To explore the effects of teaching reform of the nursing specialty in geriatric nursing in higher vocational colleges under the “1+X” certificate system. During the process of students training several measures were taken to ensure the talents cultivation. These measures included establishing online teaching resource database,developing integrated academic education program,developing “1+X” innovative integrated teaching materials,adjusting curriculum,optimizing teacher team,developing practice bases,and dual sharing between school and enterprises. The integration of “1+X” care for older adults and “1+X” care for the older adults with dementia can form an integrated teaching which can cultivate more talents for the society. The study can provide a reference for development of nursing specialty in geriatric nursing in the higher vocational colleges under the “1+X” certificate system.