1. From Competencies to Outcomes: Nursing Care of Older Adults Christine Mueller, PhD, RN, FGSA, FAAN Professor, University of Minnesota, School of Nursing April 11, 2014

2. Competency Knowledge Scope and Standards of Practice Content from science and humanities Content from Nursing science Skill Psychomotor Communication Interpersonal Diagnostic Attitude Capacity to act effectively and requires-- Listening Emotional intelligence Openness to feedback Self knowledge of strengths and weakness In two minutes– make a list of knowledge, skill and attitude competencies specific to nursing care of older adults.

3. Outcomes Quality of Care Quality of Life In two minutes– make a list of quality of care and quality of life outcomes for residents in nursing homes or assisted living facilities. Improvement in functional status Skin integrity Continent Engagement in meaningful activities Dignity Satisfaction

4. Types of competencies Gerontological Quality and safety End of life Cultural Culture change Others?

5. The Future Nursing --Core Competencies Patient Centered Care Professionalism Leadership Systems based practice Informatics and technology Communication Team work and collaboration Quality improvement Evidence-based practice

6. Competencies specific to nursing care of older adults AACN Competencies to improve care of older adults Multidisciplinary Competencies in the Care of Older Adults Geropsychiatric nursing competencies Geriatric Competencies for nurses in hospitals Nurse competencies for nursing home culture change Geriatric nursing competencies for nursing specialties

7. Olderadultfocus.org competencies Awareness Increase own and others' awareness of attitudes, values, and expectations about aging and their impact on care of older adults and their families.

8. Olderadultfocus.org Competencies Communicate Communicate effectively, respectfully, and compassionately with older adults and their families/ caregivers.

9. Olderadultfocus.org Competencies Assess Use appropriate assessments for the functional, physical, cognitive, psychological, social, and spiritual status of older adults.

10. Olderadultfocus.org Competencies Adapt Plan, implement, and evaluate care that is adapted to meet the individual functional, physical, cognitive, psychological, social, and endurance capabilities of older adults.

11. Olderadultfocus.org Competencies Maximize Plan, implement, and evaluate care that assists older adults and their families/caregivers to meet personal goals, express preferences, maximize function, maintain desired level of autonomy and independence, and live in their chosen environment.

12. Olderadultfocus.org Competencies Optimize Plan, implement, and evaluate care that promotes optimal aging.

13. Olderadultfocus.org Competencies Decisions Guide older adults and their families/caregivers in making complex decisions that arise with aging.

14. Olderadultfocus.org Competencies Systems Work effectively within and across organizational systems to promote quality care for older persons.

15. Olderadultfocus.org Competencies Advocate Advocate for health, social, and financial needs of older adults at the policy level.

16. Teaching/Learning to Achieve Competence

17. Activity Objective: Apply teaching and learning strategies that can be used with nursing students and nursing staff to achieve competencies in nursing care of older adults.

18. Directions At your tables you have: One of the nine competencies Several teaching strategies Each competency has a short list of components that will help to build the competency. Select a component and select a teaching strategy Create a learning activity to address learning around the component using the teaching strategy

19. Example Competency: Assess Component: Recognize atypical presentation of illness in older adults Teaching strategy: Games (Structured group interactive exercise or contest with rules to promote new perspectives, introduce new concepts, reinforce definitions of terms) Teaching/learning strategy Develop a Jeopardy game that includes a category of atypical presentation of illness in older adults. Use the jeopardy game in a class setting with students.

21. Resources See handout