School of Nursing, University of British Columbia-Okanagan, Kelowna, BC, Canada.
Kelowna General Hospital, Interior Health, Kelowna, BC, Canada.
J Clin Nurs. 2017 Dec;26(23-24):4105-4116. doi: 10.1111/jocn.13939. Epub 2017 Sep 14.
To examine hospital nurses' attitudes towards caring for older adults and delineate associated factors contributing to their attitudes.
Population ageing is of international significance. A nursing workforce able to care for the ageing population is critical for ensuring quality older adult care. A synthesis of research related to nurses' attitudes towards older adult care is important for informing care quality and the nursing workforce issues.
A systematic integrative review process guided the review. Cumulative Index of Nursing and Allied Health Literature and Medline databases were searched for primary research published between 2005-2017. A total of 1,690 papers were screened with 67 papers read in-depth and eight selected for this review that met the inclusion/exclusion criteria.
Nurses' held coexisting positive and negative attitudes towards generic and specific aspects of older adult care. Negative attitudes, in particular, were directed at the characteristics of older adults, their care demands or reflected in nurses' approaches to care. Across jurisdictions, work environment, education, experience and demographics emerged as influences on nurses' attitudes.
There is a paucity of research examining nurses' attitudes towards older adult care. The limited evidence indicates that attitudes towards older people care are complex and contradictory. Influences on nurses' attitudes need further study individually and collectively to build a strong evidence base. Interventional studies are needed as are the development of valid and reliable instruments for measuring nurses' attitudes towards older adult care.
Bolstering postgraduate gerontological preparation is critical for promoting nurses' attitudes towards older adult care. Creating age-friendly work environments, including appropriate resource allocation, is important to support older people care and facilitate positive nursing attitudes.
考察医院护士对照顾老年人的态度，并描述影响其态度的相关因素。
人口老龄化具有国际意义。能够照顾老年人口的护理人员队伍对于确保老年人护理质量至关重要。综合研究护士对老年人护理的态度对于告知护理质量和护理人员队伍问题非常重要。
系统综合评价过程指导了本次评价。2005 年至 2017 年期间，在 Cumulative Index of Nursing and Allied Health Literature 和 Medline 数据库中搜索了初级研究。共筛选了 1690 篇论文，深入阅读了 67 篇论文，并选择了符合纳入/排除标准的 8 篇论文进行了本次综述。
护士对老年人护理的一般和特定方面持有并存的积极和消极态度。特别是，消极态度针对的是老年人的特征、他们的护理需求，或反映在护士的护理方法中。在不同的司法管辖区，工作环境、教育、经验和人口统计学因素都对护士的态度产生了影响。
关于护士对老年人护理态度的研究很少。有限的证据表明，对老年人护理的态度是复杂和矛盾的。需要进一步研究影响护士态度的个体和集体因素，以建立一个强大的证据基础。需要进行干预性研究，以及开发用于衡量护士对老年人护理态度的有效和可靠工具。
加强老年病学研究生教育对于促进护士对老年人护理的态度至关重要。创造对老年人友好的工作环境，包括适当的资源分配，对于支持老年人护理和促进积极的护理态度非常重要。
