Essential topics and skills in the training of Community...
Transcript of Essential topics and skills in the training of Community...
FONG YOKE HIONG
Assistant Director Nursing
PAY JIN YU
Advance Practice Nurse
Hua Mei Centre for Successful Ageing.
Tsao Foundation
Essential topics and skills in the
training of Community
Gerontological Nurses:
A Singapore Perspective
© Tsao Foundation, 2013. No unauthorised reproduction.
BACKGROUND
• Community gerontological nurses faces different
challenges from an hospital setting.
• Certificate in Community Gerontological
Nursing Course (CGNC):
• started in Aug 2012
• equip nurses with the essential nursing skills and knowledge to care for community-based older adults.
© Tsao Foundation, 2013. No unauthorised reproduction.
COMPETENCIES NEEDED
COMMUNITY GERONTOLOGICAL
NURSE
• Conduct comprehensive nursing needs assessment of the
older adults
• Apply critical thinking to needs assessment and care
planning
• Formulate workable nursing care plans with the elders
Implement the medical care plans under the direction of a
physician.
• Execute formulated care plans either independently or in a
coordinated effort with other professional and informal care
providers in the community
© Tsao Foundation, 2013. No unauthorised reproduction.
COMPETENCIES NEEDED COMMUNITY
GERONTOLOGICAL NURSE
• Assess, educate, and supervise family and other semi-
skilled caregivers in nursing care for older adults.
• Provide person centred care giver support through
knowledge and skills transfer in care of the elders.
• Apply medical, nursing and social knowledge and skills to
manage common acute and chronic medical and complex
situation with the intertwining social and functional needs
affecting the older adults.
© Tsao Foundation, 2013. No unauthorised reproduction.
COMPETENCIES NEEDED COMMUNITY
GERONTOLOGICAL NURSE
• Able to be the first line of triage and be able to decipher
and appropriately refer to the physician in charge in a
timely manner as appropriate.
• Promote quality of life of community dwelling frail elders,
even at terminal state
• Advocate on behalf of the elders for their needs to be met.
© Tsao Foundation, 2013. No unauthorised reproduction.
BACKGROUND (CONT.)
CGNC content: • Overview of health situation in Singpaore
• Social assessment
• Case management
• Comprehensive Geriatric Assessment
• Geriatric syndromes
• Primary healthcare
• Rehabilitation
• Home Health care
• Palliative care
© Tsao Foundation, 2013. No unauthorised reproduction.
PURPOSE OF THE STUDY
Identification of Community Gerontological Nurses’ learning needs to prepare them in caring for the community dwelling older adults
© Tsao Foundation, 2013. No unauthorised reproduction.
METHODOLOGY
• Descriptive study
• Data captured between Aug 2012 to Feb 2014
• Sample size: 35 students
© Tsao Foundation, 2013. No unauthorised reproduction.
METHODOLOGY – CHARACTERISTIC OF THE STUDENTS
Age
3
9
15
5
3
0
2
4
6
8
10
12
14
16
20-29 30-39 40-49 50-59 60-69
No
. of
stu
de
nts
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METHODOLOGY – CHARACTERISTIC OF THE STUDENTS
Race
Chinese 63%
Fillipino 11%
Myanmar 6%
Indian 14%
Malay 6%
© Tsao Foundation, 2013. No unauthorised reproduction.
METHODOLOGY – CHARACTERISTIC OF THE STUDENTS
Highest academic qualifications
3
15
12
5
0
2
4
6
8
10
12
14
16
Advanced/specialist
dip
Bachelor innursing
Certificatein nsg/others
Diploma innursing
No
. of
stu
de
nts
© Tsao Foundation, 2013. No unauthorised reproduction.
METHODOLOGY – CHARACTERISTIC OF THE STUDENTS
Years of nursing experience
3
8
13
8
3
0
2
4
6
8
10
12
14
< 5 5-10 11-20 21-30 31-40
Ave: 17 years Min: 3 years
Max: 40 years
No
. of
stu
de
nts
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METHODOLOGY – CHARACTERISTIC OF THE STUDENTS
Healthcare settings
© Tsao Foundation, 2013. No unauthorised reproduction.
METHODOLOGY (CONT.)
• Data collected:
• Early and upon course completion: Students to list 3 most essential topics/ skills which they identify which have better equipped them
© Tsao Foundation, 2013. No unauthorised reproduction.
FINDINGS
Topics & skills No. of
students
Topics
Comprehensive geriatric assessment
12
Holistic care plan 18
Palliative care 12
Advocacy 6
Skills
Physical examination 6
Nursing assessment 14
Documentation/ oral presentation
10
What are consider important by the
students …
© Tsao Foundation, 2013. No unauthorised reproduction.
FINDINGS: PERSONAL
REFLECTION
Begin with a good comprehensive assessment
(Start well)
Palliative care ( Ends well)
Advocate
© Tsao Foundation, 2013. No unauthorised reproduction.
FINDINGS :
PERSONAL PERSPECTIVE
• Students’ growth in learning
• Increase awareness of the need for good nursing assessment
• Appreciation on complexity of geriatric care
• Holistic perspective
• Importance of good reporting and documentation
© Tsao Foundation, 2013. No unauthorised reproduction.
IMPLICATIONS
• Increase nursing standards about CGNs
• More focus/ incorporate topics on comprehensive geriatric assessment, formulating care plan & palliative care
• Essential skills on communication with older adult and family,
• Assessment skills
• Professional reporting skills –concise and precise manner
• Documentation – notes.
© Tsao Foundation, 2013. No unauthorised reproduction.
CONCLUSION
Small sample size
Tsao foundation community gerontological nursing
course focuses on these essential skills and
knowledge required as it is developed by
practitioner for practitioner in the field.
More research on these areas of identifying gaps in
nursing training
Raise the recognition and image of the home health
care nurse.
© Tsao Foundation. No unauthorised reproduction.