Experiences of ageism in palliative care: Nursing students' perspectives

Increasing life expectancy is associated with greater dependency among older adults due to the rising prevalence of chronic diseases. Therefore, prejudice, stigmatization, and discrimination against older adults become more pronounced as individuality decreases.

This study aimed to examine the views and experiences of nursing students, as future healthcare professionals who may play a role in shaping attitudes toward older adults, regarding ageism in clinical practice.

A qualitative descriptive research design was employed to explore how nursing students experienced and made sense of ageism in palliative care. The study was conducted in October - December 2024 with 18 nursing students at a university in the Black Sea Region who had begun practice in the palliative service. Data were collected using a personal questionnaire and a semi-structured interview form. Ethics committee and institutional approvals were obtained for the study.

The mean age of the students was 21.83 ± 1.79 years. Three main themes were identified: "Traces of Passing Time: Looking at Old Age", "Reflections of Ageism in Nursing Care", and "Self-Awareness." Students reported that communication, holistic care, and professional commitment are essential for quality care for older adults; however, these aspects were often influenced by age-related biases in clinical practice.

Participants noted that systemic barriers in clinical settings (particularly excessive workloads) and ageist attitudes are key constraints to providing quality care for older adults. The findings highlight the need for practice-based early educational interventions that combat ageism in clinical settings, minimize the negative effects of systemic barriers on care, and strengthen students' preparedness to provide holistic care to frail older adults.