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    Gerontological Nursing: Scope and Standards of Practice, 2nd Edition
    Gerontological Nursing: Scope and Standards of Practice, 2nd Edition
    Gerontological Nursing: Scope and Standards of Practice, 2nd Edition
    Ebook292 pages3 hours

    Gerontological Nursing: Scope and Standards of Practice, 2nd Edition

    By American Nurses Association

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    About this ebook

    Gerontology Nursing: Scope and Standards of Practice, 2nd Edition covers the full extent of gerontology nursing practice needs in any setting or role and at any level of influence and authority. This specialty’s core accountabilities illustrate that depth and breadth of practice:

    Safety, quality, and risk management
    Patient and population health advocacy
    Clinical care delivery and optimal patient outcomes
    Healthy work environments
    Strategic, financial, and human resource management
    Legal and regulatory compliance
    Networking, partnering, and collaborating
    Accountability/advocacy for their employees
    The publication also addresses 17 updated national standards, which offer a framework for evaluating practice outcomes and goals, as well as for what is expected of all gerontology nurses, and its scope of practice specifies the who, what, where, when, why, and how of their practice.

    This new book is a must-have for the aspiring or practicing gerontology nurse, or any registered nurse.
    LanguageEnglish
    PublisherNursesbooks
    Release dateJul 7, 2019
    ISBN9781947800373
    Gerontological Nursing: Scope and Standards of Practice, 2nd Edition
    Author

    American Nurses Association

    The American Nurses Association (ANA) is the premier organization representing the interests of the nation's 4 million registered nurses. ANA is at the forefront of improving the quality of health care for all. Founded in 1896, and with members in all 50 states and U.S. territories, ANA is the strongest voice for the profession

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      Book preview

      Gerontological Nursing - American Nurses Association

      Library of Congress Cataloging-in-Publication Data available upon request

      The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 4 million registered nurses through its constituent/state nurses associations and its organizational affiliates. The ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public.

      ISBN print 978-1-947800-35-9

      ISBN ePDF 978-1-947800-36-6

      ISBN ePub 978-1-947800-37-3

      ISBN mobi 978-1-947800-38-0

      © 2019 American Nurses Association

      8515 Georgia Ave., Suite 400

      Silver Spring, MD 20910

      All rights reserved.

      First printing, May 2019

      Contributors

      Scope of Gerontological Nursing Practice

      Introduction

      Description of Gerontological Nursing

      Definitions

      History and Evolution of Gerontological Nursing as a Specialty Practice

      Gerontological Nursing Education

      Foundational Gerontological Nursing Education

      Clinical Experiences and Specialty Preparation

      APRN Specialty Education

      Opportunities for Gerontological Education for Other Specialty Practice

      Continuing Education and Professional Development

      Organizational Support in Gerontological Nursing Education

      Specialty Certification

      Integrating the Art and Science of Gerontological Nursing

      Tenets That Characterize Gerontological Nursing Practice

      The How of Gerontological Nursing

      Societal, Cultural, and Ethical Dimensions Describe the Why of Gerontological Nursing

      Societal and Cultural Issues in Gerontological Nursing

      Applying The Code in Gerontological Nursing Practice

      The Where of Gerontological Nursing Practice: Settings and Advocacy for Care

      Trends and Issues in Gerontological Nursing

      Demographic Changes

      Carers

      Regulations, Legislation, and Advocacy

      End-of-Life and Other Ethical Dilemmas

      Intellectual and Developmental Disorders and Other Disabilities

      Palliative Care

      Opioid Crisis

      Workforce Issues

      Research and Development

      Standards of Gerontological Nursing Practice

      Function of Standards

      Standards of Practice

      Standard 1. Assessment

      Standard 2. Diagnosis

      Standard 3. Outcome Identification

      Standard 4. Planning

      Standard 5. Implementation

      Standard 5A. Coordination of Care

      Standard 5B. Health Teaching and Health Promotion

      Standard 6. Evaluation

      Standards of Professional Performance

      Standard 7. Ethics

      Standard 8. Culturally Congruent Practice

      Standard 9. Communication

      Standard 10. Collaboration

      Standard 11. Leadership

      Standard 12. Education

      Standard 13. Evidence-Based Practice and Research

      Standard 14. Quality of Practice

      Standard 15. Professional Practice Evaluation

      Standard 16. Resource Utilization

      Standard 17. Environmental Health

      Glossary

      References and Resources

      Appendix A Gerontological Nursing: Scope and Standards of Practice (2010)

      Index

      Workgroup

      Melodee Harris, PhD, APRN, GNP-BC, AGPCNP-BC, Chairperson

      Carole T. Boutin, DNP, MS, RN, CNE

      Cristy DeGregory, PhD, RN

      Sherry A. Greenberg, PhD, RN, GNP-BC, FGSA

      Bryan R. Hansen, PhD, RN, APRN-CNS, ACNS-BC

      Deborah Jeanmarie, MSN

      Linda J. Keilman, DNP, GNP-BC, FAANP

      Christine Mueller, PhD, RN, FGSA, FAAN

      Dawn Pajerski, MSN, RN

      George Peraza-Smith DNP, GNP-BC, AGPCNP-C, CNE, GS-C, FAANP

      Jennifer Pettis, MS, RN, CNE, WCC

      Julie Stanik-Hutt, PhD, ACNP-BC, GNP-BC, CCNS, FAANP, FAAN

      ANA Staff

      Carol J. Bickford, PhD, RN-BC, CPHIMS, FHIMSS, FAAN—Content editor

      Joi Morris, BS, CAP-OM—Project coordinator

      Lisa M. Myers, Esq.—Legal counsel

      Liz Stokes, JD, RN—Ethics consultant

      Erin E. Walpole, BA, PMP—Project editor

      ANA Committee on Nursing Practice Standards

      Danette Culver, MSN, APRN, ACNS-BC, CCRN

      Patricia Bowe, DNP, MS, RN, Co-Chair

      Renee Gecsedi, MS, RN

      Kirk Koyama, MSN, RN, CNS, PHN, Co-Chair

      Tonette McAndrew, MPA, BSN, RN

      Mona Pearl Treyball, PhD, RN, CNS, CCRN-K, FAAN

      Verna Sitzer, PhD, RN, CNS

      Stacy McCall, MSN, RN, IBCLC

      Ruth Odochilfediora, MSN-ED, RN, Alternate

      Jordan Wilson, BSN, RN, Alternate

      About the American Nurses Association

      The American Nurses Association (ANA) is the premier organization representing the interests of the nation’s 4 million registered nurses. ANA advances the nursing profession by fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on healthcare issues that affect nurses and the public. ANA is at the forefront of improving the quality of healthcare for all. For more about ANA, go to http://www.nursingworld.org/.

      About ANA’s Specialty Nursing Standards

      Since the late 1990s, ANA has partnered with other nursing organizations to establish a formal process for recognition of specialty areas of nursing practice. This includes the criteria for approving the specialty itself and the scope statement, and an acknowledgment by ANA of the standards of practice for that specialty. Because of the significant changes in the evolving nursing and healthcare environments, ANA’s approval of specialty nursing scope statements and its acknowledgment of specialty standards of practice remain valid for 5 years, starting from the publication date of the documents.

      Readership

      The primary readership of the Gerontological Nursing: Scope and Standards of Practice, Second Edition [American Nurses Association (ANA), 2019] consists of registered nurses (RNs), including advanced practice registered nurses (APRNs) and other RNs prepared at the graduate level, working with older adults in a multitude of roles and across varying settings. Students, administrators, educators, researchers, interprofessional colleagues, agencies, and organizations will find this an invaluable reference.

      Legislators, regulators, legal counsel, and the judiciary system will also want to examine this nursing specialty scope of practice statement and accompanying standards of practice and professional performance. In addition, older adults, families, formal and informal carers, communities, populations, and other stakeholders can use this document to better understand and value gerontological nurses, their expertise, and commitment to their practice.

      Introduction

      The scope of gerontological nursing practice describes the who, what, where, when, why, and how of gerontological nursing practice and is presented via a comprehensive, holistic approach characteristic of experienced gerontological nurses. Each of these questions must be answered to provide a complete picture of the dynamic and complex practice of gerontological nursing and its evolving boundaries and membership.

      The global population is aging with people living longer and with multiple chronic conditions. It is a new era for turning the page from dependency and critical illness. Today’s focus is on wellness, health promotion, prevention of illness and injury, as well as keeping older adults physically and mentally healthy, functional, as independent as possible, and with optimal quality of life. The who community for gerontological nursing practice is described as resilient older adults.

      Caregiving is addressed in the context of person- and family-centered care of older adults. Gerontological registered nurses (RNs), graduate-level prepared registered nurses, and advanced practice registered nurses (APRNs) comprise the professional nursing who constituency and have been educated, have been titled, and maintain active licensure and certification to practice gerontological nursing.

      Gerontological nursing occurs when ever there is a need for gerontological nursing knowledge, wisdom, caring, leadership, practice, or education, anytime, anywhere. The definition of gerontological nursing provides a succinct characterization of the what of gerontological nursing practice. Gerontological nursing occurs in any environment where there is an older adult in need of information, care, support, empowerment, or advocacy with relevance across all settings.

      The how of gerontological nursing practice is defined as the ways, means, methods, and manners with which gerontological nurses practice professionally. The how of gerontological nursing is supported by addressing the need for educating the workforce on knowledge, skills, abilities, attitudes, and competence to care for this aging population.

      The why is characterized as gerontological nursing’s response and commitment to the changing needs of society to achieve positive older adult health outcomes. The Code of Ethics for Nurses With Interpretive Statements (ANA, 2015) helps define the why.

      Description of Gerontological Nursing

      Gerontological nursing is an evidence-based nursing specialty practice that addresses the unique physiological, social, psychological, developmental, economic, cultural, spiritual, and advocacy needs of older adults. Gerontological nursing focuses on the process of aging and the protection, promotion, restoration, and optimization of health and function; prevention of illness and injury; facilitation of healing; alleviation of suffering through the diagnosis and treatment of human response; and advocacy in the care of older adults, carers, families, groups, communities, and populations.

      Gerontological nurses, as experts on aging, provide and promote individualized, person-centered, and holistic care of older adults. Gerontological nurses promote quality of life, wellness, autonomy, self-management, shared decision-making, optimal functioning, and comfort from healthy aging to the end of life. Gerontological nurses collaborate with

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