Student nurses' experiences of the body in aged care
Andrew Robinson
School of Nursing and Midwifery, University of Tasmania, Hobart TAS
Katrina Cubit
School of Nursing & Midwifery, University of Tasmania, Launceston TAS
PP: 041 - 051
Abstract
Little is known about how student nurses deal with 'old bodies' in the process of providing nursing care to nursing home residents. It was an issue raised by student nurse participants involved in a pilot research project designed to develop support structures for students on placement in aged care settings.
During the research discussions, where students explored their experiences of working in aged care, it became apparent that the process of providing 'hands on' care to residents with 'old wrinkly bodies' was very confronting. However, in the context of the research project, students had an opportunity to share stories of their experiences of providing care to residents and critically reflect on the issues raised.
Participation in these critically reflective discussions facilitated a process whereby students could challenge taken-for-granted understandings of older people and their bodies and develop a new appreciation of aged care. This was most evident in a significant positive shift in their attitude to working in the sector following graduation.
Keywords
residential aged care; student nurses; old bodies; ageism; fourth generation evaluation
References
AIHW (2004) Australian hospital statistics 2002-03, AIHW cat. no. HSE 32.AIHW (Health Service Series no. 22), Australian Institute of Health and Welfare, Canberra.
Aries, P. (1981) The hour of our death, Penguin Books, London.
Bordo, S. (1993) Unbearable Weight - Feminism, Western Culture, and the Body, University of California Press, Berkeley CA.
Braithwaite, V., Gibson, D. & Holman, J. (1986) Age Stereotyping: Are we over simplifying the phenomenon?, Baywood, Canberra.
Braithwaite, V., Lynd-Stevenson, R. & Pigram, D. (1993) An empirical study of ageism: From polemics to scientific utility. Australian Psychologist 28(1): 9-15.
Brown, R. (1998) The challenge of dementia. In Successful Ageing. (Bevan, C. & Jeeawody, B. eds.). Mosby, Sydney pp. 253-300.
Butler, R. N. (1987) Ageism, in: The encyclopaedia of ageing. (Maddox, G. L. ed.). Springer, New York NY.
Chater, K. (2002) Ageing: A body of resistance. Nursing and Health Sciences 4: 123-129.
Cubit, K. (2000) Hospital in the Nursing Home - Caring for older people with an acute on chronic illness: An ethnographic exploration of third year nursing students' experiences. Honours Thesis, School of Nursing, University of Tasmania, Launceston.
de la Rue, M. B. (2003) Preventing ageism in nursing students: An action theory approach. Australian Journal of Advanced Nursing 20(4): 8-14.
Edgar, D. (1991) Ageing - Everybody's future. Family Matters 30: 15-19.
Epston, D. & White, M. (1992) Consulting your consultants: The documentation of alternative knowledges, in: Experience, contradiction, narrative and imagination: Selected papers of David Epston & Michael White 1989-1991. (Epston, D. & White, M. eds.). Dulwich Centre Publications, Adelaide pp. 11-26.
Fiveash, B. (1998) The experience of nursing home life. International Journal of Nursing Practice 4: 166-174.
Friedman, M. M. (1998) Family Nursing - Research, Theory & Practice, 4th edn. Appleton & Lange, Connecticut.
Gething, L., Fethney, J., McKee, K., Goff, M., Churchward, M. & Matthews, S. (2002) Knowledge, stereotyping and attitudes towards self ageing. Australasian Journal on Ageing 21(2): 74-79.
Giroux, H. (1988) Literacy and the pedagogy of voice and political empowerment. Educational Theory 38: 61-75.
Grant, L. D. (1996) Effects of ageism on individual and health care providers' response to healthy ageing. Health & Social Work 21(1): 9-14.
Grimley Evans, J. (1997) Rationing health care by age: The case against. British Medical Journal 314(7083): 822-825.
Guba, E. G. & Lincoln, Y. S. (1989) Fourth Generation Evaluation, Sage Publications, Newbury Park CA.
Herdman, E. (2002) Challenging the discourses of nursing ageism. International Journal of Nursing Studies 39: 105-114.
Keady, J. (1997) The tragedy of health care rationing by age. British Journal of Nursing 6(7): 357.
Knapman, C. (1996) Older Age and Health, in: Health in Australia - Sociological Concepts and Issues. (Grbich, C. ed.). Prentice Hall, Sydney pp. 127-162.
Koch, T. & Webb, C. (1996) The biomedical construction of ageing: Implications for nursing care of older people. Journal of Advanced Nursing 23: 954-959.
Lather, P. (1991) Getting Smart - Feminist research and pedagogy with/in the postmodern, Routledge, London.
Lawler, J. (1991) Behind the Screens - Nursing, somology, and the problem of the body, Churchill Livingstone, Melbourne.
Lookinland, S. & Anson, K. (1995) Perpetuation of ageism attitudes among present and future health care providers: Implications for elder care. Journal of Advanced Nursing 21(11): 47-56.
Maclure, R. (1990) The challenge of participatory research and its implications for funding agencies. International Journal of Sociology and Social Policy 10(3): 1-21.
McMinn, B. (1996) Ageism: The challenge for nursing. Australian Nursing Journal 3(10): 18-21.
Moyle, W. (2003) Nursing students' perceptions of older people: Continuing society's myths. Australian Journal of Advanced Nursing 20(4): 15-21.
Nay, R. (1992) An ageing society: Implications for nurses, in: Issues in Australian Nursing (Gray, G. & Pratt, R. eds). Churchill Livingstone, Melbourne, p. 3.
Nay, R. & Close, B. (1999) Staffing and quality in non-acute facilities, in: Nursing Older People. Issues and Innovations (Nay, R. & Garratt, S. eds). MacLennan & Petty, Sydney.
Perlini, A. H., Bertolissi, S. & Lind, D., L (1999) The effects of women's age and physical appearance on evaluations of attractiveness and social desirability. The Journal of Social Psychology 139(32): 343-349.
Peterson, A. R. (1994) In a Critical Condition - health and power relations in Australia, Allen & Unwin, St Leonards.
Robinson, A., Cubit, K., Francis, B., Bull, R., Crack, J. & Webber, Y. (2002) Making Connections in Aged Care: The report on the residential aged care preceptor project, TSoN Aged Care Report No. 1, School of Nursing, University of Tasmania, Launceston.
Robinson, A., Cubit, K., Venter, L. & Fassett, M. (2004) Building Connections in Aged Care - Developing support structures for student nurses on placement in residential care: stage one report, TSoN Aged Care Report No. 2, School of Nursing, University of Tasmania, Launceston.
Robinson, A., Cubit, K., Venter, L., Fassett, M., Mather, C. & Andrews, S. (2004) Building Connections in Aged Care - Developing support structures for student nurses on placement in residential care: stage two report, TSoN Aged Care Report No. 3, School of Nursing, University of Tasmania, Launceston.
Robinson, A., McInerney, F., Sherring, M. & Marlow, A. (1999) Developing a collaborative preceptorship program involving registered nurses, student nurses and faculty. Australian Journal of Advanced Nursing 17(1): 13-21.
Robinson, A., Venter, L., Andrews, S., Cubit, K., Menzies, B., Jongeling, L., Fassett, M. & Mather, C. (2005) Building Connections in Aged Care - Developing support structures for student nurses on placement in residential care: Final Report, TSoN Aged Care Report No. 4, School of Nursing & Midwifery, University of Tasmania, Launceston.
Slevin, O. D. (1991) Ageist attitudes among young adults: Implications for a caring profession. Journal of Advanced Nursing 16: 1197-1205.
Stevens, J. & Crouch, M. (1992) Working with the elderly: Do student nurses care for it? The Australian Journal of Advanced Nursing 9(3): 12-17.
Stevens, J. & Crouch, M. (1995) Who cares about care in nursing education? International Journal of Nursing Studies 32(3): 233-242.
Stevens, J. & Herbert, J. (1997) Ageism and nursing practice in Australia, Royal College of Nursing, Australia, Deakin University Press.
Stoecker, R. & Bonacich, E. (1992) Why participatory research? Guest editors introduction. American Sociologist 23(4): 5-14.
Wahidin, D.A. & Powell, D. J. L. (2003) Reconfiguring old bodies: From the biomedical model to a critical epistemology. Sincronia Summer.
Whitfield, C. (2001) Benign or malign? Media stereotyping. Nursing older people 13(6): 10-13.
Young, I. M. (1997) Intersecting voices: Dilemmas of gender, political philosophy and policy, New Jersey University Press, Princeton NJ.
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