Ageism Directed at Older Nurses in Their Workplace: A Systematic Review

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aut.relation.endpage2411
aut.relation.issue7
aut.relation.journalJournal of Clinical Nursing
aut.relation.startpage2388
aut.relation.volume33
dc.contributor.authorChen, Chunxu
dc.contributor.authorShannon, Kay
dc.contributor.authorNapier, Sara
dc.contributor.authorNeville, Stephen
dc.contributor.authorMontayre, Jed
dc.date.accessioned2024-09-10T22:10:35Z
dc.date.available2024-09-10T22:10:35Z
dc.date.issued2024-03-03
dc.description.abstractAIMS: To identify and synthesise evidence related to ageism in older regulated nurses' practice settings. DESIGN: A systematic review following Joanna Briggs Institute methodology. METHODS: The review included empirical studies that involved older nurses as the primary study population and studies that focused on ageism in older nurses' work environments, including strategies or interventions to address ageism within the workplace. Following the initial screening, all relevant studies were critically appraised by two reviewers to ensure they were appropriate to include in the review. A synthesis without meta-analysis reporting (SWiM) guideline was employed in the review. DATA SOURCES: Medical Literature Analysis and Retrieval Systems Online, Scopus, Psychological Information Database and Cumulative Index to Nursing and Allied Health Literature and Google Scholar were searched to identify empirical studies and a range of academic institutional websites were accessed for master's and doctoral dissertations and theses. The search covered the period from January 2022 to May 2022, and only publications in English from 2000 onwards were considered. RESULTS: Nineteen studies were included, ten qualitative studies, seven quantitative studies and two mixed methods secondary analyses. Our results revealed that negative perceptions and beliefs about older nurses' competencies and skills prevail in their practice settings, which influences older nurses' health and well-being as well as their continuation of practice. Further, older nurses' continuation of practice can be facilitated by having a positive personal outlook on ageing, meaningful relationships in their practice settings and working in an environment that is age-inclusive. CONCLUSION: To combat ageism in older nurses' practice settings and support their continuation of practice, effective interventions should be organisational-led. The interventions should focus on fostering meaningful relationships between older nurses and their colleagues and managers. Further, healthcare institutions should implement initiatives to promote an age-inclusive work environment that supports an age-diverse nursing workforce. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The review findings offer insights for healthcare managers, policymakers and researchers, emphasising the need for anti-ageism policies in healthcare organisations. According to WHO (2021), educational activities such as role-playing and simulation during in-service training may also be effective interventions. Additionally, incorporating anti-ageism initiatives into staff meetings and mandating anti-ageism training could support the continuation of practice for older nurses while fostering a more age-diverse nursing workforce. IMPACT: We found evidence on the presence of ageism in older nurses' workplace and the detrimental effects of ageism on older nurses' well-being and continuation of practice. Importantly, we identified a lack of organisational initiatives to address ageism and support older nurses. These findings should encourage healthcare organisations to address ageism in older nurses' practice settings and prompt policymakers to develop age-inclusive policies that support older nurses' continuation of practice. REPORTING METHOD: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Synthesis Without Meta-analysis checklists were used to report the screening process. TRIAL AND PROTOCOL REGISTRATION: The PROSPERO registration number for the review was CRD42022320214 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022320214). No Patient or Public Contribution.
dc.identifier.citationJournal of Clinical Nursing, ISSN: 0962-1067 (Print); 1365-2702 (Online), Wiley, 33(7), 2388-2411. doi: 10.1111/jocn.17088
dc.identifier.doi10.1111/jocn.17088
dc.identifier.issn0962-1067
dc.identifier.issn1365-2702
dc.identifier.urihttp://hdl.handle.net/10292/17998
dc.languageeng
dc.publisherWiley
dc.relation.urihttps://onlinelibrary.wiley.com/doi/10.1111/jocn.17088
dc.rights© 2024 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectage-diverse
dc.subjectageism
dc.subjectnursing
dc.subjectnursing workforce
dc.subjectnursing workforceage discrimination
dc.subjectolder nurses
dc.subjectsystematic review
dc.subjectworkplaces
dc.subjectageism
dc.subjectage‐diverse
dc.subjectnursing
dc.subjectnursing workforce
dc.subjectnursing workforceage discrimination
dc.subjectolder nurses
dc.subjectsystematic review
dc.subjectworkplaces
dc.subject4203 Health Services and Systems
dc.subject4205 Nursing
dc.subject42 Health Sciences
dc.subjectHealth Services
dc.subjectClinical Research
dc.subject8.1 Organisation and delivery of services
dc.subject7.3 Management and decision making
dc.subjectGeneric health relevance
dc.subject4 Quality Education
dc.subject1110 Nursing
dc.subject1117 Public Health and Health Services
dc.subject1701 Psychology
dc.subjectNursing
dc.subject4203 Health services and systems
dc.subject4205 Nursing
dc.subject.meshHumans
dc.subject.meshAgeism
dc.subject.meshWorkplace
dc.subject.meshMiddle Aged
dc.subject.meshAged
dc.subject.meshAttitude of Health Personnel
dc.subject.meshMale
dc.subject.meshFemale
dc.subject.meshNurses
dc.subject.meshHumans
dc.subject.meshAttitude of Health Personnel
dc.subject.meshAged
dc.subject.meshMiddle Aged
dc.subject.meshNurses
dc.subject.meshWorkplace
dc.subject.meshFemale
dc.subject.meshMale
dc.subject.meshAgeism
dc.subject.meshHumans
dc.subject.meshAgeism
dc.subject.meshWorkplace
dc.subject.meshMiddle Aged
dc.subject.meshAged
dc.subject.meshAttitude of Health Personnel
dc.subject.meshMale
dc.subject.meshFemale
dc.subject.meshNurses
dc.titleAgeism Directed at Older Nurses in Their Workplace: A Systematic Review
dc.typeJournal Article
pubs.elements-id540608
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