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Updated: Mar 14, 2026

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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Specialist nurses for older people.
Nicky Hayes1, Linda Nazarko, Dr Gwyn Grout2
1King's College Hospital NHS Foundation Trust and the Care Homes Support Team.
Nursing Older People
|October 8, 2016
Summary
Specialist nursing roles for older people are shaped by policy and nurse characteristics, not solely patient needs. This challenges existing theories and impacts nursing education and training.
Area of Science:
- Gerontology
- Nursing Science
- Healthcare Policy
Background:
- Specialist nursing roles are increasingly common in older adult care.
- The integration of specialist nursing expertise within existing healthcare frameworks remains unclear.
- Existing theories may not adequately capture the complexities of specialist nursing practice for older people.
Purpose of the Study:
- To explore the factors influencing the daily activities of specialist nurses for older people.
- To examine the alignment of specialist nursing roles with established nursing theories.
- To identify implications for the education and training of specialist nurses in older adult care.
Main Methods:
- Qualitative analysis of specialist nursing roles in older adult care.
- Exploration of the drivers behind specialist nurse activities.
- Discussion of theoretical frameworks relevant to older people's nursing.
Main Results:
- Specialist nurse activities appear driven by policy, resources, and individual nurse characteristics.
- A disconnect exists between current specialist nursing roles and universal service user needs or wishes.
- Challenges identified in aligning existing specialist nursing posts with theoretical models.
Conclusions:
- The nursing profession must clarify the position and function of specialist nursing expertise.
- Current specialist nursing practice for older adults requires re-evaluation in light of identified drivers.
- Implications for curriculum development and training programs for specialist nurses are significant.
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