Gholamzadeh Sakineh, Shaygan Maryam, Naderi Zeinab, Hosseini Fahimeh Alsadat
Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Nursing, Sirjan School of Medical Sciences, Sirjan, Iran.
Health Promot Perspect. 2022 May 29;12(1):45-55. doi: 10.34172/hpp.2022.07. eCollection 2022.
The quality of care that older adult patients receive during hospitalization is directly associated with the perception, knowledge, and skills of the healthcare team. This qualitative study was conducted to explore the concept of age discrimination perceived by hospitalized older adult patients. The present exploratory qualitative study was conducted using conventional content analysis. The purposive sampling method was used to recruit participants and the sampling continued until data saturation. A total of 21 individuals comprising of 12 hospitalized older adult patients, 5 family caregivers, 3 nurses, and a physician were enrolled in the study. Data were collected through 21 face-to-face, semi-structured, in-depth interviews. Data were analyzed using the qualitative content analysis method as described by Elo and Kyngäs. The analysis of the interview data resulted in 4 main categories, namely injustice perceptions, interactional injustice, procedural injustice, and organizational injustice. The findings of the study indicated that older adult patients perceive the occurrence of age discrimination by healthcare teams and inequalities in the provided care in hospitals. It is therefore important to address ageism and subsequent inequalities through short- and long-term policies and plans, as well as standardization and transformation of the present condition of hospitals to become an age-friendly environment.
老年患者在住院期间所接受的护理质量与医疗团队的认知、知识和技能直接相关。本定性研究旨在探讨住院老年患者所感知到的年龄歧视概念。本探索性定性研究采用传统内容分析法进行。采用目的抽样法招募参与者,抽样持续至数据饱和。共有21人参与研究,其中包括12名住院老年患者、5名家庭护理人员、3名护士和1名医生。通过21次面对面、半结构化、深入访谈收集数据。使用Elo和Kyngäs所描述的定性内容分析法对数据进行分析。访谈数据分析得出4个主要类别,即不公正认知、互动不公正、程序不公正和组织不公正。研究结果表明,老年患者察觉到医疗团队存在年龄歧视以及医院所提供护理中的不平等现象。因此,通过短期和长期政策与计划以及对医院现状进行标准化和变革,使其成为对老年人友好的环境,以解决年龄歧视及后续不平等问题非常重要。