Research Article
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Cerrahi Hemşirelerinin Yaşlı Hastalara Yönelik Tutumlarının Belirlenmesi

Year 2022, Volume: 15 Issue: 2, 110 - 116, 15.04.2022
https://doi.org/10.46483/deuhfed.911006

Abstract

Giriş: Yaşlanma ile birlikte oluşan fizyolojik değişimlere ve gelişen kronik hastalıklara bağlı olarak, cerrahi işlemlere ilişkin bakım gereksinimleri farklılık gösterebilmektedir. Amaç: Bu çalışmada cerrahi hemşirelerinin yaşlı hastalara yönelik tutumlarının ve tutumu etkileyen faktörlerin belirlenmesi amaçlanmıştır. Yöntem: Tanımlayıcı ve kesitsel tipteki bu çalışma, 21 Şubat - 11 Mart 2020 tarihleri arasında Türkiye'nin Trakya bölgesinde bulunan bir üniversite hastanesinin cerrahi birimlerinde çalışan 153 hemşire ile gerçekleştirildi. Veriler hemşire tanıtım formu ve Kogan Yaşlılara Yönelik Tutum Ölçeği kullanılarak toplandı. Veriler, Whitney - U testi, Kruskal - Wallis testi ve Spearman korelasyon katsayısı testleri kullanılarak analiz edildi. Bulgular: Toplam tutum ölçeği puanı ortalaması 126.23 ± 15.52 olup, yüksek lisans derecesine sahip hemşirelerin puanları, lise mezunu olanlara göre istatistiksel olarak anlamlı derecede yüksek bulundu (p < .05). Yaşlı bakım deneyimi olmayan hemşirelerin olumsuz tutum puanı, deneyimi olanlara göre istatistiksel olarak anlamlı derecede yüksek bulundu (p < .05). Hemşirelerin yaş ortalaması ve mesleki deneyim süresi ile ortalama tutum ölçek puanı arasında pozitif bir ilişkinin olduğu belirlendi (sırasıyla r = .18 p = .019; r = .17 p = .027). Sonuç: Çalışma, cerrahi birimlerde çalışan hemşirelerin yaşlı hastalara yönelik olumlu bir tutuma sahip olduklarını, eğitim durumlarının, yaşlı hastalara bakım sağlama konusunda edindikleri deneyimlerin, yaş ve mesleki deneyimlerinin artmasının yaşlılara karşı olumlu tutumlarını geliştirmede etkili olduğunu göstermiştir. Yaşlı hastaların hemşirelik bakımında eğitimli ve deneyimli cerrahi hemşirelerinin bulunması, onlara yönelik olumlu tutum sergilemesi açısından önemlidir.

References

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  • 3. Peterson L, Ralston M. Aging well in an aging world-The impact of material conditions, culture, and societal disruptions. Soc Sci Med 2019;220(1):245-253.
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  • 6. Turkish Statistical Institute. 2018 Statistics on Older People. (2018). URL: https://hsgm.saglik.gov.tr/depo/birimler/kronik-hastaliklar-engelli-db/hastaliklar/Yasli_Sagligi/raporlar_istatistikler/TUIK_Yasli_Istatistik_2018.pdf.17.03.2020.
  • 7. Paul SS, Harvey L, Canning CG, Boufous S, Lord SR, Close JCT, et al. Fall‐related hospitalization in people with parkinson's disease. Eur J Neurol 2017;24(3):523-529.
  • 8. Wirtz D, Kohlhof H. The geriatric patient: special aspects of peri-operative management. EFORT Open Rev 2019;4(6):240-247.
  • 9. Sing DC, Berven SH, Burch S, Metz LN. Increase in spinal deformity surgery in patients age 60 and older is not associated with increased complications. Spine J 2017;17(5):627-635.
  • 10. Fowler AJ, Abbott TEF, Prowle J, Pearse RM. Age of patients undergoing surgery. Br J Surg 2019;106(8):1012-1018.
  • 11. Mehta A, Dultz LA, Joseph B, Canner JK, Stevens K, Jones C, et al. Emergency general surgery in geriatric patients: a statewide analysis of surgeon and hospital volume with outcomes. J Trauma Acute Care Surg 2018;84(6):864-875.
  • 12. Abraham J, Meng A, Siraco S, Kannampallil T, Politi MC, Baumann AA, et al. A qualitative study of perioperative depression and anxiety in older adults. Am J Geriatr Psychiatry 2020;28(10):110-118.
  • 13. Olotu C, Weimann A, Bahrs C, Schwenk W, Scherer M, Kiefmann R. The perioperative care of older patients: time for a new, interdisciplinary approach. Dtsch Arztebl Int 2019;116(5):63-69.
  • 14. Okuyan CB, Alkaya SA, Sairanen R. Finnish and Turkish nursing students’ attitudes toward the elderly people. J Gerontol Geriatr 2018;7(3):1-4.
  • 15. Rababa M, Hammouri AM, Hweidi IM, Ellis JL. Association of nurses’ level of knowledge and attitudes to ageism toward older adults: cross‐sectional study. Nurs Health Sci 2020;22(3):593-601.
  • 16. World Health Organization. Integrated Care for Older People (ICOPE): Guidance for Person-Centred Assessment and Pathways in Primary Care; 2019. (2019). World Health Organization. URL: https://apps.who.int/iris/bitstream/handle/10665/326843/WHO-FWC-ALC-19.1-eng.pdf.17.02.2020.
  • 17. Fitzgerald A, Verrall C, Henderson J, Willis E. Factors influencing missed nursing care for older people following fragility hip fracture. Collegian 2020;27(4):450-458.
  • 18. Tarafdar SA, Gupta S. Knowledge of and attitude on assessment of substance use disorders of nurses working in general wards. Indian J Psychiat Nurs 2018;15(1):33-38.
  • 19. Bulut E, Çilingir D. Attitudes of surgical nurses towards the elderly. Turk J Geriart 2016;19(4):253-259.
  • 20. Usta E, Aygin D. Prospective randomized trial on effects of structured training and counseling on depression, body image, and quality of life. Bariatr Surg Pract P 2020;15(2):55-62.
  • 21. Arani MM, Aazami S, Azami M, Borji M. Assessing attitudes toward elderly among nurses working in the city of Ilam. Int J Nurs Stud 2017;4(3):311-313.
  • 22. Lan X, Chen Q, Yi B. Attitude of nurses toward the care of older adults in China. Journal of Transcult Nurs 2019;30(6):597-602.
  • 23. Pehlivan S, Vatansever N. Attitudes of nurses towards the elderly and affecting factors. J Uludağ Uni Med Fac 2019;45(1):47-53.
  • 24. Kogan N. Attitudes toward old people: the development of a scale and an examination of correlates. J Abnorm Soc Psych 1961;62(1):44-54.
  • 25. Erdemir F, Kav S, Citak EA, Hanoglu Z, Karahan AA. Turkish version of Kogan's attitude toward older people (KAOP) scale: reliability and validity assessment. Arch Gerontol Geriatr 2011;52(3):162-165.
  • 26. Uğurlu Z, Kav S, Karahan A, Akgün ÇE. Correlates of ageism among health care professionals working with older adults. J. Transcult. Nurs 2019;30(3):303-312.
  • 27. Oral B, Gunay O, Cetinkaya F. Attitudes of health professionals working in a university hospital towards ageism. Med Sci 2019;8(1):117-122.
  • 28. Afolabi AO, Eboiyehi FA, Afolabi KA. Gender analysis of nurses' attitude towards care of the elderly with dementia in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria. J Women Aging 2020;32(2):203-219.
  • 29. Blaser R, Berset J. Setting matters-Associations of nurses' attitudes towards people with dementia. Nurs Open 2019;6(1):155-161.
  • 30. Sharafi H, Khonji A, Rooshenas Z, Rezaei F. The attitude of nurses working in educational hospitals of Bandar Abbas University of Medical Sciences toward the Elderly-2017. J Dev Strategies Med Educ 2018;5(1):34-41.
  • 31. Kim J, Ha J. Factors influencing ageism in general hospital nurses. J Korean Acad Nurs Adm 2019;25(5):393-403.
  • 32. Carrillo-Esper R, la Torre-Leon D. The geriatric patient in the intensive care unit. Are we prepared?. Med Crit 2019;33(4):199-203.
  • 33. Sert H, Aygin D, Boluktas RP. Ventilator-associated pneumonia and prevention in elderly patients in intensive care units. J Turk Soc Crit Care Nurs 2015;19(2):60-67.
  • 34. Bedel C, Tomruk Ö. Characteristics of geriatric patients presenting to an emergency department of a university hospital. Med J SDU 2018;25(4):393-399.
  • 35. Rush KL, Hickey S, Epp S, Janke R. Nurses' attitudes towards older people care: an integrative review. J Clin Nurs 2017;26(23-24):4105-4116.
  • 36. Heyman N, Osman I, Ben Natan M. Ageist attitudes among healthcare professionals and older patients in a geriatric rehabilitation facility and their association with patients' satisfaction with care. Int. J. Older People Nurs 2020;15(2):e12307.
  • 37. Kwon Y, Lee HY, Hwang SS. A study on the knowledge, attitude and nursing practice of the nurses-towards the elderly in geriatric hospitals. J Korea Acad Industr Coop Soc 2013;14(11):5785-5791.
  • 38. Engström G, Fagerberg I. Attitudes towards older people among Swedish health care students and health care professionals working in elder care. Nurs Rep 2011;1(1):1-6.

Determining the Attitudes of Surgical Nurses toward Older Patients

Year 2022, Volume: 15 Issue: 2, 110 - 116, 15.04.2022
https://doi.org/10.46483/deuhfed.911006

Abstract

Background: Due to chronic diseases and physiological changes with aging, the surgical processes care requirements may change. Objectives: This study aimed to determine the attitudes of surgical nurses toward older patients and the factors affecting the attitude. Methods: This descriptive and cross-sectional study was conducted with 153 nurses who worked in surgical units of a university hospital located in Thrace region of Turkey from February 21 to March 11, 2020. Data were collected using a nurse identification form and the Kogan’s Attitude toward Older People scale. Data were analyzed using Whitney-U test, Kruskal-Wallis test and Spearman’s correlation coefficient. Results: The mean attitude score was 126.23 ± 15.52, the scores of nurses who had postgraduate degrees were statistically significantly higher than those who had high school degrees (p < .05). Negative attitude scores of nurses who had no experience in providing care for older patients were statistically significantly higher than those who had experience (p < .05). There was a positive relationship between the mean age and professional experience of nurses and the mean attitude score (r = .18 p = .019; r = .17 p = .027, respectively). Conclusion: The study showed that nurses who worked in surgical units had a positive attitude toward older patients, and their educational status, the experiences they gained in providing care for older patients, and the increase in their age and professional experience were effective in developing their positive attitudes toward older patients. The presence of educated and experienced surgical nurses in nursing care of older patients is important in terms of displaying positive attitudes towards them.

References

  • 1. Stambler I. Human life extension-opportunities, challenges, and implications for public health policy. In Vaiserman AA, Anti-aging drugs-from basic research to clinical practice. 1. Edition. London, United Kingdom: Royal Society of Chemistry; 2017:537-564.
  • 2. Officer A, de la Fuente-Nunez V. A global campaign to combat ageism. Bull World Health Organ 2018;96(4):95-96.
  • 3. Peterson L, Ralston M. Aging well in an aging world-The impact of material conditions, culture, and societal disruptions. Soc Sci Med 2019;220(1):245-253.
  • 4. World Health Organization. Aging and Health 2018. (2018). URL: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.16.03.2020.
  • 5. Turkish Statistical Institute. Elders with Statistics, 2019. (2019). URL: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2019-33712#:~:text=Ya%C5%9Fl%C4%B1%20n%C3%BCfusun%20toplam%20n%C3%BCfus%20i%C3%A7indeki,8'ini%20kad%C4%B1n%20n%C3%BCfus%20olu%C5%9Fturdu. 18.03.2020.
  • 6. Turkish Statistical Institute. 2018 Statistics on Older People. (2018). URL: https://hsgm.saglik.gov.tr/depo/birimler/kronik-hastaliklar-engelli-db/hastaliklar/Yasli_Sagligi/raporlar_istatistikler/TUIK_Yasli_Istatistik_2018.pdf.17.03.2020.
  • 7. Paul SS, Harvey L, Canning CG, Boufous S, Lord SR, Close JCT, et al. Fall‐related hospitalization in people with parkinson's disease. Eur J Neurol 2017;24(3):523-529.
  • 8. Wirtz D, Kohlhof H. The geriatric patient: special aspects of peri-operative management. EFORT Open Rev 2019;4(6):240-247.
  • 9. Sing DC, Berven SH, Burch S, Metz LN. Increase in spinal deformity surgery in patients age 60 and older is not associated with increased complications. Spine J 2017;17(5):627-635.
  • 10. Fowler AJ, Abbott TEF, Prowle J, Pearse RM. Age of patients undergoing surgery. Br J Surg 2019;106(8):1012-1018.
  • 11. Mehta A, Dultz LA, Joseph B, Canner JK, Stevens K, Jones C, et al. Emergency general surgery in geriatric patients: a statewide analysis of surgeon and hospital volume with outcomes. J Trauma Acute Care Surg 2018;84(6):864-875.
  • 12. Abraham J, Meng A, Siraco S, Kannampallil T, Politi MC, Baumann AA, et al. A qualitative study of perioperative depression and anxiety in older adults. Am J Geriatr Psychiatry 2020;28(10):110-118.
  • 13. Olotu C, Weimann A, Bahrs C, Schwenk W, Scherer M, Kiefmann R. The perioperative care of older patients: time for a new, interdisciplinary approach. Dtsch Arztebl Int 2019;116(5):63-69.
  • 14. Okuyan CB, Alkaya SA, Sairanen R. Finnish and Turkish nursing students’ attitudes toward the elderly people. J Gerontol Geriatr 2018;7(3):1-4.
  • 15. Rababa M, Hammouri AM, Hweidi IM, Ellis JL. Association of nurses’ level of knowledge and attitudes to ageism toward older adults: cross‐sectional study. Nurs Health Sci 2020;22(3):593-601.
  • 16. World Health Organization. Integrated Care for Older People (ICOPE): Guidance for Person-Centred Assessment and Pathways in Primary Care; 2019. (2019). World Health Organization. URL: https://apps.who.int/iris/bitstream/handle/10665/326843/WHO-FWC-ALC-19.1-eng.pdf.17.02.2020.
  • 17. Fitzgerald A, Verrall C, Henderson J, Willis E. Factors influencing missed nursing care for older people following fragility hip fracture. Collegian 2020;27(4):450-458.
  • 18. Tarafdar SA, Gupta S. Knowledge of and attitude on assessment of substance use disorders of nurses working in general wards. Indian J Psychiat Nurs 2018;15(1):33-38.
  • 19. Bulut E, Çilingir D. Attitudes of surgical nurses towards the elderly. Turk J Geriart 2016;19(4):253-259.
  • 20. Usta E, Aygin D. Prospective randomized trial on effects of structured training and counseling on depression, body image, and quality of life. Bariatr Surg Pract P 2020;15(2):55-62.
  • 21. Arani MM, Aazami S, Azami M, Borji M. Assessing attitudes toward elderly among nurses working in the city of Ilam. Int J Nurs Stud 2017;4(3):311-313.
  • 22. Lan X, Chen Q, Yi B. Attitude of nurses toward the care of older adults in China. Journal of Transcult Nurs 2019;30(6):597-602.
  • 23. Pehlivan S, Vatansever N. Attitudes of nurses towards the elderly and affecting factors. J Uludağ Uni Med Fac 2019;45(1):47-53.
  • 24. Kogan N. Attitudes toward old people: the development of a scale and an examination of correlates. J Abnorm Soc Psych 1961;62(1):44-54.
  • 25. Erdemir F, Kav S, Citak EA, Hanoglu Z, Karahan AA. Turkish version of Kogan's attitude toward older people (KAOP) scale: reliability and validity assessment. Arch Gerontol Geriatr 2011;52(3):162-165.
  • 26. Uğurlu Z, Kav S, Karahan A, Akgün ÇE. Correlates of ageism among health care professionals working with older adults. J. Transcult. Nurs 2019;30(3):303-312.
  • 27. Oral B, Gunay O, Cetinkaya F. Attitudes of health professionals working in a university hospital towards ageism. Med Sci 2019;8(1):117-122.
  • 28. Afolabi AO, Eboiyehi FA, Afolabi KA. Gender analysis of nurses' attitude towards care of the elderly with dementia in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria. J Women Aging 2020;32(2):203-219.
  • 29. Blaser R, Berset J. Setting matters-Associations of nurses' attitudes towards people with dementia. Nurs Open 2019;6(1):155-161.
  • 30. Sharafi H, Khonji A, Rooshenas Z, Rezaei F. The attitude of nurses working in educational hospitals of Bandar Abbas University of Medical Sciences toward the Elderly-2017. J Dev Strategies Med Educ 2018;5(1):34-41.
  • 31. Kim J, Ha J. Factors influencing ageism in general hospital nurses. J Korean Acad Nurs Adm 2019;25(5):393-403.
  • 32. Carrillo-Esper R, la Torre-Leon D. The geriatric patient in the intensive care unit. Are we prepared?. Med Crit 2019;33(4):199-203.
  • 33. Sert H, Aygin D, Boluktas RP. Ventilator-associated pneumonia and prevention in elderly patients in intensive care units. J Turk Soc Crit Care Nurs 2015;19(2):60-67.
  • 34. Bedel C, Tomruk Ö. Characteristics of geriatric patients presenting to an emergency department of a university hospital. Med J SDU 2018;25(4):393-399.
  • 35. Rush KL, Hickey S, Epp S, Janke R. Nurses' attitudes towards older people care: an integrative review. J Clin Nurs 2017;26(23-24):4105-4116.
  • 36. Heyman N, Osman I, Ben Natan M. Ageist attitudes among healthcare professionals and older patients in a geriatric rehabilitation facility and their association with patients' satisfaction with care. Int. J. Older People Nurs 2020;15(2):e12307.
  • 37. Kwon Y, Lee HY, Hwang SS. A study on the knowledge, attitude and nursing practice of the nurses-towards the elderly in geriatric hospitals. J Korea Acad Industr Coop Soc 2013;14(11):5785-5791.
  • 38. Engström G, Fagerberg I. Attitudes towards older people among Swedish health care students and health care professionals working in elder care. Nurs Rep 2011;1(1):1-6.
There are 38 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Research Articles
Authors

Seher Ünver 0000-0003-1320-1437

Zeynep Kızılcık Özkan 0000-0003-1892-241X

Özge Karaca 0000-0003-0320-1847

Publication Date April 15, 2022
Published in Issue Year 2022 Volume: 15 Issue: 2

Cite

APA Ünver, S., Kızılcık Özkan, Z., & Karaca, Ö. (2022). Determining the Attitudes of Surgical Nurses toward Older Patients. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 15(2), 110-116. https://doi.org/10.46483/deuhfed.911006

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