Sarah Elizabeth Goldberg1, Jo Cooper2, Adrian Blundell3, Adam Lee Gordon4, Tahir Masud5, Ravisankar Moorchilot3. 1. School of Health Sciences, University of Nottingham, Nottingham, UK. 2. Corporate, Nottingham University Hospitals NHS Trust, Nottingham, UK. 3. Health Care of the Older Person, Nottingham University Hospitals NHS Trust, Nottingham, UK. 4. Health Care of the Older Person, Nottingham University Hospitals NHS Trust, Nottingham, UK Division of Rehabilitation and Ageing, Medical School Queens Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK Present address: Medical School Royal Derby Hospital, Derby, UK. 5. Health Care of the Older Person, Nottingham University Hospitals NHS Trust, Nottingham, UK Division of Rehabilitation and Ageing, Medical School Queens Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK.
Abstract
BACKGROUND: advanced nurse practitioners (ANPs) are experienced nurses who undertake some activities traditionally performed by medical staff. There are four pillars of advanced practice: advanced clinical skills, leadership, education and research. ANPs are starting to specialise in the management of older adults with frailty in the acute hospital. However, the role and competencies required for this have not been well defined. This study aimed to establish an expert consensus on the role description and essential competencies for ANPs working with older people with frailty to develop a curriculum. METHODS: a literature review and workshops including multi-professional and lay representatives generated a role description and a list of 69 competencies. A modified Delphi process was then conducted with three rounds involving a panel of 31 experts including representatives from the RCN, BGS Education and Training Committee, BGS Senior Nurses and Practitioners Group, Chartered Society of Physiotherapy Older People Network, College of Occupational Therapists Older People Specialist Section and lay representatives. Consensus on the statements was established by 70% panel agreement. RESULTS: the role description reached 100% agreement within three rounds. Twenty-five essential competencies were agreed after Round 1, increasing to 43 after Round 2 and 49 after Round 3. CONCLUSION: this Delphi study has allowed, for the first time, a national panel of clinical experts and lay representatives to refine and agree a set of competencies for ANPs working with older people with frailty. It is the first step towards ensuring consistency in the training of ANPs in geriatric medicine.
BACKGROUND: advanced nurse practitioners (ANPs) are experienced nurses who undertake some activities traditionally performed by medical staff. There are four pillars of advanced practice: advanced clinical skills, leadership, education and research. ANPs are starting to specialise in the management of older adults with frailty in the acute hospital. However, the role and competencies required for this have not been well defined. This study aimed to establish an expert consensus on the role description and essential competencies for ANPs working with older people with frailty to develop a curriculum. METHODS: a literature review and workshops including multi-professional and lay representatives generated a role description and a list of 69 competencies. A modified Delphi process was then conducted with three rounds involving a panel of 31 experts including representatives from the RCN, BGS Education and Training Committee, BGS Senior Nurses and Practitioners Group, Chartered Society of Physiotherapy Older People Network, College of Occupational Therapists Older People Specialist Section and lay representatives. Consensus on the statements was established by 70% panel agreement. RESULTS: the role description reached 100% agreement within three rounds. Twenty-five essential competencies were agreed after Round 1, increasing to 43 after Round 2 and 49 after Round 3. CONCLUSION: this Delphi study has allowed, for the first time, a national panel of clinical experts and lay representatives to refine and agree a set of competencies for ANPs working with older people with frailty. It is the first step towards ensuring consistency in the training of ANPs in geriatric medicine.
Authors: Miriam Ruth Stanyon; Sarah Elizabeth Goldberg; Anita Astle; Amanda Griffiths; Adam Lee Gordon Journal: Age Ageing Date: 2017-07-01 Impact factor: 10.668