2.50
Hdl Handle:
http://hdl.handle.net/10755/243566
Category:
Full-text
Type:
Presentation
Title:
Nurses' Attitudes to Working with Older People in Acute Care
Author(s):
Mahoney, Anne-Marie; Beckett, David
Lead Author STTI Affiliation:
N/A
Author Details:
Mahoney, Anne-Marie, RN, BN, GradDipAdltEd, MTD, anne-marie.mahoney@austin.org.au; Beckett, David, BA (Hons), MA, MEd, PhD;
Abstract:
Purpose: There is little evidence that factors influencing attitudes to older persons have been investigated (Moyle 2003). Changes to service delivery models within acute health have meant that there has been an increase in Day of Surgery Admissions (DOSA) and a decrease in length of stay. Many younger patients are cared for in the community supported with funded programs. Therefore, in-patient populations in acute care are generally older, with greater acuity and increasing co-morbidities. Australia expects an increase from 4.3 million older persons in 2021 to around 6.8million in 2051 (Australian Bureau of Statistics (ABS, 2008).Aim: The aim of this study is to build on existing research (Courtney, Tong and Walsh 2000; McLafferty 2005; Wray and McCall 2007; Poole 2009), with a particular focus on immersion in practice and the impact of experience through immersion in practice on nurses' attitudes to working with older people.

 Methods: This study is ethnographic and utilized individual semi-structured interviews with 15 nurses. Four nurses agreed to be interviewed again to more fully explore their experiences of working with older people. The interviews were transcribed verbatim and thematically analysed. Analysis continued until saturation when no further themes were emerging from the data.

 Results: Three themes emerged from the analysis: Role-modelling, Dependence and Relationality. These themes are consistent with the existing literature and have been used to inform a professional development program for nurses.

 Conclusion: Immersion in clinical practice and socially constructed reflection impact nurses' attitudes to working with older people in acute care.The themes have informed the design of a professional development program that utilises a reflective practice paradigm.  I have called the program Achieving Relational Reflection: improving care of older people.  This program will be implemented in 2012.

Keywords:
nursing; reflection; attitude
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleNurses' Attitudes to Working with Older People in Acute Careen
dc.contributor.authorMahoney, Anne-Marieen
dc.contributor.authorBeckett, Daviden
dc.contributor.departmentN/Aen
dc.author.detailsMahoney, Anne-Marie, RN, BN, GradDipAdltEd, MTD, anne-marie.mahoney@austin.org.au; Beckett, David, BA (Hons), MA, MEd, PhD;en
dc.identifier.urihttp://hdl.handle.net/10755/243566-
dc.description.abstract<b>Purpose: </b>There is little evidence that factors influencing attitudes to older persons have been investigated (Moyle 2003). Changes to service delivery models within acute health have meant that there has been an increase in Day of Surgery Admissions (DOSA) and a decrease in length of stay. Many younger patients are cared for in the community supported with funded programs. Therefore, in-patient populations in acute care are generally older, with greater acuity and increasing co-morbidities. Australia expects an increase from 4.3 million older persons in 2021 to around 6.8million in 2051 (Australian Bureau of Statistics (ABS, 2008).Aim: The aim of this study is to build on existing research (Courtney, Tong and Walsh 2000; McLafferty 2005; Wray and McCall 2007; Poole 2009), with a particular focus on immersion in practice and the impact of experience through immersion in practice on nurses' attitudes to working with older people. <p>&nbsp;<b>Methods: </b>This study is ethnographic and utilized individual semi-structured interviews with 15 nurses. Four nurses agreed to be interviewed again to more fully explore their experiences of working with older people. The interviews were transcribed verbatim and thematically analysed. Analysis continued until saturation when no further themes were emerging from the data. <p>&nbsp;<b>Results: </b>Three themes emerged from the analysis: Role-modelling, Dependence and Relationality. These themes are consistent with the existing literature and have been used to inform a professional development program for nurses. <p>&nbsp;<b>Conclusion: </b>Immersion in clinical practice and socially constructed reflection impact nurses' attitudes to working with older people in acute care.The themes have informed the design of a professional development program that utilises a reflective practice paradigm.&nbsp; I have called the program Achieving Relational Reflection: improving care of older people.&nbsp; This program will be implemented in 2012.en
dc.subjectnursingen
dc.subjectreflectionen
dc.subjectattitudeen
dc.date.available2012-09-12T09:24:05Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:24:05Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.