Competence for older people nursing in care and nursing homes: An integrative review

Kiljunen, Outi; Välimäki, Tarja; Kankkunen, Päivi; Partanen, Pirjo

doi:10.1111/opn.12146

Cited by 62 publications

(64 citation statements)

References 38 publications

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“…Registered nurses are healthcare leaders and hold the greatest accountability for the care of residents in RACFs; as a result, they play a vital role in promoting nurse‐led interventions in the advancement of resident well‐being (Chavez, Dwyer, & Ramelet, ; Kiljunen, Välimäki, Kankkunen, & Partanen, ). Nurse‐led interventions are defined as those where nurses are the principal leading personnel in developing and delivering the intervention, and nurses use their professional expertise to tailor the intervention (Richardson & Cunliffe, ).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of nurse‐led interventions for preventing urinary tract infections in older adults in residential aged care facilities: A systematic review

Grealish

et al. 2020

Journal of Clinical Nursing

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Aims and Objectives: To explore the effectiveness of nurse-led interventions to prevent urinary tract infections in older adults living in residential aged care facilities. Background: While most empirical studies focus on the treatment of urinary tract infections, few studies have examined the effectiveness of nurse-led interventions in preventing urinary tract infections. Design: Systematic review. Methods: Eight electronic databases were searched for relevant studies published between 2008-2018. The inclusion criteria were as follows: (a) a focus on older adults, (b) evaluation of nurse-led interventions, focusing on prevention of urinary tract infection, (c) implemented in residential aged care facilities, and (d) outcomes reportedas incidence or prevalence of urinary tract infection. The selected papers were critically appraised using the Mixed Methods Appraisal Tool. The data were analysed with narrative synthesis, and findings were reported following the PRISMA guidelines.

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Section: Introductionmentioning

confidence: 99%

The effectiveness of nurse‐led interventions for preventing urinary tract infections in older adults in residential aged care facilities: A systematic review

Grealish

et al. 2020

Journal of Clinical Nursing

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“…Multifaceted nurse competence is needed in residential care facilities to ensure the well‐being of older people (Bing‐Jonsson, Bjørk, Hofoss, Kirkevold, & Foss, ; Carlson, Rämgård, Bolmsjö, & Bengtsson, ; Kiljunen, Välimäki, Kankkunen, & Partanen, ; Kiljunen, Välimäki, Partanen, & Kankkunen, ; Phelan & McCormack, ). Older people living in round‐the‐clock care units (such as care and nursing homes) have a high prevalence of dependency, multimorbidity, polypharmacy, cognitive impairment and behavioural symptoms resulting in complex care needs (Gordon et al, ; Onder et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…Nursing competence should not be perceived as only behavioural objective or psychological constructs; instead, a holistic conception of competence is needed (Cowan, Norman, & Coopamah, ). There are several aspects of competence in older people nursing in care homes (Kiljunen et al, ). Ethical competence is needed in care homes to be able to recognise, reflect and solve ethical dilemmas and to meet the older person with respect.…”

Section: Introductionmentioning

confidence: 99%

Older people nursing in care homes: An examination of nursing professionals' self‐assessed competence and its predictors

Kiljunen

Partanen

Välimäki

et al. 2019

Int J Older People Nursing

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such as care and nursing homes) have a high prevalence of dependency, multimorbidity, polypharmacy, cognitive impairment and behavioural symptoms resulting in complex care needs (Gordon et al., 2014;Onder et al., 2012). When providing care in care and nursing Abstract Background: The need for older people nursing expertise is increasing, and every effort is required to ensure that personnel taking care of older people are capable of providing high-quality care. Aims:To explore care home nursing professionals' self-rated competence in older people nursing and to identify predictors of this competence. Design: A cross-sectional survey design.Method: Data were collected in August-September 2017 via an electronic questionnaire using the newly developed Nurse Competence in Care Home Scale (NCCHS).Participants (n = 781) were recruited via nurses' associations and social media. They were working in care homes either as licensed practical nurses (n = 680) or as registered nurse and/or in managerial position (n = 101).Findings: Approximately 65% of the respondents had "adequate competence," and 35% had "inadequate competence" in older people nursing based on self-assessed overall competence. Respondents rated their competence highest in "observation, communication, interaction" and lowest in "group guidance and activities" subscale.Age and further training were predictors of licensed practical nurses' competence, and length of work experience predicted registered nurses' competence. Conclusions:Self-assessments revealed the need for competence development especially in relation to holistic support of a person's well-being. It is recommended that care home nurses, managers, educators and curriculum developers all strive to develop care home staff's ability to support residents' well-being holistically. Implications for practice:Nursing personnel should consider all aspects of older people's well-being holistically. In care homes, it is essential to assess nursing staff competence and to provide possibilities for competence development for personnel. K E Y W O R D Scare home, competence, licensed practical nurses, nursing, older people, registered nurses, self-assessment

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“…Nurses are essential for the care of older adults in the community but often have insufficient knowledge (Bing‐Jonsson, Hofoss, Kirkevold, Bjork, & Foss, ; Kiljunen, Valimaki, Kankkunen, & Partanen, ). Lack of sufficient qualifications may lead to inadequate patient treatment (Kiljunen et al., ), rehospitalisation or early nursing home admission, because the nurses do not notice early signs of deterioration (Laging, Ford, Bauer, & Nay, ). To meet the need for nurses with advanced qualifications and to encourage a career in care of older adults, the University of Oslo introduced the first master's degree programme in advanced practice nursing in 2011.…”

Section: Introductionmentioning

confidence: 99%

The role of advanced geriatric nurses in Norway: A descriptive exploratory study

Henni

Kirkevold

Antypas

et al. 2018

Int J Older People Nursing

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Competence for older people nursing in care and nursing homes: An integrative review

Abstract: Well-educated nursing staff are needed in care and nursing homes to provide high-quality care because comprehensive and advanced nurse competence is required to meet the needs of older people.

Cited by 62 publications

References 38 publications

The effectiveness of nurse‐led interventions for preventing urinary tract infections in older adults in residential aged care facilities: A systematic review

The effectiveness of nurse‐led interventions for preventing urinary tract infections in older adults in residential aged care facilities: A systematic review

Older people nursing in care homes: An examination of nursing professionals' self‐assessed competence and its predictors

The role of advanced geriatric nurses in Norway: A descriptive exploratory study

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