Implementing a gerontological nursing competencies programme in aged care: Participant experiences

IF 3.7 3区医学 Q1 NURSING International Nursing Review Pub Date : 2024-07-30 DOI:10.1111/inr.13034

Victoria Traynor BSc, PhD, Nicole Britten BScOT, Diane Gibson BA (Hons), DBA (HEM), PhD, Stephanie Munk, BN, RN, Lynn Chenoweth RN, D Com Hlth, BA, MA (Hons), GC Tch/Lrn, M Ad Ed, PhD), Jolan Stokes, Tracey Moroney OAM, RN, BN (Hons), PhD, Karen Strickland RN, BSC, MSc, PGCert, FHEA, FEANS, MACN, PhD, Toni Donaghy , Kasia Bail RN, BN (Hons), GCHE, PhD

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Abstract

Aims

To explore the experience of registered nurses and their mentors in the implementation of the Gerontological Nursing Competencies in long-term aged care and the perceived effectiveness and suitability of the programme to support nurse development.

Background

The global population is ageing and needs a reliable aged-care nursing workforce.

Introduction

Opportunities for education and mentorship for newly qualified and experienced aged-care nurses warrant investigation.

Methods

Qualitative evaluation using semi-structured focus groups was conducted following the implementation of the programme into five not-for-profit long-term aged-care organisations and analysed by a reflexive qualitative thematic approach and reported according to COREQ criteria.

Results

A total of 21 nurses (7 mentors and 14 mentees) participated in six focus groups. Five themes were generated: (1) nurses gained confidence and competence through the programme; (2) the facilitation of suitable mentoring activities and approaches was crucial to success; (3) the programme helps nurses recognise gerontology as a specialty; (4) the programme contributes to building a strategy of recruitment/retention/quality improvement in the sector; (5) barriers, challenges, changes and recommendations were identified.

Discussion

The Gerontological Nursing Competency model, which combined adaptive mentoring supported by reflective practice embedded in a gerontological nursing competencies framework, was perceived to improve nurse confidence and competence to lead and improve nursing standards of care.

Conclusion and implications for nursing and health policy

The evidence-based competencies are an acceptable and effective method for supporting gerontological nurse development. Expansion of, and accessibility to, the programme may aid global responses to aged-care reform, by building the recognition of gerontological nursing as a specialty and contributing towards recruitment, retention and quality care improvements.

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在老年护理中实施老年护理能力计划：参与者的经验。

目的：探讨注册护士及其导师在长期老年护理中实施老年护理能力的经验，以及该计划在支持护士发展方面的有效性和适用性：背景：全球人口老龄化，需要一支可靠的老年护理队伍：方法：采用半结构式问卷进行定性评估：方法：在五家非营利性长期老年护理机构实施该计划后，采用半结构式焦点小组进行定性评估，以反思性定性专题方法进行分析，并根据 COREQ 标准进行报告：共有 21 名护士（7 名指导者和 14 名被指导者）参加了六个焦点小组。结果：共有 21 名护士（7 名指导者和 14 名被指导者）参加了六个焦点小组，并产生了五个主题：(1) 护士通过该计划获得了信心和能力；(2) 合适的指导活动和方法对成功至关重要；(3) 该计划有助于护士认识到老年学是一门专科；(4) 该计划有助于在该行业建立招聘/留用/质量改进战略；(5) 确定了障碍、挑战、变化和建议：讨论：老年护理能力模式将适应性指导与嵌入老年护理能力框架的反思性实践相结合，提高了护士领导和改善护理标准的信心和能力：循证能力是支持老年学护士发展的一种可接受的有效方法。该计划的扩展和可及性有助于全球应对老年护理改革，因为它能使老年护理作为一门专业得到认可，并有助于招聘、留住人才和提高护理质量。

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来源期刊

International Nursing Review 医学-护理

CiteScore

7.90

自引率

7.30%

发文量

审稿时长

6-12 weeks

期刊介绍： International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.