Age discrimination perceived by hospitalized older adult patients in Iran: A qualitative study

Gholamzadeh, Sakineh; Shaygan, Maryam; Naderi, Zeinab; Hosseini, Fahimeh Alsadat

doi:10.34172/hpp.2022.07

Cited by 9 publications

(3 citation statements)

References 36 publications

(47 reference statements)

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“…These negative perceptions can contribute to suboptimal care and exacerbate health disparities among older patients. A qualitative study’s findings in Iran revealed that older patients perceive age discrimination by healthcare staff and disparities in the provided care in hospitals [ 37 ]. Also.…”

Section: Discussionmentioning

confidence: 99%

Ageism and lookism as stereotypes of health disparity in intensive care units in Iran: a critical ethnography

Yarahmadi,

Soleimani,

Gholami

et al. 2024

Int J Equity Health

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Background The intensive care unit presents structural complexities, and the prevailing power imbalance between patients and staff can lead to health disparities. Hence, unveiling the underlying factors that give rise to and reinforce these disparities can contribute to their prevention. This study aims to shed light on the stereotypes linked to ageism and lookism, which perpetuate health disparities within the intensive care unit setting in Iran. Methods This critical ethnographic study employed Carsepkan’s approach and was carried out in intensive care units in the west of Iran from 2022 to 2023. The data collection and analysis were conducted through three interconnected stages. In the initial stage, more than 300 h of observations were made at the research site. In the subsequent stage, a horizon analysis was performed. Conversations with 14 informants were conducted in the final stage to enrich the dataset further. Then the analysis process was carried out as in the previous step to uncover an implicit culture of health disparity. To verify the validity and reliability of the study, credibility, conformability, dependability, and transferability were all taken into account. Findings The ageism and lookism stereotypes emerged from seven main themes; youth-centric; negative ageism; age-friendliness; age-related priority; centered care for pediatric patients and families; appearance-centeredness; and a contradiction between belief and behavior. Conclusion This critical study showed that ageism and lookism stereotypes permeated the intensive care unit’s culture. These stereotypes have the potential to influence equality dynamics, as well as to foster and support health disparity in the intensive care unit.

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Section: Discussionmentioning

confidence: 99%

Ageism and lookism as stereotypes of health disparity in intensive care units in Iran: a critical ethnography

Yarahmadi,

Soleimani,

Gholami

et al. 2024

Int J Equity Health

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“…Poor participation rates, particularly by older adults [43] with their vulnerability and social support issues [44,45], in conventional CR programs led to the development of home and digital-based interventions [46,47]. Digital health-based care delivery offers an opportunity to redesign and improve post-discharge care thanks to innovations in telecommunication technologies (e.g.…”

Section: Introductionmentioning

confidence: 99%

The effect of personalized mobile health (mHealth) in cardiac rehabilitation for discharged elderly patients after acute myocardial infarction on their inner strength and resilience

Salarvand,

Farzanpour,

Gharaei

2024

BMC Cardiovasc Disord

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Introduction Given the importance of promoting self-care and quality of life for discharged elderly patients after acute Myocardial Infarction(MI), It is necessitated we conduct interventions to promote these items. This study was conducted to determine the effect of mHealth-Cardiac rehabilitation (CR) on the inner Strength and resilience of elderly patients with MI after discharge from the hospital. Methods The present study was a randomized controlled trial that was conducted on 56 Elderly patients with myocardial infarction were discharged from the heart departments. In the intervention group after the patient’s discharge, the patients were contacted twice a week for one month and the necessary training and support were given online. To gather data, the Mini-Mental State Examination (MMSE), the demographic and clinical characteristics questionnaire, the inner strength scale (ISS), and the Connor-Davidson Resilience Scale (CD-RISC) were completed pre- and post-intervention. The data analysis was done by SPSS16. Results This study showed the mean resilience and inner strength scores before and after the intervention in the control group had no statistically significant difference(P˃0.05). There was a significant increase in the mean resilience and inner strength scores in the intervention group after the intervention (P ≤ 0.001). Conclusion The results of this study showed that mHealth as a kind of telenursing nursing has a significant effect on both variables of inner strength and resilience of post-discharge elderly patients after acute myocardial infarction. This means that using mHealth for these patients could increase the inner strength and resilience of the elderly discharged after myocardial infarction. Therefore, through using this method, elderly patients’ self-care ability and quality of life could be increased.

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“…In the literature, it has been reported that ageism affects the well-being of the elderly negatively, causing depressive symptoms and low self-esteem (Marquet et al, 2019; Lyons et al, 2018). It is important to reduce ageism while older individuals receive health services in places such as hospitals and health care centers (Yakubu et al, 2022; Gholamzadeh et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

“I don’t Want to Die Alone” Nurses’ Perception of Ageism: A Qualitative Study

2023

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The aim of the study was to learn the perceptions and thoughts of nurses with whom older patients interact constantly. In this research, semi-structured interview was used. In a research hospital in Istanbul between March-June 2019, 16 volunteers were included in the study. Researchers led individual semi-structured interviews regarding nurses’ perceptions, how they overcame those challenges, and need and expectations aging care (dying patients). All interviews were analysed using thematic analysis methods and synthesized into major themes. The research was planned based on the 32-item checklist (COREQ) guideline. Nurses ( N = 16) reported three themes: (i) ageing perceptions (ii) care for dying patients, (iii) expectations and five subthemes emerged in this study. It is understood that nurses have a positive perception of ageing. In addition, nurses have expectations from the state (financial support, gerontology service etc.) and society (respectful, understanding etc.) to reduce the difficulties they experience while caring for dying patient.

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Age discrimination perceived by hospitalized older adult patients in Iran: A qualitative study

Cited by 9 publications

References 36 publications

Ageism and lookism as stereotypes of health disparity in intensive care units in Iran: a critical ethnography

Ageism and lookism as stereotypes of health disparity in intensive care units in Iran: a critical ethnography

The effect of personalized mobile health (mHealth) in cardiac rehabilitation for discharged elderly patients after acute myocardial infarction on their inner strength and resilience

“I don’t Want to Die Alone” Nurses’ Perception of Ageism: A Qualitative Study

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