Toolbox::Education & Leadership

Educational and Leadership Development Programs

Staff in nursing homes have identified education as the best method for learning how to respond to the Behavioral and Psychological Symptoms of Dementia (BPSD) in people experiencing this condition. Education is essential for implementing evidence-based practice and for promoting person-centered care. In this section of the Toolkit, staff educational programs that address use of non-pharmacological approaches, reduction of antipsychotic medication use in the nursing home, general dementia care education when it includes either of the above, and leadership development for professional staff are identified. These latter programs were included because nursing homes currently lack the strong nursing leadership necessary to implement change in practice. Some of the leadership development programs are specific to the nursing home environment, while others target leadership skill-building in general. For all programs, those that are easily accessible to facilities were selected; where there is a cost for the program, this information is provided.

Four databases are associated with this section of the Toolkit:

Table 1. Educational Programs for Implementing Non-Pharmacological Approaches

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Name Sponsoring Agency Abstract/Brief Description by Author on Website Intended Learning Audience Learning Resource Type CEUs Duration Link
Behavior Modification: Theories and Approaches CMS Survey Group This broadcast examines the role of behavior modification strategies that are commonly employed in the long-term care setting. The show emphasizes non-pharmacological interventions, although a general discussion of pharmacological alternatives and their effectiveness is included. The broadcast focuses on five major theories of behavior modification, with discussion and example scenarios for each. Long-Term Care Administrators Video 90 mins. Link
Non-Pharmacological treatment of Demented Patients with Problematic Behaviors Yale University School of Medicine Workshop on use of non-pharmacological intervention to care for patients with "behavior problems" due to dementia. Registered Nurses, Advance Practice Nurses Case Study/ Case Series, Faculty Development No Self-Paced Link
Improving Antipsychotic Appropriateness in Dementia Patients University of Iowa This website includes evidence based information and resources to help clinicians, providers, and consumers better understand how to manage "problem behaviors" and psychosis in people with dementia using evidence-based approaches. It includes brief lectures, written content, quick reference guides for clinicians and providers, and information for families or patients on the risks and benefits of antipsychotics for people with dementia (a.k.a. Alzheimer's disease and others). Laminated quick reference guides for use in practice are available on request; these can help put the strategies you learn about into action. Advanced Practice Nursing Student, APRN, Caregiver, Nurse Educator, Pharmacists, Pharmacy Students, Fellow, Medical Student Clinical, RN, Patient, Physician Assistant, Practicing Physician, Resident, Social Worker Case Study/Case Series, Evaluation Tool, Independent/ Self Directed Learning, Lecture/Presentation, Quick Reference Pocket Cards, Videos, Family Member Resources CMEs 120 mins. Link
Use of Antipsychotics in the treatment of Older Adults University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine This podcast focuses on the side effects, dosing, and efficacy of antipsychotic medications commonly used to treat neuropsychiatric disorders in older adults. Fellow, Medical Student Clinical, Practicing Physician, Resident Podcast No Self-Paced Link
Psychiatric Issues in Long-term Care American Medical Directors Association Understand how the changes between MDS 2.0 and 3.0 foster the use of standardized instruments to quantify psychiatric symptomatology, which can prove helpful in making treatment decisions. Webinar CMEs 90 mins. Link
Tool on the Assessment & treatment of Behavioral Symptoms of Older Adults Living in Long-term Care Facilities Canada Coalition for Seniors Mental Health With funding from the Public Health Agency of Canada Population Health Fund, CCSMH was able to collaborate with experts in the fields of geriatrics and long-term care homes to develop evidence-based recommendations on the assessment and treatment of mental health issues in long-term care homes. Registered Nurse, Licensed Practical Nurse, Nursing Assistant/Certified Nursing Assistant Pocket Cards No Self-Paced Link
Delirium, Dementia, and Depression Registered Nurses Association of Ontario The purpose of this course is to provide an overview of the RNAO's best practice guidelines for the screening and care strategies for delirium, dementia and depression. Registered Nurse Webinar, Case Study No Self-Paced Link
Murray Alzheimer Research and Education Program Murray This tool is a wonderful learning resource for individual staff working in community programs or long-term care settings. In addition this tool can be used by persons working in public service settings (e.g., transit workers, police, etc.) interested in learning more about dementia. Family and friends of persons living with dementia will also benefit from the information. Advanced Practice Nursing Student, APRN, Caregiver, Nurse Educator, Pharmacists, Pharmacy Students, Fellow, Medical Student Clinical, RN, Patient, Physician Assistant, Practicing Physician, Resident, Social Worker Video No Self-Paced Link
Foundations of Dementia Care Alzheimer's Association Education Foundation Dementia Care classroom training program helps staff learn essential skills for dementia care through role-playing exercises and lively discussions using realistic film clips and case studies. Advanced Practice Nursing Student, APRN, Caregiver, Nurse Educator, Pharmacists, Pharmacy Students, Fellow, Medical Student Clinical, RN, Patient, Physician Assistant, Practicing Physician, Resident, Social Worker Video, Case Study Yes Self-Paced Link
AGS Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults (2012) American Geriatrics Society This clinical tool, based on the AGS 2012 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults (AGS 2012 Beers Criteria), has been developed to assist healthcare providers in improving medication safety in older adults. The purpose is to inform clinical decision-making concerning the prescribing of medications for older adults in order to improve safety and quality of care. Advanced Practice Nursing Student, APRN, Caregiver, Nurse Educator, Pharmacists, Pharmacy Students, Fellow, Medical Student Clinical, RN, Patient, Physician Assistant, Practicing Physician, Resident, Social Worker Pocket Cards No Self-Paced Link
Assessment and Management of Behavioral Disturbances in Dementia American Association of Geriatric Psychiatry To review the range of "behavioral disturbances" associated with dementia. Registered Nurse, Physician Webinar CMEs 60 mins. Link
Nursing Home Initiative on Behavioral Health & Antipsychotic Medication Reduction Center of Medicaid and Medicare Services CMS has developed a national action plan to improve behavioral health and to safeguard nursing home residents from unnecessary antipsychotic drug use. This multidimensional approach includes research, public reporting, raising public awareness, regulatory oversight and technical assistance/training, and is aimed at enhancing person-centered care for nursing home residents, particularly those with "dementia-related behaviors". Video No 50 mins. Link
Clinical Practice Guideline: Dementia American Medical Directors Association Dementia, a disorder characterized by progressive decline in multiple areas of cognitive function, causes a range of cognitive, mood, behavioral, and functional impairments. Optimal management of dementia involves the entire interdisciplinary team, with practitioners playing an important leadership role. This guideline offers a systematic approach to the recognition, assessment, treatment, and monitoring of patients with dementia. Implementing this guideline should help LTC facilities. Long-Term Care Direct Care Staff Clinical Practice Guideline No Self-Paced Link
The true Meaning of Non-Pharmacologic Management of Behavioral Symptoms in Older Adults with Cognitive Impairment American Medical Directors Association Learn how best to teach your team how to work on "problem behavior", for the residents along with the staff. Long-Term Care Direct Care Staff Webinar No Self-Paced Link
Non-Pharmacologic Management of Behavioral Symptoms American Medical Directors Association Increasing emphasis is being placed on the use of non-pharmacologic interventions as the first-line approach to managing disruptive and/or potentially dangerous behavioral symptoms in persons with dementia. This webinar provides a comprehensive, multi-disciplinary approach to challenging clinical situations and gives participants the knowledge enabling them to effectively design and implement non-pharmacologic interventions. Long-Term Care Direct Care Staff Webinar No Self-Paced Link
Management of Behavioral and Psychological Symptoms in People with Dementia Living in Care Homes: A UK Perspective Advancing Excellence in America's Nursing Homes PowerPoint presentation that describes the state of research and effort to improve dementia care in the UK. Long-Term Care Staff PowerPoint Presentation No Self-Paced Link
Reducing Inappropriate Use of Antipsychotic Medications Alliant: Georgia Medical Care Foundation A two-part PowerPoint presentation describing the background and current state of knowledge about unsafe prescribing of antipsychotics among people with dementia. Long-Term Care Staff PowerPoint Presentation No Self-Paced Link
Safely Reduce The Off Label Use of Antipsychotics The AHCA/NCAL Quality Initiative for Long-term Care , Rehabilitation and Assisted Living The Nursing Process Approach details the steps nurses need to take before contacting the physician to discuss possible gradual dose reduction/tapering for antipsychotics used off-label. The process outlines the information nurses need to collect and analyze in order to make critical decisions about next steps. Long-Term Care Staff No Self-Paced Link
Dementia Beyond Drugs: Changing the Culture of Care Dr. G. Allen Power Dementia Beyond Drugs will enable you to change the way you provide care. Learn what it takes to effect real culture change within residential care settings while reducing the administration of psychotropic drugs in the symptomatic treatment of dementia. This timely new resource, by a board-certified internist, geriatrician, nursing home practitioner, and Eden AlternativeTM Educator, Dr. G. Allen Power, brings robust medical experience and a unique perspective to the idea of culture change. Advanced Practice Nursing Student, APRN, Caregiver, Nurse Educator, Pharmacists, Pharmacy Students, Fellow, Medical Student Clinical, RN, Patient, Physician Assistant, Practicing Physician, Resident, Social Worker Book No Self-Paced ISBN 978-1-932529-56-2
CARES : Dementia Basics , Advanced Care, Dementia-related Behaviors Health Care Interactive Designed for staff and caregivers, this online program provides training on person-centered care, the changes that happen to thinking skills as dementia progresses, how those changes impact behavior, and more. Long-Term Care Direct Care Staff No 4-6 hours Link
Improving Antipsychotic Use in Patients with Dementia This webcast describes a clinical decision aid and toolkit to help inform clinical decisions regarding the use of antipsychotics. This activity will describe a clinical decision aid and toolkit which have been developed to help healthcare providers make effective clinical decisions regarding the use of antipsychotics for the treatment of behavioral problems or psychosis in patients with dementia. Adapted from the AHRQ comparative effectiveness research review and summary guide on off-label use of antipsychotics, it provides a clinical decision aid for providers and educational materials for both providers and consumers. Registered Nurses, Physicians, Pharmacists Webcast No 120 minutes Link
Nursing Facility Regulations and Psychotropic Medication Use University of Iowa Developed with the support of the Agency for Healthcare Research and Quality, the IA-ADAPT website helps clinicians, providers, and consumers better understand, assess and address "challenging behaviors" in people with dementia using evidence-based approaches. It includes user-friendly resources such as brief videos, written content, quick reference guides for clinicians and providers, and information for families or patients on the risks and benefits of antipsychotics for people with dementia. Advanced Practice Nursing Student, APRN, Caregiver, Nurse Educator, Pharmacists, Pharmacy Students, Fellow, Medical Student Clinical, RN, Patient, Physician Assistant, Practicing Physician, Resident, Social Worker PowerPoint No 60 minutes Link
Understanding & Responding to Behavioral Symptoms in Dementia Hartford Center of Geriatric Nursing Excellence (HCGNE), College of Nursing, University of Iowa The training program, "Back to the A-B-C's: Understanding and Responding to Behaviors in Dementia," is revised and updated from a module titled "Acting Up and Acting Out: Assessment and Management of Aggressive and Acting Out Behaviors" that was first published in The Geriatric Mental Health training Series (GMHTS). The GMHTS was developed and evaluated during a five-year grant from the Division of Nursing, Bureau of Health Professions, U.S. Department of Health and Human Services, Grant # D10NU2711801, between 1989 and 1994. Long-Term Care Staff PowerPoint No Self-Paced Link
Systematic Evidence Review for Non- Pharmacological Interventions for Behavioral Symptoms in Dementia by Evidence-based Synthesis Program (ESP) Center American Society for Consulting Pharmacists Health Services Research & Development Service's (HSR&D's) Evidence-based Synthesis Program (ESP) was established to provide timely and accurate syntheses of targeted healthcare topics of particular importance to Veterans Affairs (VA) managers and policymakers, as they work to improve the health and healthcare of veterans. The ESP disseminates these reports throughout the VA. Veterans Affairs Staff PDF File No Self-Paced Link
Toxic Medicine CANHR This guide is part of CANHR's Campaign to Stop Chemical Restraints in nursing homes and other long-term care facilities. Ending the misuse of psychoactive drugs is one of CANHR's top priorities because over drugging is a leading cause of misery, neglect and death for residents who suffer from dementia. The Campaign features a one-of its-kind website where one can join the Campaign, examine drugging rates for each California nursing home, view CANHR's 3-part video series on chemical restraints, learn about better methods of care, read and participate in CANHR's Stop Drugging Our Elders Blog, and much more. Long-Term Care Staff Video No Self-Paced Link
treatment of Geropsych Disorders Gerontological Advanced Practice Nurse Association This session provides a review of differential diagnoses of common psychiatric syndromes in the elderly, including the dementias, depression, anxiety disorders, bipolar states, schizophrenia, etc. treatment options for the primary care provider are explored, including the strategy of quantifying response and treating to the goal of remission. Situations warranting referral are also addressed. Long-Term Care Staff PowerPoint No 60 minutes Link
Signs of Pain in Residents with Dementia American Association For Long-term Care Nursing These lesson modules are written on topics relevant to frontline nursing assistants and on a level that enables them to read and complete independently for one service hour each. An Instructor's Guide accompanies each module that contains objectives, content outline, test answers, and resources for further learning. Long-Term Care Staff Module No 60 minutes Link
Review of the Institute of Medicine Report on the Geriatric Mental Health and Substance Use Work Force Institute of Medicine The findings of the IOM committee on the geriatric mental health and substance use workforce are reviewed in this webinar. The focus is on the need for the workforce, the breadth of the workforce and specific recommendations to federal agencies to support and expand the workforce. Long-Term Care Staff Webinar No Self-Paced Link
One Minute Pain Assessment Center For Excellence in Long-term Care Pain control is best achieved through good assessment. The following assessment may be completed in about 1 minute and quickly identifies older adults who may be experiencing pain regardless of cognitive status or verbal abilities. If any of the following items are noted, pain may be an issue and should be investigated further. During the assessment, if an older adult uses a particular word to describe their pain continue to use that adjective when talking about their pain. Long-Term Care Staff Fact Sheet No Self-Paced Link
Whose Problem is It? The University of Iowa: College of Nursing Mental illness is a common problem among nursing home residents, and a primary cause of behavioral management problems for staff. However, threats to mental health may also precipitate "behavioral problems". Both types of problems are briefly reviewed in this introductory program. An emphasis is placed on accurate identification of the underlying causes of the "difficult behavior", and on the staff's management of their own feelings about "problem behaviors". Long-Term Care Staff PowerPoint No Self-Paced Link
Back To The ABC's: Understanding and Responding To Behavior and Psychological Symptoms in Dementia The University of Iowa: College of Nursing Behavioral and psychological symptoms of dementia are often puzzling, and sometimes are troubling to staff, other residents and family members alike. Compassionate and effective care relies on understanding the problem from the perspective of the person with dementia and accurately assessing a diverse array of factors that may cause or contribute to behavioral symptoms. In this module, the Antecedent-Behavior-Consequence (ABC) model is applied to the care of persons with dementia. By assessing and changing common antecedents (triggers) and consequences (reactions), caregivers are often able to promote comfort and function for individuals with dementia. Long-Term Care Staff PowerPoint No Self-Paced Link
Consult GeriRN Hartford Institute for Geriatric Nursing ConsultGeriRN.org is the evidence-based geriatric clinical nursing website of The Hartford Institute for Geriatric Nursing, at New York University's College of Nursing. Endorsed by the National Gerontological Nursing Association (NGNA), the American Association for Long-term Care Nursing (AALTCN), The National Association Directors of Nursing Administration in Long-term Care (NADONA), etc. Evidence-based geriatric protocols for managing over 30 common geriatric syndromes and conditions are described including education videos on multiple topics. Linkage to 55 specialty nursing associations' offerings in geriatric care and to national geriatric web-sites and the try This Assessment series with 30 nationally recommended instruments for use with older adults. Registered Nurses, Physicians, Pharmacists Multimedia No Self-Paced Link
TLC: training for Caregivers in LTC Gero T.I.P.S T.I.P.S (Teach Innovative Practical Solutions) is a free, web-based learning environment that has been developed for nurses and other healthcare practitioners who want to stay informed about innovative developments in the field of gerontological nursing. Long-Term Care Staff Multimedia No Self-Paced Link
Dementia Care: The Quality of Chasm CCAL-Advancing Person-Centered Living The seminal 2001 Institute of Medicine's (IOM) report, Crossing the Quality Chasm, called for a redesign of the nation's healthcare system, and described healthcare in America as impersonal and fragmented. The IOM report stated that a critical element needed in the redesign was a shift to a person-centered approach moving away from the traditional clinician/disease centered approach. The title of this white paper, Dementia Care Quality Chasm, was purposefully selected as a nod to the IOM's red flag warning about our nation's impersonal and fragmented healthcare systems and practices. Overall, dementia care in this country is impersonal and fragmented, and this paper is a call to action to change to what is considered the gold standard-a person-centered approach. Given the already staggering financial and caregiving demands of dementia, the U.S. is facing significant, if not crippling, societal challenges if effective person-centered systems and practices are not implemented soon to address and better manage the care, services, and supports for people living with dementia and their care partners. Long-Term Care Staff PDF File No Self-Paced Link
Hand in Hand: A training Series for Nursing Homes Centers for Medicare and Medicaid Services The mission of the Hand in Hand training is to provide nursing homes with a high-quality training program that emphasizes person-centered care in the care of persons with dementia and the prevention of abuse. Long-Term Care Staff Toolkit No Self-Paced Link
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Table 2. Leadership Training Opportunities for Professional Staff

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Program Sponsor Abstract/Brief Description by Author on Website Intended Audience Length Objectives CEUs Link
Amy V. Cockcroft Nursing Leadership Development Program University of South Carolina Center for Nursing Leadership Established in 1994, the program has evolved to prepare nurse executive leaders to meet the increasingly urgent demands of today's health care organizations. The Amy V. Cockcroft Nursing Leadership Development Program provides proven skills, strategies, and techniques for success as a healthcare leader. This visionary program provides a critical foundation for leading through periods of change, building partnerships and circles of influence, and forging collaborations. Nurse Leaders with at least a BSN 1 year To expand the boundaries of leadership through self-awareness and skill development; challenge traditional linear thinking to succeed in today's complex healthcare systems; leverage your work at a higher level using system thinking concepts; master effective communication skills crucial in resolving and negotiating conflict; earn continuing education and qualify to earn graduate credit. Yes; ANCC Link
Board Leadership Development Program Sigma Theta Tau International The two-year Board Leadership Development Program prepares nurses to be knowledgeable and responsive leaders on national and international boards. Nurse Leaders who plan to serve on national and international boards 1 year To increase knowledge and skills in the areas of: core aspects of trusteeship; an organization's vision, mission and strategic goals; fiduciary responsibilities of a board; board and staff partnerships; strategic thinking and strategic planning; and generative governance. Yes: ANCC Link
CHAMP Program* Visiting Nurse Service of New York, Center for Home Care Policy & Research The CHAMP Program is the first national initiative to advance home care excellence for older people. CHAMP supports nurse leaders in home care and makes the latest evidence based tools, e-learning and expert advice easily accessible to home care clinicians, from any computer. Nurse Leaders in home care Self-Paced To educate participants on care coordination; management and transitions; medication management; cognitive function; physical function; chronic pain management; palliative care and advanced illness management. Yes; ANCC Link
Emergent Nurse Leader Program Southern Regional Education Board This program is designed to permit registered nurses to engage in leadership development in their current positions. The participant develops leadership through intense self-assessment of leadership style and competencies. In-depth discussion and reflection through learning activities engage the nurse leader in applying knowledge and skills in a variety of leadership roles and competencies. Registered Nurses 10 months To prepare aspiring individuals for leadership roles in academic and practice settings. Link
Emerging Nurse Leader Institute American Organization of Nurse Executives This institute is a three-day interactive leadership development program that combines lecture, discussion, experiential learning and self assessment. This workshop is limited to 50 participants and gives attendees an overview of nursing leadership. Aspiring and Novice Nurse Managers 3 days The program gives participants an overview of the following: managing the business, managing people, and creating the leader within. Using self assessment tools, simulation, case study and introduction of leadership concepts attendees are able to explore their leadership potential, understand the basics of budgeting, conflict management, circle concepts, quality and patient safety, and their role in the future of nursing. Yes; ANCC Link
Geriatric Nursing Leadership Academy* Sigma Theta Tau International The GNLA is an 18-month mentored leadership development experience. BSN/RN 18 months The blended curriculum provides many methodologies for developing leadership knowledge and competence with a focus on: individual leadership development, advancing nursing practice through leadership of an interprofessional team, organizational scope of influence and impact at local, regional, and national levels. Yes; ANCC Link
Global Nursing Leadership Institute International Council of Nurses The annual Global Nursing Leadership Institute (GNLI) leadership development programme offers an advanced leadership programme for nurses and/or midwives at senior level and executive positions in developed and developing countries across the world. Nurse Executives 6 days The program, drawing on the expertise of international faculty, allows participants to review and enhance their national and global leadership knowledge and skills within a collaborative and stimulating learning culture. Following attendance at the Institute, ICN-Burdett expect that participants will: be equipped to build strategic national and global alliances; use self-assessment to focus their leadership strengths and development; have heightened awareness and understanding of health care globally; have strengthened capacity to influence policy change; be capacitated with strategic planning and thinking skills; and be stimulated to take on higher leadership roles nationally and global. Link
Johns Hopkins Nurse Manager Academy The Institute for Johns Hopkins Nursing What makes a great Nurse Manager? The Institute for Johns Hopkins Nursing invites you to find out. Our innovative leadership programs help you stay on course in a rapidly changing healthcare environment, and challenge you to reach your full potential. The expertise of our faculty serves as a catalyst to change the way you think about your work. During our 5 day residential Nurse Manager Academy, you'll explore best practices with management experts and learn practical strategies from experienced Johns Hopkins Hospital Nurse Managers. You'll combine opportunities for self-assessment and self-reflection with highly interactive group sessions built around authentic work situations. You'll work with a peer group to identify and address your greatest work challenges. Nurse Managers 5 days To address the most pressing issues in the lives of Nurse Managers today. Learn the HOW and WHY of: retaining and recruiting; managing performance; mastering the difficult conversation; managing financial and business planning; using your emotional and social intelligence; looking after yourself; resolving conflict; creating highly effective teams; and communicating to create change. Yes; ANCC Link
Long-term Care Leadership Institute New York State Health Facilities Association Funded by the New York State Department of Health's Healthcare Workforce Retraining Initiative, the LTC Leadership Institute is a state-of-the-art leadership and professional continuing education program for nurses in senior management positions in skilled nursing facilities. This Institute was designed to provide nursing leaders with an ongoing educational and peer networking program that promotes personal development, core competencies and best practices in the role of long-term care nursing. Administrators and Nurses 4 days, 8-week programs The goals of the LTC Leadership Institute are to address the nursing shortage and new job requirements (particularly in long-term care and administration) and to continue to expand the educational capacity for nurses and other long-term care professionals in skilled nursing facilities. The skills developed and learned in the Leadership Institute have enabled participants to advance in their career and to transfer these skills to the other staff at their facilities. Yes; ANCC Link
MU Leadership Development Academy for Nurse Leaders and Nursing Home Administrators in LTC* MU Nursing Outreach This program features: a proven curriculum to increase leadership behaviors and job retention; emphasizes leadership as a key element in high- vs. low-performing nursing homes; tackles the hard issues, helping homes sustain improvements beyond the survey; awards both nurses and nursing home administrators CE credit, useful for licensure, certification and recertification; incorporates a mentoring component and assists participants with a quality improvement project; includes eight days of classes and two webinars offered over seven months; assesses pre- and post-Academy leadership behaviors and competencies including the Leadership Practices Inventory; and offers valuable resources including two books, numerous articles and tools to promote leadership success. RNs and NHAs in long-term care 6 months To prepare nurse leaders and NHAs in long-term care to create and sustain improvement in their work settings, including ability to emphasize staff involvement, facilitate communication and teamwork, set clear expectations and ensure high standards of care. Yes; ANCC Link
NurseLEAD LeadingAge Nurse Leadership Enrichment and Development is an online training program to help charge nurses and team leaders in nursing homes become more effective coaches, leaders and supervisors of frontline staff. The program consists of seven modules: introduction to leadership, critical thinking, coaching CNAs, conflict resolution, communication, diversity among staff, and working with management. Charge Nurses and Team Leaders in nursing homes Self-Paced To help charge nurses and team leaders in nursing homes become more effective coaches, leaders and supervisors of frontline staff. Yes; ANCC Link
Nurse Manager Fellowship American Organization of Nurse Executives The AONE Nurse Manager Fellowship is a year-long professional development program designed to provide an in-depth environment of learning. The first of its kind, the fellowship program fills a void that currently exists in the education and development of the nurse manager. Participants strengthen their current skills, acquire new competencies and continue the life-long learning needed for the next generation of successful nurse leaders. Nurse Managers 1 year To ensure the future vitality of nursing leadership by: meeting practice needs of the nurse manager: knowledge, competency acquisition, and enhanced experiential learning; assuring that nurse leaders are perceived as valuable members of management and leadership teams; and supporting the key aspects of succession planning. Yes; ANCC Link
Palliative Nursing Leadership Institute* Hospice and Palliative Nurses Association The program, modeled after the Robert Wood Johnson Leadership Academy, offers opportunities for growth and development of those established leaders who are members of HPNA and seek the opportunity to expand their leadership skills, knowledge and abilities. With this goal in mind, a top notch faculty will provide a week of didactic content followed by selected mentors who will interact with the leader over a two year period as the participant designs and implements a $7500 work project that will be supported through a donation of $5,000 provided by the Hospice and Palliative Nurses Foundation as well as a $2500 contribution by the participant's institution/agency. Nurse Leaders 2 years To provide outcomes evidenced by behavioral changes in the participant's professional actions and responsibilities within the work setting through the implementation of their project and through the collective "positive change core". This positive change will "link the energy of this core directly to the change agenda." Yes Link
Robert Wood Johnson Foundation Executive Nurse Fellows Robert Wood Johnson Foundation The Robert Wood Johnson Foundation Executive Nurse Fellows program is a three-year advanced leadership program for nurses who aspire to lead and shape health care locally and nationally. Fellows strengthen their leadership capacity and improve their abilities to lead teams and organizations in improving health and health care. Each year the RWJF Executive Nurse Fellows (ENF) program selects a cohort of up to 20 highly qualified nurses in senior executive positions to participate in the three-year fellowship. Nurse Executives 3 years The program targets 20 leadership competencies focused on leading oneself, leading others, leading the organization and leading in health care. A key curriculum goal is to help fellows apply the knowledge and skills they obtain to the leadership challenges and opportunities they face in their work. Link
Wharton Nursing Leaders Program Wharton University of Pennsylvania The primary focus of this program is to assist nursing leaders in the effective management and implementation of strategic and tactical plans. As nursing leaders move upward in the organization, the decisions, the issues, and the projects become increasingly complex and multifunctional. The program content is specifically designed to address this complexity and includes identifying the key stakeholders and influencing their behavior, learning to manage resources, and knowing when to terminate a task force or project. Nurse Managers 4 days To provide essential financial skills, enabling participants to communicate budgetary information to peers and staff; to provide an awareness of the strategic issues facing the health care organization and the stakeholders within and outside the organization; to provide critical analytical skills necessary to manage task forces or project teams; to enhance the ability to manage resources, both human and financial, and to optimize clinical and administrative performance; and to explore the causes of poor decision making. Yes: ANCC Link
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Table 3. Educational Resources Available on the Portal of Geriatric Online Education (POGOe)

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Website: www.pogoe.org
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Product ID on website/ Source Abstract Resource Type Intended Audience Time Other Items Peer Review Educational Objectives CEUs CEU Type References Sponsors
20617/ University of Arizona COM Eldercare: A Resource for interprofessional providers; A series of geriatric educational materials from University of Arizona College of Medicine on a wide variety of topics. Pertinent segments as follows; 20617 on Ftd; Quick reference guide/ pocket card, Independent/Self-Directed Learning Fellow, Med Student, RN, CME, Residents, SW, Therapist 30 min. Yes; login re-quired No 1. List differences between the presentation of frontotemporal dementia and presentation of Alzheimer's disease. 2. Identify the most common behavioral changes seen in patients with frontotemporal dementia. 3. State the common abnormal findings on brain imaging in patients with frontotemporal dementia No N/A Yes
21209/ University of IOWA GEC This website includes information and resources to help clinicians, providers, and consumers better understand how to manage problem behaviors and psychosis in people with dementia using evidence-based approaches. This includes brief lectures, written content, quick reference guides for clinicians and providers, and information for families or patients on the risks and benefits of antipsychotics for people with dementia (a.k.a. Alzheimer's disease and others). You can also request laminated quick reference guides to use in your practice, which can help you put the strategies you learn about into action Case-Study/Case Series, evaluation tool, independent self directed, lecture presentation, QRG/ Pocket card, Video Advanced Practice Nursing Student; ARPN, Caregiver, Nurse Educator, Pharmacists & Ph. Students, Fellow, Med. Student Clinical, RN, Patient, PA, CME, Resident, SW 2 hrs. Yes; login re-quired No Determine when an antipsychotic might be appropriate or inappropriate in a person with dementia, depending on symptoms and the type of dementia. Yes Not listed Yes Health Resources and Services Administration (HRSA) & Agency for Healthcare Research and Quality
21188/ American Geriatrics Society The Cognitive and Behavioral Disorders (CBD) Assessment Tool Kit was developed by the Education Committee and the Teachers Section of the American Geriatrics Society to provide the tools necessary to learn and be able to demonstrate the ability to screen and evaluate older patients with dementia, delirium and depression; demonstrate competency in formulating a treatment plan for a patient with abnormal cognitive function, with special attention to patient safety. Documents and Videos Med. Student, Resident Not sta-ted Yes; login re-quired No 1. Formulate a differential diagnosis and recommend an evaluation and treatment plan for an older adult with a cognitive/behavioral problem; and 2. Utilize an educational tool kit to promote or implement a competency assessment project in home institution. No Not listed Yes AGS
21018/ University of Alabama SOM; Teaching geriatrics to change behavior This product guides the user through a four-hour workshop aimed at teaching clinician educators how to teach four geriatrics topics: delirium, medication management, health literacy, and dementia. A variety of innovative teaching techniques are integrated into each topic area. There is an introductory session on adult learning theory, and all teaching techniques introduced in the workshop are based in these theories. All materials needed to teach the four topics are included in the guide. Curriculum/ Syllabus, educational game, evaluation tool, facilitators guide, lecture/ presentation, QRG/ Pocket card APRN, Nurse Educator, Fellow, PA, CME, Resident +3 hrs. Yes; login re-quired No Teach three key points about each of the following topics: delirium, dementia, medication management and health literacy. No No Yes Donald Reynolds Foundation
20770/ University of Cal. Irvine. COM This is a problem-based learning (PBL) case for medical students featuring a 73-year-old female patient with cognitive impairment. The focus of the PBL case is the assessment and diagnosis of dementia, issues of elder abuse, challenges of caring for patients with dementia, and the prevalence of caregiver stress. Case-Study/Case Series; PBL materials Med. Students 1.5 hours Yes; login required No 8. Develop an evaluation and non-pharmacologic management plan for agitated demented or delirious patients. No No Yes Donald W. Reynolds Foundation
20968 Bayside Medical Center An agitated elder is the bane of every new resident's night float experience. They dread the call in the middle of the night from the nurse telling us about the elderly patient who is either trying to kick his way out of bed, pull out his IV or tug at his foley catheter. The sophisticated geriatrician is often called the next day to mop up after errors done the night before by the junior clinicians. We know that avoiding medications is preferable in the agitated elder, but in situations where it is necessary, prompting physicians to use the right medication at the right dose can prevent inappropriate medication administration and minimize harm. Thus, we developed this pocket size card to help junior physicians as well as geriatricians in the management of the agitated elder Quick Reference/ Pocket Card Residents Fellows, CME Not sta-ted Yes; login re-quired No The educational objective is to aid the sophisticated geriatrician, residents in internal medicine, family medicine and medicine pediatrics in the step-wise management of delirium in the geriatric population No No Yes Not specified
20856/ University of Medicine and Dentistry of New Jersey, Osteopathic Medicine This case-based lecture-capture recording outlines for general psychiatry residents the key points of assessing and treating delirium in elderly patients in the sub acute setting. It is one of three lectures in the series. It is presented by Stephen M. Scheinthal, DO, FACN, Chief of Geriatric Behavioral Health, Associate Director of NJISA, UMDNJ-SOM. Case-Study/Case Series, independent learning/ self-directed learning, lecture/ presentation, Video Residents 30 min. Yes; login re-quired No To distinguish between appropriate and inappropriate use of psychoactive medications in a patient with acute confusion. To utilize effective management strategies in the treatment of hypoactive delirium. No No Yes Donald Reynolds Foundation
20759/ University of Kansas SOM This module was designed to teach medical students about dementia. It is used in combination with a discussion group about the case studies, in order to apply the learned material as well as discuss any questions that may have arisen. Topics include identification and workup of various types of dementia, including Alzheimer's, vascular, frontotemporal, and pseudo dementia secondary to a variety of underlying conditions. In addition, the module includes information about disease progression and prognosis. Various pharmacologic and environmental treatment options are also discussed. Case-Study/Case Series, Curriculum/Syllabus, independent learning/ self-directed learning, lecture/ presentation Residents 1 hour Yes; log-in required No 8. Develop an evaluation and non-pharmacologic management plan for agitated demented or delirious patients. No No Yes AAMC/John A. Hartford Foundation & Donald W. Reynolds Foundation
20877/ University of Iowa College of Nursing This is the sixth module in the Geriatric Mental Health training Series (GMHTS), a six-part training program designed to be taught as a one-hour educational program for care providers in long-term care settings. The six core topics address common problems faced in LTC settings. Each is designed to help staff be more knowledgeable about the causes of "problem behaviors" and about techniques to manage those troubling behaviors. The care providers' own feelings and behaviors in response to problem behaviors is examined, including the role of values and beliefs, personal needs, and stress in the work place. All modules can be found at:Link Demonstra-tion Caregiver, RN, SW 1.5 hrs. Yes; login re-quired No Explain why "prevention is the best medicine" in dementia care. List crisis intervention techniques that may be used to calm and redirect a person who is intensely upset and threatened. No No Yes Hartford Geriatric Nursing Initiative (HGNI)
20772/ University of Iowa College of Nursing This is the first module in the Geriatric Mental Health training Series (GMHTS), a six-part training program designed to be taught as a one-hour educational program for care providers in long-term care settings. The six core topics address common problems faced in LTC settings. Each is designed to help staff be more knowledgeable about the causes of "problem behaviors" and about techniques to manage those troubling behaviors. The care providers' own feelings and behaviors in response to problem behaviors is examined, including the role of values and beliefs, personal needs, and stress in the work place. All modules can be found at: Link Demonstra-tion Caregiver, RN, SW 1.5 hours Yes; login re-quired No List key principles of caring for older adults who have mental illness or are experiencing threats to their mental health. No No Yes Hartford Geriatric Nursing Initiative (HGNI)
20730/ University of Nebraska School of Medicine This website is designed to instruct learners about mental illness in the nursing home setting and provides recommendations for non-pharmacological treatments for dementia behaviors. It contains streaming video of lectures, PowerPoint presentations, case examples, references and practical tip sheets for each topic. It can be used as self learning module for physicians in practice, fellows and residents. Case-Study/Case Series, Facilitator's Guide, Independent/Self-Directed Learning, Lecture/Presentation Caregiver, Fellow > 3hours Yes; login re-quired No The learner will be able to describe general principles in treating and preventing behavioral problems in patients with dementia. No No Yes Health Resources and Services Administration (HRSA) & Geriatric Education Center (GEC)
20748/ GeriPod; University of Medicine and Dentistry of New Jersey, Osteopathic Medicine The purpose of this podcast is to explore the development and progression of common behavioral problems associated with dementia. treatment strategies for managing these behaviors as well as looking at the evidence for and risks associated with a variety of pharmacologic treatment options are discussed. Non-pharmacologic treatment options are discussed as alternative options for effective management of some of these common problems. Independent/Self-Directed Learning, Podcast Fellow, Residents, CME, Med. Students 30 min. Yes; login required Yes; by Educa-tion Work-group consis-ting of 5 geria-tricians and 2 geria-tric psychi-atrists Environmental and other non-pharmacological treatment strategies for managing behavior problems in the demented patient. No No Yes Health Resources and Services Administration (HRSA)
20608/ University of Hawaii, John A Burns School of Medicine This is an interactive workshop style session. Based on a case discussion, students conceptualize the common clinical presentations onto a Venn diagram. The facilitator will take on the role of a family member and nurse, and students have the opportunity to practice obtaining a history that elicits distinguishing features, associated symptoms and time course for each of these cognitive disorders. Emphasizes the importance of getting the history from the family and interdisciplinary team. A table of Distinguishing Features is completed by the end of the session. An assessment and plan that includes non-pharmacologic and pharmacologic interventions is elicited from the students. The session ends by asking students how they will communicate the plan of care to the family, thus emphasizing the importance of clear communication as a part of the intervention. Lecture, presentation, Video, exercise Residents, Fellows, Med. Students 30 min. Yes; login re-quired No 8. Develop an evaluation and non-pharmacologic management plan for agitated demented or delirious patients. No No Yes John A Hartford Foundation
20590/ University of Florida This product includes several quick reference sheets along with a web-based interactive learning module on Dementia and Psychosocial issues in Older Adults, which provides students in a geriatric clerkship rotation with a self-assessment of knowledge required in diagnosing and managing older adults with an increased risk for dementia. This learning module covers broad issues on management of the aging syndrome to increase students' knowledge, skills, and confidence in managing medically complex older patients. QRG, learner assessment Med. Students Not sta-ted Yes; login re-quired Yes-by Model Geria-tric Pro-grams: Geria-tric Educa-tion Mate-rials and Me-thods Swap at the AGS Annual Scien-tific Mtg., May 5, 2007 8. Develop an evaluation and non-pharma-cologic management plan for agitated demented or delirious patients. No No Yes Geriatrics Academic Career Award (GACA)
20422/ University of Iowa College of Medicine This product is part of the GeriaFlix series at the University of Iowa. GeriaFlix are multidisciplinary presentations on topics in clinical geriatrics. Presented in a streaming digital video format with synchronized slides, each presentation lasts approximately 1 hour. In this presentation, Dr. Schultz will discuss different types of dementia and the clinical characteristics associated with them. She will also present the emotional and psychiatric features of dementia and offer strategies that may be used to help manage behavioral problems. Independent/Self-Directed Learning Fellow, Med Student, RN, CME, Residents 1 hr. Yes; login re-quired No Recognize strategies that may be used to help manage behavioral problems in dementia. No No Yes Donald W. Reynolds Foundation & National Institute on Aging
20424/ University of Iowa College of Medicine This product is part of the GeriaFlix series at the University of Iowa. GeriaFlix are multidisciplinary presentations on topics in clinical geriatrics. Presented in a streaming digital video format with synchronized slides, each presentation lasts approximately 1 hour. In this presentation, Dr. Jogerst will present information about diagnosing delirium, dementia, and depression (the 3 Ds) in older adults. He will identify screening tools and discuss treatment strategies. In addition, Dr. Jogerst will discuss the co-occurrence of the 3 Ds. Independent/Self-Directed Learning Fellow, Med. Student, RN, CME, Residents 1 hour Yes; login re-quired No 8. Develop an evaluation and non-pharmacologic management plan for agitated demented or delirious patients. No No Yes Donald W. Reynolds Foundation & National Institute on Aging
20198/ Mt. Sinai School of Medicine Case-based presentation regarding the definition, diagnosis, and management of Behavioral and Psychological Symptoms associated with Dementia (BPSD) based on most recent guidelines, meta-analysis and RCTs. Lecture, presentation, Fellow, medical student, CME, resident Not sta-ted Yes; login required No By the end of the presentation, participants will be able to: 1) Define BPSD; 2) Evaluate BPSD; 3) Discuss the Guidelines for Management of BPSD: a) Non-pharmacologic Interventions; b) Pharma-cologic Interventions No No Yes Not specified
18534/ VA Medical Centers South Central MIRECC This CD-ROM provides basic instruction in recognition and reduction of stress in both care providers and older cognitively impaired residents of LTC facilities. Videotape examples (using actors) show interactions between LTC residents and Certified Nursing Assistants. Disruptive, de-escalating, and preventive approaches are portrayed for each of three scenarios. Material may be appropriate for self-reflection or group discussion. Product may be requested through the VA South Central MIRECC Education Office: michael-kauth@va.gov or thomas.teasdale@va.gov. Software, Video CNAs, Nurses, Med. Students, SW, Therapists Not sta-ted Yes; login re-quired No Learners should be able to: 1) Identify behavior that escalates stress in LTC residents and their providers; 2) Recognize preventive approaches to the behavioral care of older cognitively impaired persons. No No Yes Not specified
19009/ Yale University Workshop on use of non-pharmacological intervention to care for patients with behavior problems due to dementia. Case-Study/Case Series Fellows, Residents, Nurses Not stated Yes; login re-quired No Learners will be able to identify non-pharma-cological techniques to manage difficult behaviors in patients with dementia. No No Yes Not specified
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Table 4. Geriatric Certification Opportunities

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Program Sponsoring Organization Brief Description Intended Learning Audience Objectives/Additional Information Link
Assisted Living Nurse Specialty Certification American Assisted Living Nurses Association The exam is a certification exam that tests knowledge of care of the older adult in assisted living facilities. Registered Nurses in Assisted Living Exam Content Focuses on the Following Major Content Areas: 1) Primary Care Considerations 2) Major Health http://www.alnursing.org/certification.html
Director of Nursing in Long-term Care Certification Program American Association for Long-term Care Nursing A 20-contact hour program that reviews knowledge and skills required by nursing administrators in nursing homes. Covers topics such as budgeting, staffing, team building, best practices in resident care, coaching, legal aspects, regulatory compliance, and culture change. Available online, hard copy independent study, and via workshop. Registered Nurses http://ltcnursing.org/ltc-nursing-certification-programs.htm
Culture Change Nurse Coordinator Certification Program American Association for Long-term Care Nursing A 24-contact hour program for RNs that reviews leadership skills to champion changes to support culture change. Registered Nurses http://ltcnursing.org/ltc-nursing-certification-programs.htm
Staff Development Specialist in Long-term Care Certification Program American Association for Long-term Care Nursing An 18-contact hour program for RNs that reviews standards and components of staff development programs, principles of adult education, teaching methodology, clinical education, related administrative issues, and leadership for affecting change. Available online, hard-copy, independent study and live workshop. Registered Nurses http://ltcnursing.org/ltc-nursing-certification-programs.htm
Safety Specialist for Long-Term Care Certification Program American Association for Long-term Care Nursing N/A http://ltcnursing.org/ltc-nursing-certification-programs.htm
LPN in Long-term Care Certification Program American Association for Long-term Care Nursing This program intends to help LPNs gain an understanding of the core knowledge needed to function in their roles Licensed Practical Nurses http://ltcnursing.org/ltc-nursing-certification-programs.htm
Nurse Assessment Coordinator Certification Program American Association for Long-term Care Nursing Education aimed at providing nurses with the ability to complete holistic assessment resulting in patient-centered care. Registered Nurses http://ltcnursing.org/ltc-nursing-certification-programs.htm
Certified Nurse Executive American Association for Long-term Care Nursing The Certified Nurse Executive Program is designed to give DON's ADONs and other LTC decision makers the skills to create and maintain successful outcomes in their facilities. These courses have been written, and are routinely reviewed and edited by national experts in this field. Registered Nurses These courses are offered online, hardcopy and in workshops across the country. Total CEs is 22.5 hours to 30 CE depending on electives selected. www.aanac.org
Certified Resident Assessment Coordinator American Association for Long-term Care Nursing The Minimum Data Set currently drives resident care, reimbursement and quality measurement in long-term care. Registered Nurses Courses offered online, hardcopy, and in workshops across the country. Total CEs is 22.5 hours to 30 CE depending on electives selected. www.aanac.org
Various Certification Programs for Managers and Direct Care Staff National Association Directors of Nursing Administration in Long-term Care 4 certification exams available now: 1 for DON, 1 Diabetes, 1 Assisted Living, 1 LPN. Various Levels http://www.nadona.org/
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