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Clinical Course Development on Age-Friendly Health Systems 4Ms Care in Nursing Homes.

Yurun Cai¹, Beth Schwartz², Taylor McMahon³

¹Department of Health and Community Systems, University of Pittsburgh School of Nursing, Pittsburgh.

The Journal of Nursing Education

|March 6, 2026

Summary

Geriatric nursing education is crucial for the aging US population. A nursing home clinical course using the Age-Friendly Health Systems (AFHS) 4Ms framework improved student geriatric care competencies.

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Area of Science:

Geriatric Nursing Education
Clinical Curriculum Development
Healthcare Workforce Preparedness

Background:

The aging US population necessitates specialized geriatric care, especially in long-term care settings.
Prelicensure nursing students require enhanced geriatric training through clinical curricula in nursing homes (NH).

Purpose of the Study:

To develop and implement an elective clinical course for undergraduate nursing students focused on geriatric care.
To evaluate the effectiveness of a nursing home-based clinical curriculum utilizing the Age-Friendly Health Systems (AFHS) 4Ms framework.

Main Methods:

An 8-week, 1-credit elective clinical course was designed and delivered via an academic-practice partnership with a nursing home.
Undergraduate nursing students participated in weekly learning activities and developed case studies applying the AFHS 4Ms framework.
Student and faculty competency ratings were assessed using pre- and post-course surveys.

Main Results:

Post-course surveys indicated positive improvements in student competency, particularly in clinical assessment and person-centered care.
Qualitative feedback revealed enhanced student understanding of geriatric care principles and nurse-resident relationships.

Conclusions:

Nursing homes can serve as effective clinical learning environments for geriatric nursing education.
Competency-based curricula, such as the AFHS 4Ms framework, can better prepare nursing students for geriatric care roles.