Ageism in Nursing: A Pervasive Problem

As the nursing workforce continues to age, it is imperative that age discrimination becomes a relic of the past. We must retain our older and most expert nurses. Their skills and contributions should be valued and celebrated. Nurses Relations Article

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Mary stewart, age 62, has worked as a registered nurse on the postpartum unit for the past quarter century. She began her long career in nursing in 1972, with her graduation from a nursing diploma program. Mary is capable, knowledgeable, experienced, and possesses well-developed interpersonal skills. She is adept in assisting mothers and newborns with their physical and emotional needs immediately after delivery. As a preceptor and mentor, she passes on her wisdom and knowledge to the younger nurses and new graduates on the unit. Over the years, mary has consistently received outstanding performance evaluations.

Due to dire economic conditions, her small community hospital was recently sold to a large hospital chain and the postpartum unit is now under new management. The new nurse manager does not value mary's vast experience, skill, and knowledge. Much to the contrary, mary senses increasing workplace hostility as she is singled out and undermined. During a six month period, mary is written up four or five times by the new nurse manager for petty, trivial things, such as not writing her name on the board in a patient's room. For the last write-up, she is suspended for three days. Mary believes that she is being targeted solely because of her age, as the younger nurses on the unit are not receiving such harsh criticism, nor are they being micromanaged. Eventually, she is fired for "poor performance." heartbroken, mary opts to retire from nursing altogether.

Mary's case, unfortunately, is not atypical. Cases based on age discrimination are not new, nor are they rare. Ageism is defined as negative attitudes, stereotypes, and discrimination against people based sheerly on age. Since we live in a culture that is youth-driven and youth-obsessed, ageism is pervasive throughout our society. This pervasive ageist attitude has profound implications for nurses, because the nursing population is aging more rapidly than the workforce as a whole. Ageism spawns a stubborn cache of harmful and hurtful negative stereotypes concerning older nurses that can result in unfair treatment directed towards them.

Common negative stereotypes concerning the older nurse

  • older nurses cost more. they have more illnesses, use more health care benefits, and use more sick time than younger nurses.
  • older nurses are unable to fully meet staff nursing job requirements. they no longer have the physical strength to meet the demands of the job.
  • older nurses are less flexible and adaptable and therefore, are difficult to train or teach.
  • older nurses are slow. they exhibit reduced speed and efficiency.
  • older nurses are resistant to change.
  • older nurses are unable to learn new technology, such as computer charting.
  • older nurses lack enthusiasm. they are less motivated or creative than their younger counterparts.

Stereotypes are unfair, as they are based on sweeping misperceptions and prejudice, but do not take into consideration the actual facts that define the individual person. For instance, I know some practicing nurses in their 60s who can run circles around nurses half their age.

Legislation that prohibits age discrimination in employment

Not only is ageism harmful and destructive, but it is illegal as well. Both federal and state laws prohibit discrimination based on age and protect employees from age-discrimination. Age is one of 10 protected classifications in u.s. Anti-discrimination law, such as race, gender, and disability.

The age discrimination in employment act (adea) prohibits, in general, discrimination against employees, or individuals seeking employment, starting at age 40 or older. Discriminatory actions based on age can take place within the following job functions: recruitment and hiring, promotion, transfer, wages and benefits, work assignments, leave requests, training and apprenticeship programs, discipline, layoff, and termination.

Grievances concerning age discrimination can be filed with the following federal agencies

  • U.S. Equal Employment Opportunity commission (EEOC)
  • U.S. Department of Labor
  • Office of Federal Contract Compliance Programs (OFCCP)

As the nursing workforce continues to age, it is imperative that age discrimination, such as the unfair treatment that mary endured, becomes a relic of the past. Performance evaluations should be based on the individual's ability to perform essential job functions without consideration of age. We must retain our older and most expert nurses. Their skills and contributions should be valued and celebrated.

References

What is a hostile work environment?

The Age Discrimination in Employment Act of 1967.

I am NOT bashing older nurses. I am bashing a system in which if you are young or new, you're treated like complete garbage and abused.

You're not being "treated like complete garbage and abused" because you're young, it's because you're new. Which has nothing to do with ageism. It's seniority.

Specializes in Oncology.

When I am given a double-patient load assignment compared to every other nurse in the building (As in, OVER 50 patients, ALONE) because the other nurses "don't like that assignment", and it's the only assignment in which I won't have to do IVs, wound care, and other RN only tasks (facility policy and BON policies) and I'm the only one qualified to do certain procedures on the 2nd assignment- it's abuse. When some of the other nurses there get every holiday off and I work every holiday, when company policy is ROTATING HOLIDAYS but the nurses who have been there longer complain to the scheduling manager, so they get their way, that's wrong. Sorry. Seniority doesn't mean you have to make work life miserable for the new person. Do I expect to get the best assignments? No, but I don't expect to not only get the worst assignments but also have to do a portion of other nurse's assignments as well. When the new person doesn't even have access to the supplies they need because the people who have been there longer lock them in their lockers so they have it for their next shift? I mean come on.

Specializes in Trauma.
When I am given a double-patient load assignment compared to every other nurse in the building (As in, OVER 50 patients, ALONE) because the other nurses "don't like that assignment", and it's the only assignment in which I won't have to do IVs, wound care, and other RN only tasks (facility policy and BON policies) and I'm the only one qualified to do certain procedures on the 2nd assignment- it's abuse. When some of the other nurses there get every holiday off and I work every holiday, when company policy is ROTATING HOLIDAYS but the nurses who have been there longer complain to the scheduling manager, so they get their way, that's wrong. Sorry. Seniority doesn't mean you have to make work life miserable for the new person. Do I expect to get the best assignments? No, but I don't expect to not only get the worst assignments but also have to do a portion of other nurse's assignments as well. When the new person doesn't even have access to the supplies they need because the people who have been there longer lock them in their lockers so they have it for their next shift? I mean come on.

Sounds like you need to be looking for a better employer.

Specializes in Oncology.

I already left there. They cannot keep any nurses there, besides the ones that have been there forever. One of the many reasons I quit. But they weren't being fair to me simply because I was new.

Specializes in Trauma.

There is a big difference in paying your dues and being abused. The later is never acceptable, but often young new employees expect the same perks as someone that has been there for 20 years. In a previous job, where I had 18 years experience, I constantly heard the younger employees gripe about not being able to get 4th of July week off for vacation, because all the "old" guys had it off. I set many of them straight by telling them I had to work that week for over 10 years before I was able to get it off. My standard response became, "You should have hired on sooner."

Specializes in ER.

Another piece of food for thought: The ER MDs I have seen rotate nights, weekends and holidays. Even the ER director works his fair share (balanced of course for his or her administrative responsibilities.) There are fewer of them but they work their fair share regardless of where they sit on the totem pole. I really don't know why RNs act like the only people who have to work nights weekends and holidays should be "new" people. Its just not that way in other jobs. Its not.

Specializes in Trauma, ER, ICU, CCU, PACU, GI, Cardiology, OR.

needless to say, i truly feel for all of the "mary's" that are confronting this type of injustice, my heart goes out to them...aloha~

JZ_RN, you make excellent points. "If you're new, go to Hell. If you're old, go to Hell." Well said!

I'm an older nurse and I love new grads and younger nurses! They are our future and we should treasure and support them. Believe it or not, there are actually times when I'm able to help them with the ins/outs of our electronic healthcare records system and I'm happy to do it.

But there are some nurses who do "eat our young," and it's a sad situation. There is also a minority who are hostile to older nurses, just assuming that they're going to be rigid and judgmental. Stereotyping is the enemy in both situations.

I've also encountered patients who don't trust older nurses, younger nurses and/or minority nurses. They only want nurses who look like cable's "Nurse Jackie." And we all know her story! Again -- stereotypes.

Hang in there. We need you.

I don't know how unique my position is - New grad and 52 years old. I thought once my kids got older, I would finally get the chance to have my dream job! With no job prospects after my ADN in 2010, I enrolled in an RN-BSN program, hoping it would make a hiring difference in this tuff economy. All the younger grads from my ADN class have been hired. I'm smart and talented, but I haven't worked outside the home for 27 years, only volunteer hours and some self-employed home health care. My prospect for bankruptcy is looming as my credit cards and student loans have increased while obtaining my BSN this year. Not hiring an older person for insurance reasons is ridiculous. I can't tell you how many of the younger nurses I graduated with have had a baby since getting hired! I now have an empty nest as my two youngest kids move away for college this month. California does not have a nursing shortage! Any advise is welcomed...

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
I don't know how unique my position is - New grad and 52 years old. I thought once my kids got older, I would finally get the chance to have my dream job! With no job prospects after my ADN in 2010, I enrolled in an RN-BSN program, hoping it would make a hiring difference in this tuff economy. All the younger grads from my ADN class have been hired. I'm smart and talented, but I haven't worked outside the home for 27 years, only volunteer hours and some self-employed home health care. My prospect for bankruptcy is looming as my credit cards and student loans have increased while obtaining my BSN this year. Not hiring an older person for insurance reasons is ridiculous. I can't tell you how many of the younger nurses I graduated with have had a baby since getting hired! I now have an empty nest as my two youngest kids move away for college this month. California does not have a nursing shortage! Any advise is welcomed...

FOr the most part...there is no nursing shortage nation wide. You are not alone.

https://allnurses.com/general-nursing-discussion/no-nursing-shortage-752411.html

I can't agree with your article. I have worked with and still do so several great older nurses who are incrediable people who are extremely knowlagable and hard working, and I wouldn't rather work with anyone else,

but in the past I have also worked with some older nurses who fit into the sterotypes listed in the first post.

I felt your post implied that ALL older nurses are wonderful people that should be cherished and idolized and that just isn't true.

There are are jackasses in all age groups, and frankly, there are just as many lazy, rude and worthless older nurses as there are younger nurses who are lazy rude and worthless.

Respect is earned, not just given because someone young OR old feels intitled to it.

Specializes in OB, HH, ADMIN, IC, ED, QI.

You certainly saw the issues I faced, almost 20 years ago, Vicky.

However the bottom line reason for the disregard of laws against prejudice due to age, is - what else?- money! The health insurance companies began charging hugely excessive premiums for employees who were over 55 years of age, over 20 years ago. That's when I got hazed for a minor occurrence that was fabricated, and I was fired.

Not one to be stopped by that, I got 8 good positions subsequently over the following decade. I hadn't lost any job before, but at each position I got, I received the same inexplicable loss of my job, when my age was discovered (usually by a requirement that I include my birth date on an application for health insurance).

The last job I had was at Blue Cross/ Blue Shield /Anthem /Wellpoint. The treatment I received there was ludicrous. They wanted me to fill in their application for health insurance, despite my objection, saying that I was covered already (by Medicare). When they said that I had to do it or leave, I sent it in with all the information provided, except my year of birth. The form was sent back to me with the demand that I complete my birth date. An hour after I complied, someone at "Administration" called me to say that I must go to security for another ID badge photo, which would have my (full) birthdate typed under it, as I didn't look my age!

Someone must have discovered that action, and when I returned from having the photo taken, I was told that I was fired, and my supervisor asked me to write my own letter of termination..... I said I would only write a letter saying I quit. I did that, and upon seeing it, the supervisor looked like he'd fire me again, if he could. I refused to retract it. I'd used up the unemployment payments to which I was entitled, by then.

The last insult to my well being, is that the poverty level wasn't raised when social security payments received the recent "cost of living" increase. Now, all those who previously qualified for medicaid/ medi-cal due to their low incomes, is considered above the poverty level, and not qualified for programs in which they were before that. So I couldn't get any additional coverage or the coverage I'd been provided for my medications. Without those, I will die before I would have if I could have the medications. That ridiculous situation will still be there when the ACA is fully in place. So now noncompliance is added to the sin of being old.

All of you will be subjected to what I experienced, if Romney achieves his (the Republican Party's) purchase of the Presidency! Getting this medical program took over 50 years. Can you wait that long after the ACA is abolished if this happens, and efforts to redo it go to committee after committee, and is rejected over and over again??