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  1. Samsudin S, Abdullah N
    J Cross Cult Gerontol, 2017 Jun;32(2):223-237.
    PMID: 28493065 DOI: 10.1007/s10823-017-9318-4
    Determining factors that affect healthcare utilization by the elderly is vital for the health system to be more responsive in providing care to this vulnerable group. The main objective of this paper is to identify the effect of the predisposing, enabling, and need factors on doctor visits and in-patient care for the elderly residing in the northern region of Malaysia. A multistage cluster sampling was used in selecting the sample for the study. A total of 1414 respondents aged 60 and over were interviewed face-to-face using a structured questionnaire. A probit model was used in estimating the utilization equations. At a significance level of 0.05, except for age, all predisposing and enabling factors were not statistically significant in affecting the doctor visits. On the other hand, being a male, smoker, medical insurance holder or had not actively involved in social interaction within the reference period increases the likelihood of being in-patient. Health-related variables remain the most significant factors that determine healthcare utilization, including both doctor visits and in-patient stays, in the area of study, which suggests that government policies to improve population health may influence the level of healthcare use in the future.
    Matched MeSH terms: Geriatric Nursing*
  2. Che CC, Hairi NN, Chong MC
    J Adv Nurs, 2017 Sep;73(9):2049-2064.
    PMID: 28122163 DOI: 10.1111/jan.13265
    AIMS: To review systematically the psychometric properties of instruments used to measure intention to work with older people.

    BACKGROUND: Nursing students are part of the future healthcare workforce; thus, being aware of their intention to work with older people would give valuable insights to nursing education and practice. Despite a plethora of research on measuring intention to work with older people, a valid and reliable instrument has not been identified.

    DESIGN: A systematic literature review of evidence and psychometric properties.

    DATA SOURCES: Eight database searches were conducted between 2006 - 2016.

    REVIEW METHODS: English articles were selected based on inclusion and exclusion criteria. The COSMIN checklist was used to assess instruments reporting a psychometric evaluation of validity and reliability.

    RESULTS: Of 41 studies identified for full text review, 36 met the inclusion criteria. Seven different types of instruments were identified for psychometric evaluation. Measures of reliability were reported in eight papers and validity in five papers. Evidence for each measurement property was limited, with each instrument demonstrating a lack of information on measurement properties. Based on the COSMIN checklist, the overall quality of the psychometric properties was rated as poor to good.

    CONCLUSION: No single instrument was found to be optimal for use. Studies of high methodological quality are needed to properly assess the measurement properties of the instruments that are currently available. Until such studies are available, we recommend using existing instruments with caution.

    Matched MeSH terms: Geriatric Nursing/education*
  3. Che CC, Chong MC, Hairi NN
    Int J Nurs Stud, 2018 Sep;85:61-67.
    PMID: 29852374 DOI: 10.1016/j.ijnurstu.2018.05.007
    BACKGROUND: Studies have reported that student nurses hold positive attitudes towards older people; nevertheless, working with older people has consistently remained one of the least desired career choices among student nurses in most countries.

    OBJECTIVES: The current study aimed to assess student nurses' intentions to work with older people and to determine the predictors of working intentions among nursing students.

    DESIGN: The study adopted a cross-sectional design.

    SETTINGS: Multistage sampling was used to recruit nursing students from five states in Malaysia.

    PARTICIPANTS: A total of 1462 nursing students from eleven nursing education institutions participated in this study.

    METHODS: A self-administered questionnaire was used to collect data. This study is underpinned by the Theory of Planned Behaviour. The Intent to Work with Older People Scale and Kogan Attitudes Toward Old People Scale were used to assess nursing students' intentions and attitudes towards care of older people respectively. Researcher-developed instruments were used to assess subjective norms and perceived behavioural control among nursing students.

    RESULTS: The present study found that nursing students in Malaysia demonstrated a moderate level of intention to work with older people, with a mean of 39.72 (±4.38). There were significant differences in effects of gender, ethnic group, academic level, type of nursing institution and setting of older person care clinical experience on intentions to work with older people. There was a moderate and positive relationship between attitudes towards older people and intentions to work with older people, as well as between perceived behavioural control and intentions to work with older people; it was found that r = 0.36 for both relationships. Attitudes, subjective norms and perceived behavioural control accounted for 19.7% of the variance in intentions to work with older people.

    CONCLUSION: The primary findings of this national study revealed that Malaysian nursing students have a moderate level of intention to work with older people. It is imperative to develop educational interventions to nurture attitudes for caring and promote stronger intentions to work with older people.

    Matched MeSH terms: Geriatric Nursing
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