ArticleBMC medical education2025
Examining final-year healthcare students' willingness to work with older adults: a mediator-moderator analysis of knowledge, ageism, and grandparental relationships.
Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Understanding nursing graduates' intention to work with older adults: An exploratory structural framework.International journal of nursing studies advances · 2026Article
- Older Adult Care Career Intention and Associated Factors Among Higher Vocational College Students: A Cross-Sectional Study.Nursing open · 2026Article
- Employment intentions of vocational nursing students toward geriatric care in central China.Frontiers in public health · 2026Article
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2 authors.
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Abstract
backgroundThe current growth in the aging population highlights the need for healthcare professionals who are willing to work with older adults. Previous studies suggest that knowledge about older adults, ageism, and personal relationships with older adults may influence career preferences in geriatric care.
aimsTo examine the direct relationship between healthcare students' knowledge of older adults and their willingness to work with this population, as well as to explore the indirect effect of ageism as a mediator and the moderating effect of a connection with grandparents.
designA cross-sectional study using a closed self-reported questionnaire.
settingThe largest academic Faculty of Medical and Health Sciences in Israel.
participantsOut of 350 final-year students, 241 (68.9% response rate) agreed to participate in the study, including students from nursing (47.3%), medicine (36.9%), and physiotherapy (15.8%).
methodsThe participants completed a self-administered questionnaire addressing demographic characteristics, willingness to work with older adults, knowledge, ageism, and relationships with grandparents. Mediator-moderator analyses were conducted to explore the roles of ageism as the mediator and the connection with grandparents as the moderator. The bootstrapping method (PROCESS model 5) was employed to assess indirect effects.
resultsPositive correlations were found between willingness to work with older adults and both knowledge about older adults (r = 0.15, p < 0.05) and connection with grandparents (r = 0.16, p < 0.05), while ageism negatively correlated with both willingness to work with older adults (r = -0.18, p < 0.05) and knowledge about older adults (r = -0.19, p < 0.05). The mediation analysis revealed that knowledge about older adults significantly increases willingness to work with them, both directly and indirectly through reduced ageism. Moderation analysis revealed that the relationship between knowledge and willingness to work with older adults was significant only for those with a poor connection with grandparents.
conclusionThis research underscores the crucial role of knowledge, ageism, and connection with older people in shaping healthcare students' willingness to work with older adults. Interventions addressing social connections can foster interest and engagement in the care of the older adults, particularly among students with limited grandparental relationships.
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