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Статті в журналах з теми "Gerontological nurse practitioner"

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Автор: Grafiati

Опубліковано: 10 грудня 2022

Оновлено: 30 січня 2023

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1

Carlson, Elizabeth. "Emerging Roles for the Gerontological Nurse Practitioner." Journal of the American Academy of Nurse Practitioners 10, no. 9 (September 1998): 403–5. http://dx.doi.org/10.1111/j.1745-7599.1998.tb00526.x.

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2

Martin-Plank, Lori. "Advocacy as an Academic and Nurse Practitioner." Innovation in Aging 4, Supplement_1 (December 1, 2020): 683. http://dx.doi.org/10.1093/geroni/igaa057.2383.

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Abstract The first speaker is Dr. Lori Martin-Plank, an established academic at the University of Arizona, College of Nursing. Dr. Martin-Plank will provide her experiences in advocating for older adults in Pennsylvania and nationally through professional organizations, meeting with coalition partners to promote access to care for vulnerable older adults in rural areas by promoting full practice authority for nurse practitioners, and advocating for full home health authority for nurse practitioners. Dr. Martin-Plank will share how she is active in advocacy and policy at the local, state and federal levels, and how to build a presence and relationship with legislators on The Hill and State Capitol. Dr. Martin-Plank is a family, gerontological, and mental health nurse practitioner, practicing in Pennsylvania, New Jersey, and Arizona.

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3

Duffy, Evelyn G. "The Future of the Gerontological Nurse Practitioner and GAPNA." Geriatric Nursing 33, no. 5 (September 2012): 410–15. http://dx.doi.org/10.1016/j.gerinurse.2012.07.008.

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4

Hahn, Joan Earle, Leah FitzGerald, Young Kee Markham, Paul Glassman, and Nancy Guenther. "Infusing Oral Health Care into Nursing Curriculum: Addressing Preventive Health in Aging and Disability." Nursing Research and Practice 2012 (2012): 1–10. http://dx.doi.org/10.1155/2012/157874.

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Access to oral health care is essential for promoting and maintaining overall health and well-being, yet oral health disparities exist among vulnerable and underserved populations. While nurses make up the largest portion of the health care work force, educational preparation to address oral health needs of elders and persons with disabilities is limited across nursing curricula. This descriptive study reports on the interdisciplinary development, implementation, and testing of an oral health module that was included and infused into a graduate nursing curriculum in a three-phase plan. Phase 1 includes evaluation of a lecture presented to eight gerontological nurse practitioner (GNP) students. Phase 2 includes evaluation of GNP students’ perceptions of learning, skills, and confidence following a one-time 8-hour practicum infused into 80 required practicum hours. The evaluation data show promise in preparing nurse practitioner students to assess and address preventive oral health needs of persons aging with disabilities such that further infusion and inclusion in a course for nurse practitioners across five specialties will implemented and tested in Phase 3.

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5

GRZECZKOWSKI, ANNA MAY, and MARY KNAPP. "The Gerontological Nurse Practitioner as Director of Nursing in the Long-Term Facility." Nursing Management (Springhouse) 19, no. 4 (April 1988): 64G. http://dx.doi.org/10.1097/00006247-198804000-00015.

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6

Dorson, Peggy. "The Gerontological Nurse Practitioner in the Long-Term Care Setting: Facilitating Palliative Care." Geriatric Nursing 27, no. 6 (November 2006): 343. http://dx.doi.org/10.1016/j.gerinurse.2006.10.005.

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7

Rapp, Mary Pat. "Should the Gerontological Nurse Practitioner Exam be Offered as a Certificate of Added Qualifications?" Geriatric Nursing 27, no. 6 (November 2006): 344–45. http://dx.doi.org/10.1016/j.gerinurse.2006.10.007.

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8

Noonan, Claire, Dan Ryan, Tara Coughlan, and Séan Kennelly. "210 Nursing Home Residents in Acute Hospital – a Targeted ANPc Program to Improve Care." Age and Ageing 48, Supplement_3 (September 2019): iii17—iii65. http://dx.doi.org/10.1093/ageing/afz103.127.

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Abstract Background NHR are the frailest group of older people and require a gerontologically attuned approach to combat multiple challenges presented to the practitioner. The in-reach ANPc liaison service aims to confront such challenges, by providing comprehensive gerontological input to all nursing home residents admitted to hospital under all specialities medical, geriatric, and surgical. Methods This service commenced in September of 2018, working 9-5 Monday to Friday with limited leave cross-cover. All nursing home residents are reviewed by a Gerontology Advanced Nurse Practitioner candidate. Each patient received comprehensive geriatric assessment (CGA) with recommendations for care. All had follow up 2 weeks after discharge in telephone review clinic. Results 118 nursing home residents were admitted for acute care in the study period; 96/118 (82%) were reviewed by the ANPc. 16/118 (14%) were discharged prior to review and 6/118 (5%) died within 24 hours of admission. All other patients were reviewed within 72 hours. All assessed residents had >1 recommendation for intervention to enhance care following CGA: Interventions included 31% (30/96) undiagnosed delirium identified and management advice given. 21% (20/96) had recurrent falls work up and advice. 27% (26/96) had recommendations and changes to admission medications. 37% (36/96) referrals to other HSCP therapy disciplines for complete holistic care. 11% (11/ 96) had advanced care planning regarding future illnesses. 13% (13/96) had palliative care advice and referral to community palliative care. Follow up telephone review clinics have further resulted in reduced readmission rates through liaison with NH staff post-discharge. Conclusion The high complexity of this cohort of patients requires a timely, comprehensive gerontological approach in order to provide holistic care. They require a clearly defined approach to enhance care and minimise the need for unnecessary hospitalisations.

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9

Harrington, Candace C. "Nurse Practitioner Practice Patterns for Management of Heart Failure in Long-Term Care Facilities." Journal of Doctoral Nursing Practice 9, no. 1 (2016): 73–80. http://dx.doi.org/10.1891/2380-9418.9.1.73.

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Purpose: This study examined nurse practitioners’ (NPs) practice patterns for heart failure (HF) management, specifically regarding the use of angiotensin-converting enzyme inhibitors (ACEIs), beta antagonists, diuretic monotherapy, and echocardiograms for older adults residing in long-term care facilities. Methodology: A Web-based survey was developed to identify NP practice patterns for HF management in long-term care settings. The Checklist for Reporting Results of Internet E-Surveys and expert opinion guided the survey design. The survey was distributed via e-mail to Gerontological Advanced Practice Nurses Association members. Results: Most NPs used ACEIs for ongoing therapy, initiated appropriate therapy for symptomatic patients, continued beta-antagonist therapy in patients with HF, used echocardiograms in the diagnosis and evaluation of HF, and prescribed monotherapy diuretics in accordance with HF care standards. Implications for Practice: Based on these findings, NP practice patterns for management of HF in the long-term care setting are in alignment with national standard of care regardless of certification or level of physician oversight. NPs need to be cognizant of the cardiovascular risk factors for HF and adjust treatment to add an ACEI or beta antagonist to diuretic monotherapy when the clinical diagnosis of HF is suspected or established.

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10

SHAWLER, CELESTE. "PALLIATIVE AND END-of-LIFE CARE:Using a Standardized Patient Family FOR Gerontological Nurse Practitioner Students." Nursing Education Perspectives 32, no. 3 (June 2011): 168–72. http://dx.doi.org/10.5480/1536-5026-32.3.168.

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11

Miller, Sally Kathleen. "Impact of a Gerontological Nurse Practitioner on the Nursing Home Elderly in the Acute Care Setting." AACN Clinical Issues: Advanced Practice in Acute and Critical Care 8, no. 4 (November 1997): 609–15. http://dx.doi.org/10.1097/00044067-199711000-00012.

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12

Weil, Joyce, Gwyneth Milbrath, Teresa Sharp, Jeanette McNeill, Elizabeth Gilbert, Kathleen Dunemn, Marcia Patterson, and Audrey Snyder. "Interdisciplinary partnerships for rural older adults’ transitions of care." Quality in Ageing and Older Adults 19, no. 4 (December 10, 2018): 232–41. http://dx.doi.org/10.1108/qaoa-12-2017-0050.

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Purpose Integrated transitions of care for rural older persons are key issues in policy and practice. Interdisciplinary partnerships are suggested as ways to improve rural-care transitions by blending complementary skills of disciplines to increase care’s holistic nature. Yet, only multidisciplinary efforts are frequently used in practice and often lack synergy and collaboration. The purpose of this paper is to present a case of a partnership model using nursing, gerontology and public health integration to support rural-residing elders as a part of building an Adult-Gerontology Acute Care Nurse Practitioner program. Design/methodology/approach This paper uses the Centre for Ageing Research and Development in Ireland/O’Sullivan framework to examine the creation of an interdisciplinary team. Two examples of interdisciplinary work are discussed. They are the creation of an interdisciplinary public health course and its team-based on-campus live simulations with a panel and site visit. Findings With team-building successes and challenges, outcomes show the need for knowledge exchange among practitioners to enhance population-centered and person-centered care to improve health care services to older persons in rural areas. Practical implications There is a need to educate providers about the importance of developing interdisciplinary partnerships. Educational programming illustrates ways to move team building through the interdisciplinary continuum. Dependent upon the needs of the community, other similarly integrated partnership models can be developed. Originality/value Transitions of care work for older people tends to be multi- or cross-disciplinary. A model for interdisciplinary training of gerontological practitioners in rural and frontier settings broadens the scope of care and improves the health of the rural older persons served.

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13

Resnick, Barbara, Guerry Davis, Ann Luggen, and Lynn Chilton. "National conference of gerontological nurse practitioners." Geriatric Nursing 24, no. 4 (July 2003): 246–49. http://dx.doi.org/10.1016/s0197-4572(03)00220-9.

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14

Luggen, Ann S., Joanne M. Miller, Kathleen Jett, Barbara Resnick, and Lynn Chilton. "National conference of gerontological nurse practitioners." Geriatric Nursing 24, no. 1 (January 2003): 56–59. http://dx.doi.org/10.1067/mgn.2003.2.

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15

Resnick, Barbara, and Ann S. Luggen. "National conference of gerontological nurse practitioners." Geriatric Nursing 24, no. 2 (March 2003): 122–25. http://dx.doi.org/10.1067/mgn.2003.25.

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16

Cassidy, Mary, Dorothy Lee, and Cynthia J. Gerstenlauer. "Gerontologic nurse practitioner care guideline." Geriatric Nursing 24, no. 5 (September 2003): 310–13. http://dx.doi.org/10.1016/s0197-4572(03)00358-6.

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17

Feldt, Karen S., Vaunette Fay, Sherry A. Greenberg, Maria Vezina, Ellen Flaherty, Maura Ryan, and Terry Fulmer. "Gerontologic nurse practitioner preceptor guide." Geriatric Nursing 23, no. 2 (March 2002): 94–98. http://dx.doi.org/10.1067/mgn.2002.123795.

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18

Flannery, Donna, and Cynthia Gerstenlauer. "Gerontologic nurse practitioner care guidelines." Geriatric Nursing 24, no. 6 (November 2003): 373–75. http://dx.doi.org/10.1016/j.gerinurse.2003.10.009.

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19

Futrell, May, and Karen Devereaux Melillo. "GERONTOLOGICAL Nurse Practitioners: Implications for the Future." Journal of Gerontological Nursing 31, no. 4 (April 1, 2005): 19–24. http://dx.doi.org/10.3928/0098-9134-20050401-06.

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20

Luggen, Ann Schmidt. "Gerontologic Nurse Practitioner Care Guidelines: Dry Eyes." Geriatric Nursing 26, no. 5 (September 2005): 302–3. http://dx.doi.org/10.1016/j.gerinurse.2005.08.013.

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21

Frerick, Judi. "Gerontologic nurse practitioner care guidelines: urinary tract infection." Geriatric Nursing 25, no. 3 (May 2004): 185–87. http://dx.doi.org/10.1016/j.gerinurse.2004.04.011.

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22

Trees, Jeff, and Ann Luggen. "Gerontologic nurse practitioner care guidelines: Isolated systolic hypertension." Geriatric Nursing 26, no. 4 (July 2005): 234–36. http://dx.doi.org/10.1016/j.gerinurse.2005.05.003.

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23

MCCORMACK, BRENDAN. "Autonomy and the relationship between nurses and older people." Ageing and Society 21, no. 4 (July 2001): 417–46. http://dx.doi.org/10.1017/s0144686x01008303.

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Autonomy is considered to be one of the central ethical principles of health care practice and as such is a significantly relevant concept for health care practitioners. With the many political and ideological drivers that challenge the way health care for older people is currently delivered, it is important to consider how the autonomy of older people is facilitated in everyday practice. In this paper I challenge the dominant understanding of autonomy as ‘individualism’. Through research undertaken with nurses who work with older people, it identifies the conflicts that arise between an individualistic understanding of autonomy set alongside an emphasis on ‘person-centred’ practice.Data were collected by recording ‘naturally occurring’ conversations between nurses, patients and associated practitioners. Primary nurses recorded conversations occurring between them and four patients throughout their hospital stay. In addition, a recognised expert gerontological nurse and a community nurse specialist participated as a means of testing out initial themes generated by the primary nurses. A total of 14 case studies were recorded. The data were analysed using principles of conversation analysis and thematic analysis set within a hermeneutic interpretive framework. In order to illuminate presentations of autonomy in practice, focus group discussions with nurses and older people were used as part of the interpretative process. I discuss the factors that prevented the operationalisation of an individualised rights-based concept of autonomy for older people. Issues including information-giving, the conversation style of nurses, internal and external constraints and patients' competence to decide are considered. In addition, the role of families in decision-making is addressed. The paper ends with a discussion of an alternative view of autonomy based on ‘interconnectedness’ in the nurse-patient relationship. This perspective is not based on either the patient or nurse being the ‘final arbiter’ of decisions, but is instead set within a framework of negotiation.

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24

Kennedy-Malone, Laurie, Judith Penny, and Mary Elizabeth Fleming. "Clinical practice characteristics of gerontological nurse practitioners: A national study." Journal of the American Academy of Nurse Practitioners 20, no. 1 (January 2, 2008): 17–27. http://dx.doi.org/10.1111/j.1745-7599.2007.00275.x.

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25

Kennedy-Malone, Laurie, Mary Elizabeth Fleming, and Judith Penny. "Prescribing patterns of gerontological nurse practitioners in the United States." Journal of the American Academy of Nurse Practitioners 20, no. 1 (January 2, 2008): 28–34. http://dx.doi.org/10.1111/j.1745-7599.2007.00278.x.

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26

Yafa, Haron, Rubinstein Dorit, and Riba Shoshana. "Gerontological nurse practitioners (GNPs) for the first time in Israel." Journal of the American Association of Nurse Practitioners 28, no. 8 (August 2016): 415–22. http://dx.doi.org/10.1002/2327-6924.12343.

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27

Lee, Hye Jin, and Kye Ha Kim. "The Role-expectations of Gerontological Nurse Practitioners and Performance of Gerontological Nursing by Nurses in Long Term Care Hospitals and General Hospitals." Korean Journal of Adult Nursing 26, no. 6 (2014): 642. http://dx.doi.org/10.7475/kjan.2014.26.6.642.

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28

Luggen, Ann Schmidt, and Anna Parton. "Gerontologic nurse practitioner care guidelines: early management of heart failure." Geriatric Nursing 25, no. 4 (July 2004): 251–53. http://dx.doi.org/10.1016/j.gerinurse.2004.06.008.

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29

Williams, Joan R. "Gerontologic nurse practitioner care guidelines: sleep management in elderly patients." Geriatric Nursing 25, no. 5 (September 2004): 310–12. http://dx.doi.org/10.1016/j.gerinurse.2004.08.014.

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30

Williams, Joan Rowe, and Ann Schmidt Luggen. "Gerontologic nurse practitioner care guidelines: cellulitis in the elderly person." Geriatric Nursing 25, no. 6 (November 2004): 373–74. http://dx.doi.org/10.1016/j.gerinurse.2004.09.009.

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31

Luggen, Ann Schmidt. "Gerontologic nurse practitioner care guidelines: Dementia behaviors: Recognition and management." Geriatric Nursing 26, no. 2 (March 2005): 95–97. http://dx.doi.org/10.1016/j.gerinurse.2005.01.011.

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32

Hendrix, Cristina C., and Colleen W. Wojciechowski. "Chronic Care Management for the Elderly: An Opportunity for Gerontological Nurse Practitioners." Journal of the American Academy of Nurse Practitioners 17, no. 7 (July 2005): 263–67. http://dx.doi.org/10.1111/j.1745-7599.2005.0044.x.

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33

LaManna, Jacqueline B., Dawn O. Eckhoff, Jodi Duncan, and Mindi Anderson. "Nurse Practitioner Student Perceptions of a Pilot Simulated Gerontologic Telehealth Visit." Journal of Nursing Education 60, no. 7 (July 2021): 408–13. http://dx.doi.org/10.3928/01484834-20210616-10.

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34

Kvale, James, Elizabeth McNeely, and Stephanie Nagley. "Geriatrician and Gerontologic Nurse Practitioner Collaboration: A Necessity or Nice Idea?" Journal of the American Geriatrics Society 42, no. 4 (April 1994): 456–57. http://dx.doi.org/10.1111/j.1532-5415.1994.tb07501.x.

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35

McDougall, Graham J., and Beverly Roberts. "A gerontologic nurse practitioner in every nursing home: A necessary expenditure." Geriatric Nursing 14, no. 4 (July 1993): 218–20. http://dx.doi.org/10.1016/s0197-4572(06)80046-7.

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36

Luggen, Ann Schmidt. "Gerontologic Nurse Practitioner Care Guidelines: Vitamin B12 Deficiency in Older Adults." Geriatric Nursing 27, no. 1 (January 2006): 32–33. http://dx.doi.org/10.1016/j.gerinurse.2005.12.010.

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37

Kim, Keum Soon, Yeon-Hwan Park, and Nan Young Lim. "Task Analysis of the Job Description of Gerontological Nurse Practitioners based on DACUM." Journal of Korean Academy of Nursing 38, no. 6 (2008): 853. http://dx.doi.org/10.4040/jkan.2008.38.6.853.

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38

Mahoney, Diane Feeney, and Elissa Ladd. "More than a Prescriber: Gerontological Nurse Practitioners' Perspectives on Prescribing and Pharmaceutical Marketing." Geriatric Nursing 31, no. 1 (January 2010): 17–27. http://dx.doi.org/10.1016/j.gerinurse.2009.09.003.

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39

Luggen, Ann Schmidt. "Gerontologic Nurse Practitioner Care Guidelines: Oral Health of Older Adults: Problems and Management." Geriatric Nursing 26, no. 6 (November 2005): 356–57. http://dx.doi.org/10.1016/j.gerinurse.2005.09.018.

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40

Malmstrom, Jennifer. "Gerontologic nurse practitioner care guidelines: Assessing and managing hearing deficits in the older adult." Geriatric Nursing 26, no. 1 (January 2005): 57–59. http://dx.doi.org/10.1016/j.gerinurse.2004.11.005.

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41

Murphy-Boucher, Michele, and Diana Lynn Woods. "USING STORYTELLING TO ASSESS NURSE’S KNOWLEDGE IN CARING FOR OLDER ADULTS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 877. http://dx.doi.org/10.1093/geroni/igac059.3131.

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Abstract Continuing education, knowledge acquisition, and competence is required of all professional Registered Nurses. Remaining current in care delivery trends based on evidence practice is the responsibility of nurses supported by professional development specialists and educators. This project was conducted as a quality improvement project, using the evidence-based teaching modality of storytelling to educate practitioners in caring for older adults. This project addresses the question: For leaders of professional development and education focused on acute care and ambulatory practice, who have not had specialty geriatric training, how does using case-based/story-telling education for the care of patients 65 years and older affect confidence levels of the 4 M’s (mentation, mobility, what matters and medication) of elder care? A convenience sample of 12 Directors of Professional Development participated, and a validated comparison of responses to the Gerontological Nursing Competence Questionnaire (GNCQ) and the Facts on Aging (2015 version) (FAQ) were used for collecting data of pre intervention and post intervention. An eight-minute video was the educational intervention. GNCQ responses for confidence in knowledge and confidence in teaching were statistically significant. Although an increase in the mean score for interest in additional training, it was not statistically significant. The FAQ showed no statistical significance for the pre and post results. Findings indicate that storytelling is a viable teaching modality for increasing nurse’s knowledge of caring for older adults based on the concepts of the 4 Ms of age-friendly care. Keywords: storytelling, case studies, nurse education, professional development, narratives, and adult learning.

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42

Wagner, Laura M., Patricia C. Clark, Patricia Parmelee, Elizabeth Capezuti, and Joseph Ouslander. "Use of a Content Analysis Procedure for the Development of a Falls Management Audit Tool." Journal of Nursing Measurement 13, no. 2 (September 2005): 101–13. http://dx.doi.org/10.1891/jnum.2005.13.2.101.

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The Falls Management Audit Tool (FMAT) was developed to assess the documentation of the falls management process in nursing homes. The multistep content analysis procedure was used to guide tool development and obtain reliability and validity of the FMAT. Established fall guidelines and national experts were used for item development. Trained gerontological nurse practitioners conducted chart audits in nursing home residents with a fall history. Adequate content validity (content validity index > .88) and interrater and intrarater reliability were established (kappas > .78) in the final version of the 57-item FMAT and pilot testing demonstrated feasibility. This study provided evidence that the FMAT is a reliable and valid tool, which can be used to assess the documentation of the falls management process and for measuring the effect of research or quality improvement interventions.

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43

Wiese, Lisa K., Christine Williams, James E. Galvin, Debra Hain, and David Newman. "LEARNING FROM IN-DEPTH COGNITIVE ASSESSMENTS CONDUCTED IN RURAL INDEPENDENT LIVING FACILITIES." Innovation in Aging 3, Supplement_1 (November 2019): S553—S554. http://dx.doi.org/10.1093/geroni/igz038.2040.

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Abstract Despite benefits to earlier Alzheimer’s disease interventions, efforts to increase dementia detection and treatment in high-risk rural areas are lacking. Barriers include lack of resources, including limited time for providers to conduct in-depth cognitive assessments. A pilot program tested the effectiveness of a home-based approach for increasing rates of AD detection and treatment in a rural retired farmworker community. Depression and cognitive screenings of 139 residents conducted by community health workers were followed up with in-depth geriatric-focused assessments, including the Moca-B, by experienced, culturally diverse adult gerontological nurse practitioners (AGNPs). Their findings were forwarded to primary providers. This approach was evaluated for effectiveness using correlations, regressions, and Chi-square analyses of variables on rates of ADRD screening, referrals, and ADRD diagnosis.

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44

"Initiating a Gerontological Nurse Practitioner Practice in Long-Term Chronic Care." Journal of the American Academy of Nurse Practitioners 3, no. 3 (July 1991): 133–35. http://dx.doi.org/10.1111/j.1745-7599.1991.tb01087.x.

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45

Noonan, C., S. Coveney, T. Coughlan, and S. Kennelly. "334 FASTTRAX - A FRACTURE RESPONSE SERVICE FOR NURSING HOME RESIDENTS." Age and Ageing 51, Supplement_3 (October 25, 2022). http://dx.doi.org/10.1093/ageing/afac218.292.

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Abstract Background Nursing Home Residents (NHR) are the frailest group of older people and require a gerontologically attuned approach to care. The new FastTrax fracture response service has been developed as a result of a Quality Improvement (QI) project to evaluate the need for this service. The data leading to the development of this pathway is presented here. FastTraX ensures NHR receive optimal orthopaedic and gerontological care without necessity for emergency department (ED) presentation. Methods A retrospective, medical chart review was completed on all NHRs who presented over12-months to a level-4 hospital ED following a fall/injury. Included patients were nursing home residents with suspected fracture discussed with the on-call orthopaedic service. Patients who required more complex imaging other than plain film or with known/suspected head trauma were excluded. Data collected included demographics, clinical and imaging details, and care outcomes. Results In 2021, there were sixty-nine (mean age 80.3, 82.6% female) NHR presentations to the ED with fracture/ injury where orthopaedic opinion was sought following x-ray. Just-under half, 49.2 % (34/69) of patients were admitted, all of whom had confirmed fractures. However, 32.3% (11/34) of admitted NHRs were conservatively treated with an average length-of-stay of 3.6 days before discharge to NH. 6/34 (17.6%) of admitted NHRs died, and 5 of those deaths occurred post-operatively. Of the 50.7% (35/69) discharged directly back to NH from ED, 45.7% (16/35) of those had no fracture, whereas 54.2% (19/35) were discharged for conservative management. Therefore, potentially only 29/69 (33%) ED presentations required definitive orthopaedic/gerontological intervention necessitating admission and two-thirds are potentially avoidable. Conclusion The new FastTraX fracture response service is an Advanced-Nurse Practitioner (rANP) co-ordinated integrated service combining use of on-site mobile radiological diagnostics in the NH, a fast-track ambulatory orthopaedic-consult clinic, and specialist gerontological care delivered in timely response to support NH staff in avoiding ED transfer where appropriate.

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"National Conference of Gerontological Nurse Practitioners seeks submissions." Geriatric Nursing 23, no. 2 (March 2002): 98. http://dx.doi.org/10.1016/s0197-4572(02)70027-x.

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Hayes, N., and C. Naughton. "1270 DEVELOPMENT OF A COMPETENCY FRAMEWORK FOR EARLY CAREER NURSES UNDERTAKING POST-REGISTRATION EDUCATION IN CARE FOR OLDER PEOPLE." Age and Ageing 52, Supplement_1 (January 2023). http://dx.doi.org/10.1093/ageing/afac322.010.

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Abstract Introduction Despite recognition of the status of gerontological nursing as a speciality, there is no specific UK competency framework for early career nurses working with older people. As part of a feasibility intervention to improve recruitment and retention of nurses within the speciality (ECHO Early Careers in Healthcare of Older People and PEACH Programme for early careers for care home nurses), we developed a bespoke competency framework appropriate for nurse working within all sectors. Method The national and international literature on published competency frameworks was reviewed to identify core domains of knowledge and skill. We integrated these within a CGA model to develop a draft competency framework which we then tested for face and content validity. It was reviewed by expert practitioners and managers from NHS and care home providers, and a national reference group (British Geriatrics Society Nurse Special interest group). It was then implemented by students under taking the ECHO and PEACH programmes. A mixed-methods approach was used involving online surveys, one-to-one interviews and focus group interviews with students, mentors, ward managers and care home managers. Ethical approval was obtained from the university ethics committee. Results From an initial draft of 80 competency statements 69 were adopted across 10 domains. Thirty students across the ECHO and PEACH programmes used the framework and participated in evaluation. Our analysis found that students benefited from recognising unique gerontological knowledge, expanded insights into practice and affirmation through mentor feedback. Some students faced logistical challenges including access to mentors. The framework was found to be appropriate and acceptable across both hospital, community and care home settings. Conclusion/s The competency framework was valid in clinical gerontological settings across hospital, community and care homes, and supported knowledge and skills development and evidencing for early career nurses.

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