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From Competencies to Outcomes:

From Competencies to Outcomes:. Nursing Care of Older Adults. Christine Mueller, PhD, RN, FGSA, FAAN Professor, University of Minnesota, School of Nursing. April 11, 2014. Competency.

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From Competencies to Outcomes:

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  1. From Competencies to Outcomes: Nursing Care of Older Adults Christine Mueller, PhD, RN, FGSA, FAAN Professor, University of Minnesota, School of Nursing April 11, 2014

  2. Competency In two minutes– make a list of knowledge, skill and attitude competencies specific to nursing care of older adults.

  3. Outcomes • Improvement in functional status • Skin integrity • Continent In two minutes– make a list of quality of care and quality of life outcomes for residents in nursing homes or assisted living facilities. • Engagement in meaningful activities • Dignity • Satisfaction

  4. Types of competencies • Gerontological • Quality and safety • End of life • Cultural • Culture change • Others?

  5. The Future Nursing --Core Competencies • Patient Centered Care • Professionalism • Leadership • Systems based practice • Informatics and technology • Communication • Team work and collaboration • Quality improvement • Evidence-based practice

  6. Competencies specific to nursing care of older adults • AACN Competencies to improve care of older adults • Multidisciplinary Competencies in the Care of Older Adults • Geropsychiatric nursing competencies • Geriatric Competencies for nurses in hospitals • Nurse competencies for nursing home culture change • Geriatric nursing competencies for nursing specialties

  7. Olderadultfocus.org competencies Awareness • Increase own and others' awareness of attitudes, values, and expectations about aging and their impact on care of older adults and their families.

  8. Olderadultfocus.org Competencies Communicate • Communicate effectively, respectfully, and compassionately with older adults and their families/ caregivers.

  9. Olderadultfocus.org Competencies Assess • Use appropriate assessments for the functional, physical, cognitive, psychological, social, and spiritual status of older adults.

  10. Olderadultfocus.org Competencies Adapt • Plan, implement, and evaluate care that is adapted to meet the individual functional, physical, cognitive, psychological, social, and endurance capabilities of older adults.

  11. Olderadultfocus.org Competencies Maximize • Plan, implement, and evaluate care that assists older adults and their families/caregivers to meet personal goals, express preferences, maximize function, maintain desired level of autonomy and independence, and live in their chosen environment.

  12. Olderadultfocus.org Competencies Optimize • Plan, implement, and evaluate care that promotes optimal aging.

  13. Olderadultfocus.org Competencies Decisions • Guide older adults and their families/caregivers in making complex decisions that arise with aging.

  14. Olderadultfocus.org Competencies Systems • Work effectively within and across organizational systems to promote quality care for older persons.

  15. Olderadultfocus.org Competencies Advocate • Advocate for health, social, and financial needs of older adults at the policy level.

  16. Teaching/Learning to Achieve Competence

  17. Activity • Objective: Apply teaching and learning strategies that can be used with nursing students and nursing staff to achieve competencies in nursing care of older adults.

  18. Directions • At your tables you have: • One of the nine competencies • Several teaching strategies • Each competency has a short list of components that will help to build the competency. • Select a component and select a teaching strategy • Create a learning activity to address learning around the component using the teaching strategy

  19. Example • Competency: Assess • Component: Recognize atypical presentation of illness in older adults • Teaching strategy: Games (Structured group interactive exercise or contest with rules to promote new perspectives , introduce new concepts, reinforce definitions of terms) • Teaching/learning strategy Develop a Jeopardy game that includes a category of atypical presentation of illness in older adults. Use the jeopardy game in a class setting with students.

  20. Resources • See handout

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