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Competence for older people nursing in care and nursing homes: An integrative review
Author(s) -
Kiljunen Outi,
Välimäki Tarja,
Kankkunen Päivi,
Partanen Pirjo
Publication year - 2017
Publication title -
international journal of older people nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.707
H-Index - 29
eISSN - 1748-3743
pISSN - 1748-3735
DOI - 10.1111/opn.12146
Subject(s) - cinahl , nursing , competence (human resources) , critical appraisal , medicine , scopus , team nursing , primary nursing , nurse education , medline , psychology , psychological intervention , alternative medicine , social psychology , pathology , political science , law
Background People living in care and nursing homes are vulnerable individuals with complex needs; therefore, a wide array of nursing competence is needed to ensure their well‐being. When developing the quality of care in these units, it is essential to know what type of competence is required for older people nursing. Aims and objectives The aim of this integrative review was to identify the competence needed for older people nursing in licensed practical nurses' and registered nurses' work in care and nursing homes. Design Integrative literature review. Methods We performed an integrative review using Whittemore and Knafl's method. The CINAHL , MEDLINE , Psyc INFO , Soc INDEX and Scopus databases were searched for studies published from 2006 to April 2016. We assessed the quality of the studies using Joanna Briggs Institute critical appraisal tools and analysed the data by applying qualitative content analysis. Results Ten articles were included in the review. Most of the studies focused on registered nurses' work. We identified five competence areas that are needed for older people nursing in registered nurses' work in care and nursing homes: attitudinal and ethical, interactional, evidence‐based care, pedagogical, and leadership and development competence. Empirical evidence of competence requirements related to licensed practical nurses' work in these facilities was scarce. Conclusions The competence required for registered nurses and licensed practical nurses should be clearly identified to support competence management in the care and nursing home context. Implications for practice Well‐educated nursing staff are needed in care and nursing homes to provide high‐quality care because comprehensive and advanced nurse competence is required to meet the needs of older people.