J Korean Acad Community Health Nurs.  2019 Dec;30(4):539-549. 10.12799/jkachn.2019.30.4.539.

Factors Affecting the Social Distance toward Older Adults of Nursing Students

• Ha J
• Park JY

• KMID: 2467654
• DOI: http://doi.org/10.12799/jkachn.2019.30.4.539

Abstract

PURPOSE
The aim of this study was to identify the factors related to the social distance toward older adults in nursing college students.
METHODS
The participants comprised 137 students in a nursing college. Data were collected using self-report questionnaires in March 2019. The measurement instruments included social distance scales, the Fact on Aging Quiz (FAQ I), a 20-item semantic differential scale (to assess attitudes), and the perceived elderly stigma scale. The data were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance (ANOVA), Pearson's correlation coefficient, and a multiple regression analysis.
RESULTS
The total score for social distance toward older adults was 3.98±0.54 out of a maximum of 5. Social distance had a statistically significant relationship with knowledge (r=.20, p=.022), attitudes toward older adults (r=−.31, p < .001), and elderly stigma (r=−.27 p=.008). The factors affecting social distance were education in geriatrics (β=.33, p=.004), grade (β=-.29, p=.014), attitudes (β=−.21, p=.018), academic major satisfaction (β=.19, p=.028), and knowledge (β=.15, p=.048); the explanatory power of the model was 34%.
CONCLUSION
There is a need for departmental efforts that nursing students acquire correct knowledge about the life and health of the elderly with the aging process and develop positive attitudes toward older adults through various experiences in gerontological nursing practicum and community senior-college student link programs.

Keyword

Social distance; Aged; Students, Nursing; Knowledge; Attitude

Reference

1. Statistics Korea. 2019 Dependency ratio and aging index. [Internet]. Seoul: Statistics Korea;2019. cited 2019 July 20. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&vw_cd=&list_id=&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=E1.

2. Kwon SM, Kwon MS, Kwag OG. Factors influencing the perception of the elderly in nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2015; 16(2):1129–1136. DOI: 10.5762/KAIS.2015.16.2.1129.

3. Kim SO, Oh HS, Wang MS. A study on the nursing students' knowledge, attitudes and behavior towards the elderly. The Journal of Korean Academic Society of Nursing Education. 2016; 22(2):163–170. DOI: 10.5977/jkasne.2016.22.2.163.

4. Cho SH, Kim KM. The effects of the elderly's ageism and exclusion experience on suicidal ideation. Korean Journal of Gerontological Social Welfare. 2016; 71(3):359–387.

5. Hargittai E. Digital natives? Variation in internet skills and uses among members of the "net generation". Sociological Inquiry. 2010; 80(1):92–113. DOI: 10.1111/j.1475-682X.2009.00317.x.

6. Kang W, Kim MS, Ko JU. Effects of the smartphone information use and performance on life satisfaction among the elderly. Journal of the Korean Gerontological Society. 2013; 33(1):199–214.

7. Lauder H, Brown P, Halsey AH. Social and political arithmetic: Some principles of a new policy science. The British Journal of Sociology. 2004; 55(1):3–22. DOI: 10.1111/j.1468-4446.2004.00002.x.

8. Westie FR. Negro-white status differentials and social distance. American Sociological Review. 1952; 17(5):550–558. DOI: 10.2307/2088221.

9. Luszcz MA, Fitzgerald KM. Understanding cohort differences in cross-generational, self, and peer perceptions. Journal of Gerontology. 1986; 41(2):234–240. DOI: 10.1093/geronj/41.2.234.

10. Liviatan I, Trope Y, Liberman N. Interpersonal similarity as a social distance dimension: Implications for perception of others' actions. Journal of Experimental Social Psychology. 2008; 44(5):1256–1269. DOI: 10.1016/j.jesp.2008.04.007.

11. Ko SH. A study on the social sense of distance of the mother of the non-disabled child towards people with disabilities [master's thesis]. [Seoul]: Kwangwoon University;2014. 73 p.

12. Lee SY, Lee K. Social distance attitudes of nursing students towards adults with mental disorders. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2016; 25(4):356–366. DOI: 10.12934/jkpmhn.2016.25.4.356.

13. Lee MJ, Choi YJ, Choi SB. Multi-cultural society and social distance for foreigners in Korean society. Survey Research. 2010; 11(1):63–85.

14. Kang HY, Han SY. A study on social distance of nursing students toward minority groups in a metropolitan city. Journal of Korean Public Health Nursing. 2013; 27(1):166–178. DOI: 10.5932/JKPHN.2013.27.1.166.

15. Park M, Moon H, Oh D. Effects of knowledge and attitudes towards dementia on social distance from senile dementia among university students. Journal of Korean Public Health Nursing. 2017; 31(3):554–566. DOI: 10.5932/JKPHN.2017.31.3.554.

16. Rhee YS. University student's perception, knowledge, attitude and social distance for people living with HIV/AIDS. Journal of the Korea Academia-Industrial cooperation Society. 2016; 17(10):338–344. DOI: 10.5762/KAIS.2016.17.10.338.

17. Wyman MF, Shiovitz-Ezra S, Bengel J. Ageism in the health care system: Providers, patients, and systems. In : Ayalon L, Tesch-Römer C, editors. Contemporary Perspectives on Ageism, International Perspectives on Aging 19. Cham, CH: Springer;2018. p. 193–212. .

18. An S, Kang H, Chung S. Validity and reliability of the perceived elderly stigma scale and the relationships between the stigma and demographic factors. Journal of the Korean Gerontological Society. 2018; 38(1):203–223.

19. Lim YS, Kim JS, Kim KS. Nurses' knowledge and attitudes toward the elderly. Journal of the Korea Gerontological Society. 2002; 22(1):31–46.

20. Kwon MS, Noh GY, Jang JH. University students' images, knowledge, and stereotypes plus perceptions about the elderly. Journal of Korean Public Health Nursing. 2013; 27(3):633–646. DOI: 10.5932/JKPHN.2013.27.3.633.

21. Kudo M. The relationships among the stigma, familiarity and knowledge and social distance toward people with depression [master's thesis]. Gwangju: Chonnam National University;2012. 49 p.

22. Song KW, Kim BJ, Hong YO, Lee HK. A study on social distance toward members of stigmatized social groups. Korean Journal of Psychology: Social Issues. 1997; 3(1):123–141.

23. Na GC, Chung GS. Subjective social distance among different occupational strata. Korean Journal of Sociology. 1988; 22:109–133.

24. Palmore E. Ageism: Negative and positive. 2nd ed. New York: Springer Publishing Company;1999. 280 p.

25. Sanders GF, Montgomery JE, Pittman JF Jr, Balkwell C. Youth's attitudes toward the elderly. Journal of Applied Gerontology. 1984; 3(1):59–70. DOI: 10.1177/073346488400300107.

26. Kim JH. Comparison of image toward elders and demented elders in nursing student. Journal of Korean Gerontological Nursing. 2000; 2(2):133–143.

27. Kim W. A study on the knowledge of and attitudes toward the elderly of college students in Korea and the United States. Journal of the Korea Gerontological Society. 2011; 31(3):505–526.

28. Li H. A comparative study on the university students' knowledge and attitudes toward the elderly: Based on Korea and China [master's thesis]. Kongju: Kongju National University;2019. 74 p.

29. Kim GH, Yoon HS. The effects of the communication program for nursing students' communication competence, interpersonal relationship, self-esteem, and depression. Journal of Learner-Centered Curriculum and Instruction. 2018; 18(8):547–562. DOI: 10.22251/jlcci.2018.18.8.547.

30. Swift HJ, Abrams D, Lamont RA, Drury L. The risks of ageism model: How ageism and negative attitudes toward age can be a barrier to active aging. Social Issues and Policy Review. 2017; 11(1):195–231. DOI: 10.1111/sipr.12031.