Table of contentsIntroductionNursing knowledge of older patients in intensive careNurses' attitudes towards older patients in intensive careNursing commitment to older patients in intensive careReferencesIntroductionThis section presents the review of literature relating to the care of elderly patients admitted to intensive care and the engagement of nurses in nursing care. More specifically, the literature is classified into three themes: nurses' knowledge about caring for elderly patients admitted to intensive care, nurses' attitudes towards caring for elderly patients admitted to intensive care, and nurses' practices regarding the care of elderly patients admitted to intensive care. A conceptual framework is also presented. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get an original essay Nursing Knowledge of Elderly Patients in Intensive Care Care of the elderly requires specific skills and knowledge. Ferreira and Ruiz (2012) believe that there is a lack of educational training for registered nurses as well as all other groups of nurses working with older adults. This was confirmed by Doherty, Mitchell and O'Neill (2011) who reported that over the years, health care provided to older people has been seriously threatened by the negative stereotypical attitudes and misconceptions of nurses, 63 % of elderly people expressing an unmet problem. health need.Topaz and Doron (2013) explored the knowledge of a group of Israeli nurses about aging and attitudes toward the elderly in an acute care setting and analyzed the relationship between these variables using of a descriptive and correlational design method. In the study, there was no significant correlation between nurses' educational level and knowledge of aging, probably because until recently, nursing education in Israel lacked content related to old age. According to the results, there is a difference in the levels of knowledge about aging among nurses from different ethnic groups. Faronbi et al. (2017) found that most respondents have good knowledge of elderly care. They recognized the causes and prevention of complications when providing care to the elderly. According to them, this would improve the well-being of older people. The complexity of caring for the elderly and the need for special knowledge and specialization in this area is recognized by the majority of nursing students. Bing-Jonsson et al. (2016) investigated the adequacy of nursing skills in community-based care of older people in Norway. They found that nursing staff are competent in all areas measured, but the level of competence is insufficient in the areas of nursing measures, advanced procedures, and nursing documentation. Nursing home nurses scored higher than home care staff, and older nurses scored lower than younger nurses. Mahieu et al. (2016) investigated nurses' knowledge and attitudes toward sexuality among older adults, to determine whether certain sociodemographic factors of nurses were related to their knowledge and attitudes toward sexuality in later life in life, and to examine therelationship between knowledge and attitudes. The nursing staff seemed moderately informed about the sexuality of the elderly and displayed a rather positive attitude towards the sexuality of the elderly. Significant relationships between various variables were found at both univariate and multivariate levels. Knowledge and attitudes were found to be positively related, indicating that a higher level of knowledge about older adults' sexuality is associated with a more positive attitude toward sexuality later in life. Nurses' attitudes toward elderly patients in intensive care. According to Abreu and Caldevilla (2015), nurses' attitudes towards aging and the elderly are of utmost importance, particularly as they are reflected in the way nurses perceive and interact with their patients and in the way they interact with their patients.how they provide nursing care. Studies of the attitudes of nursing students, staff and other healthcare professionals towards older people and their care have identified negative attitudes towards geriatric nursing (Oyetunde et al. , 2013). Rush et al. (2017) examined hospital nurses' attitudes toward care of older adults and delineated the associated factors that contribute to their attitudes. Nurses had coexisting positive and negative attitudes towards generic and specific aspects of elderly care. Negative attitudes, in particular, were aimed at the characteristics of older people, their care requirements or were reflected in nurses' approaches to care. Across jurisdictions, work environment, education, experience, and demographics emerged as influences on nurses' attitudes. A study by Liu, Norman, and While (2015) found that registered nurses expressed positive attitudes toward older adults and 89.7% of them reported positive attitudes toward working with older adults . patients. The variables of aging anxiety, attitudes toward health care resource allocation, knowledge of aging, ethnic group, job title, attitudes toward older patients, and The interaction between ethnic groups and attitudes toward working with older patients explained 42.6% of the variance in attitudes. towards the elderly. Factors including attitudes toward older adults, aging anxiety, commitment to nursing care, attitudes toward health resource allocation among older adults, and clinical specialty explain 16.7 to 34.3% of the variance in attitudes toward elderly patients. Hagerling's (2015) study found that most participants loved older patients and had a passion for providing good care to older adults. However, although the desire to provide care was strong, various negative personal impacts were experienced by participants. Participants' open-ended responses further reflected their empathy towards patients, while at the same time sensing a sense of participants' frustration at not being able to provide the desired care due to lack of time, resources and support. Deasey, Kable, and Jeong (2014) to determine nurses' knowledge and understanding of the aging process and attitudes toward older adults in emergency care settings. The attitudes and knowledge of emergency department nurses towardsAging processes can affect therapeutic interactions between nurses and their older patients. Issues such as management style, past experiences, and medical model used for health care delivery were secondary factors that influenced emergency nurses' negativity toward their older patients. Courtney et al. (2010) reviewed recent research on acute care nurses' positive and negative attitudes toward older adults. Many negative attitudes reflect ageist stereotypes and knowledge deficits that significantly influence registered nurse practice and the quality of care provided to older patients. In acute care settings, older patients experience reduced autonomy, limited decision-making opportunities, increased likelihood of developing complications, poor consideration of their aging-related needs, limited health education, and social isolation. . The results of Faronbi et al. (2017) showed that respondents have positive perceptions of older people and their care. For example, they perceive older people as experienced people, who have accomplished everything (marriage, birth, duties). They also believed that the disease was not a normal part of aging. They reported that it is possible for an individual to age without disease. This good perception displayed by the respondents can be associated with the fact that the context of the study is a similarity of the real African society which holds the elderly in high esteem. In Abreu and Caldevilla's (2015) study, the mean Attitudes Toward Aging Inventory score was = 2.05 (SD = 0.32), suggesting negative attitudes toward aging. , particularly as identified by factor 1 and factor 3 scores. The gender difference was not significant for factors 1, 2, 3 and 4, respectively (p = 0.423), (p = 0.668) , (p = 0.377), (p = 0.067). No differences were found between mean attitude scores. and gender or attitudes and living with older people. No correlation was found between nursing student attitudes and age groups, for the majority of factors studied. Arani, Aazami, Azami, and Borji (2017) assessed the attitude of nurses towards the elderly in Ilam city. More than half (54.3%) of the nurses had negative attitudes towards the elderly. The results of the ANOVA analysis showed significant differences (POyetunde, Ojo and Ojewale (2011) study aimed at exploring the attitude of nurses towards care of the elderly in two selected hospitals (University College Hospital and Ring Road State Hospital) in Ibadan, Oyo State This study shows that 73.0% of the respondents believe that it is difficult to take care of the elderly. More than 80% believe that effective care of the elderly requires training. In addition, more than 90% think that hospitals should have special services (geriatric department effective care of the elderly). Respondents showed a positive attitude towards the care of the elderly and a good knowledge of the aging process. . Nursing commitment to older patients in intensive care Although nurses are the primary caregivers of hospitalized and vulnerable older people living in the community, most are not. prepared for geriatric, family-centered, or culturally competent care. Additionally, many nurses have little formal preparation for culturally appropriate and culturally sensitive care, includingattention to patient and family values ​​and cultural differences, despite growing evidence of interactions between culture and health. (Smith and Fitzpatrick, 2013). Geriatric healthcare providers who serve as family caregivers have a unique and highly emotional experience. It is made more complex by in-depth knowledge of geriatric medicine, nursing, social work and a thorough understanding of the health care system. The combined expectations of their own and their family's expectations to positively impact the care of their family member increased the stress of the entire experience (Wohlgemuth, Auerbach, and Parker, 2015). Milton‑Wildey and O'Brien's (2010) study explored how nurses managed care. seriously ill elderly patients in acute care hospital settings. Three themes were identified from the data analysis: being informed about care; limit care; and rationalize actions. Nurses explained that they understood that quality care was important, but care was limited and interventions were prioritized. Participants blamed health services, lack of clinical leadership, patients, other nurses and themselves. Kazerooni et al. (2019) show a relatively good level of satisfaction of the elderly with the services provided in the Kahrizak nursing home, while there is a significant difference with the expectations of the elderly from the health system of their point of view. Hvalvik and Dale's (2013) objective was to gain insight into nurses' experiences and perceptions of caring for patients transitioning to home care. The results of this study indicate that nurses strove to provide personalized, person-centered care to older adults transitioning to home care. The type of care they aimed to provide was consistent with national and international health-related goals, as well as theories of healthy transitions. Their efforts and ambitions to provide excellent care, however, have been challenged and threatened by various circumstances in the care setting. Cooperation between organizational levels was highlighted as a critical factor that could be improved. Additionally, the need for greater awareness of time, competence and continuity of care was highlighted. Ahmadabad et al. (2016) examined the satisfaction status of elderly patients admitted to different departments of Yazd Shahid Sadoughi Hospital.services in winter 2015. The average score of total satisfaction with hospital services of Yazd Hospital Shahid Sadoughi was 65.4 (range 0-100). There is a significant positive relationship between the different areas of satisfaction. It was only about financial aspects which were not related to other areas. The highest patient satisfaction score belonged to technical quality (73.7) and nursing services (69.6) and the lowest score was in the area of ​​communication (48.7). The satisfaction score regarding financial aspects was lower in men than in women (pShady et al. (2018) assessed the satisfaction of elderly cancer patients with the quality of nursing care in the unit day care at Mansoura University Oncology Center Almost three quarters of patients were not satisfied with nursing care. Most nurses had poor knowledge about cancer. cancer nursing quality standards Additionally, most resources were not., 55(1), 33-45.