Are We Ready? Improving Geriatric Nursing Resources in an Acute Care Organization Using the K-P Leadership Model

Saturday, 16 November 2013

Linda Rosenblatt, MSN, RN
Nursing -Medical Surgical Stepdown, Methodist LeBonheur Healthcare, Germantown, TN
Sandra E Hugueley, MSN, RN
Administration, Methodist Extended Care Hospital, Memphis, TN

Learning Objective 1: The learner will be able to identify the five practices of exemplary leadership within the Kouzes-Posner Leadership Model used to promote gerontological nursing.

Learning Objective 2: The learner will be able to identify 5 specific interventions which influenced a hospital organization to support the GRN(Geriatric Resource Nurse)model.

The US population age 65 and older is projected to grow 79% over the next 20 years. Older adults are increasingly the core consumers of hospital services. Nurses play a key role in clinical outcomes of the hospitalized older adult. Geriatric specific education is essential to meet the specialized needs of this population. This project evaluated geriatric nursing resources available to nursing staff in a multisystem acute care hospital.  Lack of ongoing continuing education to support delivery of evidenced based geriatric nursing care, outside of the organizations post acute service line, was identified. Using the Kouzes –Posner Leadership Model, strategies were identified and implemented to promote recognition of geriatric nursing as a specialty in the systems acute care hospitals.  Utilizing an interdisciplinary team approach combining post acute and acute care members, expansion of the NICHE (Nurses Improving Care for Healthsystem Elders) program and a goal to train 25 acute care registered nurses as a GRN (Geriatric Resource Nurse) over a 12 month period was proposed. Data on patient volume, key clinical indicators, and financial implications were presented to influential corporate leaders.  Strategies generated interest among staff and leaders, and a commitment to expand the NICHE program. The project resulted in improving the numbers of geriatric resources in the acute care organization through completed training of 6 acute care registered nurses as a certified GRN. The hospital system currently has 35 total GRNs.  Additionally this education resulted in 7 of those geriatric resource nurses becoming board certified in gerontology.