The development of the Australian gerontological nursing competencies

IF 1.6 4区 医学 Q2 NURSING
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.

澳大利亚老年护理能力的发展
背景能够在社区和护理院工作的注册护士在全球范围内都存在短缺。目的为在澳大利亚社区和护理院工作的注册护士开发老年护理能力(GNC):第 1 阶段:范围综述;第 2 阶段:老年护理护士研讨会(n = 76);第 3 阶段:五轮咨询的电子德尔菲(n = 409)。在一次研讨会上对这份清单进行了审查,并产生了 11 项核心能力和相关的实践领域。电子德尔菲(e-Delphi)认可了澳大利亚老年护理的这套能力和相关实践领域。GNCs 包括:(i) 在不同社区和群体中为老年人提供良好的生活;(ii) 最大限度地提高健康成果;(iii) 有效沟通;(iv) 促进护理工作的过渡;(v) 促进在法律和道德框架内做出选择;(vi) 与家庭护理人员合作;(vii) 促进精神健康和心理健康;(viii) 循证痴呆护理;(ix) 疼痛评估和最佳疼痛管理;(x) 提供姑息护理;(xi) 促进技术应用。讨论GNC为澳大利亚注册护士在老年护理服务中提供服务提供了基于证据的期望。结论这些能力为招聘和培养能够为老年人及其家庭提供安全、高质量护理的注册护士奠定了基础。
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来源期刊
Collegian
Collegian NURSING-
CiteScore
2.70
自引率
6.70%
发文量
127
审稿时长
72 days
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.
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