Work

Teaching Future Nurses to Support Older Clients’ Autonomy in Activities of Daily Living

Year: 2025

Type: article

Abstract: Supporting older clients’ autonomy in daily care is crucial for dignity and quality of life. However, research indicates that nurses often provide suboptimal autonomy-support, and little is known about how future nurses learn this skill during their education. A qualitative study examined both theoretical and practical learning. The theoretical part involved a document study of Dutch nursing curricula and teaching materials to assess how autonomy-supportive behaviour is addressed. Additionally, 20 semi-structured interviews with teachers and students explored their perspectives on autonomy in education. Practical learning was studied through 25 observations of student-supervisor interactions during activities of daily living. Furthermore, 22 follow-up interviews with students and supervisors provided deeper insights into their experiences. Findings indicate that while curricula mention autonomy, they provide little practical guidance. Teachers acknowledge its importance but rely largely on personal experience rather than structured educational methods. Students report learning autonomy-supportive behaviour primarily through hands-on training. Observations confirm that autonomy is more emphasized in practice, yet supervisors’ approaches vary widely. Some prioritize autonomy, fostering client independence, while others emphasize efficiency, sometimes at the cost of client-autonomy. Given the evolving needs of an aging population, rethinking nursing education on autonomy is essential. Strengthening collaboration between teachers and practical supervisors can create a more cohesive learning environment. Additionally, integrating innovative teaching methods, such as simulation-based learning and case discussions, can bridge the gap between theoretical and practical education. Enhancing nursing education will ensure future nurses are well-equipped to support autonomy, ultimately improving person-centered elderly care.

Source: Innovation in Aging

DOI: 10.1093/geroni/igaf122.2695

Authors: Marjolein Knibbeler, Stan Vluggen, Erik van Rossum, Sandra Zwakhalen, Petra Erkens

Institutions: Maastricht University, Zuyd University of Applied Sciences

Language: English

Topic: Patient Dignity and Privacy

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDGs: Quality education, Good health and well-being

Open Access status: gold

Estimated APC paid: $3,977