Gerontologic Nursing Competency Tool And Web Toolbox For Pre-Licensure .

Gerontologic Nursing CompetencyTool and Web Toolbox forPre-Licensure Nursing StudentsDr. Tanya Sudia; Dr. Dora BradleyProfessor Nan Ketcham; Dr. Rebecca MerazProject funding: Texas Higher Education Coordinating BoardNursing Innovation Grant Program: Transition to Practice

This work is supported in part by a grant from theTexas Higher Education Coordinating Board(THECB). The opinions and conclusions expressedin this document are those of the author(s) and donot necessarily represent the opinions or policy ofthe THECB.

Project Leadership TeamTanya Sudia, PhD, RNAssociate Dean for Research and ScholarshipInterim Graduate Program DirectorBaylor University Louise Herrington School of NursingDora Bradley, PhD, RN-BC, FAANVP of Nursing Professional DevelopmentBaylor Scott & White Health * (at time of project)Associate Dean for Strategic PartnershipsBaylor University Louise Herrington School of NursingNan Ketcham, PhD(c), RN, CNEUndergraduate Program DirectorBaylor University Louise Herrington School of NursingRebecca Meraz, PhD, RNClinical Assistant ProfessorBaylor University Louise Herrington School of Nursing

Practice PartnersBaylor Scott & White Health System Baylor University Medical Center Baylor Institute for Rehabilitation

Project GoalDevelop and pilot ageriatric competencytool and toolbox forutilization with prelicensure nursingstudents.

Tool Development InitialDevelopment Utilization of National Guidelines Resources from practice settings Consultation with practice partners Input from clinical faculty Student input

Reviewed by National Panel of ExpertsRevisions based on Reviewer feedback2nd Review by National Panel of Experts also reviewed by faculty and practice partnersIncorporation of additional feedbackRevised pilot version utilized

5 Key Competency Areas Physical Care of the Older AdultCognitive Function of the Older AdultSafety of the Older AdultCommunication with the Older AdultCare Coordination for the Older Adult

Proficiency Levels1 Able to perform skill with prompting andassistance from preceptor2 Initiates without prompting and safelyperforms skill with assistance from preceptor3 Initiates and safely performs skillindependently

Gerontological Nursing CareCompetency Tool

Physical Careof the Older Adult Skin IntegrityEliminationNutritional StatusPainSleep

Cognitive Functionof the Older Adult Assesses cognitive function using standardized assessment toolsAssesses support networkUses measures to enhance cognitive functionExplains assessments and interventionsAssesses and documents effectiveness of interventions

Communication with theOlder Adult BarriersStrategies Ensure adaptive devices are usedAcquire support for language differencesSpeak slowly, distinctly, facing personMake eye contactRephrase rather than repeatDecision-Making

Safety of the Older Adult Fall PreventionMistreatmentMedications Comprehensive medication assessmentPerforms reconciliation of medications at dischargeAssesses the ability to obtain and self-administermedicationsProvides patient education as needed for the olderadult and caregiversAssesses understanding of medication usingappropriate strategies

Care Coordinationfor the Older Adult Delegation Referrals Assesses for need of referral(s) for the older adultDetermines available referral source(s)Includes older adult and caregiver(s) in the processClearly communicates pertinent information when makingreferrals Ensures completion of referral process

Gerontological Nursing CareToolbox Resourcesfor Students and Faculty Apps Web-basedmodules Evidence-based practice references

Compilation of ResourcesInteractive Mobile Applications Clinical and Applied Research References BHCSClip.org The Hartford Institute for Geriatric Nursing ConsultGeri

Phase II PartnerSchools of Nursing5 Texas Colleges/Universities4 Public Schools of Nursing1 Private University2 ADN Programs3 BSN Programs

Partner Schools of Nursing College of the Mainland Midwestern State University Mountain View College Texas A&M – Commerce University of the Incarnate Word

Completed Tools by SiteSiteCompleted Tools12382903107412853069Total:602

Participant Data: StudentsWhite10%Black20%56%14%HispanicOther

Proficiency Levels1 Able to perform skill with prompting andassistance from preceptor2 Initiates without prompting and safelyperforms skill with assistance from preceptor3 Initiates and safely performs skillindependently

Physical Care

Cognitive Function

Safety

Communication

Care Coordination

Survey Results - Tool

Survey Results - Toolbox

Student Comments The tool is very easy to understandIt was organized and easy to accessThe toolbox was very easy to navigateThe tool is very comprehensiveAdd section on end-of-life careThe tool provided good informationabout what is expected to be competentin geriatric care

Web-based Tool and ToolboxFuture Toolbox Host Website:Texas Nurses Association(TNA)

Tanya Sudia@Baylor.edu

Baylor University Louise Herrington School of Nursing Dora Bradley, PhD, RN-BC, FAAN VP of Nursing Professional Development Baylor Scott & White Health * (at time of project) Associate Dean for Strategic Partnerships Baylor University Louise Herrington School of Nursing Nan Ketcham, PhD(c), RN, CNE Undergraduate Program Director