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From Complexity to Competency: International Nursing Perspectives on Comprehensive Geriatric Assessment
Evangelos C Fradelos1, Sini Eloranta2,3, Ioanna Tsatsou4
1Department of Nursing, University of Thessaly, 41500 Larissa, Greece.
Geriatrics (Basel, Switzerland)
|June 25, 2026
Summary
Primary health care nurses value comprehensive geriatric assessment (CGA) but need better education and resources. Enhancing training in collaboration and cultural competence can improve CGA implementation for older adults across Europe.
Area of Science:
- Gerontology
- Primary Health Care Nursing
- Healthcare Education
Background:
- Growing elderly populations necessitate enhanced care coordination.
- Primary health care (PHC) nurses are key to implementing comprehensive geriatric assessment (CGA).
- Limited research exists on European nurses' experiences and educational needs regarding CGA.
Purpose of the Study:
- To explore PHC nurses' experiences with CGA implementation.
- To identify challenges faced by nurses in delivering CGA.
- To determine educational needs for effective CGA in diverse European settings.
Main Methods:
- Qualitative study design utilizing focus groups across five European countries (Greece, Iceland, Finland, Estonia, Latvia).
- Semi-structured interviews with 29 PHC nurses.
- Reflexive thematic analysis of collected data.
Main Results:
- Nurses embrace holistic assessment complexity and value structured learning for professional growth.
- Key practices include standardized tools and multidisciplinary collaboration.
- Barriers include educational gaps, resource limitations, and insufficient cultural competence training.
Conclusions:
- PHC nurses acknowledge CGA's importance but require improved educational pathways and practical training.
- Curricula should focus on interprofessional collaboration, practical skills, and adaptability.
- Enhanced training can support sustainable CGA implementation in European primary care.
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