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Gerontological competencies for entry-level professional nursing: Alignment with AACN Essentials.

Christine Mueller1, Selena Gilles2, Ying-Ling Jao3

  • 1School of Nursing, University of Minnesota, 308 Harvard St. SE, Minneapolis, MN 55455, United States of America.

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing
|November 29, 2025
PubMed
Summary
This summary is machine-generated.

New gerontological nursing competencies were developed and validated to align with the American Association of Colleges of Nursing (AACN) Essentials. These 37 competencies ensure nurses are prepared to meet the complex health needs of older adults.

Keywords:
Clinical competenceGeriatric nursingNursing educationNursing students

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Area of Science:

  • Gerontological Nursing
  • Nursing Education
  • Healthcare Competencies

Background:

  • The 2010 Recommended Baccalaureate Competencies for Nursing Care of Older Adults needed updating.
  • The American Association of Colleges of Nursing (AACN) published new core competencies (Essentials) in 2021.
  • This article details the development of new gerontological nursing competencies aligned with the AACN Essentials.

Purpose of the Study:

  • To develop and validate new gerontological nursing competencies.
  • To align gerontological nursing competencies with the AACN Essentials.
  • To provide guidance for nursing curricula preparing nurses for older adult care.

Main Methods:

  • A three-phase process involving expert workgroups and a Delphi process was employed.
  • Phase one: Review and alignment of existing competencies to AACN Essentials (39 competencies).
  • Phase two and three: Expert review and Delphi process leading to 37 validated competencies.

Main Results:

  • Developed 37 gerontological nursing competencies.
  • The competencies map to all AACN Essentials domains.
  • The competencies align with 43 of 45 AACN main competencies.

Conclusions:

  • Nurses are vital in addressing the complex health needs of older adults.
  • Integrating gerontological nursing competencies into curricula is crucial.
  • These competencies will guide faculty in preparing competent nurses for geriatric care.