增强多样性以转变未来老年护理队伍

Kelly D. Rosenberger, Lisa Hickman, Maripat King, Krista Jones
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摘要

目标:越来越多的老年人对医疗系统提出了前所未有的要求,而老年护理人员的数量却没有跟上,预计差距还会扩大。与此同时,老年人的种族和族裔越来越多样化,而护理人员缺乏多样性。鉴于迫切需要增加和扩大受过老年护理培训的多样化护士的数量,实施了一项创新的可持续护理计划“增强老年护理的多样性”(EDGE),以培训不同的老年护理学生,从而扩大劳动力队伍,满足服务不足的老年人的需求。方法:实施老年综合培训计划,通过建立在线老年培训模块、老年临床实习体验式学习和远程健康培训提供教学教育。EDGE为学生提供助学金。通过研讨会和导师制与同伴辅导相结合的计划来提高保留率,以实现协同方法。实施了将边缘教育学者与服务不足人口的就业机会联系起来的战略。利用定量和定性数据的混合方法对项目影响进行了检查,以评估满意度并为项目改进提供信息。对数据进行分析,并利用快速循环质量改进进行监测和质量改进。结果:EDGE完成了40名护理专业学生的招募、入学和老年医学培训。EDGE学者表示对该项目感到满意。结论:弱势护生受益于EDGE计划。从长远来看,EDGE计划的影响极有可能通过多样化的老年护理培训队伍来改善服务不足的老年人的护理。
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Enhancing diversity to transform the future geriatric nursing workforce
Objective: The growing number of older adults has placed unprecedented demands on the healthcare system while the number of geriatric nurses has not kept pace, and the gap is expected to widen. Simultaneously the older adult population is becoming more racially and ethnically diverse while the nursing workforce lacks diversity. Given the urgent need to increase and expand the number of diverse geriatric trained nurses, an innovative sustainable nursing program, Enhancing Diversity in Geriatric Nursing (EDGE) was implemented to train diverse nursing students in geriatrics thereby expanding the workforce and meeting the needs of underserved older adult populations.Methods: An Integrated Geriatric Training Program was implemented to provide didactic education through established online geriatric training modules, experiential learning through geriatric clinical placements, and telehealth training. EDGE supported students with stipends. Retention was enhanced via workshops and a combined mentorship program with peer tutoring to achieve a synergistic approach. Strategies were implemented to connect EDGE scholars to employment opportunities with underserved populations. Program impact was examined with a mixed-methods approach utilizing both quantitative and qualitative data to evaluate satisfaction and inform program refinement. Data were analyzed and Rapid Cycle Quality Improvement was utilized for monitoring and quality improvement.Results: EDGE resulted in the recruitment, enrollment, and geriatric training of 40 nursing students. EDGE scholars indicated program satisfaction.Conclusions: Disadvantaged nursing students benefitted from the EDGE Program. Longer term, the impact of the EDGE program has a strong likelihood for improving the care of underserved older adults by a diverse geriatric-trained nursing workforce.
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