Turkiye Klinikleri Journal of Medical Ethics-Law and History

.: RESEARCH
The Difficulties Experienced by Surgical Nurses in Elderly Patient Care on Ageism: Descriptive Research
Cerrahi Hemşirelerinin Yaşlı Hastaya Bakım Verirken Yaşadıkları Güçlüklerin Yaşlı Ayrımcılığına Etkisi: Tanımlayıcı Araştırma
Meryem Türkan IŞIKa , Seda DUMANb
aDepartment of Fundamental Nursing, Mersin University Faculty of Nursing, Mersin, Türkiye
bMersin University Health Research and Application Center, Mersin, Türkiye
Turkiye Klinikleri J Med Ethics. 2023;31(3):199-207
doi: 10.5336/mdethic.2023-97299
Article Language: EN
Full Text
ABSTRACT
 The aim of this descriptive study was to determine the difficulties experienced by surgical nurses in elderly patient care and the effect of these difficulties on ageism. The study sample consisted of 148 nurses who were working in the surgical departments of a university hospital between April and May 2019, who provided care to patients over 65 years of age and who agreed to participate in the study. Data were collected using a data collection form prepared based on the literature and the Ageism Attitude Scale (AAS). The results showed that the vast majority of the surgical nurses were worried about having health problems such as back and low-back pain and dropping the patient and more than half of them experienced work fatigue/burnout, which they considered as difficulties caused by nurses themselves. Also, almost all of them stated that not having sufficient number of nurses and support staff during care was a difficulty caused by the institution while not having sufficient care equipment was another for more than half of the nurses. It was determined that the surgical nurses' mean total score in the AAS was 66.74±6, with the highest score being 84 and the lowest score being 46. The findings revealed that, during the elderly care process, almost all of the surgical nurses in the study experienced difficulties that were caused by elderly patients, the institution, nurses themselves and surgical process, but they still had positive attitudes towards ageism despite these difficulties.

Keywords: Ageism; care; difficulty; surgery; nurse
ÖZET
 Araştırma, cerrahi hemşirelerinin yaşlı hasta bakımında yaşadığı güçlükler ve bu güçlüklerin yaşlı ayrımcılığına etkisini belirlemek amacıyla tanımlayıcı olarak yapıldı. Araştırmanın örneklemini, Mayıs-Haziran 2019 tarihleri arasında; bir üniversite hastanesinin cerrahi kliniklerinde çalışan 65 yaş üstü hastalara bakım veren ve çalışmaya katılmayı kabul eden 148 hemşire oluşturdu. Araştırmada, verilerin toplanmasında literatür ışığında oluşturulan veri toplama formu ve Yaşlı Ayrımcılığı Tutum Ölçeği kullanıldı. Araştırmada cerrahi hemşirelerinin, yaşlı bakım sürecinde tamamına yakını sırt, bel ağrısı gibi sağlık sorunları yaşama korkusunu, hastayı düşürme korkusunu, yarısından fazlasının iş yorgunluğu/tükenmişlik hissetmesini kendisinden, tamamına yakının bakım sırasında yeterli sayıda hemşire ve yardımcı personelin olmamasını, yarısından fazlasının bakım için yeterli araç gerecin olmamasını kurumdan kaynaklanan güçlükler olarak gördüğü belirlendi. Cerrahi hemşirelerinin Yaşlı Ayrımcılığı Tutum Ölçeği toplam puan ortalamasının 66,74±6, maksimum puanın 84 ve minimum puanın 46 olduğu belirlendi. Araştırma, cerrahi hemşirelerinin tamamına yakınının yaşlı bakım sürecinde yaşlı hastadan, kurumdan, kendisinden ve cerrahi süreçten kaynaklı çeşitli güçlükler yaşadığını, yaşanan bu güçlüklere rağmen yaşlı ayrımcılığına yönelik olumlu tutum sergilediklerini ortaya koydu.

Anahtar Kelimeler: Yaşlı ayrımcılığı; bakım; güçlük; cerrahi; hemşire
REFERENCES:
  1. Khami L, Motalebi SA, Mohammadi F, Momeni M, Shahrokhi A. Can social support predict health-promoting behaviors among community-dwelling older adults? Social Health and Behavior. 2020;3(1):22-6. [Crossref] 
  2. Branding Türkiye [İnternet]. Branding Türkiye | Tüm Hakları Saklıdır © 2019 [Erişim tarihi: 22 Temmuz 2019]. TÜİK'ten İstatistiklerle Yaşlılar Raporu (2018). Erişim linki: [Link] 
  3. Murphy E. Patient safety and risk management. In: Rothrock JC, ed. Alexander's Care of the Patient in Surgery-E-Book. 6th ed. New York: Elsevier Health Sciences; 2018. p.15-36.
  4. Eamer G, Al-Amoodi MJH, Holroyd-Leduc J, Rolfson DB, Warkentin LM, Khadaroo RG. Review of risk assessment tools to predict morbidity and mortality in elderly surgical patients. Am J Surg. 2018;216(3):585-94. [Crossref]  [PubMed] 
  5. Rogers SE, Thrasher AD, Miao Y, Boscardin WJ, Smith AK. Discrimination in healthcare settings is associated with disability in older adults: health and retirement study, 2008-2012. J Gen Intern Med. 2015;30(10):1413-20. [Crossref]  [PubMed]  [PMC] 
  6. Ling XU, Chen Q, Zhang X. Difficulties of caregivers on nursing for elderly patients. Modern Clinical Nursing. 2017;16(4):7-10. [Link] 
  7. Banister C. The effect of ageism on older people and implications for nursing practice. Nurs Older People. 2018;30(5):34-7. [Crossref]  [PubMed] 
  8. Turkey Healthy Aging Action Plan and Implementation Program 2015-2020. Accessed October 21, 2019. [Link] 
  9. Araujo de Carvalho I, Epping-Jordan J, Pot AM, Kelley E, Toro N, Thiyagarajan JA, et al. Organizing integrated health-care services to meet older people's needs. Bull World Health Organ. 2017;95(11):756-63. [Crossref]  [PubMed]  [PMC] 
  10. Hansson A, Svensson A, Ahlström BH, Larsson LG, Forsman B, Alsén P. Flawed communications: Health professionals' experience of collaboration in the care of frail elderly patients. Scand J Public Health. 2018;46(7):680-9. [Crossref]  [PubMed] 
  11. Bulut E, Cilingir D. Attitudes of surgical nurses towards the elderly. Turkish Journal of Geriatrics. 2016;19(4):253-9. [Link] 
  12. Gjorgjievski M, Ristevski B. Postoperative management considerations of the elderly patient undergoing orthopaedic surgery. Injury. 2020;51 Suppl 2:S23-S7. [Crossref]  [PubMed] 
  13. Mendonça FT, Lucena MC, Quirino RS, Govêia CS, Guimarães GMN. Fatores de risco para hipotermia pós‐operatória em sala de recuperação pós‐anestésica: estudo piloto prospectivo de prognóstico [Risk factors for postoperative hypothermia in the post-anesthetic care unit: a prospective prognostic pilot study]. Braz J Anesthesiol. 2019;69(2):122-30. [Crossref]  [PubMed]  [PMC] 
  14. Swift HJ, Abrams D, Lamont RA, Drury L. The risks of ageism model: How ageism and negative attitudes toward age can be a barrier to active aging. Social Issues and Policy Review. 2017;11(1):195-231. [Crossref] 
  15. Bodner E, Palgi Y, Wyman MF. Ageism in mental health assessment and treatment of older adults. In: Ayalon L, Tesch-Römer C, eds. Contemporary Perspectives on Ageism. 1st ed. Cham: Springer; 2018. p.241-62. [Crossref] 
  16. Suhonen R, Stolt M, Habermann M, Hjaltadottir I, Vryonides S, Tonnessen S, et al; RANCARE Consortium COST Action - CA 15208. Ethical elements in priority setting in nursing care: A scoping review. Int J Nurs Stud. 2018;88:25-42. [Crossref]  [PubMed] 
  17. Vefikuluçay YD, Terzioğlu F. Üniversite öğrencilerinde yaşlı ayrımcılığı tutum ölçeğinin geliştirilmesi ve psikometrik değerlendirilmesi [Development and psychometric evaluation of ageism attitude scale among the university students]. Turkish Journal of Geriatrics. 2011;14(3):259-68. [Link] 
  18. Wathan J, Higgins V, Elliot M, Browne W, Carlton C, Morales Gomez A, et al. Correlations in SPSS (Quiz and Practical). 2019. [Link] 
  19. Wu MW, Lee TT, Lai SM, Huang CY, Chang TH. Evaluation of electronic health records on the nursing process and patient outcomes regarding fall and pressure injuries. Comput Inform Nurs. 2019;37(11):573-82. [Crossref]  [PubMed] 
  20. Cho H, Sagherian K, Scott LD, Steege LM. Occupational fatigue, workload and nursing teamwork in hospital nurses. J Adv Nurs. 2022;78(8):2313-26. [Crossref]  [PubMed] 
  21. Yang G, Pan LY, Fu XL, Qing Z, Dong BH, Ye JM. Burnout and job stress of anesthesiologists in the tertiary class A hospitals in Northwest China: A cross-sectional design. Front Med (Lausanne). 2023;10:1140552. [Crossref]  [PubMed]  [PMC] 
  22. Meehan AJ, Maher AB, Brent L, Copanitsanou P, Cross J, Kimber C, et al. The International Collaboration of Orthopaedic Nursing (ICON): Best practice nursing care standards for older adults with fragility hip fracture. Int J Orthop Trauma Nurs. 2019;32:3-26. Erratum in: Int J Orthop Trauma Nurs. 2021;40:100837. [Crossref]  [PubMed] 
  23. Rush KL, Hickey S, Epp S, Janke R. Nurses' attitudes towards older people care: An integrative review. J Clin Nurs. 2017;26(23-4):4105-16. [Crossref]  [PubMed] 
  24. de Almeida Tavares JP, da Silva AL, Sá-Couto P, Boltz M, Capezuti E. Portuguese nurses' knowledge of and attitudes toward hospitalized older adults. Scand J Caring Sci. 2015;29(1):51-61. [Crossref]  [PubMed] 
  25. Clifford C, Doody O. Exploring nursing staff views of responsive behaviours of people with dementia in long-stay facilities. J Psychiatr Ment Health Nurs. 2018;25(1):26-36. [Crossref]  [PubMed] 
  26. Nia HS, Lehto RH, Ebadi A, Peyrovi H. Death anxiety among nurses and health care professionals: a review article. Int J Community Based Nurs Midwifery. 2016;4(1):2-10. [PubMed]  [PMC] 
  27. Akhkand SS, Seidi J, Ebadi A, Gheshlagh RG. Prevalence of pressure ulcer in Iran's intensive care units: A systematic review and meta-analysis. Nursing Practice Today. 2020;7(1):12-20. [Link] 
  28. Duru Asiret G, Türten Kaymaz T, Ozturk Copur E, Akyar I. Ageism attitude towards elderly: Young perspective. International Journal of Caring Sciences. 2017;10(2):819-27. [Link] 
  29. Mansouri Arani M, Aazami S, Azami M, Borji M. Assessing attitudes toward elderly among nurses working in the city of Ilam. Int J Nurs Sci. 2017;4(3):311-3. [Crossref]  [PubMed]  [PMC] 
  30. Çürük GN, Özgül E. Attitudes of oncology nurses regarding ageism. Support Care Cancer. 2022;30(6):5441-7. [Crossref]  [PubMed] 
  31. Sülüker K, Türkoğlu N. Birinci ve ikinci basamakta çalışan hemşirelerin yaşlı ayrımcılığına ilişkin tutumlarının karşılaştırılması [Comparison of attitudes of nurses working in primary and secondary care towards ageism]. Turk J Sci Health. 2021;2(1):166-75. [Link] 
  32. Bahadir-Yilmaz E. The relationship between nursing students' professional values and their attitudes towards the elderly people: A cross-sectional study. Nurse Educ Today. 2018;70:8-12. [Crossref]  [PubMed] 

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