Ageism against older patients in nursing: conceptual differentiations and the role of moral sensitivity

Arhiri, Laura; Gherman, Mihaela-Alexandra; Holman, Andrei Corneliu

doi:10.1080/08946566.2022.2086957

Cited by 8 publications

(6 citation statements)

References 39 publications

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“…These results are consistent with other studies that point to a poor attitude on the part of nurses and the importance of this in terms of the inclination to listen to older patients and take their preferences seriously [ 65 , 66 ]. On the other hand, from the point of view of the primary care nurses' discourse, there was a component of stress and impotence due to the lack of sufficient opportunities that would allow them to develop AL towards all older patients, something consistent with the results of other studies [ 67 , 68 ]. Regarding SDM situations, in the results of this study, it was readily apparent that, despite appearing sensitive moments for older women to decide, they did not materialise in real decision-making situations.…”

Section: Discussionsupporting

confidence: 82%

Active listening, shared decision-making and participation in care among older women and primary care nurses: a critical discourse analysis approach from a gender perspective

Martínez-Angulo,

Rich-Ruiz,

Jiménez-Mérida

et al. 2024

BMC Nurs

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Background Nursing care for older women represent a challenge worldwide due to its characteristics. When communication is impaired between primary care nurses and older women living alone, an imbalance in power relations occurs. The main objective of this study is to analyse the power relations between older women and primary care nurses in situations of active listening, shared decision-making and participation in care. Methods We developed a qualitative study in southern Spain using a discursive and gender approach. We used purposeful sampling to interview older women who lived alone and received home nursing care. Simultaneously, we conducted focus groups with primary care nurses who provided home care to older women. A linguistic analysis of the transcripts was carried out. Results Nine semi-structured face-to-face interviews were conducted with older women who lived alone and two face-to-face focus groups with four primary care nurses in each. The discourse of the participants demonstrated an imbalance in power relations. Influenced by work overload, active listening was considered a privilege in primary care nurses´ discourse. Regarding shared decision-making, older women´s discourses revealed “mirages” of real situations where they thought they were deciding. Participation in care was difficult since older women saw themselves as a nuisance in nurses´ presence, and primary care nurses did not facilitate older women’s engagement. Older women weren´t considered when organising home visits and had interiorised a subordinated feeling. Similarly, a strict sense of identity made primary care nurses feel powerful in their relationships with older women. Conclusions The discourse of older women represented them as victims of a hostile panorama whilst they were sometimes satisfied with the deficient care received. The discourse of primary care nurses used more discursive strategies to represent themselves as professionals committed to caring. However, it also revealed deficiencies in care, discriminatory elements, and feelings of being limited by their working conditions. Active listening to older women and engagement in decision-making readjust empower the older women. Attending to the needs and concerns of primary care nurses could recalibrate the power imbalance between them and healthcare organisations.

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Section: Discussionsupporting

confidence: 82%

Active listening, shared decision-making and participation in care among older women and primary care nurses: a critical discourse analysis approach from a gender perspective

Martínez-Angulo,

Rich-Ruiz,

Jiménez-Mérida

et al. 2024

BMC Nurs

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“…Thirdly, we believe that the social representation of pornography users in Romania could be an influential factor impacting our variables. Several studies in Romania have demonstrated that social representation is particularly significant in various contexts (Arhiri et al, 2022;de Rosa & Holman, 2011;Holman et al, 2010;Todeancă et al, 2019), and, in our view, future research should also investigate the social representation of pornography consumers in Romania.…”

Section: Limitations and Future Directionsmentioning

confidence: 81%

Socio-Demographic and Economic Factors Involved in the Consumption of Sexual Explicit Material. Ethical Aspects, Moral Incongruence, and the Frequency of Pornography Use

Hutul,

Karner-Huțuleac

2023

JIME

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This study aimed to explore socio-demographic and economic factors associated with pornography consumption. The research involved 348 participants: 157 were male (45.1%), and 191 were female (54.9%). Their ages ranged from 18 to 49 years (M = 22.42; SD = 4.58). Respondents completed questionnaires related to moral incongruence, the frequency of pornography use, and socio-demographic and economic factors. The results of this study indicated that individuals from rural areas had higher scores in terms of moral incongruence than individuals from urban areas. Furthermore, individuals with low income displayed higher scores in terms of moral incongruence than those with medium and high incomes. Concerning the frequency of pornography use, our results suggest that individuals with low income watch pornography less frequently than those with medium and high incomes. We discuss theoretical and practical implications, as well as ethical aspects related to this subject.

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“…Furthermore, future research should focus on both individual factors (coping style, attachment style) and social factors (family values regarding pornography, social representation of pornography consumption, feminist perspective) that may be involved in problematic pornography consumption. Concerning social factors, we emphasize that an approach based on social representations could bring added value to this area of research, as it is increasingly studied in Romania, yielding promising results in other research domains from psychology (Arhiri et al, 2022;Holman et al, 2010;Todeancă et al, 2019). In the context where an individual consumes pornography, the fact that its consumption is taboo and that sexuality can be perceived in this manner may impact individual distress stemming from social factors.…”

Section: Limitations and Future Directionsmentioning

confidence: 96%

“Are You Ashamed to Talk About It?” Pornography, Moral Incongruence, Morality, Ethics, and Religious Distress in Romania

Hutul,

Karner-Huțuleac

2023

JIME

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This research aimed to explore factors implicated in pornography consumption. The study involved 237 individuals, out of whom 56 were male (23.6%) and 181 were female (76.4%). All participants had voluntarily viewed pornographic material at least once in the last 6 months. Their ages ranged from 18 to 76 years (M = 22.83; SD = 8.09). Respondents completed surveys related to the frequency of pornography use, moral disapproval of pornography, moral incongruence, and religious distress. The results indicated significant associations between our main variables. Additionally, this paper highlights important gender differences existing in the Romanian population regarding the frequency of pornography use and discusses the relevant ethical implications of pornography in the online environment.The present work contributes by enhancing knowledge about the relationships of the variables mentioned above in the shape of theoretical model "Pornography Problems Due to Moral Incongruence" on a population predominantly of Orthodox Christian faith. In addition, from a practical perspective, our results can serve as a starting point reference for mental health workers (e.g., clinical psychologists and psychotherapists) in Romania when developing diverse approaches to address the cases of pornography consumption they encounter within their practices.

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Ageism against older patients in nursing: conceptual differentiations and the role of moral sensitivity

Cited by 8 publications

References 39 publications

Active listening, shared decision-making and participation in care among older women and primary care nurses: a critical discourse analysis approach from a gender perspective

Active listening, shared decision-making and participation in care among older women and primary care nurses: a critical discourse analysis approach from a gender perspective

Socio-Demographic and Economic Factors Involved in the Consumption of Sexual Explicit Material. Ethical Aspects, Moral Incongruence, and the Frequency of Pornography Use

“Are You Ashamed to Talk About It?” Pornography, Moral Incongruence, Morality, Ethics, and Religious Distress in Romania

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