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The role of assessment in competence-based gerontological advanced practice nursing
Journal article   Open access   Peer reviewed

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

Renata Eloah de Lucena Ferretti-Rebustini, Juliana Nery de Souza-Talarico, Jack Roberto Silva Fhon and Sherry A Greenberg
Revista da Escola de Enfermagem da U S P, Vol.56(special issue), e20220072
01/01/2022
DOI: 10.1590/1980-220X-REEUSP-2022-0072en
url
https://doi.org/10.1590/1980-220X-REEUSP-2022-0072enView
Published (Version of record) Open Access

Abstract

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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