Incentivising a career in older adult nursing: the views of student nurses

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dc.contributor.author Naughton, Corina
dc.contributor.author O'Shea, Katie L.
dc.contributor.author Hayes, Nicky
dc.date.accessioned 2019-08-20T14:59:45Z
dc.date.available 2019-08-20T14:59:45Z
dc.date.issued 2019-07-12
dc.identifier.citation Naughton, C., O’Shea, K. L. and Hayes, N. (2019) 'Incentivising a career in older adult nursing: The views of student nurses', International Journal of Older People Nursing, In Press, e12256 (10 pp). doi: 10.1111/opn.12256 en
dc.identifier.startpage 1 en
dc.identifier.endpage 10 en
dc.identifier.issn 1748-3735
dc.identifier.uri http://hdl.handle.net/10468/8359
dc.identifier.doi 10.1111/opn.12256 en
dc.description.abstract Background and aim: Nurse vacancy rates in older adult services are disproportionately high compared to other areas of nursing. This is partly because few student nurses consider it an attractive career option once qualified due to perceptions of low‐status, strenuous nature of the work and impoverished care environments. The study aimed to explore students' perceptions of incentives that could counterbalance the barriers for new graduate nurses joining this speciality. Methods: A qualitative descriptive design using focus group interviews was carried out with six groups of student nurses (n = 27) following completion of their acute care older adult placements in three hospitals. Data were analysed using thematic analysis. Results: The barriers from students' perspectives were constructed as a vicious cycle of staff shortages and inadequate resources that created impoverished environments leading to a dissonance between ideal and delivered care. Over one‐third of students were unlikely to consider a career in older adults nursing, but the remaining students could identify incentives that may tempt them. Four main themes and eight subthemes were identified: gerontological status and leadership (ward leadership; respected others); relational care (legitimising emotional support, care vs. cure goals); quality work environment (pay as recognition, 12‐hr shifts); and education‐career pathways (gerontological knowledge, career progression). Conclusion: Radical new approaches, based on student and nurse engagement, are required to incentivise a career in gerontological nursing. A combination of shorter and longer term strategies that include education‐career pathways, a focus on relation care, and improved work conditions including financial incentives should be trialled. Implications for practice: In terms of practice, addressing high nurse vacancy rates in older adult services that negatively impacts on patient outcomes requires a suite of incentives informed by ‘what matters’ to students and nurses working in the speciality. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Wiley en
dc.relation.uri https://onlinelibrary.wiley.com/doi/abs/10.1111/opn.12256
dc.rights © 2019 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: ‘Incentivising a career in older adult nursing: The views of student nurses’, Int J Older People Nurs. 2019; e12256, which has been published in final form at https://doi.org/10.1111/opn.12256. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. en
dc.subject Barriers en
dc.subject Career en
dc.subject Gerontological en
dc.subject Incentives en
dc.subject Older adult nursing en
dc.subject Student nurses en
dc.title Incentivising a career in older adult nursing: the views of student nurses en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Corina Naughton, Nursing & Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: corina.naughton@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2020-07-12
dc.date.updated 2019-08-20T14:52:28Z
dc.description.version Accepted Version en
dc.internal.rssid 497325674
dc.contributor.funder General Nursing Council for England and Wales Trust en
dc.description.status Peer reviewed en
dc.identifier.journaltitle International Journal of Older People Nursing en
dc.internal.copyrightchecked No
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress corina.naughton@ucc.ie en
dc.internal.bibliocheck In Press. Update citation, add vol. issue, update page nos. en


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