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Gerontological nursing competencies: A scoping review.

Kaitlyn Tate1, Seda Guney2, Claudia Lai3

  • 1Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy 11405-87 Ave NW, Edmonton, AB T6G 1C9, Canada.

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|November 21, 2023
PubMed
Summary

Nurses need better gerontological training. This review found limited global progress in developing entry-level competencies for nursing students, highlighting the need for international collaboration to improve elder care.

Keywords:
Baccalaureate nursesGerontologyNurse educationNursing competenciesScoping reviewStandardsStudent nurses

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Area of Science:

  • Gerontology
  • Nursing Education
  • Healthcare Competencies

Background:

  • Baccalaureate nursing programs often fail to adequately prepare nurses for elder care.
  • Gerontological competencies are proposed to enhance graduating nurses' skills in working with older adults.

Purpose of the Study:

  • To review the global status of gerontological entry-to-practice competencies and standards for nurses educated at the baccalaureate level.

Main Methods:

  • A comprehensive scoping review was conducted using the Joanna Briggs Institute (JBI) framework and PRISMA-ScR guidelines.
  • Extensive literature searches were performed across multiple databases (Medline, EMBASE, CINAHL, Scopus, Cochrane Library) and grey literature sources.
  • Inclusion criteria focused on baccalaureate nursing programs, gerontological competencies/standards, and the care of older adults.

Main Results:

  • Eight sources were identified, including academic papers and national nursing association documents on gerontological competencies.
  • Key competencies emphasize person-centered care, relational and cultural competence, professional values, and elder abuse screening.
  • Some progress exists in integrating these competencies into curricula, with studies examining student nurses' competency levels.

Conclusions:

  • While there is growing interest and some development of gerontological competencies globally, progress remains insufficient.
  • A coordinated international effort is essential for sharing knowledge and expertise to establish unified gerontological competencies.
  • Improved international standards are crucial for enhancing the quality of nursing care provided to older adults worldwide.