L., & Petralia, W. (2004). Nurses’ attitudes toward aging and older adults. Journal of Gerontological Nursing, 30(9), 5–9. https://doi.org/10.1111/jocn.13939
Wilson, D. M., Nam, M. A., Murphy, J., Victorino, J. P., Gondim, E. C., & Low, G. (2017). A critical review of published research literature reviews on nursing and healthcare ageism. Journal of Clinical Nursing, 26(23–24), 3881–3892. https://doi.org/10.1111/jocn.13803
Wilson, M. A., Kurrle, S., & Wilson, I. (2018). Medical student attitudes towards older people: A critical review of quantitative measures. BMC Research Notes, 11(1), 1–9. https://doi.org/10.1186/s13104-018-3186-z
Wyman, M. F., Shiovitz-Ezra, S., & Bengel, J. (2018). Ageism in the health care system: Providers, patients, and systems. In A. Liat, & T. R. Clemens (Eds.), Contemporary perspectives on ageism (pp. 193–212). Springer.