Victoria Traynor , Pippa Burns , Kate Clissold , Nicole Britten , Lynn Chenoweth , The Nursing in Aged Care Collaborative
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引用次数: 0
Abstract
Background
There is a global workforce shortage of registered nurses that can work in community and care homes.
Aim
To develop gerontological nursing competencies (GNCs) for registered nurses working within community and care homes in Australia.
Methods
A prospective mixed-method study: Phase 1: scoping review, Phase 2: workshop with aged care nurses (n = 76), and Phase 3: e-Delphi (n = 409) with five rounds of consultation.
Findings
The literature review identified 10 themes that were used to create a draft list of gerontological competencies. This list was reviewed at a workshop and 11 core competencies with associated domains of practice were generated. The e-Delphi endorsed this set of competencies and associated domains of practice for aged care nursing in Australia. The GNCs are (i) living well for older people across communities and groups, (ii) maximising health outcomes, (iii) effective communication, (iv) facilitating transitions in care, (v) facilitating choices within legal and ethical frameworks, (vi) partnering with family carers, (vii) promoting mental health and psychological well-being, (viii) evidence-based dementia care, (ix) pain assessment and optimal pain management, (x) providing palliative care, and (xi) enabling access to technology.
Discussion
The GNCs provide evidence-based expectations of service provision from registered nurses in aged care services in Australia. With further research, these competencies could be applied to other settings, levels of practice, and disciplines.
Conclusions
These competencies provide a foundation for recruiting and developing registered nurses capable of providing safe, high-quality care to older people and their families.
期刊介绍:
Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN).
The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues.
Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor.
The journal, online only from 2016, is available to members of ACN and also by separate subscription.
ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.