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gerontological nurse practitioner

Kimberly Schoonover, Andrew Herber, Sally Heusinkvelt, Hemang Yadav, M Caroline Burton
BACKGROUND: Little is known about how certain educational interventions may improve informed code status discussions by physician assistant (PA) and nurse practitioner students. METHODS: This is a prospective, prospective, single academic center pilot study utilizing a short case-based PowerPoint that reviewed the differences between code status choices and the likelihood of survival to hospital discharge of attempted resuscitation after a cardiac arrest. Training occurred between September 1, 2017, and May 31, 2018...
November 1, 2018: Journal of Palliative Care
M J Connolly, J B Broad, T Bish, X Zhang, D Bramley, N Kerse, K Bloomfield, M Boyd
INTRODUCTION: The complexity of care required by many older people living in long-term care (LTC) facilities poses challenges that can lead to potentially avoidable referrals to a hospital emergency department (ED). The Aged Residential Care Intervention Project (ARCHIP) ran an implementation study to evaluate a multidisciplinary team (MDT) intervention supporting LTC facility staff to decrease potentially avoidable ED presentations by residents. METHODS: ARCHIP (conducted in 21 facilities [1,296 beds] with previously noted high ED referral rates) comprised clinical coaching for LTC facility staff by a gerontology nurse specialist (GNS) and an MDT (facility senior nurse, resident's general practitioner, GNS, geriatrician, pharmacist) review of selected high-risk residents' care-plans...
November 2018: Maturitas
Maria C Dolce, Judith Haber, Judith A Savageau, Erin Hartnett, Christine A Riedy
BACKGROUND AND PURPOSE: Nurse practitioners (NPs) are a significant segment of the US primary care workforce and have a pivotal role in improving access to oral health (OH) care. The purpose of this research was to assess OH curricular integration in primary care NP programs and to examine factors that influence integration and satisfaction with graduates' level of OH competence. METHODS: A cross-sectional, national survey of NP programs (N = 466) was conducted using an electronically distributed 19-item, self-administered questionnaire...
November 2018: Journal of the American Association of Nurse Practitioners
Erin Joyce, Lisa Johnson
The adult-gerontology acute care nurse practitioner (A-GACNP) engages in all levels of care within the acute care setting. The postanesthesia care unit (PACU), a specialized entity within the acute care environment, encounters patients at their most vulnerable through various stages of awakening. The evolving state in the health care system today creates opportunity for innovations in the hospital setting that have yet to see the advantages of the nurse practitioner. The A-GACNP possesses the education, training, and skill necessary to treat patients in the critical stages of recovery from anesthesia...
August 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Miriam Anne Coyle, Hui Chen Chang, Pippa Burns, Victoria Traynor
The current integrative literature review explored the impact of interactive delirium care education in facilitating knowledge transfer to health care practitioners and improving health outcomes for older adults. Academic databases, including MEDLINE, CINAHL, and Web of Science, were searched using the terms delirium and simulation or interactive education. Selected articles were analyzed using Critical Appraisals Skills Programme tools. Twenty studies were reviewed and three themes generated to explain the current understanding of the impact of interactive delirium care education on outcomes for: (a) individuals with delirium; (b) organizational health care; and (c) health care practitioners...
August 1, 2018: Journal of Gerontological Nursing
Ruth Kleinpell, Michelle L Cook, Diane L Padden
BACKGROUND AND PURPOSE: Data from national surveys on the practice of nurse practitioners (NPs) provides valuable information on aspects of practice, demographic characteristics of providers and patients, plans for continued employment, and role satisfaction. The American Association of Nurse Practitioners (AANP) has been conducting the AANP Sample Survey since 1988. METHODS: The most recent AANP Sample Survey was conducted in 2016 with a random stratified survey of 40,000 NPs...
March 2018: Journal of the American Association of Nurse Practitioners
Lisa Schaeg Merritt, Allison N Brauch, Annah K Bender, Daria Kochuk
BACKGROUND: The purpose of this pilot study was to develop and implement a Web-based, e-Visit simulation experience for nurse practitioner students and evaluate student satisfaction and perceived learning. METHOD: The convenience sample consisted of 26 senior-level Master of Science in Nursing students in the Pediatric Nurse Practitioner and Adult-Gerontology Nurse Practitioner programs. A Likert survey was used for evaluation that measured items from 1 (strongly disagree) to 5 (strongly agree)...
May 1, 2018: Journal of Nursing Education
Krystle A P Penders, Ezra van Zadelhoff, Gina Rossi, Inge G P Duimel-Peeters, Sebastiaan P J van Alphen, Job F M Metsemakers
Although the Gerontological Personality Disorders Scale (GPS) can aid in detecting personality disorders (PDs) in older adults in general practice, its availability does not guarantee its use. This study therefore aimed to examine the feasibility and acceptability of the GPS from an older adult, informant, and professional perspective. A convergent parallel mixed methods study was conducted. Qualitative data were collected through semistructured interviews with four general practitioners and four nurse practitioners and were analyzed thematically...
March 26, 2018: Journal of Personality Assessment
Tara J Schapmire, Barbara A Head, Whitney A Nash, Pamela A Yankeelov, Christian D Furman, R Brent Wright, Rangaraj Gopalraj, Barbara Gordon, Karen P Black, Carol Jones, Madri Hall-Faul, Anna C Faul
A fragmented workforce consisting of multiple disciplines with varying levels of training and limited ability to work as a team often provides care to older adults. Interprofessional education (IPE) is essential for preparing practitioners for the effective teamwork required for community-based, holistic, person-centered care of the older adults. Despite numerous programs and offerings to advance education and interdisciplinary patient care, there is an unmet need for geriatric IPE, especially as it relates to community-dwelling older adults and caregivers in medically underserved areas...
2018: Advances in Medical Education and Practice
Lindsay Mullins, Lisa E Skemp, Meridean L Maas
Nurse preparation and role in community models of care for older adults is not well documented. The purpose of the current structured scoping literature review was to identify nurse-led or nurse-involved community models of care for older adults, articulate the nurse's role and preparation in the model, and identify Triple Aim policy implications. Literature from 2008 through 2014 yielded 34 models identified in 51 articles. Twenty-one of 34 models were evaluated and none clearly articulated the full impact of a nurse role...
December 1, 2016: Journal of Gerontological Nursing
(no author information available yet)
This network aims to act as an all-Wales focus for nurses interested in or working with older people. It aims to promote a positive image of ageing, raise the profile of the contribution of nursing to care and support of older people in all care environments, improve understanding of the nursing contribution within the unified assessment, act as an expert resource for older people and influence policies affecting the health and care of older people in Wales.
April 1, 2004: Nursing Older People
Jayne Wright, Emma Pritchard
The RCN Gerontological Nursing Programme (GNP) is involved in a wide range of practice development projects within the independent sector and the NHS. These focus on developing person-centred care through the transformation of cultures and attitudes to older people. Practice development involves focusing on practitioners' learning within the workplace and utilises a range of activities.
December 1, 2001: Nursing Older People
Vicki Traynor, Jan Dewing
The Admiral nurses competency project was funded by the Dementia Relief Trust and carried out by the RCN Gerontological Nursing Programme (GNP) over 20 months. Working with the Admiral nurses, part-time project facilitators used an action research approach to develop a competency framework with higher level competencies. Last year we described the methods being used ( Traynor and Dewing 2001 ). This article describes the final stages and implications of the work for specialist practitioners and nurses working with people with dementia and their carers...
May 1, 2002: Nursing Older People
Donnamay Tegan Brown, Juanita Louise Westbury
HOW TO OBTAIN CONTACT HOURS BY READING THIS ARTICLE INSTRUCTIONS XX contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at http://goo...
July 5, 2016: Journal of Gerontological Nursing
Adam G Golden, Peixin Xu, Thomas T H Wan, Saul Barry Issenberg
OBJECTIVES: With a continual shortage of geriatricians, adult-gerontology primary care nurse practitioners have assumed a greater role in the delivery of outpatient care for older adults. Given the long duration of physician training, the high cost of medical school, and the lower salaries compared with subspecialists, the financial advantage of a career as a geriatrician as opposed to a nurse practitioner is uncertain. This study compares the estimated career earnings of a geriatrician and an adult-gerontology primary care nurse practitioner...
July 2016: Southern Medical Journal
Mary Benbenek, Mary Dierich, Jean Wyman, Melissa Avery, Catherine Juve, Jane Miller
Determining when advanced practice registered nurse students are safe and competent for beginning-level practice is challenging. This article describes the development and testing of a capstone objective structured clinical examination designed to evaluate the practice readiness of students enrolled in the family, adult-gerontology, women's health nurse practitioner, and nurse-midwifery tracks. Lessons learned from this process and how they were used to enhance the curricula are discussed.
November 2016: Nurse Educator
Clara Maestre-Miquel, Carmen Figueroa, Juana Santos, Paloma Astasio, Pedro Gil
OBJECTIVE: To establish the profile of elderly patients, and to assess current preventive actions in hospitals, geriatric residences, and different health-care centres in Spain. DESIGN: Cross-sectional descriptive study, based on a questionnaire to be answered by doctors who treat the elderly population in Spain (2013). SETTING: Health-care centres from different regions of Spain. PARTICIPANTS: A total of 420 practitioners from hospitals, residences and other community centres, with data from 840 geriatric clinics...
October 2016: Atencion Primaria
Haron Yafa, Rubinstein Dorit, Riba Shoshana
PURPOSE: Nurse practitioners (NPs) have recently been partially introduced by the Israel Ministry of Health. This study examines the attitudes among gerontological physicians and nurses toward the scope of practice and effects on healthcare quality of the new role of gerontological NPs (GNPs). DATA SOURCES: A descriptive survey methodology, with a cross-sectional design, was used. CONCLUSIONS: According to about 50% of the respondents, GNPs would be expected to have various positive effects on health care, such as reducing the number of referrals to emergency care, as well as readmissions...
August 2016: Journal of the American Association of Nurse Practitioners
Laura McRee, Pamela G Reed
An impending policy change in Medicare will provide reimbursement for the end-of-life conversation. The rise in numbers of older adults who face serious illness coupled with advances in healthcare technology are increasing the need for providers to address end of life issues in the acute care setting. Doctoral-level nurse practitioners who specialize in acute care of older adults are poised to be leaders and facilitators of this conversation in a particularly challenging context-the intensive care unit. The focus of this article is the new end-of-life policy in relation to the particular contributions that adult gerontology acute care nurse practitioners offer in the acute care setting...
January 2016: Nursing Science Quarterly
Norma Stephens Hannigan, Kristine Takamiya, Leonel Lerebours Nadal
BACKGROUND: Interprofessional education and global health are priorities in health professions education. Health organizations such as the Institute of Medicine and the World Health Organization recommend that education of health care providers be interdisciplinary and use technology. METHOD: A webinar took place between adult gerontology nurse practitioner (AGNP) students in the United States and the providers of a clinic in the Dominican Republic. The providers from the Dominican Republic presented a case typical of their practices but one with which AGNP students were not familiar...
December 2015: Journal of Nursing Education
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