Nursing Homes Nurses Attitudes Toward Older People and Affecting Factors

Abstract

Materials and Method:A retrospective medical record review of geriatric patients aged ≥65 years (Group G, n=185) who had undergone outpatient inguinal hernia repair under local infiltration anesthesia (LIA) and sedation was conducted. Their data were compared with those of a group of nongeriatric patients aged 18-64 years (Group C, n=185). Patient selection, anesthetic and surgical care, and discharge criteria were protocol-based. Safety was evaluated in terms of incidence of adverse events, discharge delay, unanticipated admission and readmission and time to discharge.Results: Results for the Groups G and C were age 73. mg, respectively. Times to discharge were 102±19 min and 91.2±22.5 min in Groups G and C, respectively. Groups were similar regarding the rate of intraoperative and postoperative adverse events, except for ecchymosis (n=2 in Group G vs. n=10 in Group C) and the rates of discharge delay, unanticipated admission, and readmission.Conclusion: Outpatient inguinal herniorrhaphy under LIA and sedation in geriatric patients is as safe as in the nongeriatric patients, provided that protocol-based preoperative evaluation and discharge criteria and appropriate anesthetic management and surgical techniques are followed.Keywords: Geriatrics; Outpatient; General Surgery; Herniorrhaphy Giriş: Geriatrik hastalarda günübirlik kasık fıtığı onarımının güvenliğinin araştırılması amaçlanmıştır.Gereç ve Yöntem:Lokal anestezi ve sedasyon altında günübirlik kasık fıtığı onarımı yapılan yaşları ≥65 yıl (Grup G, n=185) olan hasta kayıtları geriye dönük olarak incelendi ve veriler, yaşları 18-64 yıl (Grup K, n=185) olan hastaların verileri ile karşılaştırıldı. Hasta seçimi, anestezi ve cerrahi bakım ve taburculuk belirli protokollere göre yapıldı. Sonuç ölçütleri, istenmeyen olayların görülme sıklığı, taburculuk süresi, taburculuk geçikmesi ve planlanmamış hastane yatışı ile yeniden hastaneye başvuru sıklığıdır. Sonuç: Geriatrik hasta grubunda, lokal anestezi ve sedasyon altında yapılan günübirlik kasık fıtığı onarımı, protokol bazlı preoperatif değerlendirme ve taburculuk kuralları ve uygun anestezik ve cerrahi bakım uygulanmak koşulu ile genç hastalardaki kadar güvenlidir.

The influence of prior work experience in aged care on nursing students' views on aged care nursing: A systematic review

“…Students' attitudes and views towards long-term care varied depending on their own expectations, experiences and perceptions. Students sense the atmosphere at the ward, the manner of interactions withward staff [28][29][30]58], nurses' attitudes towards older adults [26] and their willingness to attend to older adults' needs [1]. Students observe matters in different manners and consider different things meaningful, depending on their previous experiences or assumptions, current learning needs and expectations for the future.…”

“…The quality of nursing care in nursing homes is closely related to nurses' attitudes towards older adults. Nurses working in nursing homes showed only slightly positive attitudes towards older adults [26]. A study by Dahlke et al [1] found that nursing staff do not listen to older patients or attend to their needs.…”

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

“…Attitudes and perceptions of nurses, who have a key role in elderly care, affect the quality of care (Wanko et al, 2021). In studies conducted by Akpinar et al reported in the literature that nurses' attitudes towards the elderly are positive and negative (Akpinar et al, 2018). However, it has been observed that studies qualitatively evaluating nurses' perception and thoughts of the ageing, difficulties that they faced in older care are limited (Lennox et al, 2019).…”