Abstract
Objectives
This study assessed the perceptions of Practical Nursing (PN) students around caring for the elderly and how these attitudes were related to PN students’ socio-demographics and other characteristics.
Methods
Cross-sectional study with data analyzed at a single point in time.
Results
A majority of respondents (63 %) identified specialized geriatric courses, and 62 % highlighted expert instructors, as beneficial in shaping perceptions of caring for the elderly. The mean Burbank’s scores of the PN students and new graduates indicated a positive perspective towards care and their scores were impacted by age and work experience, not by gender, or education years.
Conclusions
The development of specialized gerontology and related courses to improve students’ perceptions of caring for older people may be useful.
Implications for an international audience
Further international research work to expand findings is required.
-
Research ethics: Research ethics was received by Ryerson University and is outlined in the methodology.
-
Informed consent: Informed consent was obtained as a requirement of the research ethics board guidelines and the approved research proposal to carry out the study.
-
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
-
Use of Large Language Models, AI and Machine Learning Tools: None declared.
-
Conflict of interest: The authors state no conflict of interest.
-
Research funding: None declared.
-
Data availability: We do not wish to make our data shareable as per the requirements outlined in our REB submission. The only dissemination that has been approved is for the purposes of publication of the data in aggregate form. (Tier 1).
Please rate your responses to each statement according to the scale below.
(0=Strongly Disagree; 1=Disagree; 2=Agree; 3=Strongly Agree).
Items that are reversed scored are annotated with an asterisk.
Perspectives on the care of older patients (PCOP) questionnaire – burbank et al. Scale
| 0 | 1 | 2 | 3 | ||
|---|---|---|---|---|---|
| 1 | Most older adults benefit from treatment | ||||
| 2 | It is difficult to teach older patients * | ||||
| 3 | Older patients are seldom irritable | ||||
| 4 | Older patients tend to make fewer demands on nursing staff than younger adult patients | ||||
| 5 | Older patients are set in their ways and unwilling to change * | ||||
| 6 | I Prefer caring for older patients to caring for younger patients | ||||
| 7 | Caring for older patients is depressing * | ||||
| 8 | Younger patients expect more from nurses than do older patients | ||||
| 9 | Older patients complain more often than younger adult patients * | ||||
| 10 | Caring for older patients is usually challenging and rewarding | ||||
| 11 | Nursing procedures with older patients are too time-consuming * | ||||
| 12 | It’s frustrating caring for older patients * | ||||
| 13 | Caring for older patients is often unpleasant work * | ||||
| 14 | If I could, I would spend more time talking to my older patients | ||||
| 15 | Older patients take up beds needed for other younger patients * | ||||
| 16 | Caring for older patients is intellectually stimulating. | ||||
| 17 | I Would not choose to attend continuing education in nursing care of older patients * | ||||
| 18 | Older patients are interesting to care for | ||||
| 19 | Interaction with families of older patients is an important nursing function | ||||
| 20 | Caring for older patients is less rewarding than caring for younger patients * | ||||
| 21 | Although caring for older patients is labor intensive, it is worth the investment of time and energy | ||||
| 22 | There is little feeling of accomplishment associated with improving the functional status of older patients * | ||||
| 23 | Caring for older patients is an undesirable career choice * | ||||
| 24 | There are not many other jobs as important as that of being a patient care provider to the older patient. |
Demographic and characteristic information
Education Institute – Drop down of all Ontario Colleges
Gender – Man, Woman, Prefer to Specify
Age
Semester in which you are currently enrolled:
Year 1 – Semester 1.
Year 1 – Semester 2.
Year 2 – Semester 1.
Year 2 – Semester two.
Year 2 – Final consolidation/campus clinical consolidation.
Prefer to specify.
Have you had any formal education, e.g., workshops, courses, certifications, in caring for older adults (geriatrics)
Yes or no.
What changes in your educational experience would help you be prepared for working with older adults?
Select all that apply.
Specialized Geriatric course.en
More clinical exposure.ro
Expert instructors from the field.
RPNs with geriatric expertise.en
Prefer to Specify:
Do you have experience caring for older adults (geriatrics)?
No experience.es
Little experience.fr
Hard to say.tl
Some experience.fr
Lots of experience.
Please indicate what some of the important factors were that helped your clinical placement(s) when caring for older adults:
Select all that apply.
I was oriented to the clinical area.en
felt valued during the placement.
felt safe in the clinical environment (emotionally and physically).en
My supervisor(s) helped me identify my learning objectives/needs.en
I was adequately supervised in the clinical environment.en
had opportunities to enhance my skills and knowledge.en
I anticipate being able to apply my learning from the placement.en
Not applicable.
Prefer to Specify.
References
1. Canadian Institute for Health Information. Infographic: Canada’s Seniors Population Outlook: uncharted Territory; 2017. Available from: https://www.cihi.ca/en/infographic-canadas-seniors-population-outlook-uncharted-territory.Suche in Google Scholar
2. Filip, R, Gheorghita, PR, Anchidin-Norocel, L, Dimian, M, Savage, WK. Global challenges to public health care systems during the COVID-19 pandemic: a review of pandemic measures and problems. J Pers Med 2022;12:1295. https://doi.org/10.3390/jpm12081295.Suche in Google Scholar PubMed PubMed Central
3. Lee, H, Gu, M, Sok, S. The effects of nurses’ perception of the older adults and work stress on nursing competency of nurses who care for older adult patients at general hospital. Int J Environ Res Public Health 2023;12:2095 https://doi.org/10.3390/ijerph20032095.Suche in Google Scholar PubMed PubMed Central
4. Dahlke, S, Davidson, S, Wisnesky, UD, Kalogirou, MR, Salyers, V, Pollard, C, et al.. Student nurses’ perceptions about older people. Int J Nurs Educ Scholarsh 2019;16. https://doi.org/10.1515/ijnes-2019-0051.Suche in Google Scholar PubMed
5. Crutzen, C, Missotten, P, Adam, S, Schroyen, S. Does caring lead to stigmatisation? The perception of older people among healthcare professionals and the general population: a cross-sectional study. Int J Older People Nurs 2022;17:e12457. https://onlinelibrary.wiley.com/doi/abs/10.1111/opn.12457.10.1111/opn.12457Suche in Google Scholar PubMed
6. Lampersberger, LM, Schüttengruber, G, Lohrmann, C, Großschädl, F. Nurses’ perspectives on caring for and attitudes towards adults aged eighty years and older. Scand J Caring Sci 2023;37:458–71. https://pubmed.ncbi.nlm.nih.gov/36349552/.10.1111/scs.13127Suche in Google Scholar PubMed
7. Victor, I. Practical nursing students’ post graduate employment preference. Unpublished Final Practicum Research Report; 2021. Available from: WeRPN.com.Suche in Google Scholar
8. Garbrah, W, Välimäki, T, Palovaara, M, Kankkunen, P. Nursing curriculums may hinder a career in gerontological nursing: an integrative review. Int J Older People Nurs 2017;12:e12152. https://doi.org/10.1111/opn.12152.Suche in Google Scholar PubMed
9. Mohamed, AFH, DeCoito, I. Curriculum, theory, and practice: exploring nurses’ and nursing students’ knowledge of and attitudes towards caring for older adults in Canada. Can J Nurs Res 2023;55:216–29. https://doi.org/10.1177/08445621221113734.Suche in Google Scholar PubMed PubMed Central
10. Zeng, Y, Hu, X, Li, Y, Zhen, X, Gu, Y, Sun, X, et al.. The quality of caregivers for the elderly in long-term care institutions in zhejiang province, China. Int J Environ Res Publ Health 2019;16:2164.10.3390/ijerph16122164Suche in Google Scholar PubMed PubMed Central
11. Rababa, M, Al-Dwaikat, T, Almomani, MH. Assessing knowledge and ageist attitudes and behaviors toward older adults among undergraduate nursing students. Gerontol Geriatr Educ 2021;42:347–62. https://doi.org/10.1080/02701960.2020.1827398.Suche in Google Scholar PubMed
12. Wilson, DM, Errasti-Ibarrondo, B, Low, G. Where are we now in relation to determining the prevalence of ageism in this era of escalating population ageing? Ageing Res Rev 2019;51:78–84.10.1016/j.arr.2019.03.001Suche in Google Scholar PubMed
13. World Health Organization. Ageing: ageism; 2021. Available from: https://www.who.int/news-room/questions-and-answers/item/ageing-ageism.Suche in Google Scholar
14. Law, J, Dahlke, S, Butler, JI, Hunter, KF, Martin, LS, Pietrosanu, M. Improving practicing nurses’ knowledge and perceptions of older people: a quasi-experimental study. Int J Nurs Educ Scholarsh 2022;19:90. https://doi.org/10.1515/ijnes-2022-0090. https://pubmed.ncbi.nlm.nih.gov/36473144/.Suche in Google Scholar PubMed
15. College of Nurses of Ontario. Annual Report 2022: membership Totals at a Glance; 2022. Available from: https://www.cno.org/globalassets/1-whatiscno/annualreport/cno-2022-annual-report-en.pdf.Suche in Google Scholar
16. WeRPN Registered Practical Nurses Association of Ontario. Education; 2024. Available from: https://www.werpn.com/education/.Suche in Google Scholar
17. Jester, DJ, Hyer, K, Wenders, A, Andel, R. Attitudes toward aging of health professions students: implications for geriatrics education. Gerontol Geriatr Educ 2021;42:589–603. https://doi.org.ezp.waldenulibrary.org/10.1080/02701960.2020.1835657.10.1080/02701960.2020.1835657Suche in Google Scholar PubMed
18. WeRPN Registered Practical Nurses Association of Ontario. Policy Scope of Practice; 2024. Available from: https://www.werpn.com/advocacy/scope-of-practice/.Suche in Google Scholar
19. Abudu-Birresborn, D, McCleary, L, Puts, M, Yakong, V, Cranley, L. Preparing nurses and nursing students to care for older adults in lower and middle-income countries: a scoping review. Int J Nurs Stud 2019;92:121–34. https://doi.org/10.1016/j.ijnurstu.2019.01.018.Suche in Google Scholar PubMed
20. Redfield, CS, McGuire, AP, Lin, TC, Orton, VJ, Aust, M, Erickson, TM. Shifts in attitudes, knowledge, and social goals in nursing students following structured contact with community-dwelling older adults. J Nurs Educ 2016;55:569–73. https://doi.org/10.3928/01484834-20160914-05.Suche in Google Scholar PubMed
21. Smith, J, Sawhney, M, Duhn, L, Woo, K. The association between new nurses’ gerontological education, personal attitudes toward older adults, and intentions to work in gerontological care settings in Ontario, Canada. Can J Nurs Res 2022;54:190–8. https://doi.org/10.1177/08445621211063702.Suche in Google Scholar PubMed PubMed Central
22. Burbank, P, Burkholder, G, Dugas, J. Development of the perspectives on caring for older patients scale: psychometric analyses. Appl Nurs Res 2018;43:98–104. https://doi.org/10.1016/j.apnr.2018.07.002.Suche in Google Scholar PubMed
23. Burbank, P, McCool, J, Burkholder, G. Nurses’ Perspectives Toward Caring for Older Patients, Toward Job Situations, and Toward Interdisciplinary Teams: psychometric Analysis of Three Scales. Boston: Unpublished paper presented at the Annual Scientific Meeting of the Gerontological Society of America; 2002.Suche in Google Scholar
24. Cheng, HL, Liu, XL, Bi, RX, Liu, LF, Lam, SC. Two versions of perspectives on caring for older patients scale: translation and psychometric testing among Chinese nursing students. Nurs Health Sci 2020:1–10. https://doi.org/10.1111/nhs.12745.Suche in Google Scholar PubMed
25. Ward, G, Rogan, E. Perceptions of long-term care nurses and nursing assistants about communication related to residents’ care. J Long Term Care 2021;70–6. https://doi.org/10.31389/jltc.37. https://journal.ilpnetwork.org/articles/10.31389/jltc.37.Suche in Google Scholar
26. Gliem, JA, Gliem, RR. Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Liker-type scales. In: Midwest Research to Practice Conference in Adult. Continuing, and Community Education; 2003. https://scholarworks.indianapolis.iu.edu/bitstreams/976cec6a-914f-4e49-84b2-f658d5b26ff9/download.Suche in Google Scholar
27. Neville, C. Dickie, R. The evaluation of undergraduate nurses’ attitudes, perspectives and perceptions toward older people. Nurse Educ Today 2014;34:1074–9. https://doi.org/10.1016/j.nedt.2014.04.018.Suche in Google Scholar PubMed
28. Natan, MB, Danino, S, Freundlich, N, Barda, A, Yosef, RM. Intention of nursing students to work in geriatrics. Res Gerontol Nurs 2015;8:140–7. https://doi.org/10.3928/19404921-20150219-03.Suche in Google Scholar PubMed
29. Baumbusch, J, Shaw, M, Leblanc, M-E, Kjorven, M, Kwon, J, Blackburn, L, et al.. Workplace continuing education for nurses caring for hospitalized older people. Int J Older People Nurs 2017;12. https://doi.org/10.1111/opn.12161.Suche in Google Scholar PubMed
30. Registered Nurses Association of Ontario. Intra-professional collaboration among Nurses. 2nd. Toronto, Canada: Registered Nurses Association of Ontario; 2016. Available from: https://rnao.ca/sites/rnao-ca/files/bpg/Intra-professional_Collaborative_Practice_042017.pdf.Suche in Google Scholar
31. Hovey, SL, Dyck, MJ, Kim, M, Reese, C. The effect of first clinical assignments on prelicensure nursing students’ attitudes toward older people: an observational study. Contemp Nurse 2018;54:139–49. https://doi.org/10/1080/10376178.2018.1459759https://pubmed.ncbi.nlm.nih.gov/29656693/.10.1080/10376178.2018.1459759Suche in Google Scholar PubMed
32. Holmberg, C, Wolf, A, Olsson, MM, Heckemann, B. Nurses’ general attitudes and caregiving-specific perceptions toward the oldest-old: a nationwide survey. Int J Nurs Stud 2022;136:104379. https://doi.org/10.1016/j.ijnurstu.2022.104379.Suche in Google Scholar PubMed
33. Yan, Z, Montayre, J, Ho, MH. How does geriatric nursing education program change the knowledge, attitude and working intention among undergraduate nursing students? A systematic literature review. Nurse Educ Today 2022;108:105161. https://doi.org/10.1016/j.nedt.2021.105161.Suche in Google Scholar PubMed
34. Okuyan, BC, Bilgili, N, Mutlu, A. Factors affecting nursing students’ intention to work as a geriatric nurse with older adults in Turkey: a cross-sectional study. Nurse Educ Today 2020;95:104563. https://doi.org/10.1016/j.nedt.2020.104563.Suche in Google Scholar PubMed
35. Grealish, L, Ranse, K, Todd, JA, Armit, L, Billet, S, Collier, L, et al.. Barrier and enablers to embedding fundamental nursing care patients – implications of a mixed methods study for nursing leaders. J Adv Nurs 2023;79:1162–73. https://doi.org/10.1111/jan.15194.Suche in Google Scholar PubMed
36. Ozdemir, O, Bilgili, N. Attitudes of Turkish nursing students toward elderly people. J Nurs Educ Pract 2016;6:100–7.Suche in Google Scholar
37. Araujo, PO, Soares, IMSC, Vale, PRLFD, Sousa, AR, Aparicio, EC, Carvalho, ESS. Ageism directed to older adults in health services: a scoping review. Rev Lat Am Enfermagem 2023;31:e4019. https://doi.org/10.1590/1518-8345.6727.4019.Suche in Google Scholar PubMed PubMed Central
38. Fhon, JRS, Alves, N, Santos Neto, APD, Djinan, ARFS, Laurenti, AV, Lima, EFC. Attitudes and perceptions about ageism among nursing students: a scoping review. Rev Lat Am Enfermagem 2024;32:e4116. https://doi.org/10.1590/1518-8345.6851.4116.Suche in Google Scholar PubMed PubMed Central
39. Castro, C, Antunes, R, Simoes, A, Bernardes, C, Fernandes, JB. Nursing students’ knowledge and attitudes toward older adults. Front Public Health 2023;11:1150261. https://doi.org/10.3389/fpubh.2023.1150261.Suche in Google Scholar PubMed PubMed Central
40. Asmoro, CP, Hariyati, RTS, Wahyudi, AS. Why we have to develop instruments of our caring measurement based on an Indonesian perspective. Journal NERS 2019;14:402–7. https://doi.org/10.20473/jn.v14i3(si).17216.Suche in Google Scholar
© 2025 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Association between admission criteria to nurse practitioner program in Israel and academic success: a retrospective study analysis
- Innovative strategies for supporting disadvantaged nursing students in rural areas
- Literature Reviews
- Higher education nursing students’ literacy skills: a scoping review
- Predictors of classroom exams, standardized exams, and nursing licensure exams in U.S. and international undergraduate RN and PN nursing programs: a scoping review
- Transfer of learning in baccalaureate nursing education: a systematic scoping review
- Research Articles
- The effect of a hybrid educational escape room on undergraduate nursing students’ nursing process knowledge
- Use of simulation-based education to enhance clinical judgment among prelicensure nursing students
- A computer-based educational program for promoting student cultural competence
- 10.1515/ijnes-2025-0037
- Immersive virtual reality simulation: engagement and clinical judgment
- Exploring nurse faculty perceptions of notetaking
- Exploring the link of educational environment and self-esteem with critical thinking in undergraduate nursing university students: a cross-sectional study
- Navigating global mobility: a comparative study of nursing education in Nepal and Australia
- The impact of simulation-based ethical education on nursing students’ moral distress levels
- Affective learning assessment of beginning nursing students
- Examining perspectives of instructors and students on the instruction of care plans within the nursing process – a qualitative inquiry
- The Doctoral Seminar in nursing: an exploration of the literature and trends found in Canadian syllabi
- Deliberate practice of medication administration among nursing students: a pilot study
- Canadian nursing students and education in medical and recreational cannabis: a preliminary evidence
- Flourishing in nursing: positive factors that contributed to mental wellbeing of nursing students in Thailand
- Exploring the perceptions of practical nursing students on caring for the older person
- Nurse educators’ experience in implementing concept-based curriculum: a phenomenology study
- Perception of nursing students on nursing teamwork in hospitals in Slovakia: a cross-sectional study
- Lived experiences of international nursing students regarding the studying challenges: a phenomenology study
- Educational Process, Issue, Trend
- Nursing student needs assessment and preferences for faculty-led mentoring
- Pedagogical matters: a dialogue of diverse persons, perspectives, and programs
- Effects of cooperative learning on undergraduate nursing students: a quasi- experimental study
- Corrigendum
- Corrigendum to: Pedagogical matters: a dialogue of diverse persons, perspectives, and programs, International Journal of Nursing Education Scholarship, vol. 22, no. 1, 2025. https://doi.org/10.1515/ijnes-2024-0034
Artikel in diesem Heft
- Association between admission criteria to nurse practitioner program in Israel and academic success: a retrospective study analysis
- Innovative strategies for supporting disadvantaged nursing students in rural areas
- Literature Reviews
- Higher education nursing students’ literacy skills: a scoping review
- Predictors of classroom exams, standardized exams, and nursing licensure exams in U.S. and international undergraduate RN and PN nursing programs: a scoping review
- Transfer of learning in baccalaureate nursing education: a systematic scoping review
- Research Articles
- The effect of a hybrid educational escape room on undergraduate nursing students’ nursing process knowledge
- Use of simulation-based education to enhance clinical judgment among prelicensure nursing students
- A computer-based educational program for promoting student cultural competence
- 10.1515/ijnes-2025-0037
- Immersive virtual reality simulation: engagement and clinical judgment
- Exploring nurse faculty perceptions of notetaking
- Exploring the link of educational environment and self-esteem with critical thinking in undergraduate nursing university students: a cross-sectional study
- Navigating global mobility: a comparative study of nursing education in Nepal and Australia
- The impact of simulation-based ethical education on nursing students’ moral distress levels
- Affective learning assessment of beginning nursing students
- Examining perspectives of instructors and students on the instruction of care plans within the nursing process – a qualitative inquiry
- The Doctoral Seminar in nursing: an exploration of the literature and trends found in Canadian syllabi
- Deliberate practice of medication administration among nursing students: a pilot study
- Canadian nursing students and education in medical and recreational cannabis: a preliminary evidence
- Flourishing in nursing: positive factors that contributed to mental wellbeing of nursing students in Thailand
- Exploring the perceptions of practical nursing students on caring for the older person
- Nurse educators’ experience in implementing concept-based curriculum: a phenomenology study
- Perception of nursing students on nursing teamwork in hospitals in Slovakia: a cross-sectional study
- Lived experiences of international nursing students regarding the studying challenges: a phenomenology study
- Educational Process, Issue, Trend
- Nursing student needs assessment and preferences for faculty-led mentoring
- Pedagogical matters: a dialogue of diverse persons, perspectives, and programs
- Effects of cooperative learning on undergraduate nursing students: a quasi- experimental study
- Corrigendum
- Corrigendum to: Pedagogical matters: a dialogue of diverse persons, perspectives, and programs, International Journal of Nursing Education Scholarship, vol. 22, no. 1, 2025. https://doi.org/10.1515/ijnes-2024-0034