在老年护理中实施老年护理能力计划：参与者的体验
Implementing a gerontological nursing competencies programme in aged care: Participant experiences.
作者信息
Traynor Victoria, Britten Nicole, Gibson Diane, Munk Stephanie, Chenoweth Lynn, Stokes Jolan, Moroney Tracey, Strickland Karen, Donaghy Toni, Bail Kasia
机构信息
University of Wollongong, Wollongong, Australia.
Faculty of Health, University of Canberra, Canberra, Australia.
出版信息
Int Nurs Rev. 2025 Jun;72(2):e13034. doi: 10.1111/inr.13034. Epub 2024 Jul 30.
AIMS
To explore the experience of registered nurses and their mentors in the implementation of the Gerontological Nursing Competencies in long-term aged care and the perceived effectiveness and suitability of the programme to support nurse development.
BACKGROUND
The global population is ageing and needs a reliable aged-care nursing workforce.
INTRODUCTION
Opportunities for education and mentorship for newly qualified and experienced aged-care nurses warrant investigation.
METHODS
Qualitative evaluation using semi-structured focus groups was conducted following the implementation of the programme into five not-for-profit long-term aged-care organisations and analysed by a reflexive qualitative thematic approach and reported according to COREQ criteria.
RESULTS
A total of 21 nurses (7 mentors and 14 mentees) participated in six focus groups. Five themes were generated: (1) nurses gained confidence and competence through the programme; (2) the facilitation of suitable mentoring activities and approaches was crucial to success; (3) the programme helps nurses recognise gerontology as a specialty; (4) the programme contributes to building a strategy of recruitment/retention/quality improvement in the sector; (5) barriers, challenges, changes and recommendations were identified.
DISCUSSION
The Gerontological Nursing Competency model, which combined adaptive mentoring supported by reflective practice embedded in a gerontological nursing competencies framework, was perceived to improve nurse confidence and competence to lead and improve nursing standards of care.
CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICY
The evidence-based competencies are an acceptable and effective method for supporting gerontological nurse development. Expansion of, and accessibility to, the programme may aid global responses to aged-care reform, by building the recognition of gerontological nursing as a specialty and contributing towards recruitment, retention and quality care improvements.
目的
探讨注册护士及其导师在长期老年护理中实施老年护理能力的经验，以及该项目在支持护士发展方面的感知有效性和适用性。
背景
全球人口老龄化，需要一支可靠的老年护理劳动力队伍。
引言
新获得资格和经验丰富的老年护理护士的教育和指导机会值得研究。
方法
在该项目在五个非营利性长期老年护理机构实施后，采用半结构化焦点小组进行定性评估，并通过反思性定性主题方法进行分析，并根据COREQ标准报告。
结果
共有21名护士（7名导师和14名学员）参加了六个焦点小组。产生了五个主题：（1）护士通过该项目获得了信心和能力；（2）促进合适的指导活动和方法对成功至关重要；（3）该项目有助于护士将老年护理视为一个专业领域；（4）该项目有助于制定该部门的招聘/留用/质量改进战略；（5）确定了障碍、挑战、变化和建议。
讨论
老年护理能力模型将适应性指导与反思性实践相结合，并嵌入老年护理能力框架中，被认为可以提高护士领导和改善护理标准的信心和能力。
结论及对护理和卫生政策的影响
基于证据的能力是支持老年护理护士发展的一种可接受且有效的方法。通过提高对老年护理作为一个专业领域的认识，并为招聘、留用和改善护理质量做出贡献，扩大该项目并提高其可及性可能有助于全球应对老年护理改革。
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