IndexIntroductionNursing knowledge of elderly patients in intensive care Nurses' attitude towards elderly patients in intensive careNursing commitment towards elderly patients in intensive careReferencesIntroductionThis section presents the review of the literature relating to the care of elderly patients admitted to intensive care and nurses' commitment to nursing care. Specifically, the literature is classified into three themes; nurses' knowledge about the care of elderly patients admitted to intensive care, nurses' attitudes towards the care of elderly patients admitted to intensive care, and nurses' practices towards the care of elderly patients admitted to intensive care. A conceptual framework is also presented. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original Essay Nursing Knowledge of Elderly Patients in the Intensive Care Unit Caring for the elderly requires specific skills and knowledge. Ferreira and Ruiz (2012) are of the opinion that there is a lack of educational training for professional nurses as well as for all other groups of nurses working with older adults. This was further supported by Doherty, Mitchell, and O'Neill (2011) who reported that over the years, healthcare provided to older adults has been seriously threatened by negative stereotypical attitudes and misconceptions on the part of nurses, with 63% of elderly people express a dissatisfied vision. need for health. Topaz and Doron (2013) explored a group of Israeli nurses' knowledge about aging and attitudes towards older adults in an intensive care setting and analyzed the relationship between these variables using a descriptive and correlational design method. In the study, no significant correlation was found between nurses' educational level and knowledge of aging, probably because until recently nursing education in Israel lacked content related to aging. According to the findings, there is a difference in levels of knowledge about aging among nurses from different ethnic groups. Faronbi et al. (2017) found that the majority of respondents have good knowledge of caring for the elderly. They recognized the causes and prevention of complications in providing care to the elderly. This, they believe, will improve the well-being of the elderly. The complexity of elderly care and the need for special knowledge and specialization in this field are recognized by most nursing students. Bing-Jonsson et al. (2016) studied the sufficiency of nursing staff skills in elderly care in the Norwegian community. They found that nursing staff were competent in all measured areas, but that the level of competence was insufficient in the areas of nursing measures, advanced procedures, and nursing documentation. Nursing staff in nursing homes scored higher than nursing staff in home care services, while older nursing staff scored lower than younger nursing staff. Mahieu et al. (2016) studied nursing staff's knowledge and attitudes towards sexuality in later life, to determine whether certain sociodemographic factors of nursing staff relate to their knowledge and attitudes towards sexuality in later life and toexamine the relationship between knowledge and attitudes. Nursing staff appeared to be moderately knowledgeable about older people's sexuality and showed a rather positive attitude towards sexuality in older people. Significant relationships were found between the various variables at both univariable and multivariable levels. Knowledge and attitudes were found to be positively correlated, indicating that a higher level of knowledge about sexuality in later life is associated with a more positive attitude towards sexuality in later life. Nurses' attitudes towards older patients in intensive care According to Abreu and Caldevilla (2015), nurses' attitudes towards aging and the elderly are of the utmost importance, particularly because they are reflected in how nurses perceive and interact with their patients and provide nursing care. Studies of attitudes of nursing students, staff, and other healthcare professionals toward older adults and their care have identified negative attitudes toward geriatric nursing care (Oyetunde et al., 2013). Rush et al. (2017) examined hospital nurses' attitudes towards caring for older adults and outlined the associated factors that contribute to their attitudes. Nurses held coexisting positive and negative attitudes towards generic and specific aspects of eldercare. The negative attitudes, in particular, were directed at the characteristics of the elderly, their requests for assistance or were reflected in the care approaches of the nurses. Across jurisdictions, work environment, education, experience, and demographics emerged as factors influencing nurses' attitudes. A study by Liu, Norman, and While (2015) found that professional nurses express positive attitudes toward older adults, and 89.7% reported positive attitudes toward working with older adults. patients. Variables related to self-aging anxiety, attitudes toward healthcare resource allocation, knowledge about aging, ethnic group, professional qualification, attitudes toward older patients, and the interaction between ethnic group and attitudes towards working with elderly patients explained 42.6% of the variance in attitudes towards elderly people. Factors, including attitudes toward older adults, self-aging anxiety, commitment to nursing, attitudes toward health care resource allocation among older adults, and clinical specialty, explain the 16th, 7-34.3% of the variance in attitudes towards elderly patients. The Hagerling (2015) study found that the majority of participants loved older patients and had a passion for providing good care for older adults. However, even though the desire to provide care was strong, participants experienced various negative personal impacts. Participants' open-ended responses further reflected empathy for patients, but at the same time participants' feelings of frustration at not being able to provide desired care due to lack of time, resources, and support. Deasey, Kable, and Jeong (2014) to determine nurses' knowledge and understanding of the aging process and attitudes towards older adults in emergency care settings. Emergency department nurses' attitudes and knowledge toward aging processes may influence therapeutic interactions among themnurses and their older patients. Issues such as management style, past experiences, and the medical model used for healthcare delivery were secondary factors shown to influence emergency nurses' negativity toward older patients. Courtney et al. (2010) reviewed recent research on critical care nurses' positive and negative attitudes toward older adults. Many negative attitudes reflect age stereotypes and knowledge deficits that significantly influence the practice of professional nurses and the quality of care for elderly patients. In the acute setting, older patients experience reduced independence, limited decision-making opportunities, a greater likelihood of developing complications, poor consideration of their aging-related needs, limited health education, and social isolation. Results of Faronbi et al. (2017) demonstrated that respondents have a positive perception towards older adults and their care. For example, they perceived the elderly as experienced people, who accomplished all things (marriage, birth, duties). They also believed that disease was not part of the normal aging process. They reported that it is possible for an individual to go through the course of aging without suffering from disease. This good perception shown by the interviewees can be associated with the fact that the study environment is a similarity of the real African society which holds the elderly in high regard. In Abreu and Caldevilla's (2015) study, the mean score on the Inventory of Attitudes Toward Aging was = 2.05 (SD = 0.32), suggesting negative attitudes toward aging, particularly identified by scores in the factor 1 and factor 3. The difference between genders was not significant for factors 1, 2, 3 and 4, respectively (p= 0.423), (p= 0.668), (p= 0.377), (p= 0.067). No difference was found between mean attitude scores. and gender or attitudes and living with older people. No correlation was found between nursing students' attitudes and age groups in most of the factors studied. Arani, Aazami, Azami, and Borji (2017) assessed nurses' attitudes towards the elderly in Ilam city. More than half (54.3%) of nurses had negative attitudes towards older adults. The results of the ANOVA analysis showed significant differences (POyetunde, Ojo and Ojewale (2011) study aimed at exploring nurses' attitudes towards the care of the elderly in two selected hospitals (University College Hospital and Ring Road State Hospital) in Ibadan , in Oyo State This study shows that 73.0% of the respondents agree that it is difficult to care for the elderly Over 80% agree that effective care for the elderly requires specific training Furthermore, further 90% believe that hospitals should have special departments (geriatric departments). Effective care of the elderly. Respondents showed a positive attitude towards the care of the elderly and good knowledge of the aging process intensive care Although nurses are the primary caregivers of hospitalized and vulnerable older adults living in the community, most are not. trained in geriatric, family-centered, or culturally competent care. Additionally, many nurses have little formal training in culturally appropriate and culturally sensitive care, including attention to patient and family values ​​and cultural differences, despite increasingevidence of interactions between culture and health. (Smith and Fitzpatrick, 2013). Geriatric healthcare workers who act as family caregivers have a unique and highly emotional experience. It is made more complex by in-depth knowledge of geriatric medicine, nursing, social work, and in-depth knowledge of the healthcare system. Their own and family's combined expectations to positively influence their family member's care increased the stress of the entire experience (Wohlgemuth, Auerbach & Parker, 2015). Milton‑Wildey and O'Brien's (2010) study investigated how nurses managed the care of seriously ill elderly patients in acute hospital settings. From the analysis of the data, three themes were identified: being informed about treatments; limit treatment; and rationalization actions. Nurses said they understood that quality care was important, but care was limited and interventions were prioritized. Participants blamed health services, a lack of clinical leadership, patients, other nurses and themselves. Kazerooni et al. (2019) results show a relatively good level of satisfaction of the elderly with the services provided in Kahrizak nursing home, while there is a significant difference with the expectations of the elderly towards the healthcare system from their point of view. Hvalvik and Dale (2013) aimed to gain insight into nurses' experiences and perceptions of caring for patients transitioning to receiving home care. The findings of this study indicate that nurses sought to provide individualized, person-oriented care for older people transitioning to receiving home care. The type of care they intended to provide was aligned with national and international health goals, as well as theories of healthy transitions. Their efforts and ambitions to provide excellent care were, however, challenged and threatened by various circumstances in the care context. Cooperation between organizational levels was indicated as a critical factor with potential for improvement. Furthermore, the need for greater awareness regarding time, competence and continuity in care was highlighted. Ahmadabad et al. (2016) examined the satisfaction status of elderly patients admitted to different departments of Yazd Shahid Sadoughi Hospitalhospital services in winter 2015. The average total satisfaction score from hospital services of Yazd Shahid Sadoughi Hospital was 65.4 (range 0-100). A significant positive relationship was found between the different satisfaction domains. It was just the financial aspects that were not related to other sectors. The highest patient satisfaction score belonged to technical quality (73.7) and nursing services (69.6), and the lowest score was in the communication domain (48.7). The satisfaction score with financial aspects was lower in men than in women (pShady et al. (2018) evaluated the satisfaction of elderly cancer patients with the quality of nursing care in the day unit of the University's cancer center of Mansoura. Nearly three-quarters of patients were dissatisfied with the quality of nursing care. Furthermore, most of the resources were not available in the day unit 2016) found that older patients reported substantially more positive global ratings than their colleagues, 55(1), 33-45.