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Hemşirelik Son Sınıf Öğrencilerinin Covı̇ d 19 Sürecinde Yaşlıların Yaşadıkları Sorunlara Yönelik Görüşleri ve Yaşlı Ayrımcılığına Karşı Tutumları

Year 2021, Volume: 14 Issue: 4, 357 - 369, 15.10.2021
https://doi.org/10.46483/deuhfed.870058

Abstract

Giriş: Yaşlı bireylerin, kronik hastalık prevalansının artması, yaşlanma ile ortaya çıkan fizyolojik ve psikososyal değişikliklere bağlı olarak bakım sorunlarının pandemi sürecinde daha da önemli olduğu görülmektedir. Amaç: Bu çalışmanın amacı son sınıf hemşirelik öğrencilerinin yaşlı ayrımcılığına ilişkin tutumları ve Covid-19 pandemi sürecinde yaşlı bireylerin yaşadıkları sorunlara ilişkin görüşlerini incelemektir. Yöntem: Bu çalışma nicel ve nitel boyutları olan karma bir çalışmadır ve Türkiye'deki bir sağlık bilimleri fakültesinin hemşirelik bölümünde yürütülmüştür. Araştırmanın nicel bölümünü 75 son sınıf öğrencisi, nitel bölümünü ise 13 öğrenci oluşturmuştur. Nicel veriler; Tanımlayıcı Bilgi Formu ve Yaşlı Ayrımcılığı Tutum Ölçeği (YATÖ) ile, nitel veriler ise yarı yapılandırılmış görüşme formu kullanılarak toplanmıştır. Nicel verilerin değerlendirilmesinde tanımlayıcı istatistikler, independent sample t test, One Way Anova, Mann-Whitney U ve Kruskal Wallis testleri; nitel verilerin değerlendirilmesinde de içerik analizi yöntemi kullanılmıştır. Araştırmanın uygulanabilmesi için, etik kurul izni ve katılımcı onamı alınmıştır. Bulgular: Araştırmada öğrencilerin yaş ortalaması 22.16±0.91 olup %76.0’sının kadın olduğu, %85.3’ünün pandemi sürecinde yaşlı biri ile aynı evde yaşadığı, %96’sının mesleki eğitimleri sürecinde yaşlı bireye hemşirelik bakımı verdiği ve %18.7’sinin pandemi sürecinden yaşlı bireye yardım ettiği saptanmıştır. Araştırmada öğrencilerin yaşlı bireylere yönelik tutumlarının olumlu olduğu ve öğrencilerin pandemi sürecinde yaşlılara ilişkin görüşlerinin savunmasızlık, duygusal sarsıntı, kültür ve buzdağı ana temaları çerçevesinde dağılım gösterdiği belirlenmiştir. Sonuç: Bu çalışmada, son sınıf hemşirelik öğrencilerinin yaşlı bireylere yönelik tutumlarının olumlu olduğu ve COVID-19 pandemisinin yaşlı bireylerin sağlığı üzerindeki etkilerini bütüncül bakış açısıyla ele alabildikleri belirlenmiştir. Buna göre öğrencilerin hemşirelik eğitim sürecinde yaşlılara bakım verme fırsatının artırılması ve hemşirelik müfredatında yaşlı kavramına daha çok yer verilmesi önerilir.

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Views of Senior Nursing Students on the Problems of the Elderly During the Covid-19 Process and Attitudes Against Ageism

Year 2021, Volume: 14 Issue: 4, 357 - 369, 15.10.2021
https://doi.org/10.46483/deuhfed.870058

Abstract

Background: Older adults, the prevalence of chronic diseases increase, depending on the physiological and psychological changes that occur with aging processes of maintenance issues in pandemic seems to be more important. Objectives: This study aims to examine the attitudes of senior nursing students regarding ageism as well as their views of the problems the elderly faced during the COVID-19 pandemic. Methods: The present study is a mixed study with quantitative and qualitative dimensions and it was conducted in a nursing school in X. The quantitative part of the research was conducted with 75 senior students, 13 of whom were also included in the qualitative part of the study. Quantitative data were collected using the Introductory Information Form and the Ageism Attitude Scale and qualitative data using a semi-structured interview form. Descriptive statistics, independent samples t-test, one-way analysis Mann–Whitney U, and Kruskal–Wallis tests and content analysis were used. Results: It was found that the students’ attitudes toward the elderly were positive and their views of the elderly during the pandemic were distributed among the main themes of Vulnerable, Emotional Shake, Culture, and Iceberg. Conclusion: it is believed that it is important to ensure that health team members who will work with the older adults should be provided with an environment wherein they can provide care to the older adults in the first years of their education.

References

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  • 2. Kar SK, Arafat SY, Sharma P, Dixit A, Marthoenis M, Kabir R. COVID-19 pandemic and addiction: Current problems and future concerns. Asian Journal of Psychiatry. 2020; 51: 102064. Advance online publication. https://doi.org/10.1016/j.ajp.2020.102064
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  • 4. World Health Organization (WHO). WHO Timeline COVID-19. https://www.who.int/news-room/detail/27-04-2020-who-timeline---covid-19. Accessed 11 May 2020.
  • 5. Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. American Journal of Infection Control. 2020; 48: 592-598. https://doi.org/10.1016/j.ajic.2020.03.018
  • 6. Mills JP, Kaye KS, Mody L. COVID-19 in older adults: clinical, psychosocial, and public health considerations. JCI insight. 2020; 5(10): 139292. https://doi.org/10.1172/jci.insight.139292
  • 7. World Health Organization (WHO). Statement – Older people are at highest risk from COVID-19, but all must act to prevent community spread. URL: https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/statements/statement-older-people-are-at-highest-risk-from-covid-19,-but-all-must-act-to-prevent-community-spread. Accessed 6 May 2020.
  • 8. Turkish Statistical Institute (TurkStat). Elderly with Statistics, http://www.tuik.gov.tr/PreHaberBultenleri.do?id=33712. 2019. Accessed 18 March 2020
  • 9. Sher L. An infectious disease pandemic and increased suicide risk. Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 2020; 42(3): 239–240. https://doi.org/10.1590/1516-4446-2020-0989
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  • 11. Burlacu A, Mavrichi I, Crisan-Dabija R, et al. "Celebrating old age": an obsolete expression during the COVID-19 pandemic? Medical, social, psychological, and religious consequences of home isolation and loneliness among the elderly. Arch Med Sci. 2020;17(2):285-295.https://doi.org/10.5114/aoms.2020.95955
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  • 14. Jackson D, Bradbury‐Jones C, Baptiste D, Gelling L, Morin K, Neville S, Smith GD. Life in the pandemic: Some reflections on nursing in the context of COVID‐19. Journal of clinical nursing. 2020; 2041-2042. https://doi.org/10.1111/jocn.15257.
  • 15. Jiloha RC. COVID-19 and Mental Health. Epidemiology International (E-ISSN: 2455-7048). 2020; 5(1): 7-9.
  • 16. Council of Europe. Older persons need more support than ever in the age of the Covid-19 pandemic. https://www.coe.int/en/web/commissioner/-/older-persons-need-more-support-than-ever-in-the-age-of-the-covid-19-pandemic.2020.
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  • 18. Ministry of Interior, Curfew Circulation for 65 Years and Above and Chronic Diseases. Access address: https://www.icisleri.gov.tr/65-yas-ve-ustu-ile-kronik-rahatsizligi-olanlara-sokaga-cikma-yasagi-genelgesi. Accessed 20 June 2020.
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  • 20. Bello-Chavolla OY, González-Díaz A, Antonio-Villa NE, Fermín-Martínez CA, Márquez-Salinas A, Vargas-Vázquez A, Gutiérrez-Robledo LM. Unequal impact of structural health determinants and comorbidity on COVID-19 severity and lethality in older Mexican adults: Considerations beyond chronological aging. The Journals of Gerontology: Series A, 2021;76(3):e52-e59.https://doi.org/10.1093/gerona/glaa163
  • 21. Jen S, Jeong M, Kang H, Riquino M. Covid-Related Newspaper Coverage: The First Month of a Pandemic, The Journals of Gerontology, 2021; gbab102. https: //doi.org/10.1093/geronb/gbab102
  • 22. Parker, J. (2021). Structural discrimination and abuse: COVID-19 and people in care homes in England and Wales. The Journal of Adult Protection.
  • 23. Vervaecke D, Meisner BA. Caremongering and Assumptions of Need: The Spread of Compassionate Ageism During COVID-19, The Gerontologist, 2021;61(2):159-165. https://doi.org/10.1093/geront/gnaa131
  • 24. Swift HJ, Chasteen AL. Ageism in the time of COVID-19. Group Processes & Intergroup Relations. 2021;24(2):246-252. https://doi.org/10.1177/1368430220983452
  • 25. Rada AG. Covid-19: the precarious position of Spain’s nursing homes. Bmj, 2020;369 https://doi.org/10.1136/bmj.m1554
  • 26. Lichtenstein B. From “Coffin Dodger” to “Boomer Remover”: Outbreaks of Ageism in Three Countries With Divergent Approaches to Coronavirus Control, The Journals of Gerontology, 2021;76(4):e206–e212, https://doi.org/10.1093/geronb/gbaa102
  • 27. Lowey S. Withholding Medical Interventions and Ageism During a Pandemic, Journal of Hospice & Palliative Nursing, 2021;23(3):200-206. https://doi.org/10.1097/NJH.0000000000000737
  • 28. Wilson DM, Nam MA, Murphy J, Victorino JP, Gondim EC, Low G. A critical review of published research literature reviews on nursing and healthcare ageism. Journal of clinical nursing, 2017;26(23-24):3881-3892. https://doi.org/10.1111/jocn.13803
  • 29. Rashedi V, Hasheminejad N, Naghibzadeh-Tahami A, Borhaninejad V. Ageism among primary health care professionals and nurses in Iran. Ethics, Medicine and Public Health, 2021;17:100638. https://doi.org/10.1016/j.jemep.2021.100638
  • 30. Dahlke S, Davidson S, Kalogirou MR, Swoboda NL, Hunter KF, Fox MT, Salyers V. Nursing faculty and students' perspectives of how students learn to work with older people. Nurse Education Today, 2020;93:104537. https://doi.org/10.1016/j.nedt.2020.104537
  • 31. Kyngäs H, Kristina Mikkonen, MK. The Application of Content Analysis in Nursing Science Research. Springer Nature. 2019; 3-11.
  • 32. Bozdoğan Yeşilot S, Yeşil Demirci P, Öztunç G. Hemşirelik Öğrencilerinin Yaşlı Ayrımcılığına Yönelik Tutumları ve Etkileyen Faktörlerin Belirlenmesi . Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 2020;10(1):87-93 . https://doi.org/10.33631/duzcesbed.537976
  • 33. Yilmaz M, İnce FZ. Relationship Between Nursing And Elderly Care Students’ attitudes Towards Ageism. Belitung Nursing Journal, 2017;3(4):281-296. https://doi.org/10.33546/bnj.83
  • 34. Vefikuluçay D, Terzioğlu F. Üniversite öğrencilerinde yaşlı ayrımcılığı tutum ölçeğinin geliştirilmesi ve psikometrik değerlendirmesi. Türk Geriatri Dergisi, 2011; 14(3): 259-268.
  • 35. Sources of images used in figures. 2019. URL: https://thenounproject.com/. June 30 2019.
  • 36. Armitage R, Laura BN. COVID-19 and the consequences of isolating the elderly. The Lancet Public Health. 2020; 5(5): e256. https://doi.org/10.1016/S2468-2667(20)30061-X.
  • 37. Van Wicklin SA. Ageism in Nursing. Plastic Surgical Nursing. 2020; 40(1): 20-24. doi: https://doi.org/10.1097/PSN.0000000000000290.
  • 38. Rahayuwati L, Nuriyanto A, Agustina HS, Susanti RD, Pramukti I. COVID-19 in indonesia social epidemiology perspective tailored to community-based health promotion. Journal of Talent Development and Excellence. 2020; 12(1): 2512-2524.
  • 39. Asghari F, Parsapour A, Gooshki ES. Priority Setting of Ventilators in the COVID-19 Pandemic from the public's perspective. medRxiv. 2020. https://doi.org/10.1101/2020.06.10.20127290.
  • 40. Kuwahara K, Kuroda A, Fukuda Y. COVID-19: Active measures to support community-dwelling older adults. Travel Medicine and Infectious Disease 2020; 101638. https://doi.org/10.1016/j.tmaid.2020.101638.
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There are 50 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Research Articles
Authors

Kamuran Özdil 0000-0003-0852-7854

Gülhan Küçük Öztürk 0000-0002-9220-6051

Aslıhan Çatıker 0000-0001-8102-6795

Gizem Deniz Bulucu Büyüksoy 0000-0003-2957-2451

Early Pub Date October 15, 2021
Publication Date October 15, 2021
Published in Issue Year 2021 Volume: 14 Issue: 4

Cite

APA Özdil, K., Küçük Öztürk, G., Çatıker, A., Bulucu Büyüksoy, G. D. (2021). Views of Senior Nursing Students on the Problems of the Elderly During the Covid-19 Process and Attitudes Against Ageism. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 14(4), 357-369. https://doi.org/10.46483/deuhfed.870058

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