Implementing Geriatric Models of Care: A Role of the Gerontological Clinical Nurse Specialist—Part I

Conley, Deborah Marks; Burket, Tamara L.; Schumacher, Susan; Lyons, Denise; DeRosa, Susan E.; Schirm, Victoria

doi:10.1016/j.gerinurse.2012.03.009

Cited by 10 publications

(6 citation statements)

References 11 publications

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“…While the process of curricular redesign or enhancement can be quite intense and laborious, Holody and Kolb [13] described strong faculty commitment to effective enrichment of existing curricula, rather than changing the entire curriculum. Gerontology content can be enhanced through infusion of new material and resources in fresh and unexpected ways [14][15][16][17] .…”

Section: Strategies and Suggestionsmentioning

confidence: 99%

“…Research assignments such as critiques can be selected and designated from gerontological research studies [16] . As students progress in courses, gerontology competencies can be explored through research based assignments such as evidence-based practice projects, as well as emphasizing and demonstrating both the application of evidence based plans of care and outcome driven care [14] . Research projects are another example and could include either directed research studies or evidence based practice examples.…”

Section: Evidence-based Practice and Research Activitiesmentioning

confidence: 99%

“…As the APRN student and preceptor work together, the student is exposed to the effectiveness of collaborative influence and engagement to create planned change. Models can be related to overall geriatric concerns or specific components of geriatric care based on common concerns such as access to care, safety, skin care, nutrition and dementia management [14,15] .…”

Section: Evidence-based Practice and Research Activitiesmentioning

confidence: 99%

“…Through defined projects, such as reviews in health care policy courses, or evidence based practice models, APRN students can be assigned to work with their preceptors to identify policies or procedures in need of review or update related to the care of older adults. Influencing public policies which are aimed at the prevention and reduction of risk for functional decline can be a leading role component for APRN students [14] . For example, a student assignment which includes a policy analysis with an extensive literature review, can then be shared with the preceptor and clinical agency.…”

Section: Policy and Procedures Updatesmentioning

confidence: 99%

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Solutions to the conundrum: Implementing adult-gerontology graduate programs with current resources

Payne

Farrell

2014

JNEP

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Implementation of the Consensus Model has created new certifications and advanced practice nursing education programs. The combining or creation of new adult-gerontology programs prepares Advanced Practice Registered Nurses (APRNs) to care for the adult-gerontology population across the health spectrum of wellness to illness. As often occurs with legal or regulatory change, conundrums can develop for graduate nursing education programs during the implementation efforts as they struggle to meet the new requirements before needed resources are available. One of the most challenging problems has been developing the Adult-Gerontology population foci with available current resources. In order to address the conundrum, strategies need to be developed which will enhance graduate nursing education programs, create partnerships with practice and create service learning opportunities. The change of preparing adult-gerontology APRNs capable of delivering care across the spectrum of wellness to illness in a variety of health care settings will eventually help address the needs of society, but there are barriers to the initial implementation which have to be overcome in order to achieve a successful long term solution to the nation's health care requirements. Formative strategies to effectively deal with the conundrums will keep the process of change moving forward. Working together collaboratively in a team approach will enable academia, practice, and the community to identify and bridge the hurdles to achieve success.

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Section: Strategies and Suggestionsmentioning

confidence: 99%

Section: Evidence-based Practice and Research Activitiesmentioning

confidence: 99%

Section: Evidence-based Practice and Research Activitiesmentioning

confidence: 99%

Section: Policy and Procedures Updatesmentioning

confidence: 99%

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Solutions to the conundrum: Implementing adult-gerontology graduate programs with current resources

Payne

Farrell

2014

JNEP

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“…Model of care is the overarching design that provide a particular type of healthcare service and is defined by the stakeholder roles and relationships involved in the model [ 11 – 13 ]. Many studies have been published on the implementation of ANP roles [ 1 , 4 , 9 , 11 , 12 , 14 – 17 ], and some on the evaluation of the models of care [ 18 – 20 ]. Our study intends to document and evaluate how the models of care that include ANPs in primary care for older people have been implemented, since this is essential for the future development of the models of care and for informing their successful large-scale implementation.…”

Section: Introductionmentioning

confidence: 99%

Structure evaluation of the implementation of geriatric models in primary care: a multiple-case study of models involving advanced geriatric nurses in five municipalities in Norway

Antypas

Kirkevold

2020

BMC Health Serv Res

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Background: The Advanced Geriatric Nurse role recently has been introduced into Norway's primary healthcare system, and our study's purpose was to examine the implementation of models of care developed for Advanced Geriatric Nurse in primary care. With a structure evaluation, we tried to identify conditions that affect the implementation of different models of care and understand how these conditions affected the realisation of each model's intentions and goals. Methods: An embedded multiple-case study was used that included five Norwegian municipalities and seven AGNs. The study included data from August 2014 through September 2018. We used data from 25 semi-structured face-to-face interviews with AGNs and stakeholders, documents and statistical information. We used a cross-case procedure with an emphasis on case findings for the analysis of the multiple case study. Results: We analysed the structure-related conditions on two levels: the meso-level and the micro-level. On the meso-level, we found that the conditions that affected the implementation of the different models of care were related to each municipality's structure characteristics, stakeholders' involvement in the design of the models of care, the clarity of the models and their goals, the evaluation of the models and their adaptation. At the micro-level, we found that the conditions that affected the models' implementation were related to the collaboration within the implemented models of care, the role clarity of Advanced Geriatric Nurses themselves and adjustments within the models.

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The gerontological nurse specialist’s core competencies in China: A cross‐sectional study

Bai

Chen

et al. 2020

Nursing Open

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At the end of 2018, there were 249 million people aged 65 years or over in China, accounting for 11.4% of the total population (National Bureau of Statistics, 2018). In China, 74.2% of adults older than 60 years have at least 1 common chronic disease (Cui, Mao, & Wang, 2016). Due to the ageing of their bodily organs, it is difficult for them to maintain their physical and psychological balance (Fried, Ferrucci, Darer, Williamson, & Anderson, 2004). A national survey indicated that 59.2% of older inpatients were over 80 years old, the average number of hospitalizations tripled with increasing age and the number of re-hospitalizations increased significantly (Xu, et al, 2014). Older adults experience greater health risks and have a particularly increased demand for hospital care (Mara, Freitas, Flavia, & Cristina, 2017). Gerontological nurse specialists (GNSs) engage more in the application of elderly care best practices (Conley et al., 2012; Cora, &

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Implementing Geriatric Models of Care: A Role of the Gerontological Clinical Nurse Specialist—Part I

Cited by 10 publications

References 11 publications

Solutions to the conundrum: Implementing adult-gerontology graduate programs with current resources

Solutions to the conundrum: Implementing adult-gerontology graduate programs with current resources

Structure evaluation of the implementation of geriatric models in primary care: a multiple-case study of models involving advanced geriatric nurses in five municipalities in Norway

The gerontological nurse specialist’s core competencies in China: A cross‐sectional study

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