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| The Wiki will start off with uploaded files and links to resources that were shared with the Knowledge Exchange Institute participants. '''Feel free to add new information.''' | The Wiki will start off with uploaded files and links to resources that were shared with the Knowledge Exchange Institute participants. '''Feel free to add new information.''' | ||
| - | + | == Web-based Resources for Teaching == | |
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| + | The '''National Initiative for Care of the Elderly (NICE)''' has knowledge transfer tools related to family caregiving, dementia care, elder abuse, end-of-life issues, mental health, and consent and capacity assessment. The tools were developed for Canadian family carers and health professionals. Click on tools at the top of the NICE [http://www.nicenet.ca/ home page]. The tools are free to download. Contact NICE through their website to request paper copies. | ||
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| + | The '''Registered Nurses Association of Ontario (RNAO) Nursing Best Practice Guidelines''' are available for free download. Many of the 29 clinical practice guidelines are very relevant to nursing care of older persons. The guidelines are updated regularly and more guidelines are produced every year. Resources include [http://www.rnao.org/Page.asp?PageID=1212&SiteNodeID=155&BL_ExpandID= the guidelines], fact sheets, and [http://www.rnao.org/Page.asp?PageID=1212&SiteNodeID=156&BL_ExpandID= implementation resources] such as e-learning modules and online videos. All free to download or view online. The [http://www.rnao.org/Page.asp?PageID=924&ContentID=823 Toolkit Implementation of Clinical Practice Guidelines] would be relevant for research and leadership courses. Paper copies and additional implementation resources can be [http://www.rnao.org/Page.asp?PageID=861&SiteNodeID=188 purchased]. | ||
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| + | The RNAO has a website dedicated to '''Implementing and Sustaining Change in Long Term Care'''. The website, called a [http://ltctoolkit.rnao.ca/content/introduction Best Practices Toolkit], has resources for five priorities identified in Ontario: Client Centred Care; Continence and Constipation; Falls; Pain; and Pressure Ulcer. For each topic, there are relevant best practice guidelines and standards, assessment, planning, implementation, and quality improvement tools, and educational resources. | ||
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| + | The Ontario based '''Alzheimer Knowledge Exchange (AKE)''' [https://www.ehealthontario.ca/portal/server.pt?open=512&objID=704&PageID=0&mode=2 website] provides links to online resources about Alzheimer's and Related Dementias, Communities of Practice, library services for paid caregivers in Ontario, and Knowledge Brokers. | ||
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| + | The '''Canadian Coalition for Seniors' Mental Health''' has best practice guidelines, guides, case-based tutorials, and toolkits available to [http://www.ccsmh.ca/en/resources/resources.cfm download]. Hard copies of some of the products can be ordered via their website. Topics include: | ||
| + | * Suicide assessment and prevention | ||
| + | * Mental health issues in long-term care homes | ||
| + | * Depression | ||
| + | * Delirium | ||
| + | * Mental health in cancer care | ||
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| + | The '''Ontario Regional Geriatric Program (RGP) Central''' website has extensive resources including PowerPoint files, information sheets, case studies, quaizzes, pocket cards, links, and more. The resources are organized into 6 topics: | ||
| + | * [http://www.rgpc.ca/best/delirium.cfm Delirium] | ||
| + | * [http://www.rgpc.ca/best/dementia.cfm Dementia] | ||
| + | * [http://www.rgpc.ca/best/elder_abuse.cfm Elder Abuse] | ||
| + | * [http://www.rgpc.ca/best/falls.cfm Falls] | ||
| + | * [http://www.rgpc.ca/best/miscellaneous.cfm Miscellaneous] | ||
| + | * [http://www.rgpc.ca/best/resources.cfm Long-Term Care Best Practices Resource Centre] with 30 subjects. | ||
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| + | The [http://www.rgpc.ca/best/newsletters.cfm newsletter and presentations page] includes a series of 2 page mythbusting [http://www.rgpc.ca/best/newsletters.cfm BP Bloggers] summarizing evidence on key topics for Long-Term Care. | ||
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| + | At the '''GERO T.I.P.S. Online Learning at the Hartford Centre of Geriatic Nursing Excellence at PENN Nursing''' [http://www.nursing.upenn.edu/cisa/geroTIPS/Pages/default.aspx website] there are tools for teaching, assessment, and research. There 10 topics with teaching modules for long term care with 10 topics. Resources include streaming videos, leacture/teaching planning resources, PowerPoint slides with lecture notes, handouts, and evaluation forms. | ||
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| + | The '''Geriatric Mental Health Training Series''' from the John A. Hartford Centre of Geriatric Nursing Excellence at the University of Iowa. Training modules for six core topics available to download including learning objectives, lecture notes, PowerPoint slides are available at the [http://www.nursing.uiowa.edu/hartford/nurse/core.htm website]. Additional training modules are described but do not seem to be available for download. | ||
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| + | The '''Hartford Institute for Geriatric Nursing''' has so many resources and links that it's difficult to summarize them all here. The [http://hartfordign.org/ website] is a portal that can be searched according to user category (e.g., nursing faculty). Many of the highlighted resources and programs featured on the right side of the home page would be useful for nursing educators. | ||
| + | * [http://hartfordign.org/Resources/Try_This_Series/ Try This] series of 2 page summaries of evidence based practices. The first page summarized the evidence. The second page is the evidence based practice recommendations or tool. There are 26 topics for care of older persons plus 11 topics specific to dementia care. Most of the Try This summaries have an accompanying How to Try This article (published in ''AJN'' free download) and streaming videos that explain and demonstrate their use in more detail (can be saved). | ||
| + | * '''[http://www.consultgerirn.org/ ConsultGeriRN.org]''' "an evidence based onloine resource for nurses in clinical and educational settings." | ||
| + | * Geriatrics and advanced practice web bases case studies | ||
| + | * [http://hartfordign.org/continuing_ed/elder_mistreatment/?utm_source=cgrn_enews&utm_medium=blast&utm_content=06_2009&utm_campaign=hartford Elder mistreatment course], updated in 2009 | ||
| + | * Gerontological nursing certification review course | ||
| + | * '''[http://www.nicheprogram.org/ NICHE]''' - Nurses Improving Care for Healthsystem Elders, a national U.S. nursing program that provides tools andn evidence based resources for health system improvement. | ||
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| + | '''Geriatric Interdisciplinary Team Training Program (GITT)''' from The John A. Hartford Foundation. "Good teams don't just happen.. that's where GITT comes in." Products include videos, training tools, books, brochures, and more. The Team Observation Tools and Team Fitness Test could be used by students in almost any clinical setting. Available for download at the [http://www.gittprogram.org/index.html GITT website]. | ||
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| + | '''North Carolina Learning Objects Repository (NCLOR)''' at Duke University Geriatric Nursing Innovations in Education. "The Learning Objects Repository (LRB) is a searchable database that contains an array of resources useful for anyone teaching geriatric nursing content using strategies that promote learner-centered instruction. Contents include but are not limited to: face-to-face and online lesson plans that promote active, student-directed instruction, sample cases for discussion and role play, relevant journal articles, PowerPoint presentation of faculty development workshops, hand-outs, learning contracts, and more. The LRB is an evolving clearinghouse for reusable resources that is continually augmented, evaluated and udated for continual use." Login as a guest at [http://www.nclor.net/nclorprod/logon.do?logout=true] then search using the term "nursing". | ||
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| + | '''POGOe Portal of Geriatric Online Education'''. According to the [http://www.pogoe.org/front website] "The Portal of Geriatric Online Education (POGOe) is a free public repository of a growing collection of geriatric educational materials in various e-learning formats, including lectures, exercises, virtual patients, case-based discussions, simulations, as well as links to other resources. Funded by the Donald W. Reynolds Foundation, POGOe is managed by Mount Sinai School of Medicine, Department of Geriatrics and Adult Development, on behalf of the Association of Directors of Geriatric Academic Programs (ADGAP). The site is a partnership between Mount Sinai and Vanderbilt University School of Medicine, Departments of Biomedical Informatics and Division of Geriatrics". Mainly resources for medical education. After you create a free account, you can search among the 100's of products and create bookmarks. | ||
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| == Teaching Strategies to Share == | == Teaching Strategies to Share == | ||
Revision as of 00:14, 26 February 2010
Welcome to the Geriatric Nursing Education Wiki
The purpose of this Wiki is to share resources and tools to improve gerontological and geriatric nursing education. The Wiki was created as a result of the Knowledge Exchange Institute for Geriatric Nursing Education, held at Brock University May 6-8, 2009. The Knowledge Exchange Institute was sponsored by the National Initiative for Care of the Elderly (NICE) and the Canadian Institutes for Health Research (CIHR) and organized by Lynn McCleary (Brock University), Kathy McGilton (Toronto Rehab and University of Toronto), Abram Oudshoorn (University of Western Ontario), Veronique Boscart (University of Toronto), and Lynn McDonald (NICE and University of Toronto). The Knowledge Exchange Institute was part of NICE's work to enhance gerontological nursing education.
The Wiki is a way to continue to share knowledge, resources, and tools and for others to join in the process of knowledge exchange with us.
The Wiki will start off with uploaded files and links to resources that were shared with the Knowledge Exchange Institute participants. Feel free to add new information.
Web-based Resources for Teaching
The National Initiative for Care of the Elderly (NICE) has knowledge transfer tools related to family caregiving, dementia care, elder abuse, end-of-life issues, mental health, and consent and capacity assessment. The tools were developed for Canadian family carers and health professionals. Click on tools at the top of the NICE home page. The tools are free to download. Contact NICE through their website to request paper copies.
The Registered Nurses Association of Ontario (RNAO) Nursing Best Practice Guidelines are available for free download. Many of the 29 clinical practice guidelines are very relevant to nursing care of older persons. The guidelines are updated regularly and more guidelines are produced every year. Resources include the guidelines, fact sheets, and implementation resources such as e-learning modules and online videos. All free to download or view online. The Toolkit Implementation of Clinical Practice Guidelines would be relevant for research and leadership courses. Paper copies and additional implementation resources can be purchased.
The RNAO has a website dedicated to Implementing and Sustaining Change in Long Term Care. The website, called a Best Practices Toolkit, has resources for five priorities identified in Ontario: Client Centred Care; Continence and Constipation; Falls; Pain; and Pressure Ulcer. For each topic, there are relevant best practice guidelines and standards, assessment, planning, implementation, and quality improvement tools, and educational resources.
The Ontario based Alzheimer Knowledge Exchange (AKE) website provides links to online resources about Alzheimer's and Related Dementias, Communities of Practice, library services for paid caregivers in Ontario, and Knowledge Brokers.
The Canadian Coalition for Seniors' Mental Health has best practice guidelines, guides, case-based tutorials, and toolkits available to download. Hard copies of some of the products can be ordered via their website. Topics include:
- Suicide assessment and prevention
- Mental health issues in long-term care homes
- Depression
- Delirium
- Mental health in cancer care
The Ontario Regional Geriatric Program (RGP) Central website has extensive resources including PowerPoint files, information sheets, case studies, quaizzes, pocket cards, links, and more. The resources are organized into 6 topics:
- Delirium
- Dementia
- Elder Abuse
- Falls
- Miscellaneous
- Long-Term Care Best Practices Resource Centre with 30 subjects.
The newsletter and presentations page includes a series of 2 page mythbusting BP Bloggers summarizing evidence on key topics for Long-Term Care.
At the GERO T.I.P.S. Online Learning at the Hartford Centre of Geriatic Nursing Excellence at PENN Nursing website there are tools for teaching, assessment, and research. There 10 topics with teaching modules for long term care with 10 topics. Resources include streaming videos, leacture/teaching planning resources, PowerPoint slides with lecture notes, handouts, and evaluation forms.
The Geriatric Mental Health Training Series from the John A. Hartford Centre of Geriatric Nursing Excellence at the University of Iowa. Training modules for six core topics available to download including learning objectives, lecture notes, PowerPoint slides are available at the website. Additional training modules are described but do not seem to be available for download.
The Hartford Institute for Geriatric Nursing has so many resources and links that it's difficult to summarize them all here. The website is a portal that can be searched according to user category (e.g., nursing faculty). Many of the highlighted resources and programs featured on the right side of the home page would be useful for nursing educators.
- Try This series of 2 page summaries of evidence based practices. The first page summarized the evidence. The second page is the evidence based practice recommendations or tool. There are 26 topics for care of older persons plus 11 topics specific to dementia care. Most of the Try This summaries have an accompanying How to Try This article (published in AJN free download) and streaming videos that explain and demonstrate their use in more detail (can be saved).
- ConsultGeriRN.org "an evidence based onloine resource for nurses in clinical and educational settings."
- Geriatrics and advanced practice web bases case studies
- Elder mistreatment course, updated in 2009
- Gerontological nursing certification review course
- NICHE - Nurses Improving Care for Healthsystem Elders, a national U.S. nursing program that provides tools andn evidence based resources for health system improvement.
Geriatric Interdisciplinary Team Training Program (GITT) from The John A. Hartford Foundation. "Good teams don't just happen.. that's where GITT comes in." Products include videos, training tools, books, brochures, and more. The Team Observation Tools and Team Fitness Test could be used by students in almost any clinical setting. Available for download at the GITT website.
North Carolina Learning Objects Repository (NCLOR) at Duke University Geriatric Nursing Innovations in Education. "The Learning Objects Repository (LRB) is a searchable database that contains an array of resources useful for anyone teaching geriatric nursing content using strategies that promote learner-centered instruction. Contents include but are not limited to: face-to-face and online lesson plans that promote active, student-directed instruction, sample cases for discussion and role play, relevant journal articles, PowerPoint presentation of faculty development workshops, hand-outs, learning contracts, and more. The LRB is an evolving clearinghouse for reusable resources that is continually augmented, evaluated and udated for continual use." Login as a guest at [1] then search using the term "nursing".
POGOe Portal of Geriatric Online Education. According to the website "The Portal of Geriatric Online Education (POGOe) is a free public repository of a growing collection of geriatric educational materials in various e-learning formats, including lectures, exercises, virtual patients, case-based discussions, simulations, as well as links to other resources. Funded by the Donald W. Reynolds Foundation, POGOe is managed by Mount Sinai School of Medicine, Department of Geriatrics and Adult Development, on behalf of the Association of Directors of Geriatric Academic Programs (ADGAP). The site is a partnership between Mount Sinai and Vanderbilt University School of Medicine, Departments of Biomedical Informatics and Division of Geriatrics". Mainly resources for medical education. After you create a free account, you can search among the 100's of products and create bookmarks.
Teaching Strategies to Share
Feel free to add tips, strategies, and teaching tools to this section.
Aging Facts Flip Cards Activity. I used this activity to present facts and statistics about aging to colleagues and students. There was lots of discussion and noise as groups worked to figure out the answers and win goofy prizes. There are 5 sets of flip cards: Canadian demographics; chronic conditions among older adults; seniors at home; seniors in hospital; and well-being. The flip cards, "hint sheets", tables with questions and answers, and instructions are uploaded here[[2]].
Resources for Teaching Gerontologic Nursing- GeroNursingEd website is a free public collection of geriatric nursing education resources for school of nursing faculty who want to include content on older adults in their undergraduate and associate degree curricula. The following are included:
- Topical assignments, such as functional status assessment, that can be integrated into existing courses
- Complete gerontological nursing theory and clinical courses
- Media resources such as movies, books and web-based materials with annotations and suggestions for use in specific courses
- Case Studies
- CD-ROM "Care of the Older Adult", a wide variety of learning activities based on 9 geriatric nursing competencies
- Links to other gerontological websites
GeroNursingEd is a product of the Northwest Coalition for Geriatric Nursing Education website and funded by the John A. Hartford Foundation Center of Geriatric Nursing Excellence website at Oregon Health & Science University and by the schools and colleges of nursing in the NW Coalition for Geriatric Nursing Education.
Add your tip, strategy or tool here.
Mass Media Resources for Teaching
CBCnews Seniors and Drugs: Prescribed to Death webpages feature investigative reports on problems with prescribing for seniors in Canada. Includes summaries of the investigation of increasing use of atypical antipsychotics among the elderly, links to information about Beer's list,and audio clips. To help students understand the personal experience of seniors and their relatives, there are two radio reports The Accidental Addict and On the Road to Recovery that tell the story of a woman's struggles after being prescribed an anxiolytic for years.
The CBCnews Nursing Homes: Fear and Violence (2007) webpages report an investigation of nursing homes in Canada. Links to Casa Verde inquest recommendations, audio files of radio reports about nursing homes and a blog are included.
The Globe and Mail series Breakdown: Canada's Mental Health Crisis included a feature article about aging with a mental illness called "When mental illness tarnishes your golden years".
Images of Aging
Division of Aging & Seniors, Health Canada. Images, CD, and Dare to Age Well poster available to order at no cost from the Health Aging of the publications webpage.
Geriatric Photos are available for free download at the Hartford Institute for Geriatric Nursing website.
"See me, nurse" video, streaming at Hartford Centre of Geriatric Nursing Excellence, UAMS College of Nursing.
When I Grow Up (I wanna be and old woman). Kaiser Permanente women get mammograms television commercial, on YouTube.
How to Incorporate Guidelines and New Research Evidence in Teaching
The RNAO Educator's Resource: Integration of Best Practice Guidelines is available for free download. Paper copies of the binder can be purchased.
Curriculum Resources
Caring for an Aging America: A Guide for Nursing Faculty, published by the American Association of Colleges of Nursing/John A. Hartford Foundation in 2006, through the Enhancing Geriatric Education in Undergraduate and Advanced Practice Nursing Programs initiative. The monograph includes sections to help nursing programs: (1) develop faculty expertise; (2) "Gerontologize" curriculum; (3)enhance curriculum with technology; (4) cultivate community and clinical partnerships; and (5) create and support student interest.
Core Competency Recommendations
Older Adults: Recommended Baccalaureate Competencies and Curricular Guidelines for Geriatric Nursing Care is a set of 30 core competencies for graduates of U.S. baccalaureate nursing education, developed by the American Association of Colleges of Nursing (AACN, 2000). According to the AACN website, the purpose of the document "is to help nurse educators to incorporate specific geriatric nursing content into baccalaureate nursing curriculum". The core competency document can be downloaded.
GNEC Curriculumn Survey and Content Mapping Tool: Recommended Competencies for Geriatric Nursing Care. Based on the work of Dr. Kathleen Blais at Florida International University, this tool helps faculty evaluate the extent to which curriculum addresses the AACN Older Adults Recommended Baccalaureate Commpetencies and Curricular Guidelines for Geriatric Nursing Care. This survey was used to prepare participants prior to attending the Knowledge Exchange Institute for Geriatric Nursing Education. Download from the AACN website.
CGNA-NGNA Joint Position Statement: Prescriptions for Excellence in Gerontological Nursing Education. A joint position statement of the vision for nursing education of the Canadian Gerontological Nursing Association (CGNA) and the U.S. National Gerontological Nursing Association (NGNA). Available from the CGNA and NGNA websites.
Draft Interprofessional Core Competencies. In development by the NICE Curriculum Committee. Download from NICE website.
Older Adults are the Core Business of Health Care
The John A. Hartford Foundation website in the U.S. provides U.S. statistics that support their conclusion that "older adults are the core business of health care".
In Canada:
- Seniors (age 65+) are three times as likely as younger Canadians to be admitted to hospital [1]
- Repeat admissions are more common among seniors than younger people[1]
- Once seniors are in hospital, they typically spend more time there than do younger people[1]
- Delirium occurs in up to 50% of older persons admitted to hospital, with the highest rates among those having surgery, admitted to the ICU, or with pre-existing dementia[2]
- Hospitalized patients who are delirious have a worse prognosis[2]
- Delirium is often not recognized[2]
Canadian demographics are available from the Statistics Canada website. For example, in 2008, there were 4,563,100 Canadians aged 65 and older. You can search by geographic region for statistics for your area.
Dorothy Pringle's editorial "Scared to need nursing" in the Canadian Journal of Nursing Leadership, Volume 22, Issue 3, is a resource for lobbying colleagues for curricular changes.
Help and tips for contributing to this Wiki
Notes and References
- ↑ 1.0 1.1 1.2 Health Reports: Seniors’ health care use. The Daily. Tuesday, Feb. 7, 2006. (Data from the 2003 Canadian Community Health Survey).
- ↑ 2.0 2.1 2.2 Canadian Coalition for Seniors’ Mental Health. National Guidelines for Seniors’ Mental Health: The Assessment and Treatment of Delirium. Toronto, ON: Author.
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