National Consensus Project Clinical Practice Guidelines for Quality Palliative Care Guidelines, 4th Edition

Abstract

This article presents the key domains and guidelines of the 4th edition.

Instruments for assessing nurses’ palliative care knowledge and skills in specialised care setting: An integrative review

“…In the instruments, the nurses’ knowledge and skills in specialised palliative care settings reflect the criteria of holistic care of the patient, assisting the family and ensuring access to adequate professional resources. The content of the instruments followed the international guidelines for the core areas of palliative care competence (Gamondi et al, ; Ferrell et al, ). The psychometric properties of the instruments were reported to varying degrees, mainly focusing on internal consistency and content validation.…”

“…Several instruments have been used to evaluate nurses' competence in palliative care (Hujer et al, 2009;Bing-Jonsson et al, 2014;Mager & Lang, 2016;Yaakup et al, 2014), and competence assessment is assumed to significantly improve the skills of nurses . In this integrative review, (Gamondi et al, 2013;Ferrell et al, 2018). In the studies, the instruments were reported to be valid and reliable for use in knowledge and skill assessment, although the evaluation was not particularly extensive for all the instruments.…”

“…In this integrative review, the content of the ten instruments for measuring nurses’ palliative care knowledge and skills can be separated into three different categories: (a) care for the patient, (b) care for the patient's family and (c) professional requirements (Table ). The nurses’ knowledge and skills, as defined in the instruments, mainly followed the definition of palliative care nursing (Sherman et al, ) and the international guidelines for palliative nursing competence, taking the physical, psychological, social, spiritual, cultural, end‐of‐life, ethical and legal aspects of care, patients and their families, cooperation and multiprofessionalism, interaction skills, identification of personal skills and continuing professional development into account (Gamondi et al, ; Ferrell et al, ). In the studies, the instruments were reported to be valid and reliable for use in knowledge and skill assessment, although the evaluation was not particularly extensive for all the instruments.…”

A feasible and acceptable multicultural psychosocial intervention targeting symptom management in the context of advanced breast cancer

“…15,16 Reduction in symptom severity is important for patients 17 and is in line with best clinical practice guidelines, 15 but may not be sufficient for maintaining or improving overall quality of life for advanced cancer patients because symptoms are likely to fluctuate and are expected to worsen toward end of life. 15,16 Reduction in symptom severity is important for patients 17 and is in line with best clinical practice guidelines, 15 but may not be sufficient for maintaining or improving overall quality of life for advanced cancer patients because symptoms are likely to fluctuate and are expected to worsen toward end of life.…”

Palliative medicine and family doctor – past, present, future

“…ПМ утверждает жизнь, она не является «медици-ной умирания», однако, выступает против бессмыс-ленных попыток лечения, которые трудно перено-сятся пациентом, усугубляют его страдания, нередко значительно снижают КЖ [18] . ПМ способствует ис-пользованию пациентом оставшихся ему дней жиз-ни в условиях максимально возможного КЖ, обеспе-чивает помощь страдающему человеку в конце жиз-ни, «жизнь до самого конца» .…”