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Geriatrics and the Advanced Practice Curriculum

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Geriatrics and the Advanced Practice Curriculum. Mathy Mezey, EdD, RN, FAAN, Director ... Need for geriatrics content in all Advanced Practice nursing programs ... – PowerPoint PPT presentation

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Title: Geriatrics and the Advanced Practice Curriculum


1
Geriatrics and the Advanced Practice Curriculum
  • Mathy Mezey, EdD, RN, FAAN, Director
  • The John A. Hartford Foundation Institute for
    Geriatric Nursing
  • The Independence Foundation Professor of Nursing
    Education New York University

    Division of Nursing

WWW.HARTFORDIGN.ORG
2
Older Patients are a hospitals Core Business
  • As the number of elderly Americans rises in the
    years ahead, hospitals will be taking care of a
    larger proportion of older, sicker patients ...
    treating more older patients, using more
    technology, and being held accountable for higher
    levels of quality will present formidable
    challenges for the future hospital workforce
  • (Beurhaus et al, Health Affairs, 2002, 21(5) pg.
    127)

WWW.HARTFORDIGN.ORG
3
Older Patients are 48 of hospital admissions
  • 60 of adult primary visits
  • 80 of home care visits
  • 63 of patients with cancer
  • 60 of visits to cardiologists
  • 53 of visits to urologists
  • 52 of visits to ophthalmologists
  • 46 of patients in critical care

WWW.HARTFORDIGN.ORG
4
As compared to other adults, Older Patients have
  • Longer lengths of stay (7.8 days vs. 5.4 days)
  • Stable discharge rates
  • Higher rates of re-admission within 30 days
  • Documented functional declines and iatrogenesis

WWW.HARTFORDIGN.ORG
5
Advanced Practice Nurses NP
Berlin LE, Stennett J, Bednash, GD. (2003)
2002-2003 Enrollment and Graduations in
Baccalaureate and Graduate Programs in Nursing.
Washington, DC American Association of Colleges
of Nursing.
WWW.HARTFORDIGN.ORG
6
Advanced Practice Nurses CNS
Berlin LE, Stennett J, Bednash, GD. (2003)
2002-2003 Enrollment and Graduations in
Baccalaureate and Graduate Programs in Nursing.
Washington, DC American Association of Colleges
of Nursing.
WWW.HARTFORDIGN.ORG
7
Advanced Practice Nurses continued
  • Fewer than 4,200 GNPs/ GCNSs nationally
  • Less than 300 GNP graduates (2002)

WWW.HARTFORDIGN.ORG
8
Advanced Practice Nurses continued
  • 1999 - 2000
  • 63 GNP programs 200 graduates
  • 1999 - 2000
  • 245 FNP programs 3,440 graduates
  • 115 ANP programs 988 graduates

WWW.HARTFORDIGN.ORG
9
Meeting healthcare demands Need for geriatrics
content in all Advanced Practice nursing programs
  • How does one choose what geriatric content to
    include in the advanced practice nursing program?

WWW.HARTFORDIGN.ORG
10
Development of Recommended Baccalaureate
Competencies and Curricular Guidelines in
Geriatric Nursing Care
  • In 2000, AACN and the Hartford Institute
    developed baccalaureate core competencies, Older
    Adults Recommended Baccalaureate Competencies
    and Curricular Guidelines for Geriatric Nursing
    Care
  • AACN/Hartford Institute for Geriatric Nursing
    joint publication as companion piece to the
    Essentials document
  • Available on AACN website http//www.aacn.nche.ed
    u/Education/gercomp.htm

WWW.HARTFORDIGN.ORG
11
Development of Competencies continued
  • Process for developing baccalaureate
    core competencies
  • How competencies drive change
  • Curriculum mapping
  • NCLEX
  • Hospital Competencies

WWW.HARTFORDIGN.ORG
12
Development of Competencies continued
  • In 2003, AACN and the Hartford Institute are
    developing core competencies for Advanced
    Practice programs of nursing
  • Today is your opportunity to participate and
    offer feedback

WWW.HARTFORDIGN.ORG
13
Gerontological Certification
  • Geriatric content will be essential because it
    will be on certification exam
  • Healthcare demands for certification
    (i.e. Magnet Status)

WWW.HARTFORDIGN.ORG
14
Gerontological Certification continued
  • 400,000 nurses who are members of specialty
    nursing associations that work primarily with
    older adults
  • Grant with ANA/ANF to impart geriatric content to
    these nurses
  • special interest groups
  • technical assistance materials, speakers
  • certification

WWW.HARTFORDIGN.ORG
15
Prepare nursing students to meet the changing
tides
  • 13 of Americans (35 million) are gt65
  • By 2050, 20 of Americans (78 million) will be
    gt65

WWW.HARTFORDIGN.ORG
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