Abstract

Sessions presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

Older adults are the population most likely to access healthcare due to an increasing incidence of chronic illnesses with age. As a result, nurses are managing the care of an older population within healthcare institutions which perpetuate societal ageist perspectives. Moreover, basic nursing education does not adequately prepare nurses to care for an aging population and little is known about how nurses are managing care of hospitalized older adults. A grounded theory study guided by symbolic interactionism examining a nursing perspective of caring for hospitalized older adults provides valuable insights into how nurses are practicing with an aging population. Nurses are prioritizing keeping their patients safe at all costs in institutions; they perceive the increased care requirements of older patients are under-recognized and inadequately resourced. To cope, they are re-defining nursing actions they perceive as morally distressing in order to preserve their image of themselves as "good nurses," who are working within healthcare systems that are inadequately supporting them in providing what they define as "good care" to their older patients. Much can be learned about how to improve care of hospitalized older adults by listening to nurses' perspectives about how healthcare systems are contributing to sub-optimal older adult care and engaging nurses in conversations about their nursing practices that are ethically distressing.

Description

43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.

Authors

Sherry Dahlke

Author Details

Sherry Dahlke, RN, CGN

Sigma Membership

Mu Sigma

Type

Poster

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Nursing Practice, Older Adult Care, Moral Distress

Conference Name

43rd Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Las Vegas, Nevada, USA

Conference Year

2015

Rights Holder

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Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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Minimizing strain: How nurses sustain their image as "good nurses"

Las Vegas, Nevada, USA

Sessions presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

Older adults are the population most likely to access healthcare due to an increasing incidence of chronic illnesses with age. As a result, nurses are managing the care of an older population within healthcare institutions which perpetuate societal ageist perspectives. Moreover, basic nursing education does not adequately prepare nurses to care for an aging population and little is known about how nurses are managing care of hospitalized older adults. A grounded theory study guided by symbolic interactionism examining a nursing perspective of caring for hospitalized older adults provides valuable insights into how nurses are practicing with an aging population. Nurses are prioritizing keeping their patients safe at all costs in institutions; they perceive the increased care requirements of older patients are under-recognized and inadequately resourced. To cope, they are re-defining nursing actions they perceive as morally distressing in order to preserve their image of themselves as "good nurses," who are working within healthcare systems that are inadequately supporting them in providing what they define as "good care" to their older patients. Much can be learned about how to improve care of hospitalized older adults by listening to nurses' perspectives about how healthcare systems are contributing to sub-optimal older adult care and engaging nurses in conversations about their nursing practices that are ethically distressing.