Community Models of Care: A Scoping Review.

Nurse preparation and role in community models of care for older adults is not well documented. The purpose of the current structured scoping literature review was to identify nurse-led or nurse-involved community models of care for older adults, articulate the nurse's role and preparation in the model, and identify Triple Aim policy implications. Literature from 2008 through 2014 yielded 34 models identified in 51 articles. Twenty-one of 34 models were evaluated and none clearly articulated the full impact of a nurse role. Policy implications include: (a) consensus on degree preparation for nurses working in communities with older adults; (b) clearly defined nurse-sensitive measurements that capture the role of nursing in ambulatory and community care; (c) nonrestrictive scopes of practice for gerontological nurses and adult-gerontological nurse practitioners to extend their role beyond clinic settings; and (d) extending beyond value-based payment, which currently is largely physician awarded, and including additional Medicare and Medicaid policy to support nurses, community-level practice, and reimbursement. [Journal of Gerontological Nursing, 42(12), 12-20.].

Global access to aging information and the gerontology healthy ageing portal.

Nursing, gerontology, and information communications technologies are well positioned to influence gerontological health system development by promoting global access to evidence-based best practices that facilitate local access to knowledge. Gerontological nurses, as members of the global community, are encouraged to become partners in promoting active and healthy aging. One mechanism is by participating in the development of a Gerontology Healthy Ageing Portal in the eGranary Digital Library, an "Internet in a Box"™ that provides offline digital resources to institutions and individuals where Internet access is lacking or undependable.

Doing it my way.

PURPOSE: Historically, hotels and single-room occupancy residences have provided room, board, and social support services to elders, in particular the poor and the disenfranchised. This article presents the results of a case study drawn from a larger ethnographic community study that set forth to describe how and why elders from one rural community chose to live in a motel in that same rural community. The focus of this study is a description of 7 middle-income and affluent rural elders living in a motel setting as a housing option that enabled them to remain independent in their community. DESIGN AND METHODS: Using a community study ethnographic design and the strategies of formal and informal interviews, participant observation, and inductive comparative case study analysis, this study provides a description of why these elders decided to live in the motel and how this facilitated their living in the community. RESULTS AND IMPLICATIONS: Reasons that these elders decided to live at the motel included "saving my energy for living," "safety," "connections and privacy," and "the freedom to come and go." This study informs elder care policy, emphasizing the importance of naturally occurring networks to develop community capacity for healthy aging in one rural setting.