School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Rd., Qiaokou District, Wuhan, 430030, Hubei Province, China.
Department of Nursing, Peking Union Medical College Hospital, No.1 Shuaifuyuan Wangfujing Dongcheng District, Beijing, 100730, China.
BMC Geriatr. 2024 Jul 25;24(1):632. doi: 10.1186/s12877-024-05229-1.
The aging society has resulted in enormous demand for long-term care services. However, ageism is a common phenomenon in long-term care facilities, which not only hinders the quality of care for the recipients but also negatively influences caregivers' well-being. In this paper, we first applied the Fraboni Scale of Ageism (FSA) to evaluate its reliability and construct validity among Chinese long-term caregivers in nursing homes. This study could contribute to assessing the prevalence of ageism in Chinese long-term caregivers, prompting facilities and the government to recognize the issue of ageism and explore necessary interventions to reduce ageism in long-term caregivers.
This is a cross-sectional study. We recruited 392 long-term caregivers using a convenience sampling strategy in nursing homes from two cities in Chinese central and northern regions. Parameters included the demographic characteristics, Cronbach's alpha coefficients, and intraclass correlation coefficient. The construct validity was conducted by exploratory factor analysis and confirmatory factor analysis.
The Cronbach's alpha of FSA (Chinese version) was 0.856 and ICC was 0.871. The factor analysis identified 3 principal factors, explaining 43.95% of the total variance. The 3-factor model was confirmed to fit by confirmatory factor analysis.
The findings confirm that the FSA is easy to use and has good psychometric properties. This study will contribute to improving the condition of ageism, thereby improving the quality of care for the elderly and retention of professional talents in the LTC system.
老龄化社会导致对长期护理服务的巨大需求。然而，在长期护理机构中普遍存在年龄歧视现象，这不仅阻碍了受护者的护理质量，也对护理人员的福祉产生了负面影响。在本文中，我们首先应用 Fraboni 年龄歧视量表（FSA）评估其在中国养老院长期护理人员中的信度和结构效度。本研究有助于评估中国长期护理人员中年龄歧视的流行程度，促使机构和政府认识到年龄歧视问题，并探讨减少长期护理人员年龄歧视的必要干预措施。
这是一项横断面研究。我们使用方便抽样策略在来自中国中部和北部两个城市的养老院招募了 392 名长期护理人员。参数包括人口统计学特征、克朗巴赫α系数和组内相关系数。结构效度通过探索性因子分析和验证性因子分析进行。
FSA（中文版本）的克朗巴赫α系数为 0.856，ICC 为 0.871。因子分析确定了 3 个主要因素，解释了总方差的 43.95%。验证性因子分析证实了 3 因素模型拟合良好。
研究结果证实，FSA 使用方便，具有良好的心理测量学特性。本研究将有助于改善年龄歧视状况，从而提高老年人的护理质量和长期护理系统专业人才的保留率。
