Gerontological Nursing
Gerontological Nursing
Gerontological Nursing
9/6/16
There are several landmarks that Gerontological Nursing has developed over the past few
decades, they are as followed:
In the early 1900s the American Journal of Nursing (AJN) published its first article on geriatrics
(elderly). In the mid 1900s the first geriatric nursing book was published and geriatrics became a
specialization in nursing. In 1966 the American Nurses Association (ANA) forms a geriatric
nursing division. 1n 1970, ANA created the standards of Practice for geriatric nursing. In 1977,
Kellogg Foundation funded the first Geriatric Nurse Practitioner certificate program. In the
1980s Robert Wood Johnson Foundation funded programs and wrote grants for the betterment
of the elderly population. In the late 1980s the first PhD program in gerontological nursing was
established at Case Western Reserve University. In the 2000s the John A. Hartford Foundation
Institute for Geriatric Nursing collaborated with other nursing associations and academies to
sponsor more programs and grants for the geriatric population to thrive.
Over the years, several new definitions have been developed in the scope of practice
focused on the elderly; they are as followed: Gerontology: the study of aging and/or the aged; a
broad term. To help distinguish or categorize how old an elderly patient is, there are three
definitions to break down the age group. There is young old for ages 65-74, middle old for
ages 75-84, and old old for ages 85 and up. Geriatrics is generic term related to the aged, but
specifically refers to the medical care of the aged (Mauk, 2010)
Gerontological nursing is within the field of nursing and the scope of nursing practice. It
involves caring, educating, and advocating for the elderly population no matter what age group
they fall under.
There are several roles and core competencies of the gerontological nurses which include
being the provider, teacher, manager, advocate, researcher, counselor, coordinator of services and
collaborator and much more. Each role is important and unique but it is possible for one nurse to
simultaneously fill all of these roles at one time. Nurses have to be good at multi-tasking to be
able to properly and efficiently take care of the target population, in this case, the elderly. Being
positive members of the profession of nurses and caring for your patient is my philosophy of
nursing in this field.
Historically there has been limited exposure and knowledge about evidenced based
practice for student nurses to grasp as it relates to the elderly population (teach new nurses
especially in the gerontological scope of practice (Clark, et. al., 2015). There needs to be more
classes in the nursing school curriculum geared towards the elderly population to change
common misconceptions that people have about the elderly population. An evidence based
intervention called Musical Memories which uses a picture book to serve as a bridge for families
to cope with family members who are suffering from Alzheimers disease/Dementia. Its also
geared towards nurses who work with this population. Using music is a way to reduce anxiety,
promote communication, and have positive feelings and memories to prevent agitation (Gerdner,
et.al. 2013).
In conclusion, the development of Gerontological nursing stems from two women in
England; Florence Nightingale and Doreen Norton. Ms. Norton identified the advantages of
learning geriatric care early in our nursing education as the following: 1. Learning how to be
patient, tolerant, and understanding; 2. Being exposed to terminal stages of disease; 3. Preparing
for the future; 4. Recognizing the need and importance of rehabilitation; 5 being available to do
some geriatric nursing research. I think nurses should use these five items as their bases for being
excellent nurses.
References
Clark, K. C., Guerin, S. T., Skemp, L. E., Epps, F., & Specht, J. (2015). Implementing
gerontological nursing evidence-based practice guidelines in a BSN curriculum. Journal of
Gerontological Nursing, 41(7), 21-28.
doi:http://dx.doi.org.ezproxyhost.library.tmc.edu/10.3928/00989134-20150429-81
Gerdner, Linda A, PhD,R.N., F.A.A.N., & Buckwalter, Kathleen C, PhD,R.N., F.A.A.N. (2013).
Translating evidence-based gerontological nursing into a children's picture book. Journal of
Gerontological Nursing, 39(1), 32-41.
doi:http://dx.doi.org.ezproxyhost.library.tmc.edu/10.3928/00989134-20121204-01
Mauk, Kristen, L. (2010) Gerontological Nursing, Competencies for care. 2nd ed. pp. 5-15. Jones
& Bartlett Publishers Sudbury, MA