Experiences of registered nurses as managers and leaders in residential aged care facilities: a systematic review

Abstract

Overall the themes presented in the review reported the negative experiences of nurses in residential aged care and geriatrics. Nurses will continue to be devalued if there is no professional identity and support for their roles and need to have a career pathway when making the decision to enter into aged and geriatric practice. Clinical leadership training is needed for nurses to transition through practice into specialised roles such as the RN team leader and Geriatric Nurse Practitioner (GNP). Providing a career structure and choice in the industry for the nurse to become a clinical leader or a manager of health services will improve recruitment and retention. IMPLICATION FOR RESEARCH: More research is needed to identify the skills gaps experienced by nurses in aged care and geriatric care. This research could lead to the design and implementation of a skills audit to identify candidates for specialised courses so that clinical leadership and governance in aged care are improved. More research is needed for role construction and the professional development of the GNP. Organisations can benefit from research currently being conducted on the role of the RN in aged care and geriatrics, by mapping the skills mix of candidate RNs to the key performance indicators in the role. Organisations must change their perception and value of RNs as clinical leaders in care teams.

Development of self‐efficacy of newly graduated registered nurses in an aged care program

“…A systematic review of experiences of registered nurses as managers and leaders in residential aged care facilities found nurses experienced a lack of professional support and collaboration from allied health and medical colleagues [23]. In the same review, organisation was identified as a barrier in preventing continuing education and skills development for nurse leaders in aged care settings [23].…”

Drug compound characterization by mass spectrometry imaging in cancer tissue

“…In response to these challenges, modern healthcare is looking for ways to treat patients that are both more efficient as well as more cost saving (Young et al 2014;Fu et al 2010;Dwyer 2011). It has to be taken into account that these improvements are expected to be managed without the necessary care that patients demand today.…”

The development of the Older Person's Nurse Fellowship: Education concept to delivery

“…Yet, to simultaneously see beyond a disease driven discourse and envisage a health ageing model optimising functional and cognitive capability (WHO, 2015). New models of care are emerging and it is nursing that adds some of the fundamental dimensions to such models that contributes to well-being for older people and carers (Dwyer 2011;Ament et al, 2015). However, lack of investment in post-registration education and opportunities to develop higher level professional attributes limits the scalability of new models of care (Huston 2008, Houde andMelillo 2009;Huizenga et al 2016).…”

“…The broad based expertise and diverse career and education pathways of the Fellows reflects the lack of a standardised approach to developing a workforce to match changing population needs (Dwyer 2011;Goldberg et al, 2016). The rich diversity of background and experiences contributed significantly to peer-to-peer learning but posed challenges in designing a curriculum that met all participants'…”