Category Archives: Nursing

Hartford Nursing Grantees’ Resources

Hartford nursing grantees have created a number of helpful aging-related resources for the nursing community. Highlights are listed here:

Curricula

Advanced Practice/Masters Review Materials

Creating a Geriatric Presence in Your School

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POGOe Geropsychiatric Nursing Collaborative Video Tutorial

The Geropsychiatric Nursing Collaborative (GPNC) aims to improve nursing care of older people and better serve their mental health needs by creating and disseminating standard competencies and curricula in geropsychiatric nursing. Project leaders have used various strategic methods to widely disseminate their competencies and resources. In addition to numerous publications, presentations, and live Webinars, they have posted over 40 geropyschiatric tools on the Portal of Online Geriatric Education (POGOe). POGOe is a free public repository of a growing collection of geriatric educational materials in various formats, and aims to promote geriatric education through the provision and encouragement of free exchange of teaching and assessment materials that support the fields of geriatrics and gerontology. In partnering with the POGOe, the GPNC has contributed an impressive amount of curricular material on the site as a way for nurse educators to infuse geropsych content into their courses.

In order to more easily access these materials, Melissa Aselage, PhD, RN-BC, FNP-BC, curriculum consultant for the GPNC and a Hartford BAGNC Scholar/Claire M. Fagin Fellow, developed a tutorial video designed to help users access the Geropsychiatric Nursing Competency Enhancements and Associated Resources located on the site. This tutorial advises users on how to set up a POGOe account and how to easily navigate the four domains by which all of the geropsychiatric nursing resources are ordered: Assessment, Management, Approach to Older Adults, Roles.

The geropsychiatric product series on POGOe has been top-ranked among all content on the site. We are excited to share this tutorial video as a way to promote the work of the John A. Hartford Foundation Geropsychiatric Nursing Collaborative and the Portal of Geriatric Online Education. We encourage you to explore, utilize, and share the geropsych content and all geriatric education content on the POGOe.

GNEC: Ensuring All Nurses Learn to Care Well for Older Adults

We are proud of the accomplishments of our Geriatric Nursing Education Consortium (GNEC). Hartford evaluation grantees Shoshanna Sofaer, DrPH, Amy Shire, MPH, and Jacqueline Fortin, MPA School of Public Affairs, Baruch College published the positive results of an evaluation of GNEC in a brief, “Multiplying Change: Ensuring All Nurses Learn to Care Well for Older Adults.” Click here to read the entire brief in its PDF format, or take a moment to read the Executive Summary, reprinted below.

In 2005, the John A. Hartford Foundation, a leading philanthropy committed to improving the health care of older adults since 1929, made a $2.48 million grant to the American Association of Colleges of Nursing (AACN) to implement the Geriatric Nursing Education Consortium (GNEC). Carried out in collaboration with the Hartford Institute for Geriatric Nursing at New York University College of Nursing, the GNEC project supported the Foundation’s mission by working to achieve the following goals:

  • Increase geriatric content in senior-level undergraduate nursing courses;
  • Educate faculty at baccalaureate schools of nursing nationwide in both the fundamentals of geriatric nursing and in the use of geriatric curriculum resources;
  • Support and empower trained faculty as they champion geriatric education to train colleagues and oversee curriculum revision at their home institutions; and
  • Provide faculty with an array of innovative resources to prepare baccalaureate-educated nurses by inculcating them with the expertise, and nurturing their enthusiasm to care for older adults.

 

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From Controversy to Win-Win

Several years ago, the American Association of Colleges of Nursing (AACN) came to the Hartford Foundation with unsettling news. The AACN, in partnership with other nursing organizations, had developed a new, national consensus model for regulating the licensure, accreditation, certification, and education (LACE) of advanced practice registered nurses (APRNs), which would, in effect, mean the end of geriatric nurse practitioner programs as they currently exist.

The new LACE guidelines would merge the curricula and certification requirements of the previously distinct specialty of geriatric nursing with the much broader field of adult-care nursing for both clinical nurse specialists (CNSs) and nurse practitioners (NPs). Not only were those professionals who were committed to the field of geriatric nursing apprehensive, but as Rachael Watman, senior program officer at the Foundation, explains, “We were somewhat nervous that the gerontology piece would be watered down in the new curricula. We were concerned it would result in “gero-light” competencies, curricular resources, and certification exams.”

AACN was sensitive to JAHF’s concern. “Hartford had a stake in not wanting these programs to turn out nurses who were unable to provide quality care to older adult patients,” says Joan Stanley, senior director of education policy at the AACN and a co-facilitator in developing the consensus model. “To ensure that they really did provide comprehensive preparation to care for the older adult population, we came to the Hartford Foundation and suggested that we needed to create a set of consensus-based standards and competencies for these new or expanded programs in order to ensure nurses would have the knowledge and skills required in the care of older adults.”

As a result, JAHF requested that AACN submit a formal grant proposal. Hartford made the grant in 2008. The solution seemed a good one, although the transition wouldn’t be easy. For many, especially those already established in gero-nursing specialties, the new model proved difficult to accept, but unfortunately, the old way of doing things had produced disappointing results. “The Foundation had funded an effort to develop NPs in gerontology, but nationally the numbers of APRNs specializing in geriatrics were low and did not keep pace with the demographic need,” says Watman. “With the combination of adult and gero, we know that many, many more nurses will graduate with the skills to care for older adults.”

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