NONPF 40th Annual Meeting

Expanding Clinical Opportunities to Maximize AG-ACNP Competencies

Saturday, April 5, 2014
Grand Ballroom Foyer (Grand Hyatt Denver)
Audrey Snyder, PhD, RN, ACNP-BC, CEN, FAANP, FAEN1,2, Mary Deivert, RN, MSN, ACNP-BC3 and Barbara Maling, PhD., RN, ACNP-BC, MA3, (1)Acute Care Nursing, University of Virginia, Charlottesville, VA, (2)Ridgeline Physicians, Culpeper, VA, (3)Nursing, University of Virginia, Charlottesville, VA
Abstract:
Background:  The Adult Gerontology Acute Care Nurse Practitioner (A-G ACNP) competencies require experience with young adults, including late adolescents and emancipated minors, and adults through the ages of the geriatric population, including the frail elderly.   

Nurse Practitioner Education Initiative: The A-G ACNP program practicum locations were evaluated for inclusion of the A-G ACNP age groups and settings.   Clinical sites were expanded to include a teen center, a student health on a University campus, a long-term care facility and skilled nursing facilities.  Negotiation of these sites required education on the terminology and role of the A-G ACNP with colleagues, assessment of the site as a suitable clinical environment, site visits, and monitoring of student progress to meet competencies and objectives.

These additional clinical sites provided opportunities for students to work with highly vulnerable populations, to adapt communication skills and assess health status. These environments allowed them to focus on disease prevention and restoration of maximum health and/or provision of palliative care, health risk behaviors, and substance use. These settings increased understanding of coordination of care across care settings, and of strategies to assist patients and families in navigating transitions across healthcare settings.  They were able to focus on safety and risk reduction and develop strategies to keep patients in their home environment (Skilled Nursing Facility) or to facilitate return to their home in the community.  

Implications for Nurse Practitioner Education and Practice: Expansion of clinical sites for the A-G ACNP beyond the hospital and specialty clinic arenas provides an excellent opportunity for students to focus on the spectrum of ages and required assessment skills. The outcomes of these experiences provide validation for expansion of clinical sites in the A-G ACNP program.   Additionally, this program demonstrates how collaboration, teamwork, communication, and clinical competencies can be enhanced in teen and gerontology settings.