Gerontological Nursing Competency and Toolkit for Prelicensure Nursing Students in DEU and Non-DEU Settings

Monday, 30 October 2017: 9:50 AM

Tanya Marie Sudia, PhD1
Dora Bradley, PhD2
Nan Ketcham, RN, CNE1
Rebecca Meraz, PhD, RN, CCRC1
(1)Louise Herrington School of Nursing, Baylor University, Dallas, TX, USA
(2)Office of Chief Nurse Executive, Baylor Scott & White Health, Dallas, TX, USA

The aging population is recognized by both the Institute of Medicine (2010) and the HealthyPeople 2020 initiative as a vulnerable population. HealthyPeople 2020 emphasized the need for identifying risk and promoting health in the older adult to foster quality of life for the aging population. Improving geriatric competencies of pre-licensure nursing students has the potential to influence the quality of care provided for the aging population in the State of Texas where 259.7 hospital discharges occur per every 1,000 Medicare enrollees annually (Dartmouth, 2017). Touhy and Jett (2016) indicated that by 2020 more than 75% of nurses’ time will be spent in caring for the older adult. To meet the national and global challenges of providing quality nursing care to an ever-increasing aging population, the collaborative project team was established to address this challenge. Specifically, while gerontological nursing competencies have been identified for practicing registered nurses, there were no identified tools or toolkits designed for utilization among pre-licensure nursing students and their faculty.

The purpose of this project was to develop a model for the incorporation and attainment of key gerontological nursing competencies for pre-licensure nursing students into clinical experiences within Designated Education Units (DEU) in two clinical settings and among non-DEU settings across the state of Texas. Supporting targeted learning environments with key nursing staff engagement in the development and evaluation of essential skills was also explored. As part of this project, a Gerontological Competency tool was developed and piloted. Additionally, during this project a Gerontological Nursing Toolkit for pre-licensure nursing students and faculty were also developed. Both the tool and toolkit are designed for incorporation into traditional clinical settings, DEU settings, and skills and simulation laboratories in schools of nursing. This project provides a model for standardization of key gerontological nursing competencies attainment throughout a pre-licensure program; targeting workforce readiness for an aging population in need of specialized and complex holistic nursing care. The tool and toolbox can be utilized by pre-licensure nursing students and faculty in any setting and can be translated for global utilization.

This presentation includes a discussion of the Gerontological Competency tool development and validation among pre-licensure nursing students throughout the state of Texas. Also addressed is the development and key components of the Gerontological Nursing Toolkit. Data from initial student groups comparing experiences in DEU and non-DEU settings will also be presented. Lastly, the presenters provide strategies for and processes of engaging collaborating institutional DEU and other nursing staff in a novel manner that can be adapted across national and international settings.