2.50
Hdl Handle:
http://hdl.handle.net/10755/154685
Type:
Presentation
Title:
Initial clinical placement and nursing student attitudes toward the elderly
Abstract:
Initial clinical placement and nursing student attitudes toward the elderly
Conference Sponsor:Sigma Theta Tau International
Conference Year:1992
Conference Date:August 6 - 8, 1992
Author:Ellis, Janice, PhD
P.I. Institution Name:Shoreline Community College
Title:Professor
Nursing literature has suggested that using the nursing home as an

initial student placement may have adverse effects upon student

attitudes toward the elderly. The faculty of this ADN program

believed that the nursing home setting had many positive attributes

as an initial setting because of its stability and its major focus

on nursing not medicine. The purpose of this study was to

investigate the effect of an initial nursing home clinical

experience on attitudes toward the elderly of the students in this

program.



A pre test-post test design in which attitudes of nursing students

toward the elderly would be measured before and after the initial

nursing course was selected. Information on the normal aging

process was incorporated into the theory course early in the

quarter. The clinical experience emphasized using the nursing

process. All students entering the program were asked to

participate in the study. The 136 subjects completed a

questionnaire at the beginning of the quarter and again after their

clinical experience was complete. Selected demographic

characteristics were ascertained and attitude toward the elderly

was measured using Kogan's Attitudes Toward Old People (KAOP)

Scale. This scale consists of 17 negative and 17 positive

statements regarding aging. The subject reacts to the statements

on a six point Likert scale that ranges from strongly disagree to

strongly agree. Internal consistency reliability of the scale

ranges from 0 to 66 to 0 to 85. Criterion validity has been

supported by the positive correlations of this scale with

measurements of attitudes toward other groups such as minorities

(Kogan, 1961). A paired t test was used to analyze the difference

between the attitude scores on entering the program and at the end

of the first quarter.



Within a possible range of 34 to 238, the mean initial score was

179.83. The mean post test score was 184.26 resulting in a mean

difference of 4.43. The t value was 2.97 with 125 degrees of

freedom and was significant for a 2-tailed probability of .004.

Although the difference in scores was small, the improvement in

attitudes was significant.



As nursing education must cope with the realities of the modern

health care system, it is imperative that faculty seek alternatives

to traditional patterns of clinical assignment. It is no longer

clear that there is one best place to learn to practice nursing.

What may initially be regarded as a second and inferior choice may

upon closer examination have important advantages. In the nursing

home the population is stable; students can assess, plan,

implement, and evaluate care and then return to revise their plans

as the evaluation directs. The lower acuity level of residents

means that students can participate in a meaningful way and truly

contribute to care rather than being a burden to those who are

ultimately responsible for care.



Repository Posting Date:
26-Oct-2011
Date of Publication:
6-Aug-1992
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleInitial clinical placement and nursing student attitudes toward the elderlyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154685-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Initial clinical placement and nursing student attitudes toward the elderly</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1992</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">August 6 - 8, 1992</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ellis, Janice, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Shoreline Community College</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr><td colspan="2" class="item-abstract">Nursing literature has suggested that using the nursing home as an<br/><br/>initial student placement may have adverse effects upon student<br/><br/>attitudes toward the elderly. The faculty of this ADN program<br/><br/>believed that the nursing home setting had many positive attributes<br/><br/>as an initial setting because of its stability and its major focus<br/><br/>on nursing not medicine. The purpose of this study was to<br/><br/>investigate the effect of an initial nursing home clinical<br/><br/>experience on attitudes toward the elderly of the students in this<br/><br/>program.<br/><br/><br/><br/>A pre test-post test design in which attitudes of nursing students<br/><br/>toward the elderly would be measured before and after the initial<br/><br/>nursing course was selected. Information on the normal aging<br/><br/>process was incorporated into the theory course early in the<br/><br/>quarter. The clinical experience emphasized using the nursing<br/><br/>process. All students entering the program were asked to<br/><br/>participate in the study. The 136 subjects completed a<br/><br/>questionnaire at the beginning of the quarter and again after their<br/><br/>clinical experience was complete. Selected demographic<br/><br/>characteristics were ascertained and attitude toward the elderly<br/><br/>was measured using Kogan's Attitudes Toward Old People (KAOP)<br/><br/>Scale. This scale consists of 17 negative and 17 positive<br/><br/>statements regarding aging. The subject reacts to the statements<br/><br/>on a six point Likert scale that ranges from strongly disagree to<br/><br/>strongly agree. Internal consistency reliability of the scale<br/><br/>ranges from 0 to 66 to 0 to 85. Criterion validity has been<br/><br/>supported by the positive correlations of this scale with<br/><br/>measurements of attitudes toward other groups such as minorities<br/><br/>(Kogan, 1961). A paired t test was used to analyze the difference<br/><br/>between the attitude scores on entering the program and at the end<br/><br/>of the first quarter.<br/><br/><br/><br/>Within a possible range of 34 to 238, the mean initial score was<br/><br/>179.83. The mean post test score was 184.26 resulting in a mean<br/><br/>difference of 4.43. The t value was 2.97 with 125 degrees of<br/><br/>freedom and was significant for a 2-tailed probability of .004.<br/><br/>Although the difference in scores was small, the improvement in<br/><br/>attitudes was significant.<br/><br/><br/><br/>As nursing education must cope with the realities of the modern<br/><br/>health care system, it is imperative that faculty seek alternatives<br/><br/>to traditional patterns of clinical assignment. It is no longer<br/><br/>clear that there is one best place to learn to practice nursing.<br/><br/>What may initially be regarded as a second and inferior choice may<br/><br/>upon closer examination have important advantages. In the nursing<br/><br/>home the population is stable; students can assess, plan,<br/><br/>implement, and evaluate care and then return to revise their plans<br/><br/>as the evaluation directs. The lower acuity level of residents<br/><br/>means that students can participate in a meaningful way and truly<br/><br/>contribute to care rather than being a burden to those who are<br/><br/>ultimately responsible for care.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T13:11:46Z-
dc.date.issued1992-08-06en_GB
dc.date.accessioned2011-10-26T13:11:46Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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