Findings suggest that the European Certificate in Essential Palliative Care improves confidence in palliative care and that this is sustained over time with evidence of confidence in symptom control, communication and a holistic approach in clinical practice.

No abstract

styles grieved more (p < 0.003) and felt it was wrong to sell the old hospice (p < 0.05). Both anxious and avoidant staff with higher scores were less likely to want to move (p < 0.05). Conclusions and Applications to Hospice practice Our data suggest that attachment style is stable despite the stress of working in a hospice environment. As in other workplaces anxiously attached personnel have predictably more negative emotional responses to life events. This is useful information for staff care and suggests some groups of staff may benefit from targeted clinical supervision during periods of great change.

underpinned the narratives. Nurses struggled with not being able to care for patients and their families in a way that they were used to and that felt intuitive and many described personal as well as professional affront. Conclusions Restrictions had a considerable impact on palliative care nurses at a professional and personal level in their ability to communicate with and provide care for patients and their families which led to moral distress and injury. How they managed this and made sense of what happened affected their capacity to cope, with those unable to reconcile their experiences being profoundly impacted and losing hope for the future.

No abstract