title: A new role for advanced practice nurses in Canada: bridging the gap in health services for rural older adults.
abstract: This article is a report on the evaluation of a new nursing initiative in rural western Canada-the gerontological advanced practice nurse (GAPN) project. Using a qualitative approach in the i initial evaluative phase, the authors determined how the GAPN evolved, functioning primarily in a clinical nurse specialist role, and identified the successes and challenges of the project. The initial findings indicated health benefits to rural older adults. The project's success was attributed to strong support from key players, and attempts to address perceived gaps in rural health service. Challenges in developing the GAPN role included limited planning time, and lack of a clear definition about the role and responsibilities of the GAPN. The introduction of a GAPN, especially in underserved rural communities, has the potential to provide essential health care services to older adults, and to make major contributions to changing gerontology practice.
authors.affiliation: School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada. khiguchi@uottawa.ca
authors.forename: Kathryn A Smith
authors.initials: KA
authors.lastname: Higuchi
authors.forename: Brad
authors.initials: B
authors.lastname: Hagen
authors.forename: Sharon
authors.initials: S
authors.lastname: Brown
authors.forename: Mark Pjil
authors.initials: MP
authors.lastname: Zieber
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D001291:Attitude of Health Personnel; D002170:Canada; D002983:Clinical Competence; D017144:Focus Groups; D005851:Geriatric Nursing / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D016852:Housing for the Elderly / Q000458:organization & administration; D006801:Humans; D008507:Medically Underserved Area; D009720:Nurse Clinicians / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology*; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D010043:Outcome and Process Assessment, Health Care; D010353:Patient Education as Topic; D010865:Pilot Projects; D015397:Program Evaluation; D036301:Qualitative Research; D019035:Rural Health Services / Q000458:organization & administration; D012944:Social Support; D011795:Surveys and Questionnaires; D017748:Time Management