Palliative Nursing Competencies Required for Different Levels of Palliative Care Provision: A Qualitative Analysis of Health Care Professionals' Perspectives

Hökkä, Minna; Melender, Hanna-Leena; Lehto, Juho T.; Kaakinen, Pirjo

doi:10.1089/jpm.2020.0632

Cited by 21 publications

(33 citation statements)

References 19 publications

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“…Furthermore, when relating the years of professional experience and having received PC training, nurses with less professional experience reported receiving PC training during their undergraduate education. These results reflect the progressive implementation of palliative care contents in nursing university studies, as recommended by the different scientific societies regarding the need for any nursing professional to receive basic training in palliative care during their undergraduate training [ 20 , 72 , 77 , 79 , 81 , 82 ].…”

Section: Discussionsupporting

confidence: 58%

“…It must be said that these studies have been carried out among nurses who developed their occupations in different workplaces. Some differences can be found among the diverse levels of care despite these deficits being identified globally [ 18 , 20 , 21 , 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

“…For this reason, it is essential for any nurse, as recommended by the various scientific associations and experts in this field, to be taught at least a basic level of palliative care. This knowledge would allow them to work with people susceptible to receiving this type of attention, whatever the area in which they develop their professional activity [ 20 , 24 , 25 , 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

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Spanish Nurses’ Knowledge about Palliative Care. A National Online Survey

Martínez-Sabater

Chover-Sierra

2021

IJERPH

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(1) Background: Nurses can find people with advanced diseases or in their last days of life during their professional careers and in many different care settings. For this reason, they need to have at least a basic level of palliative care education since they are the professional cohort treating these patients in a very close way. This research aims to determine the level of knowledge in palliative care of Spanish nurses and establish any possible difference based on their experience and training in palliative care. (2) Methods: A cross-sectional design using survey methods (distributed an online questionnaire) aimed at Spanish registered nurses. A validated questionnaire (PCQN-SV) was used to determine the level of knowledge in palliative care; information on some variables to characterize the population was also collected (experience and education in palliative care, years of professional experience, academic level, and others). Uni and bivariate descriptive analyses were performed. A binary logistic regression model was also developed to identify those variables that influenced obtaining results higher than the population’s average. (3) Results: Spanish nurses have a medium–low level of knowledge in palliative care, higher in those who have previous experience or education in this area. Statistically significant differences were also found according to the area in which their caring activity was developed. (4) Conclusions: It is necessary to implement strategies for the basic training of nursing professionals in palliative care to offer quality care to people in advanced stages of illnesses or at the end of their lives.

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Section: Discussionsupporting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Spanish Nurses’ Knowledge about Palliative Care. A National Online Survey

Martínez-Sabater

Chover-Sierra

2021

IJERPH

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“…Paramedics also requested for more education in encountering, communication, supporting, and counseling in end-of-life care. Our results are in line with previous studies, which identified supporting the patient and her/his family and carers as a nursing competence required by the professionals working in the basic level of palliative care 27–30,37 as well as in palliative paramedicine. 22 The importance of encountering is also highlighted by family members of end-of-life patient as they are shown to emphasize professionalism and compassion of the paramedics’.…”

Section: Discussionsupporting

confidence: 93%

Paramedics’ experiences and educational needs when participating end-of-life care at home: A mixed method study

et al. 2022

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Background: Paramedics face end-of-life care patients during emergency calls and more recently through planned protocols. However, paramedics experiences and educational needs concerning preplanned end-of-life care at home remain largely unknown. Aim: To describe experiences and educational needs of the paramedics included in the end-of-life care protocol. Design: A mixed method study with a questionnaire including open ended questions and numeric evaluations on a Likert scale. Setting/Participants: The questionnaire was delivered to and answered by all the 192 paramedics working in North Karelia fire and rescue department during the time of the data collection in 2017. Results: Over 80% of the paramedics agreed that the protocol helped them to take care of the patients and to improve the quality of end-of-life care. Visits to the patients were considered useful and the end-of-life care as a meaningful work by 76.5% and 62.5% of the paramedics, respectively. The paramedics expressed challenges in psychosocial aspects, communication, symptom management, and their role in end-of-life care. Encountering and communication with the families as well as managing the most common symptoms were emphasized as educational needs. Using a patient controlled analgesia device emerged as an example of practical educational aspect. Conclusions: Paramedics considered end-of-life care at home meaningful but called for more competency in supporting and encountering the families and in symptom management. Our results can be utilized when developing end-of-life care protocols and education for the paramedics. Patients’ and families’ views on the paramedics’ participation in end-of-life care should be evaluated in the future.

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“…46 For this reasons, it has been widely emphasized that nurses need solid cultural competence to meet the distinct needs of patients in palliative care. [47][48][49][50] The responding students also expressed a desire for more education on pharmacological and non-pharmacological pain management. This was supported by low self-assessed levels of competence in nonpharmacological pain management.…”

Section: Discussionmentioning

confidence: 99%

Nursing Students’ Views of the Content of Palliative Care in Undergraduate Education and their Self-assessed Palliative Care Competence—A Nationwide Cross-sectional Study

2022

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Background The importance of integrating palliative care (PC) education into undergraduate nursing studies has been recognized. Still, there is considerable variation in the PC education of nurses. Objective To study the nursing students’ views of the PC contents during the nursing education; students’ self-assessed levels of PC competence; and whether prior education or work experience influence these views. Methods A cross-sectional study. Data were collected using a questionnaire which was tested for its content and construct validity and internal consistency. The sample consisted of final-year undergraduate nursing students (n = 1331) from Finland. Results The response rate was 94%. Of the students, 94.4% considered PC education to be quite or very useful, but only 51.9% reported the achieved PC teaching as quite or very good. Teaching on mental symptoms, existential issues and multicultural aspects were considered incomplete. Over half of the students wanted more education on pharmacological- and non-pharmacological pain management. Students with previous education assessed their PC competence as quite or very good more often than other students (70.1% vs. 54%, P < .001), and more often felt that these competencies are relevant to their profession (72.2% vs. 57.6%, P < .001). Conclusion PC was considered as a useful subject, still only about half of the students reported the received PC education and their competence on PC as sufficient. Previous education or experience may enhance PC competence highlighting the need for divergent teaching. The results identify development needs for the contents of PC education in undergraduate nursing studies.

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Palliative Nursing Competencies Required for Different Levels of Palliative Care Provision: A Qualitative Analysis of Health Care Professionals' Perspectives

Cited by 21 publications

References 19 publications

Spanish Nurses’ Knowledge about Palliative Care. A National Online Survey

Spanish Nurses’ Knowledge about Palliative Care. A National Online Survey

Paramedics’ experiences and educational needs when participating end-of-life care at home: A mixed method study

Nursing Students’ Views of the Content of Palliative Care in Undergraduate Education and their Self-assessed Palliative Care Competence—A Nationwide Cross-sectional Study

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