Geriatric Nursing
Metropolitan State University

Dr. Marilyn Loen, geriatric nurse practitioner and executive director of Metropolitan State's School of Nursing, reports that her Hartford sponsored geriatric nursing course receives rave reviews from students. Passionate about gerontology nursing and committed to creation of a superior course, she launched an extensive search for a qualified instructor for the nursing school's 2004-2005 academic year. She finally found Ruth Staus, adult nurse practitioner, to teach this required two-credit course to associate degree students enrolled in the school's RN-BSN program. The course is also cross-listed as a requirement in the graduate adult nurse practitioner program.

Prior to course implementation, Dr. Loen convened a geriatric/older adult focus group, which included: retired and practicing clergy, a retired physician/volunteer hospice medical director, nurses in long term care, geriatric nurse practitioners, nurse educators and elder citizens. After reviewing the focus group's transcript, the geriatric grant committee integrated their recommendations into the course content.

Dr. Loen reports that many undergraduate students began this required course reluctantly, "moaning and groaning," and ended the semester enthusiastically. Ms. Staus noted that on the first day, the students "sat in the back of the room glaring at me." She quickly won them over by holding most of her classes at the board and care facility where she is primary care nurse. The students complete gerontology assessments (i.e. "get up and go," geriatric depression scales, Cornell depression scales) on the clientele, who have a combination of mental illness (schizophrenic or bipolar), dementia and complex medical problems. Ms. Staus also arranges for her students to spend relaxed time with the residents, and by so doing, over the course of the semester, they grow genuinely fond and respectful of older citizens. She hopes for her students to not only learn gerontology nursing basics at her facility, but to also dispel their pre-conceived stereotypes about aging.

Ms. Staus believes strongly that gerontology nursing education is best taught by individuals like herself, who are both clinicians and teachers. Her lectures, which include a great deal of interaction and discussion, are practical applications of the course's required readings. She expects her students to come to class, ready to apply their reading to real patient cases. The course emphasizes health promotion, chronicity, cultural aspects of aging, and geriatric specific pathophysiology. It also examines current theories of aging, end-of-life care, economic issues and ethical dilemmas related to nursing a geriatric clientele.

Course evaluations applaud the course's practical application. Students appreciate Ms. Staus' wisdom gleaned through practice. Several students commented that by completing their clinicals at the instructor's work site, they had a perfect venue for integrating content, and that her course in general, taught them "an exceptional amount."

Syllabus

Student Works

Student Interview with Older Adult 1

Student Interview with Older Adult 2

Student Analysis Paper

Lessons Learned

Principal Investigator Contact Information:

Marilyn Loen PhD, RN
Executive Director, School of Nursing
Metropolitan State University
St. Paul, Minnesota
Ph.651.793.1376
Fax 651.793.1382
marilyn.loen@metrostate.ed

 

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