Assessing nursing assistants’ competency in palliative care: An evaluation tool

Karacsony, Sara; Chang, Esther; Johnson, Amanda; Good, Anthony; Edenborough, Michel

doi:10.1016/j.nepr.2018.09.001

Cited by 9 publications

(8 citation statements)

References 27 publications

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“…These auxiliary nurses need training (Rao et al., 2019). Additionally, another study highlighted the importance of nursing assistants' knowledge and skills in palliative care and recommended that nursing managers focus on increasing their knowledge and skills (Karacsony, Chang, Johnson, Good, & Edenborough, 2018). To enhance home care, preparation of a guideline for unregulated care providers has been recommended as well.…”

Section: Discussionmentioning

confidence: 99%

Barriers to home‐based palliative care in people with cancer: A qualitative study of the perspective of caregivers

et al. 2020

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Aim To investigate the barriers to home‐based palliative care for cancer patients from professional caregivers' experiences. Design A qualitative study. Method This is a descriptive‐qualitative study carried out in the community‐based care. Twenty‐three participants took part in this study. Data were collected through semi‐structured interviews. Results Data analysis led to the identification of three category of barriers including the lack of instructions (the lack of clinical practice guidelines, the ambiguity of tariffs and the lack of insurance coverage), family desperation (family views of prognosis, distrust and poverty) and lack of professionalism (limited knowledge, the use of amateur nurses and siloed care). Developing a care protocol and providing resources support contribute to the development of home‐based palliative care. Moreover, the education of families and training courses for nurses must be fostered.

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Section: Discussionmentioning

confidence: 99%

Barriers to home‐based palliative care in people with cancer: A qualitative study of the perspective of caregivers

et al. 2020

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“…Despite research that indicates that specific training in PC does not reduce the anxiety of professionals when facing the death of patients [ 11 ], evidence of the influence as a function of the time elapsed since the formation has been found [ 33 , 34 ]. In addition, the World Health Organization reveals that the lack of training and awareness of health professionals concerning PC can be an obstacle to improving such care programs [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge about Palliative Care and Attitudes toward Care of the Dying among Primary Care Nurses in Spain

et al. 2023

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Objective: To analyze the knowledge in palliative care and the attitudes toward caring for the dying of nurses who carry out their professional activity in primary care in Spain. Design: A cross-sectional descriptive observational study was carried out among Spanish primary care centers. Participants: A total of 244 nurses who had completed their primary care work and agreed to participate in this study were included. Main measurements: The level of knowledge in palliative care was analyzed using the PCQN-SV scale, and attitudes toward care of the dying were measured with the FATCOD-S scale, both of which are instruments that are validated in Spain. Results: Regarding the level of knowledge in palliative care, at a global level, the results revealed that 60% of the answers in the PCQN-SV were correct, with different results for each of the three subscales that compose it. When analyzing the attitudes of primary care nurses toward the care of the dying, an average of 132.21 out of 150 was obtained, representing a positive attitude. On the other hand, when analyzing these results in terms of knowledge and attitudes according to the population’s characteristics, we see that participants with both experience and training in palliative care present a better level of knowledge and a higher score regarding their attitudes toward care of the dying. However, the differences are only significant regarding the level of knowledge in palliative care. When analyzing the data from the two scales together, it is noteworthy that the participants with the most positive attitudes (highest scores on the FATCOD-S) also have the highest percentages of correct answers on the PCQN-SV.

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“…The prefix PANA (Palliative Approach for Nursing Assistants) was adopted for each of the three questionnaires. The procedure and results of this phase have been reported elsewhere [33]. As a result of pilot testing in Phase 3, amendments were made to two knowledge questions and the response options for the skills statements.…”

Section: Introductionmentioning

confidence: 99%

An instrument to assess the education needs of nursing assistants within a palliative approach in residential aged care facilities

et al. 2019

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Background Providing quality palliative care in residential aged care facilities (RACFs) (aged care homes) is a high priority for ageing populations worldwide. Older people admitted to these facilities have palliative care needs. Nursing assistants (however termed) are the least qualified staff and provide most of the direct care. They have an important role at the frontline of care spending more time with residents than any other care provider but have been found to lack the necessary knowledge and skills to provide palliative care. The level of competence of this workforce to provide palliative care requires evaluation using a valid and reliable instrument designed for nursing assistants’ level of education and the responsibilities and practices of their role. Method The overall study purpose was to develop and test an instrument capable of evaluating the knowledge, skills and attitudes of nursing assistants within a palliative approach in RACFs. Development consisted of a four-phase mixed-methods sequential design. In this paper, the results and key findings following psychometric testing of the instrument in Phase 4 is reported using data collected from a random sample of 17 RACFs and 348 nursing assistants in the Greater Sydney region. Study hypotheses were tested to confirm discriminative validity and establish the utility of the instrument in both research and training assessment. Results Individual item properties were analysed for difficulty, discrimination and item-total correlations. Discriminative and structural validity, and internal consistency and test-retest reliability were demonstrated. Three separate questionnaires comprising 40 items were finalised: The Palliative Approach for Nursing Assistants (PANA)_Knowledge Questionnaire (17 items), the PANA_Skills Questionnaire (13 items) and the PANA_Attitudes Questionnaire (10 items). Conclusions This study provides preliminary evidence for the validity and reliability of three new questionnaires that demonstrate sensitivity for nursing assistants’ level of education and required knowledge, skills and attitudes for providing a palliative approach. Implications for practice include the development of palliative care competencies through structured education and training across this workforce, and ongoing professional development opportunities for nursing assistants, especially for those with the longest tenure. Electronic supplementary material The online version of this article (10.1186/s12904-019-0447-0) contains supplementary material, which is available to authorized users.

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Assessing nursing assistants’ competency in palliative care: An evaluation tool

Cited by 9 publications

References 27 publications

Barriers to home‐based palliative care in people with cancer: A qualitative study of the perspective of caregivers

Barriers to home‐based palliative care in people with cancer: A qualitative study of the perspective of caregivers

Knowledge about Palliative Care and Attitudes toward Care of the Dying among Primary Care Nurses in Spain

An instrument to assess the education needs of nursing assistants within a palliative approach in residential aged care facilities

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