3.9 Article

The role of assessment in competence-based gerontological advanced practice nursing

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出版社

UNIV SAO PAOLO
DOI: 10.1590/1980-220X-REEUSP-2022-0072en

关键词

Aging; Geriatric Nursing; Advanced practice nursing; Clinical competence; Models; Nursing; Nursing Assessment

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  1. Coordination for the Improvement of Higher Education Personnel - Brasil (CAPES) [001]
  2. National Council for Scientific and Technological Development (CNPq)

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Population aging poses challenges to healthcare systems, necessitating gerontological advanced practice nurses (GAPN) to address specific and complex care needs of older adults. In advanced practice, comprehensive geriatric assessment is crucial for implementing care plans.
Population aging challenges healthcare systems, requiring gerontological advanced practice nurses (GAPN) to address specific and complex care requirements of older adults. GAPN implement evidence-based practices directed to patients and families, focusing on health promotion and protection, disease prevention, recovery, and rehabilitation. In competence -based gerontological advanced practice, comprehensive geriatric assessment is essential for implementing the care plan. In this theoretical essay we reflect about the role of assessment in competence-based advanced nursing practice directed to the care of older adults. From our perspective, geriatric assessment for a high-quality practice must be comprehensive, multidimensional, interdisciplinary, and planned. GAPN must have solid competencies for clinical skills and caring practices; education for health literacy; collaborative care; system management for continuity of care; ethics, advocacy, and moral agency; and evidenced-based practice inquiry. Gerontological models of care and GAPN competencies serve as frameworks to guide practice while assessment is fundamental for providing age-friendly care to older adults.

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