(De)Gendering Older Patients: Exploring Views on Aging and Older Patients in Romanian General Practitioners

Crăciun, Catrinel

doi:10.15517/ap.v30i121.24069

Cited by 4 publications

(13 citation statements)

References 25 publications

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“…Of 5869 citations identified, 13 met initial inclusion criteria [2,[14][15][16][17][18][19][20][21][22][23][24][25] (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…HCPs' positive attitudes towards older persons included working with older people as rewarding [20,21], that older people were to be revered and respected, exhibited resilience and strength, and had unique experience and knowledge [16,22,23] (Table 2). There was a recognition that a positive attitude towards older people depended on the practitioner's mindset, i.e., considering deficiencies as challenges requiring adaptation rather than loss of function.…”

Section: Attitudes Towards Older Personsmentioning

confidence: 99%

“…This complexity linked to multiple intersecting medical and social issues, lack of confidence of the practitioner [17], dislike of elder care, and therapeutic nihilism [20,21]. Older people were described as difficult, because they did not follow recommendations [16]. However, this perspective was not universal, as other doctors felt that older people listened to them and respected their opinion [20].…”

Section: Attitudes Towards Older Personsmentioning

confidence: 99%

“…43 "…the ones [older patients] who don't pay attention and are rude, they use bad language, they display a superiority attitude, they threaten they will complain to the authorities." (General practitioner) [16] pp. 5 "Some [older] patients are completely disabled, but they want attention and are demanding…" (Doctor) [14] pp.…”

Section: Theme Subthemes Illustrative Quotation (C) Advocacymentioning

confidence: 99%

“…5 "Some [older] patients are completely disabled, but they want attention and are demanding…" (Doctor) [14] pp. 43 "She just said yes to everything I told her, but she did not understand, in the end she did not know what she needed to do, so I had to talk to other child and explain all to him again" (General practitioner) [16] pp. 6 "[compared to younger patients] They are less likely to complain, and nobody speaks for them, so they just don't have a voice."…”

Section: Theme Subthemes Illustrative Quotation (C) Advocacymentioning

confidence: 99%

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Attitudes to ageing amongst health care professionals: a qualitative systematic review

et al. 2023

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Objectives Older adults utilising healthcare may be vulnerable to systemic bias regarding ageing potentially affecting care. Primary aim is to systematically review the qualitative literature examining attitudes to ageing amongst health care professionals (HCPs). Secondary aim is to describe and compare attitudes to ageing between different professional groups. Methods Studies examining attitudes to ageing of HCPs were identified using four databases. Original qualitative research with HCPs was included, excluding studies examining students alone, reviews, and grey literature. Three authors undertook standardised data extraction and quality rating for each study and thematic synthesis, with a fourth senior author reviewing. Quality appraisal followed the Attree and Milton guidelines (2006), including studies rated A–C. Results Of 5869 citations, 13 met initial inclusion criteria. Synthesis of the 12 studies graded A–C followed (excluding one study rated-D). Nurses, doctors, and social workers were most frequently investigated. Identified themes included Attitudes towards older persons, The role of the older persons’ family, Behaviour of HCPs towards older persons, Behaviour of older persons towards HCPs, and Definitions of an older person. An overarching theme emerged of the systemic context of attitudes to ageing. Common attitudes were found across disciplines, with doctors emphasising complexity and dependency and nurses the burden of care. Conclusions HCP’s attitudes to ageing vary and are shaped by professional experiences and systemic factors. HCP attitudes may affect responses to and care of the older person. Therefore, interprofessional research, and systemic and service changes across disciplines are required to foster real and sustainable attitudinal change to support older peoples’ care.

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