Developing advanced nursing skills for frail older people
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Developing advanced nursing skills for frail older people

Sarah Goldberg Senior clinical academic nurse, University of Nottingham/Nottingham University Hospitals NHS Trust
Jo Cooper Head of nursing and midwifery research/senior research fellow, Nottingham University Hospitals NHS Trust
Catherine Russell Deputy sister on a healthcare of the older person ward, Nottingham University Hospitals NHS Trust, Nottingham

An ageing population with complex needs means there is scope for a post that will sit between medicine and nursing, and offer an attractive career pathway for the specialty. Sarah Goldberg and colleagues discuss its development

Improving hospital care for frail older people requires expertise, leadership and resources as these patients have multiple complex needs. One innovative solution to providing the skilled care necessary is to train experienced nurses to become advanced nurse practitioners (ANPs). Such roles encompass activity previously undertaken by medical staff, together with leadership, teaching, research and service development. Skills specific to caring for older people, such as comprehensive geriatric assessment, are also required. This article discusses the need for ANPs in this clinical area, a pilot that is under way in one acute trust to develop these roles, and the potential benefits and challenges that may accompany this development.

Nursing Older People. 26, 4, 20-23. doi: 10.7748/nop2014.


Peer review

This article has been subject to double blind peer review

Conflict of interest

None declared

Received: 30 January 2014

Accepted: 12 March 2014