The impact of imposter syndrome on ego integrity and gender dynamics among aging nurses: A mixed-methods study

This study investigates the relationship between imposter syndrome and ego integrity among aging nurses, with a specific focus on gender dynamics, defined as gender-based perceptions, expectations, and role conflicts within the nursing profession. Imposter syndrome-characterized by persistent self-doubt and fears of being exposed as a fraud-remains prevalent among older adults, challenging assumptions that such feelings diminish with age. This mixed-methods study targeted aging nurses (aged 60 and above) working in primary health care centers, combining quantitative surveys (n = 90) with qualitative interviews (n = 15). Guided by Erikson's psychosocial development theory, the study explored how imposter feelings influence the attainment of ego integrity, a sense of life satisfaction and acceptance in later life. Quantitative findings revealed a significant negative correlation between imposter syndrome and ego integrity, indicating that higher imposter feelings hinder psychological well-being in aging nurses. Qualitative results enriched these findings through three main themes: (1) reflections on life achievements, (2) feelings of inadequacy and undeserved success, and (3) the emotional and psychological impact of imposter syndrome on aging. These insights highlight the need for tailored mental health interventions to support aging nurses in reconciling self-doubt with their professional and personal accomplishments.