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Comprehensive Geriatric Health Assessment Core Competencies and Skills for Primary Care Nurses: A Scoping Review.
Ioanna Dimitriadou1, Eloranta Sini2,3, Jekaterina Šteinmiller4
1Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41222 Larissa, Greece.
Primary care nurses need specific skills for comprehensive geriatric assessments. This review identifies six key competency domains to improve care for older adults.
Area of Science:
- Geriatric Nursing
- Primary Care
- Health Sciences
Background:
- Comprehensive geriatric assessments (CGAs) are crucial for older adults with complex needs.
- Holistic, patient-centered care relies on effective CGAs.
- Specific nursing competencies for CGAs in primary care require further research.
Purpose of the Study:
- To explore and synthesize core competencies and skills for primary care nurses performing CGAs.
- To identify essential domains for effective geriatric care in primary settings.
Main Methods:
- A scoping review following Arksey and O'Malley's framework.
- Searched PubMed, CINAHL, EMBASE, and Cochrane Library (May 2014-May 2024).
- Utilized a population-concept-context (PCC) framework for study selection.
Main Results:
- Nineteen studies were included.
- Six key competency domains were identified: Clinical Assessment & Diagnostic, Care Planning & Coordination, Professional & Interpersonal, Environmental & Systemic, Technical & Procedural, and Quality Improvement & Evidence-Based Practice.
- These competencies support high-quality, integrated geriatric care.
Conclusions:
- The identified domains offer a framework for enhancing primary care nurses' effectiveness in caring for older adults.
- Standardization of these competencies is vital for consistent, high-quality practice.
- Individualized and coordinated care for older adults can be improved.
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