purpose of geriatric nursing

One barrier to the advancement of gerontological nursing is a global shortage of nurses. Nurse Educators and Nurse Leaders are important roles that can be beneficial in the nursing home environment. National nursing organizations such as the American Nurses Credentialing Center and the Canadian Nurses Association offer certification in gerontological nursing. [35], A few initiatives that were taken to improve gerontological care is “The Nurse Competence in Aging” project which focused on providing grants and assistance to over 50 specialty nursing organizations and provided nurses with a free online gerontological nursing resource center. [39], The TCM is an intervention nurses primarily use in conjunction with the collaboration of patients and their families as well as members of associating healthcare disciplines. [48], Due to the knowledge gap from nursing school to the work force, it is advised that nurse educators modify current curriculum to the fast growing elderly population by incorporating content specific to the care of the elderly from pre-licensure through the doctorate’s level. Roles and responsibilities of geriatric nursing? The modern hospital is 18th century innovation and those who entered were youths with acute injuries rather than chronic illnesses heavily seen in modern society. Older adults have been referred to as "the core business of healthcare" by gerontological nursing experts. (2019), newly licensed associate degree registered nurses have not yet acquired the knowledge, skills, or attitudes to effectively care for this aging population. [4][28] Pioneers in the field of gerontological nursing include Vera McIver,[29] Doris Schwartz,[30] Mary Opal Walanin. This can cause greater health disparities due to the increasing rates of chronic diseases and the lack of resources and those resources needed being so far away. This population tend to have more comorbidities such as high blood pressure, diabetes, heart conditions, etc. This resource center can be assessed using the computer, an iPAD, or iPhone applications. [15] Gerontological nursing is complex and requires extensive interventions to keep the elderly safe. Nurses use evidence based practice in their care to educate and promote well-being in gerontological population. The Geriatric Nursing Leadership Academy was sponsored by Sigma Theta and it provided products and services to support nurse’s ability to grow professionally and become great leaders. [13][14] Older adults are more likely than younger adults to have one or more chronic health conditions, such as diabetes, cardiovascular disease, cancer, arthritis, hearing impairment, or a form of dementia such as Alzheimer's disease. Bowers (2020) states that falls are one common area gerontological nursing research needs to focus on to continue to improve quality of life in the older patient.[37]. Currently, GAPNA represents the interests of all advanced practice nurses who work with older adults. [58] The sharp and steady increase in the aging population coupled with a lack of nurses to care for them, highlights the same issues such as nurse burn-out and retention rates seen in other countries around the world. [16] Incontinence care is crucial to preventing skin breakdown and skin infections such as candida albicans. [25] Geriatric training for nurses and nursing assistants can increase quality of patient care and improve employee retention rates in the nursing home environment. What Attracts Nurses to Gerontological Care, Global Challenges in Gerontological Nursing. Also used in A few interventions to improve staff retention and support nurses are to provide continuing education courses to nurses, preceptor programs should be provided to newly hire nurses, and, quality assurance programs should be implemented to help nurses identify areas that may need improvement. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. A study conducted by Garbrah et al. Because of the shift globally in the aging population, more gerontological education in nursing curriculums and clinical experiences must be incorporated. [15], Gerontological nurses work in a variety of settings, including acute care hospitals, rehabilitation, nursing homes (also known as long-term care homes and skilled nursing facilities), assisted living facilities, retirement homes, community health agencies, and the patient's home. Manuscripts on timely topics of interest to those individuals working directly or indirectly with older adults--wherever they are living-whether in the community, acute care situation, or long- term care facility, are encouraged. Nurses should have safe working conditions, onsite training and education, support from administration, flexible scheduling and sign on bonuses. The knowledge and attitudes of the faculty teaching this information is also imperative to persuading nurses to want to specialize in this area of nursing. [3][4], Gerontological nursing is important to meet the health needs of an aging population. Viewing aging as a natural process also develops more positive attitudes towards working with older adults. Top 10 Health Concerns for Seniors: ASC Blog. A gerontological nurse specialist is an advanced practice nurse or nurse practitioner who has graduate education in gerontological nursing. In some cases, the treatment objective will shift. According to the United Nations World Populations Prospect (2020),[38] the average life expectancy is 78.93 years which is a 0.16% increase since 2018. Data were collected through a questionnaire mailed to 1990 randomly selected geriatric nurses. Assisted living facilities are also known as senior retirement homes, and they provide care services depending on health conditions. [3] Due to longer life expectancy and declining fertility rates, the proportion of the population that is considered old is increasing. 19% or more of the population is aged 65 years or more compared to 15% of those of the same age range in non-rural areas (Sharp et al., 2019). The American Nurses Credentialing Center lists requirements as including 2 years experience as an RN, 2,000 hours of clinical experience and 30 hours of continuing education, both within the specialty of gerontological nursing. They can also be advocates, counselors, and educators for their patients. It aims to promote health by preventing and treating diseases and disabilities in older adults. This research lead to improve pain identification and treatment across settings.[37]. A participation rate of 77.6% was achieved. According to Salary.com, geriatric nurses earn an average of $65,274 per year. [41] This is due to educational programs focusing more attention on the sick rather than the well, who are more representative of the older population. [9] Nurses are to be mindful of their long history for individualized care. These advance practice nurses are active in a variety of settings across the continuum including primary, acute, post-acute and long-term care. When implemented in practice, the TCM has had findings wherein there were fewer reports of patients being rehospitalized, leading to a decrease in overall healthcare costs (Hirschman et al., 2015).[39]. Nurses who are experts in gerontologic nursing are what is needed, though associate degree nursing programs are not readily preparing their students in this specialty area. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. [58], There are many global challenges to gerontological nursing including, the rapid increase in the older population, the need for different ways of working, transnational migration, changing core competencies, international collaboration, facilitating choice, and the global nurse shortages. [57] By 2030, older people are expected to outnumber children under age 10-14 (1 billion vs. 1.35 billion) and eventually outnumber the number of adolescents and youth globally. The community health nurse is crucial to providing much needed services to the vulnerable older population. Precautions include the elderly working with physical therapy to strengthen muscles and improve balance, wearing supportive shoes, making sure the environment is conducive to safety such as reducing clutter on the floor and the floor is dry, ensuring the room is well lit, and other interventions.

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