Geropsychiatric Nursing Practicum and Geropsychiatric Nursing Theory

University of Arkansas for Medical Sciences
College of Nursing

Elaine Souder, PhD, RN, project director, inspired by the John A. Hartford funding, increased the geropsychiatric content of the University of Arkansas' Geriatric Nurse Practitioner program. To achieve this end, she collaborated with faculty to add two new required gerontology-psychology courses to the GNP curriculum, Geropsychiatric Nursing Theory and Geropsychiatric Nursing Practicum. First offered during the summer of 2004, this couplet met with overwhelming student approval.

Dr. Souder successfully expanded a 2 credit theory course into the 3-credit Geropsychiatric Nursing Theory. The course content builds on previous courses, and continues student development of the advanced knowledge and skills needed to assess, plan and manage acute and chronic cognitive and emotional changes that occur with both normal aging and disease processes. Teaching methods include use of interdisciplinary guest lecturers, research critiques, self-study modules, literature/movies, and analyses of case studies. Their assigned novel, As We Are Now, by May Sarton, prepares its readers for the realities of aging and death, from its first epigram, "As you are now, so once was I; Prepare for death and follow me." It then chronicles an elderly woman's admission by unconcerned relatives into an understaffed, sub-standard care facility, sensitizing students to the point of "forever changing our lives." Dr. Souder contends that students, upon completion of analysis and reflection of literature, walk away from her class with important content, as well as long-lasting, positive, respectful impressions of older citizens. Movie analysis (Waking Ned Devine, Driving Miss Daisy, A Beautiful Mind) achieves the same end. This course, since the second year of the grant, is offered on-line.

The grant team also developed its compliment, a two-credit 180 hour clinical practicum, Geropsychiatric Nursing Practicum, in which students apply GNP-level knowledge and clinical skills to manage geropsychiatric problems, promote elder mental health, and case manage collaboratively with interdisciplinary health care providers. Using this case management approach, the students team with a geropsychiatrist and several other mental health professionals in two long term care agencies that address elder mental health needs. Students also work with preceptors in their own communities to minimize time spent traveling to Little Rock for clinical experiences. This practicum, since the third year of the grant, is offered on-line.

According to the project director, Dr. Elaine Souder, "both courses ensure that graduates will have the knowledge they need to work with older persons who are experiencing mental health problems."

Student Works:

Student Paper Reaction to As We Are Now

Student Paper Reaction to Beautiful Mind

Syllabi:

Lessons Learned

Principal investigator Contact Information:

Elaine Souder, PhD, RN
Professor
University of Arkansas for Medical Sciences College of Nursing
#529 ED III, Suite 5259, Room 5262
Little Rock, AR 72205
(501) 296-1893
(Fax) (501) 296-1765
souderelaine@uams.edu

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