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已发表论文
后疫情时代年龄歧视与老年护理专业早期阶段护理学生职业动机的序贯并行中介分析
Received 1 June 2025
Accepted for publication 31 August 2025
Published 16 September 2025 Volume 2025:18 Pages 2009—2028
DOI https://doi.org/10.2147/PRBM.S539792
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Bao-Liang Zhong
Se Chen,1 Zhonglei Wan2
1School of International Education, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, People’s Republic of China; 2Department of General Education, Jiangxi Youth Vocational College, Nanchang, Jiangxi, People’s Republic of China
Correspondence: Se Chen, School of International Education, Jiangxi Science and Technology Normal University, 589 Xuefu Avenue, Nanchang, Jiangxi, 330038, People’s Republic of China, Tel +8618679059130, Email chense063@foxmail.com
Background: The growing aging population has led to escalating demands for gerontological nursing, further intensified by the COVID-19 pandemic. While ageism is a recognized barrier to nursing students’ career motivation toward gerontological nursing (CMGN), the underlying mechanisms through which it exerts influence remain underexplored. Moreover, empirical research on CMGN and related factors in the post-pandemic context is limited.
Objective: This study examined the levels and predictors of CMGN among early-stage nursing students in the post-pandemic context and explored how ageism influences CMGN directly and indirectly through a sequential-parallel mediation model.
Methods: A cross-sectional online survey was conducted at a medical university in Jiangxi Province, China. A total of 1,192 completed questionnaires from nursing students (mean age = 18.44; 90.3% female; 85.6% first-year students) across two academic tracks (bachelor’s and diploma programs) were included in the analysis. T-tests, ANOVA, regression, and structural equation modeling were used to identify key predictors and mediating pathways.
Results: Students reported a moderate overall level of CMGN (M = 64.12, SD = 12.86; range = 20– 100). Key predictors of both CMGN subscales—Expectancy and Value—with β > 0.1 and p < 0.01 included empathy, intergenerational contact quality, and learning experiences in gerontological nursing. Ageism was a dimension-specific negative predictor, affecting only the Value subscale (β = − 0.212, p < 0.001). Mediation analysis further showed that ageism influenced Value both directly (β = − 0.200, p < 0.001) and indirectly (β = − 0.124, p < 0.001) through a sequential pathway involving contact quality and Expectancy, as well as a parallel pathway mediated by gratitude.
Conclusion: The multifaceted negative impact of ageism on CMGN underscores the need for a holistic curriculum strategy. Key recommendations include integrated gerontological nursing education, anti-ageism instruction, interventions to foster gratitude and empathy, and interpersonal communication training tailored to geriatric care.
Keywords: gerontological nursing, ageism, career motivation, intergenerational contact, gratitude
1School of International Education, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, People’s Republic of China; 2Department of General Education, Jiangxi Youth Vocational College, Nanchang, Jiangxi, People’s Republic of China
Correspondence: Se Chen, School of International Education, Jiangxi Science and Technology Normal University, 589 Xuefu Avenue, Nanchang, Jiangxi, 330038, People’s Republic of China, Tel +8618679059130, Email chense063@foxmail.com
Background: The growing aging population has led to escalating demands for gerontological nursing, further intensified by the COVID-19 pandemic. While ageism is a recognized barrier to nursing students’ career motivation toward gerontological nursing (CMGN), the underlying mechanisms through which it exerts influence remain underexplored. Moreover, empirical research on CMGN and related factors in the post-pandemic context is limited.
Objective: This study examined the levels and predictors of CMGN among early-stage nursing students in the post-pandemic context and explored how ageism influences CMGN directly and indirectly through a sequential-parallel mediation model.
Methods: A cross-sectional online survey was conducted at a medical university in Jiangxi Province, China. A total of 1,192 completed questionnaires from nursing students (mean age = 18.44; 90.3% female; 85.6% first-year students) across two academic tracks (bachelor’s and diploma programs) were included in the analysis. T-tests, ANOVA, regression, and structural equation modeling were used to identify key predictors and mediating pathways.
Results: Students reported a moderate overall level of CMGN (M = 64.12, SD = 12.86; range = 20– 100). Key predictors of both CMGN subscales—Expectancy and Value—with β > 0.1 and p < 0.01 included empathy, intergenerational contact quality, and learning experiences in gerontological nursing. Ageism was a dimension-specific negative predictor, affecting only the Value subscale (β = − 0.212, p < 0.001). Mediation analysis further showed that ageism influenced Value both directly (β = − 0.200, p < 0.001) and indirectly (β = − 0.124, p < 0.001) through a sequential pathway involving contact quality and Expectancy, as well as a parallel pathway mediated by gratitude.
Conclusion: The multifaceted negative impact of ageism on CMGN underscores the need for a holistic curriculum strategy. Key recommendations include integrated gerontological nursing education, anti-ageism instruction, interventions to foster gratitude and empathy, and interpersonal communication training tailored to geriatric care.
Keywords: gerontological nursing, ageism, career motivation, intergenerational contact, gratitude