Analysis of factors influencing the attitudes towards the elderly of nursing students based on empathy and end-of-life care: A cross-sectional study

Nurs Open. 2022 Sep;9(5):2348-2355. doi: 10.1002/nop2.1245. Epub 2022 May 25.

Abstract

Aim: This study aimed to explore the factors associated with attitudes towards the older adults among nursing students, to clarify the impact of empathy and end-of-life care on the attitude of the older adults, and to provide a basis for the follow-up of education courses related to older adults care and the training of older adults care talents.

Design: A cross-sectional study.

Methods: A cross-sectional survey on nursing students' knowledge and attitudes towards older adults was conducted from 24 December 2020-24 February 2021. The Chinese versions of the end-of-life Attitudes Scale, Jefferson Empathy Scale-Nursing Version and Kogan Attitudes Scale for the Elderly were used for this cross-sectional study. We used the purposive sampling method to conduct a questionnaire survey on nursing students at Heilongjiang Nursing College (n = 371, effective response rate: 64.52%).

Results: The average score of FATCOD-B was 99.04 (7.71), and the score of C-JSE-HPS was 100.67 (12.90). The total average score of nursing students' attitudes towards older adults was 139.91 (15.79). The hierarchical regression analysis showed that education (β = -.125, p = .025) and personal experience (β = -.132, p = .008) correlated negatively with attitudes towards the older adults, while the end-of-life care (β = .140, p = .013) and empathy (β = .285, p < .001) correlated positively with attitudes towards the older adults.

Conclusions: Religion, end-of-life care and empathy were positively correlated with nursing students' attitudes towards older adults. It is necessary to set up end-of-life care, empathy and education related to the older adults, and combine a variety of training forms, increasing humanistic assessments and reducing the employment pressure on nursing students by relevant departments can improve their attitudes towards the older adults.

Keywords: ageing; attitude; empathy; end-of-life care; nursing students.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Attitude of Health Personnel
  • Cross-Sectional Studies
  • Empathy
  • Humans
  • Students, Nursing*
  • Terminal Care*