Fernández-Puerta Laura, Caballero-Bonafé Alexis, de-Moya-Romero Juan Ramón, Martínez-Sabater Antonio, Valera-Lloris Raquel
Valencia Clinic Hospital, 46010 Valencia, Spain.
Nursing Department, Faculty of Health Sciences, European University of Valencia, 46010 Valencia, Spain.
Nurs Rep. 2024 Dec 16;14(4):4039-4059. doi: 10.3390/nursrep14040295.
: Ageism refers to the presence of stereotypes, prejudices, and discrimination against older adults based on their age. In healthcare settings it negatively impacts opportunities for treatment, rehabilitation, and cure opportunities. This study aims to assess the presence of ageism among healthcare workers toward older patients and to identify the associated sociodemographic, personal, and work-related factors. : A systematic review of the literature was performed using PubMed, Embase, CINAHL, and Scopus. Studies that assessed the presence of ageism among healthcare professionals through a quantitative or mixed methodology and published between 2014 and 2024 were included. : Fifteen articles met the inclusion criteria. Healthcare workers generally exhibited low rates of ageism; however, results varied across studies. Although the available literature is limited, workers with less knowledge about aging and less experience, especially in geriatric units, showed higher ageism scores. Intergenerational contact and a wish to work with older people appeared to be important factors for promoting a positive relationship with older adults. Other sociodemographic and sociocultural factors, such as age and sex, were not related to ageism. Workload and work-related factors, such as stress or lack of personnel, might be associated with ageism, but few studies were found to be available to confirm these results. : Ageism scores among professionals were low. Gerontological education and clinical and family experience could help reduce ageist attitudes toward older patients among health professionals.
年龄歧视是指基于年龄对老年人存在的刻板印象、偏见和歧视。在医疗环境中，它会对治疗、康复和治愈机会产生负面影响。本研究旨在评估医护人员对老年患者的年龄歧视情况，并确定相关的社会人口学、个人和工作相关因素。
使用PubMed、Embase、CINAHL和Scopus对文献进行了系统综述。纳入了2014年至2024年期间通过定量或混合方法评估医护人员年龄歧视情况的研究。
15篇文章符合纳入标准。医护人员总体上表现出较低的年龄歧视率；然而，不同研究的结果有所不同。尽管现有文献有限，但对衰老知识了解较少且经验不足的工作人员，尤其是在老年科工作的人员，年龄歧视得分较高。代际接触以及与老年人共事的意愿似乎是促进与老年人建立积极关系的重要因素。其他社会人口学和社会文化因素，如年龄和性别，与年龄歧视无关。工作量和工作相关因素，如压力或人员短缺，可能与年龄歧视有关，但很少有研究能证实这些结果。
专业人员的年龄歧视得分较低。老年医学教育以及临床和家庭经验有助于减少医护人员对老年患者的年龄歧视态度。
