Recommendations From the International Consortium on Professional Nursing Practice in Long-Term Care Homes

Katherine S. McGilton, Barbara J. Bowers, Hazel Heath, Kay Shannon, Mary Ellen Dellefield, Dawn Prentice, Elena O. Siegel, Julienne Meyer, Charlene H. Chu, Jenny Ploeg, Veronique M. Boscart, Kirsten N. Corazzini, Ruth A. Anderson, Christine A. Mueller

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50 Scopus citations


In response to the International Association of Gerontology and Geriatrics' global agenda for clinical research and quality of care in long-term care homes (LTCHs), the International Consortium on Professional Nursing Practice in Long Term Care Homes (the Consortium) was formed to develop nursing leadership capacity and address the concerns regarding the current state of professional nursing practice in LTCHs. At its invitational, 2-day inaugural meeting, the Consortium brought together international nurse experts to explore the potential of registered nurses (RNs) who work as supervisors or charge nurses within the LTCHs and the value of their contribution in nursing homes, consider what RN competencies might be needed, discuss effective educational (curriculum and practice) experiences, health care policy, and human resources planning requirements, and to identify what sustainable nurse leadership strategies and models might enhance the effectiveness of RNs in improving resident, family, and staff outcomes. The Consortium made recommendations about the following priority issues for action: (1) define the competencies of RNs required to care for older adults in LTCHs; (2) create an LTCH environment in which the RN role is differentiated from other team members and RNs can practice to their full scope; and (3) prepare RN leaders to operate effectively in person-centered care LTCH environments. In addition to clear recommendations for practice, the Consortium identified several areas in which further research is needed. The Consortium advocated for a research agenda that emphasizes an international coordination of research efforts to explore similar issues, the pursuit of examining the impact of nursing and organizational models, and the showcasing of excellence in nursing practice in care homes, so that others might learn from what works. Several studies already under way are also described.

Original languageEnglish (US)
Pages (from-to)99-103
Number of pages5
JournalJournal of the American Medical Directors Association
Issue number2
StatePublished - Feb 1 2016

Bibliographical note

Publisher Copyright:
© 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine.


  • Nursing Leadership Capacity in long-term care homes
  • Professional role of the nurse in long-term care homes
  • Registered nurses in long-term care homes


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