Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation

Background: despite assertions in reports from governmental and charitable bodies that negative staff attitudes towards older patients may contribute to inequitable healthcare provision for older patients when compared with younger patients (those aged under 65 years), the research literature does n...

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Main Authors: Samra, Rajvinder, Griffiths, Amanda, Cox, Tom, Conroy, Simon, Gordon, Ada, Gladman, John R.F.
Format: Article
Published: Oxford University Press 2015
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Online Access:https://eprints.nottingham.ac.uk/41397/
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author Samra, Rajvinder
Griffiths, Amanda
Cox, Tom
Conroy, Simon
Gordon, Ada
Gladman, John R.F.
author_facet Samra, Rajvinder
Griffiths, Amanda
Cox, Tom
Conroy, Simon
Gordon, Ada
Gladman, John R.F.
author_sort Samra, Rajvinder
building Nottingham Research Data Repository
collection Online Access
description Background: despite assertions in reports from governmental and charitable bodies that negative staff attitudes towards older patients may contribute to inequitable healthcare provision for older patients when compared with younger patients (those aged under 65 years), the research literature does not describe these attitudes in any detail. Objective: this study explored and conceptualised attitudes towards older patients using in-depth interviews. Methods: twenty-five semi-structured interviews with medical students and hospital-based doctors in a UK acute teaching hospital were conducted. Participants were asked about their beliefs, emotions and behavioural tendencies towards older patients, in line with the psychological literature on the definition of attitudes (affective, cognitive and behavioural information). Data were analysed thematically. Results: attitudes towards older patients and their care could be conceptualised under the headings: (i) beliefs about older patients; (ii) older patients' unique needs and the skills required to care for them and (iii) emotions and satisfaction with caring for older patients. Conclusions: our findings outlined common beliefs and stereotypes specific to older patients, as opposed to older people in general. Older patients had unique needs concerning their healthcare. Participants typically described negative emotions about caring for older patients, but the sources of dissatisfaction largely related to the organisational setting and system in which the care is delivered to these patients. This study marks one of the first in-depth attempts to explore attitudes towards older patients in UK hospital settings.
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spelling nottingham-413972020-05-04T17:13:07Z https://eprints.nottingham.ac.uk/41397/ Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation Samra, Rajvinder Griffiths, Amanda Cox, Tom Conroy, Simon Gordon, Ada Gladman, John R.F. Background: despite assertions in reports from governmental and charitable bodies that negative staff attitudes towards older patients may contribute to inequitable healthcare provision for older patients when compared with younger patients (those aged under 65 years), the research literature does not describe these attitudes in any detail. Objective: this study explored and conceptualised attitudes towards older patients using in-depth interviews. Methods: twenty-five semi-structured interviews with medical students and hospital-based doctors in a UK acute teaching hospital were conducted. Participants were asked about their beliefs, emotions and behavioural tendencies towards older patients, in line with the psychological literature on the definition of attitudes (affective, cognitive and behavioural information). Data were analysed thematically. Results: attitudes towards older patients and their care could be conceptualised under the headings: (i) beliefs about older patients; (ii) older patients' unique needs and the skills required to care for them and (iii) emotions and satisfaction with caring for older patients. Conclusions: our findings outlined common beliefs and stereotypes specific to older patients, as opposed to older people in general. Older patients had unique needs concerning their healthcare. Participants typically described negative emotions about caring for older patients, but the sources of dissatisfaction largely related to the organisational setting and system in which the care is delivered to these patients. This study marks one of the first in-depth attempts to explore attitudes towards older patients in UK hospital settings. Oxford University Press 2015-07-15 Article PeerReviewed Samra, Rajvinder, Griffiths, Amanda, Cox, Tom, Conroy, Simon, Gordon, Ada and Gladman, John R.F. (2015) Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation. Age and Ageing, 44 (5). pp. 776-783. ISSN 1468-2834 Physicians Attitudes Older patients Interview study UK Older people https://doi.org/10.1093/ageing/afv082 doi:10.1093/ageing/afv082 doi:10.1093/ageing/afv082
spellingShingle Physicians
Attitudes
Older patients
Interview study
UK
Older people
Samra, Rajvinder
Griffiths, Amanda
Cox, Tom
Conroy, Simon
Gordon, Ada
Gladman, John R.F.
Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation
title Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation
title_full Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation
title_fullStr Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation
title_full_unstemmed Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation
title_short Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation
title_sort medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation
topic Physicians
Attitudes
Older patients
Interview study
UK
Older people
url https://eprints.nottingham.ac.uk/41397/
https://eprints.nottingham.ac.uk/41397/
https://eprints.nottingham.ac.uk/41397/