title: Competence for older people nursing in care and nursing homes: An integrative review.
abstract: BACKGROUND
  People living in care and nursing homes are vulnerable individuals with complex needs; therefore, a wide array of nursing competence is needed to ensure their well-being. When developing the quality of care in these units, it is essential to know what type of competence is required for older people nursing.
  
  
  OBJECTIVE
  The aim of this integrative review was to identify the competence needed for older people nursing in licensed practical nurses' and registered nurses' work in care and nursing homes.
  
  
  METHODS
  Integrative literature review.
  
  
  METHODS
  We performed an integrative review using Whittemore and Knafl's method. The CINAHL, MEDLINE, PsycINFO, SocINDEX and Scopus databases were searched for studies published from 2006 to April 2016. We assessed the quality of the studies using Joanna Briggs Institute critical appraisal tools and analysed the data by applying qualitative content analysis.
  
  
  RESULTS
  Ten articles were included in the review. Most of the studies focused on registered nurses' work. We identified five competence areas that are needed for older people nursing in registered nurses' work in care and nursing homes: attitudinal and ethical, interactional, evidence-based care, pedagogical, and leadership and development competence. Empirical evidence of competence requirements related to licensed practical nurses' work in these facilities was scarce.
  
  
  CONCLUSIONS
  The competence required for registered nurses and licensed practical nurses should be clearly identified to support competence management in the care and nursing home context.
  
  
  CONCLUSIONS
  Well-educated nursing staff are needed in care and nursing homes to provide high-quality care because comprehensive and advanced nurse competence is required to meet the needs of older people.
authors.affiliation: Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
authors.forename: Outi
authors.initials: O
authors.lastname: Kiljunen
authors.affiliation: Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
authors.forename: Tarja
authors.initials: T
authors.lastname: Välimäki
authors.affiliation: Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
authors.forename: Päivi
authors.initials: P
authors.lastname: Kankkunen
authors.affiliation: Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
authors.forename: Pirjo
authors.initials: P
authors.lastname: Partanen
mesh_terms: D002983:Clinical Competence; D005851:Geriatric Nursing / Q000592:standards*; D006707:Homes for the Aged; D006801:Humans; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D009735:Nursing Homes; D009740:Nursing Staff; D011787:Quality of Health Care
keywords: care home; competence; integrative review; nurses; nursing home; older people