Given the aging population increase, providing quality care to the elderly is one of the major challenges of health care systems. The purpose of the present study is to explain the perception of nurses about the causes of ageism in providing hospital care to the elderly referred to hospital settings in the city of Tehran. Methods: The study utilized a qualitative design with individual interviews and with Conventional Content Analysis Approach. In this qualitative study, participants were selected through a purposive sampling method. Semi-structured and in-depth interviews with health care providers were conducted in the city of Tehran in 2018 guided by data saturation. All interviews were recorded and implemented and then analyzed by Graneheim and Lundman method. Results: Analysis of data extracted from interviews divided into five main categories "patient related factors", "care provider related factors", "factors related to care provider system", "socio-economic factors" and " family related factors", each of which was under positive and negative subcategories. Conclusion: The results of this study showed that there is a negative discrimination in the provision of nursing care services in the hospital settings, which is not a good predictor of good health care for the elderly. Therefore, it is recommended that culture-building, training and awareness-raising and proper planning be carried out in care settings to combat ageism.
The analysis of the concept of ageism will help us to achieve a similar, clear, and understandable definition of ageism in the care system. The aim of this study was clarification of the ageism in caring system. Methods & Materials We utilized the Walker and Avant's model in this study. In a review of literature from 1969 to September 2018, sources were included on the basis of the definition, functions, properties, premises, consequences, and empirical referents of the ageism concept. Results According to our analysis, the main attribute of the concept of ageism is that the ageism is a discriminatory process towards the elders which can have a positive or negative aspect with a conscious and unconscious manifestation in the cognitive, affective, and behavioral components in three micro, meso and macro levels and can be self-directed or other-directed. Conclusion Since the concept of ageism in our country is relatively new and unknown, this concept analysis by clarifying the ageism, with understanding this concept in the care system, can improve implementation of more extent studies and development of research tools for identification of its barriers and facilitators and its execution.
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