Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Int J Older People Nurs. 2017 Sep;12(3). doi: 10.1111/opn.12146. Epub 2016 Dec 29.
People living in care and nursing homes are vulnerable individuals with complex needs; therefore, a wide array of nursing competence is needed to ensure their well-being. When developing the quality of care in these units, it is essential to know what type of competence is required for older people nursing.
The aim of this integrative review was to identify the competence needed for older people nursing in licensed practical nurses' and registered nurses' work in care and nursing homes.
Integrative literature review.
We performed an integrative review using Whittemore and Knafl's method. The CINAHL, MEDLINE, PsycINFO, SocINDEX and Scopus databases were searched for studies published from 2006 to April 2016. We assessed the quality of the studies using Joanna Briggs Institute critical appraisal tools and analysed the data by applying qualitative content analysis.
Ten articles were included in the review. Most of the studies focused on registered nurses' work. We identified five competence areas that are needed for older people nursing in registered nurses' work in care and nursing homes: attitudinal and ethical, interactional, evidence-based care, pedagogical, and leadership and development competence. Empirical evidence of competence requirements related to licensed practical nurses' work in these facilities was scarce.
The competence required for registered nurses and licensed practical nurses should be clearly identified to support competence management in the care and nursing home context.
Well-educated nursing staff are needed in care and nursing homes to provide high-quality care because comprehensive and advanced nurse competence is required to meet the needs of older people.
居住在护理院和养老院的人是弱势群体，他们的需求复杂多样；因此，需要广泛的护理能力来确保他们的福祉。在提高这些机构的护理质量时，了解老年人护理所需的护理能力至关重要。
本综述的目的是确定注册护士和执业护士在护理院和养老院工作中为老年人护理所需的能力。
综合文献综述。
我们采用 Whittemore 和 Knafl 的方法进行综合文献回顾。我们在 CINAHL、MEDLINE、PsycINFO、SocINDEX 和 Scopus 数据库中搜索了 2006 年至 2016 年 4 月期间发表的研究。我们使用 Joanna Briggs 研究所的批判性评估工具评估研究的质量，并通过应用定性内容分析来分析数据。
综述共纳入 10 篇文章。大多数研究都集中在注册护士的工作上。我们确定了五个在护理院和养老院中为老年人护理注册护士工作所需的能力领域：态度和伦理、互动、循证护理、教学和领导力与发展能力。关于执业护士在这些设施中工作所需的能力要求的实证证据很少。
应明确确定注册护士和执业护士所需的能力，以支持护理院和养老院背景下的能力管理。
护理院和养老院需要受过良好教育的护理人员，以提供高质量的护理，因为需要全面和先进的护士能力来满足老年人的需求。
