Ageism in Nursing

We are so accustomed to ageism in our society that it's not always recognized for what it is- prejudice and discrimination. Nurses Nurse Beth Article

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Barbara, a nurse of 27 years, left her job interview with the strong feeling that they were not going to "be in touch". She was dismayed because it had taken several applications to land one interview. Her skills were solid and her work history exemplary until her hospital had recently laid off Barbara (an educator), a clinical nurse specialist, and the manager of Cath Lab in one fell swoop of "re-organizing". The 3 were all over fifty years old and Barbara wondered if that was a coincidence.

Ageism is prejudice or discrimination based on one's age. While many Baby Boomers are retiring, the retirement age is rising and many people will need to remain in the workforce at an older age. Full Social Security benefits start at age 66 years and 2 months for those born in 1955.

Ageism is Acceptable

People can no more choose their age that they can choose their race or gender. The difference is that while race and gender do not change, everyone who lives long enough will age.

Even so, while it's not politically correct to be racist or sexist, it's still OK to be ageist.

Ageism is deeply permeated in our society and expressed everywhere- in magazines, on TV, in the workplace. It's a part of our shared consciousness in the United States to value youth over age. Since it's the norm, many are not even aware of how ageist our culture is...until they experience it.

Many of us are guilty of remarks such as "She's pretty sharp for her age" and "I'm having a senior moment" without realizing such comments perpetuate a commonly held negative view of seniors. Birthday parties after a certain age are a good example. Black balloons symbolize the perceived tragedy of growing older.

Even those who pride themselves on being tolerant and inclusive may see the elderly as "others" who are burdensome and a drain on the economy. Cultural diversity and acceptance is now the norm- with the exception of ageism.

Ageism and Gender

Women, in particular, lose a great deal of perceived value once they exceed their childbearing years.

Unlike women, aging men are given a pass and can still be considered attractive, especially if they are wealthy and powerful.

Ageism and Occupation

Judy, a nurse of 27 years, began to notice that she didn't feel as valued on the unit as she once did. She recalled hearing the expression "feeling invisible" and realized she was beginning to understand it. At the same time, doctors the same age as her seemed to grow in authority and respect.

A recent study shows that physicians are less likely to experience ageism than nurses. One explanation is that physicians are seen as experts, while nurses are not. Experts are allowed to age without discrimination.

Ageism in the Workplace

Signs of ageism in the workplace include:

  • Not being included in conversation. Seniors are often assumed to be culturally clueless.

  • Frequently being asked "When are you going to retire?”

  • Being passed over for promotions. Promoting a young, relatively inexperienced nurse to charge nurse over a mature, seasoned nurse.

  • Being pushed out of the workforce. Older nurses are more expensive and are pushed out in many cases. This despite the fact they are less likely than younger nurses to get their NP and leave after 2 years.

Ageism and Hiring

No one likes to be stereotyped, whether it's men or women, millennials or seniors. Baby boomers are not all the same anymore than millenials are all the same.

Common generalizations about older workers are that they are less healthy, will incur more medical costs, are less skilled, and do not learn as fast as their younger counterparts.

The biggest workplace discrimination is in hiring. Some organizations have an unwritten policy against hiring anyone over 40. Computer algorithms are used to figure out an applicant's age, even when graduation dates are omitted and work histories shortened. Even first names are a giveaway- everyone knows Linda, Kathy, Sue were born in the '60s, while Tiffany, Jessica, and Amber are millennials.

One strategy to eliminate older workers is to eliminate their position, only to rename the position or slightly change the responsibilities and open it back up...to a younger applicant.

To combat ageism, applicants need to know how to showcase their value and combat age discrimination in the job interview.

The Age Discrimination Act of 1967 protects employees 40 years old and older but age discrimination is a hidden discrimination that is difficult to impossible to prove.

Ageism is a Choice

Aging is a normal process of living and is experienced differently by everyone. Aging is not a choice, but ageism is.

Diversity benefits us all. Diversity helps us celebrate what we have in common, respect our differences, and connect in surprising ways.

It is very satisfying to work on a multi-generational team where everyone is respected. Many new nurses do value the knowledge, experience and wisdom older nurses have, and depend on them for guidance. Likewise, seasoned nurses are inspired by the passion and ideals of new grads.


Refusing to perpetuate ageism benefits not only the current generation, but the next. Valuing each other makes us all better humans-humans who are all on the same journey of life.

Specializes in Pediatrics, PICU, CM, DM.

Overall, while ageism is certainly a factor, I think that nurses (at least bedside nurses) are somewhat protected by the demand for their skills and the relatively high median age of registered nurses in the marketplace. One problem, however, is that the non-bedside positions that older nurses tend to seek out (e.g. clinical educator, risk management, quality management, etc.) are the positions that hospital management tends to cut when times are tight so older nurses are affected disproportionately in reductions in force.

I worked in nursing for 53 years and never had a problem with employment. I retired at 72 despite my employer's request to continue at least part-time to "Trouble-shoot"

My attitude about my job was always focused on my talent and experience. And I always saw these things as assets, never liabilities. In return, my focus on other nurses was always on the same. In Home Heath, which I worked for my last 30 years in Florida, the nurses in the same company were already very competent in their fields. Our employer, an RN, had a great talent for finding the gold in her employees and encouraged teamwork. She also encouraged us to be independent and form our own teams. Team members covered each other for days off, car breakdowns and illness. and vacations. I often requested another nurse on my team to evaluate breathe sounds or review insulin doses and coverage. And I was often asked to make a visit to evaluate mental status or wound care. There was practically no turnover and most of us were at least in our low 70's and one nurse worked into her 80's. Her attitude was, "I'm good at this, what else could I do that I would enjoy as much every day?"

When I retired it was to do something entirely new. I'm still doing it and loving it.

What I want to say to young nurses is, respect yourself, be great at your specialty, hold your standards higher than anyone else ever will, and create a niche that you love. It took me 20 years to discover Home Heath. Take your time , create your own best life and love every day. The really exhausting, miserable, hard, frustrating days are there so you can see if you are in the right place in your profession. Keep calm and carry on. You are so very much needed in this world.

1 hour ago, nfahren05 said:

Overall, while ageism is certainly a factor, I think that nurses (at least bedside nurses) are somewhat protected by the demand for their skills and the relatively high median age of registered nurses in the marketplace. One problem, however, is that the non-bedside positions that older nurses tend to seek out (e.g. clinical educator, risk management, quality management, etc.) are the positions that hospital management tends to cut when times are tight so older nurses are affected disproportionately in reductions in force.

This is only partially true...to see the bigger picture, as some have suggested, is to 'follow the money'. It's not about not smiling enough, having wrinkles, wearing bifocals, not embracing technology...all red herrings. More likely, it's that seasoned nurses usually command much higher wages than entry level/inexperienced nurses and often, are not as easily malleable to the sometimes ridiculous demands and wishes of the 'pencil pushing' MBA administrators. For them (management), what's proven to be better for the bottom line is to whittle away over time at employee benefits, effect wage stagnation, and disincentivize long-term employment.

Believe me, years ago, as a young nurse, I didn't see or believe it either, after all, it's expensive to hire and train new staff-right? The sad reality is that having worked in many states and hospital systems, I have come to see that nurses are sometimes considered an expendable commodity. In many overcrowded markets with a ready supply of applicants, this formula has proven to be effective. Ah yes, better to make nurses feel that after years of loyal service, they're no longer relevant or "can't meet the demands" of the job. So yes, ageism in nursing is alive and well. I suggest that if you haven't witnessed it yourself, to consider yourself fortunate.

I agree with ataymil8. I am in my mid 50s and have been a nurse manager for many years. Most of the time it boils down to finances not necessarily ageism.

I'm a senior nurse and I look my age (mostly due to the fact that I refuse to colour my hair) and due to this I have experienced ageism in the workplace. It gets very embarrassing at times. I've experienced it from doctors, managers, coworkers, and patients. However, when there is a problem, or when there are questions about a patient or a protocol or a policy or a 'wrong' that needs 'righted' who do they go to? It's the senior nurse and for this reason alone is the reason we do deserve our higher pay rate. I like being this age. I move just as fast and sometimes faster (because I'm surer of what I need to do) than the nurses half my age! I love it when the young ones want me to teach them how to insert an IV as well as I do or how not to struggle with some intervention or another. I've never had trouble finding a job. I bump into previous employers or get emails all the time asking me when I'm going back to work for them. So my aging collegues ---love yourself ?

1 hour ago, Guest Jekgrn3 said:

I agree with ataymil8. I am in my mid 50s and have been a nurse manager for many years. Most of the time it boils down to finances not necessarily ageism.

Treating aged nurses differently for any reason(s); perceived disabilities, attitudes, demands for higher salaries...is ageism!

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
1 hour ago, Guest Jekgrn3 said:

I agree with ataymil8. I am in my mid 50s and have been a nurse manager for many years. Most of the time it boils down to finances not necessarily ageism.

Which is, in and of itself, ageism.

Thank you Nurse Beth for addressing the reality of ageism in nursing which many of us have quietly endured, and for pointing out that full social security benefits don't actually begin until after 66 yrs. (Most of us are not state or city employees who can retire at age 55 or even earlier!)

It first became an eye opening reality for me when I submitted an online application to a Home Health company, received a call back, and the first and last question they asked was "What year did you graduate nursing school?"

That was just the beginning. I am currently employed in a hospital system and the rest of your bullet points (except the last) apply as well. It gets lonely out here, even though there are some younger nurses who appreciate what we have to offer (I am one of only two senior nurses left on my unit). I have found, here and elsewhere I've worked, that some of the worst offenders are nurses who are within 5 years of age younger than myself, for some reason. As if they are happy because someone is older than them! Ugh.

I was once good friends with a nurse my mother's age. I miss her dearly as she's been gone for five years now. We not only worked together so well, but were friends on the outside, meeting up with our husbands.

Anyway, thanks again for bringing out in the open the sad fact of ageism in nursing, which REALLY DOES exist, even if not everyone has experienced it. (And why should they minimize or deny what others have experienced just because they themselves have not?)

I am faced with ageism on a daily basis from my younger colleagues to management. I feel there is no escape, and after 43 years, am being pushed out....

So you graduated 6 years ago and have four jobs?

6 minutes ago, Guest endorn12001 said:

So you graduated 6 years ago and have four jobs?

No comprende?? Without using the 'Quote' function, it is impossible for readers to to know to whom or what this comment even relates to.

I am 67 soon to be 68. I interviewed for 2 positions and received job offers for both. I had not worked for 3 years, Ageism has not been my experience. I thought it would be a problem! We must be careful how we project ourselves. Be confident be proud of your experience, be willing to learn new ideas and don’t be afraid of technology.