Centre for Dementia Studies, Brighton & Sussex Medical School, University of Sussex, Falmer, BN1 9RY, UK.
Department of Medical Education, Brighton and Sussex Medical School, Falmer, BN1 9RY, UK.
BMC Med Educ. 2020 Mar 30;20(1):92. doi: 10.1186/s12909-020-02000-z.
A current issue in workforce planning is ensuring healthcare professionals are both competent and willing to work with older adults with complex needs. This includes dementia care, which is widely recognised as a priority. Yet research suggests that working with older people is unattractive to undergraduate healthcare students.
The aim of this systematic review and narrative synthesis is to explore the factors related to healthcare (medical and nursing) student preferences' for working with older people and people with dementia. Searches were conducted in five databases: MEDLINE, PsycINFO, CINHAL, BNI, ERIC. Screening, data extraction and quality appraisal were conducted by two independent reviewers. A narrative, data-based convergent synthesis was conducted.
One thousand twenty-four papers were screened (139 full texts) and 62 papers were included for a narrative synthesis. Factors were grouped into seven categories; student characteristics, experiences of students, course characteristics, career characteristics, patient characteristics, work characteristics and the theory of planned behaviour.
Health educators should review their role in cultivating student interest in working with older adults, with consideration of student preparation and the perceived value of this work. There is a lack of evidence about the career preferences of students in relation to dementia, and this warrants further research.
劳动力规划中的一个当前问题是确保医疗保健专业人员既具备能力，又愿意为有复杂需求的老年人提供服务，包括广泛认为优先事项的痴呆症护理。然而，研究表明，从事老年人护理工作对本科医疗保健专业的学生没有吸引力。
本系统评价和叙述性综合的目的是探讨与医疗保健（医学和护理）学生对照顾老年人和痴呆症患者的偏好相关的因素。在五个数据库中进行了搜索：MEDLINE、PsycINFO、CINHAL、BNI、ERIC。两名独立审查员进行了筛选、数据提取和质量评估。进行了叙述性、基于数据的综合分析。
筛选出 1024 篇论文（139 篇全文），并对 62 篇论文进行了叙述性综合。这些因素被分为七个类别：学生特征、学生经历、课程特征、职业特征、患者特征、工作特征和计划行为理论。
健康教育者应审查他们在培养学生对照顾老年人的兴趣方面的作用，同时考虑学生的准备情况和对这项工作的感知价值。关于学生对痴呆症相关职业的偏好，证据不足，需要进一步研究。
