What will be the American Nurses Associations gerontological nursing in terms of scope and standards of practice emphasizes?

  • School Silliman University, Dumaguete City
  • Course Title NURSING 102
  • Pages 1

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Provider of care and manager are the roles of a nurse did Nurse Jerry fulfill to hispatients.CHECK FOR UNDERSTANDINGANSWERRATIONALE1. BTo promote optimal dietary adherence, the Gerontological nurse's initial approach isto inquire about the patient's current food preferences and eating habits2. AEvidence-based practice developed with ongoing research into the needs andoutcomes of older adults is the best describes what guides the appropriate nursingcare of an aging adult3. Dthe most productive approach is to use repeated return demonstrations to promotethe patient's retention of the involved tasks4. Drephrase the questions slightly, and slowly repeat them in a lower voice so that thepatient who is unable to respond to questions in a logical manner can respond5. BThe American Nurses Association's Gerontological Nursing: Scope and Standards ofPractice emphasizes that the health status data of older adult patients bedocumented in a retrievable form.

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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

What is the scope and standards of gerontological nursing practice?

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.

Why are standards important in the practice of gerontological nursing?

The standards of gerontological nursing practice are authoritative statements that identify the responsibilities for which gerontological nurses are accountable, reflect the values and priorities of gerontological nursing, are written in measurable terms, and provide a framework for the evaluation of gerontological ...

When did Ana developed the standards and scope of gerontological nursing?

The 1987 ANA Standards of Gerontological Nursing Practice is compared with the 1976 Standards and found to be a new document, not simply a revision.

What is the National gerontological nursing Association?

The National Gerontological Nursing Association (NGNA) is dedicated to the clinical care of older adults across diverse care settings. Members include clinicians, educators, and researchers with vastly different educational preparation, clinical roles, and interest in practice issues.