Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Int J Nurs Stud. 2018 Sep;85:61-67. doi: 10.1016/j.ijnurstu.2018.05.007. Epub 2018 May 18.
Studies have reported that student nurses hold positive attitudes towards older people; nevertheless, working with older people has consistently remained one of the least desired career choices among student nurses in most countries.
The current study aimed to assess student nurses' intentions to work with older people and to determine the predictors of working intentions among nursing students.
The study adopted a cross-sectional design.
Multistage sampling was used to recruit nursing students from five states in Malaysia.
A total of 1462 nursing students from eleven nursing education institutions participated in this study.
A self-administered questionnaire was used to collect data. This study is underpinned by the Theory of Planned Behaviour. The Intent to Work with Older People Scale and Kogan Attitudes Toward Old People Scale were used to assess nursing students' intentions and attitudes towards care of older people respectively. Researcher-developed instruments were used to assess subjective norms and perceived behavioural control among nursing students.
The present study found that nursing students in Malaysia demonstrated a moderate level of intention to work with older people, with a mean of 39.72 (±4.38). There were significant differences in effects of gender, ethnic group, academic level, type of nursing institution and setting of older person care clinical experience on intentions to work with older people. There was a moderate and positive relationship between attitudes towards older people and intentions to work with older people, as well as between perceived behavioural control and intentions to work with older people; it was found that r = 0.36 for both relationships. Attitudes, subjective norms and perceived behavioural control accounted for 19.7% of the variance in intentions to work with older people.
The primary findings of this national study revealed that Malaysian nursing students have a moderate level of intention to work with older people. It is imperative to develop educational interventions to nurture attitudes for caring and promote stronger intentions to work with older people.
研究表明，护生对老年人持有积极的态度；然而，在大多数国家，老年人护理工作一直是护生最不希望选择的职业之一。
本研究旨在评估护生对老年人护理工作的意愿，并确定护理学生工作意愿的预测因素。
本研究采用横断面设计。
采用多阶段抽样方法从马来西亚五个州招募护理学生。
共有 1462 名来自 11 所护理教育机构的护理学生参加了这项研究。
使用自填式问卷收集数据。本研究以计划行为理论为基础。使用《与老年人工作意愿量表》和科根《老年人态度量表》分别评估护理学生对老年人护理的意愿和态度。研究人员还开发了一些工具来评估护理学生的主观规范和感知行为控制。
本研究发现，马来西亚的护理学生表现出中等水平的照顾老年人的工作意愿，平均得分为 39.72（±4.38）。在性别、族裔群体、学历、护理机构类型和老年人护理临床经验方面，对与老年人工作意愿的影响存在显著差异。老年人态度与工作意愿之间，以及感知行为控制与工作意愿之间呈中度正相关，相关系数分别为 0.36。老年人态度、主观规范和感知行为控制解释了工作意愿的 19.7%的差异。
这项全国性研究的主要发现表明，马来西亚护理学生对照顾老年人有中等水平的意愿。必须制定教育干预措施，培养关怀态度，并促进更强的照顾老年人工作意愿。
