Gerontological Content in Canadian Nursing and Social Work Programs

Hirst, Sandra P.; Lane, Annette; Stares, Brittany

doi:10.5770/cgj.15.21

Cited by 39 publications

(25 citation statements)

References 23 publications

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“…Literature from Canada and Australia supports gerontological curriculum in nursing and other health related professionals (e.g., social work) should provide students to have more knowledge and skills to be able to provide older adult care in a variety of settings. [16,28] Recently, professional nursing organizations have sought to improve geriatric/gerontological nursing education through a number of cost-effective and easily disseminated programs, recommendations, and resources. In 2006, American Association of Colleges of Nursing (AACN) in partnership with Hartford Institute for Geriatric Nursing (HIGN) published milestone guidelines in gerontological nursing education, entitled, "Caring for an Aging America: A Guide for Nursing Faculty" that provides comprehensive approaches to enhancement of geriatric education including faculty expertise development, technology-based web-administered courses, design of clinical experiences through community partnerships, supporting student interest in gerontology area.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with gerontological career choice: The role of curriculum type and students’ attitudes

Lee

Garfin

Vaughn

et al. 2017

JNEP

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Background and objective: Caring for a growing aging population presents a challenge in contemporary health care. This study aims to identify factors associated with nursing student's career choice in older adult care and predictors of attitudes toward older adults. Such information is critical to inform effective gerontological nursing education. Methods: Undergraduate nursing students (N = 411) from three nursing schools in California participated in a cross-sectional, web-based survey. Results: In covariate-adjusted analyses, students who had prior experiences taking gerontology-related courses, working with older adults, living with older adults, being confident in providing older adults care, and having lower negative attitudes toward older adults were more likely to consider a future career in gerontological nursing. Students' confidence in older adult care was negatively correlated with negative attitudes towards older adults. Conclusions: To increase students' career choice in gerontology, nursing schools should provide more gerontology content in nursing curricula and explore avenues to increase student confidence in older adult care.

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Section: Discussionmentioning

confidence: 99%

Factors associated with gerontological career choice: The role of curriculum type and students’ attitudes

Lee

Garfin

Vaughn

et al. 2017

JNEP

View full text Add to dashboard Cite

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“…Since the ageing population is increasing worldwide (World Health Organization [WHO], ), nurses are caring for older people in most healthcare settings (Canadian Institute of Health Information [CIHI], ). Yet, nurses graduate with inadequate preparation to provide care for the ageing population (Baumbusch & Andrusyszyn, ; Deschodt, Dierckx de Casterlé, & Milisen, ; Gilje, Lacey, & Moore, ; Hirst, Lane, & Stares, ; Ironside, Tagiareni, McLaughlin, King, & Mengel, ; Xiao, Paterson, Henderson, & Kelton, ). This leads to gaps in practising nurses' knowledge about how to care for older people (Fox et al, ) and nurses misinterpreting the complex presentations of acute illness in older people as normal aspects of ageing (Dahlke, Phinney, Hall, Rodney, & Baumbusch, ; Kjorven, Rush, & Hole, ).…”

Section: Introductionmentioning

confidence: 99%

Nursing practice with hospitalised older people: Safety and harm

Dahlke

Hunter

Negrin

2019

Int J Older People Nursing

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Background Nursing teams work with hospitalised older people in institutions, which prioritise a biomedical model of care. This model does not fit the needs of older people because it emphasises efficacy and a narrow definition of patient safety, but does not prioritise functional needs. Nursing care is provided around the clock within the context of fiscal restraints as well as negative societal and nursing perspectives about ageing and old people. Yet, nursing perceptions of managing safety and potential harms to older patients within these hospital institutions are not well understood. Methods An integrative review was conducted to examine nursing perspectives of safety and harm related to hospitalised older people. Results The majority of included papers focused on restraint use. Findings reveal that nurses are using restraints and limiting mobility as strategies to manage their key priority of keeping older patients safe, reflecting a narrow conceptualisation of safety. Policy, administrative support and individual nurse characteristics influence restraint use. Safety policies that nurses interpret as preventing falls can encourage the use of restraints and limiting mobility, both of which result in functional losses to older people. Conclusions This complex issue requires attention from clinical nurses, leaders, policy makers and researchers to shift the focus of care to preservation and restoration of function for older people in hospital as a safety priority. Implications for Practice Clinical leaders and nursing teams should engage in developing processes of care that incorporate maintaining and restoring older people's function.

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“…A recent scoping review identified that nursing students' gerontology education is largely focused on learning outcomes—emphasising students' attitudes towards older persons and ageing—and the implementation of nursing education (Koskinen et al, ). While less empirical evidence has focused on the concerns of nurse educators, the shortage of gerontology‐prepared undergraduate educators has been an ongoing theme in the literature (Gilje, Lacey, & Moore, ; Hirst, Lane, & Stares, ; Plonczynski et al, ). The global shortage of nurse educators (Broome, ), particularly undergraduate educators with expertise in older person care (Hirst et al, ), is indeed a concern.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting undergraduate nurse educators' knowledge, skills or attitudes about older persons and their care: An integrative review

Negrin

Slaughter

Dahlke

et al. 2019

Int J Older People Nursing

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Background: Nurses are increasingly expected to provide care for older persons; however, there are too few nurse educators with expertise in older person care to ensure students graduate with the requisite competencies.Methods: An integrative review, using Whittemore and Knafl's framework, was undertaken to identify and synthesise evidence about factors affecting nurse educators' knowledge, skills or attitudes about older persons and their care.Results: Forty-four articles met the inclusion criteria. All but three papers originated in the USA. Content analysis yielded three central themes: external-level factors, employer-level factors and individual-level factors. Findings demonstrated that external funding from philanthropic organisations and government agencies supported many of the national, regional and site-specific initiatives, which were, in many cases, underpinned by professional regulatory frameworks. Negative attitudes of administrators and reduced budgets of educational institutions impeded the availability of such initiatives. Negative attitudes of individual educators towards older person care and the specialty of gerontology constrained their pursuit of such learning, as did their lack of awareness of current gerontology resources. Conclusions:The lack of educators with gerontology knowledge, skills and requisite attitudes requires a focused effort from external and professional bodies, and from educational institutions to ensure the resources are available to enhance educator expertise in gerontology. Rigorous study addressing the factors influencing educators' knowledge, skills or attitudes towards older persons and their care is required. Implications for Practice:Addressing the lack of nurse educator expertise in gerontology could help to ensure new nurses have the required competencies to provide quality older person care. K E Y W O R D Sattitudes, gerontology, knowledge, nurse educator, nursing education, older person, skills

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Gerontological Content in Canadian Nursing and Social Work Programs

Cited by 39 publications

References 23 publications

Factors associated with gerontological career choice: The role of curriculum type and students’ attitudes

Factors associated with gerontological career choice: The role of curriculum type and students’ attitudes

Nursing practice with hospitalised older people: Safety and harm

Factors affecting undergraduate nurse educators' knowledge, skills or attitudes about older persons and their care: An integrative review

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