confidence in their judgment and communication skills.
These practice environments also expose nurses to organizational leadership, including regulatory standards, staffing coordination, and team delegation. Understanding how systems function prepares nurses to participate in broader quality initiatives, policy discussions, and strategic planning. Many nurses who begin their careers in the care of older adults describe this experience as foundational to becoming strong preceptors, charge nurses, clinical educators, and eventually advanced practice providers or administrators. For new graduates seeking a pathway that supports rapid professional growth, gerontological nursing provides a setting where leadership is both needed and encouraged, allowing nurses to develop the skills that shape long-term career advancement.
Conclusion
The U. S. requires a nursing workforce that is prepared to meet the evolving health needs of older adults. Gerontological nursing offers nursing students and new graduates a specialty grounded in clinical excellence, career advancement, and leadership opportunities. It is a field where nurses can make a measurable difference in individual lives and across the healthcare system.
Professional organizations such as GAPNA support this workforce by offering mentorship, education, advocacy, and community. Over time, advanced practice preparation and specialty certification, including the Gerontological Specialist Certified( GS-C) credential, provide pathways for nurses to further distinguish their expertise. By embracing careers in gerontological nursing, emerging nurses can advance the profession and contribute to high-quality care for older adults in every setting where nurses practice.
References
Fulmer, T.( 2020). A retrospective / prospective on the future of geriatric nursing. Geriatric Nursing( New York), 41( 1), 29-31. https:// doi. org / 10.1016 / j. gerinurse. 2020.01.012
Gerontological Advanced Practice Nurses Association.( n. d.). About GAP- NA. https:// www. gapna. org / about
Gerontology Nursing Certification Commission.( n. d.). Gerontological Specialist Certified( GS-C) examination overview. https:// www. gapna. org / certification
Goodwin, J. S., Agrawal, P., Li, S., Raji, M., and Kuo, Y. F.( 2021). Growth of physicians and nurse practitioners practicing full time in nursing homes. Journal of the American Medical Directors Association, 22( 12), 2534 – 2539. https:// doi. org / 10.1016 / j. jamda. 2021.06.019
Harrington, C., Carrillo, H., Garfield, R., & Squires, E.( 2018, April 3). Nursing facilities, staffing, residents, and facility deficiencies, 2009 through 2016. Kaiser Family Foundation. https:// www. kff. org / medicaid / nursing-facilities-staffing-residents-and-facility-deficiencies-2009-through-2016 /
Kaiser Family Foundation.( 2022). Total number of residents in certified nursing facilities. https:// www. kff. org / other-health / state-indicator / number-of-nursing-facility-residents /? currentTimeframe = 0 & sort- Model =% 7B % 22colId % 22:% 22Location % 22,% 22sort % 22:% 22asc % 22 % 7D
Lovink, M. H., Persoon, A., Koopmans, R. T. C. M., Van Vught, A. J. A. H., Schoonhoven, L., & Laurant, M. G. H.( 2017). Effects of substituting nurse practitioners, physician assistants or nurses for physicians concerning healthcare for the ageing population: A systematic literature review. Journal of Advanced Nursing, 73( 9), 2084 – 2102. https:// doi. org / 10.1111 / jan. 13299
Mileski, M., Pannu, U., Payne, B., Sterling, E., & Mcclay, R.( 2020). The impact of nurse practitioners on hospitalizations and discharges from long-term nursing facilities: A systematic review. Healthcare, 8( 2), 114. https:// doi. org / 10.3390 / healthcare8020114
National Academies of Sciences, Engineering, and Medicine.( 2022). The national imperative to improve nursing home quality: Honoring our commitment to residents, families, and staff. https:// www. nationalacademies. org / publications / 26526
Posey, K., Kim, J., Mullaney, S., Parish, A., & Cole, C. S.( 2025). Factors influencing job satisfaction of nurse practitioners in US nursing homes. Journal of the American Association of Nurse Practitioners. https:// doi. org / 10.1097 / JXX. 0000000000001200
Spetz, J., Bates, T., and Wagner, D.( 2025). Predictors of registered nurse employment and earnings in long term care. Nursing Outlook, 73( 1), 102586. https:// doi. org / 10.1016 / j. outlook. 2025.102586
U. S. Census Bureau.( 2020). Demographic turning points for the United States: 2020 to 2060. https:// www. census. gov / library / publications / 2020 / demo / p25-1144. html
Bio
Kimberly R. Posey, PhD, DNP, APRN, AGPCNP-BC, GS-C, FAANP, is President of the Gerontological Advanced Practice Nurses Association( GAPNA) and Associate Professor of Professional Practice at Texas Christian University. A national leader in gerontological nursing and advanced practice education, she focuses on improving the health and well-being of older adults through research, policy, and workforce development.
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