The development of core competencies for palliative care educators

Becker, Robert

doi:10.12968/ijpn.2007.13.8.24536

Cited by 11 publications

(9 citation statements)

References 5 publications

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“…However, participants identified their main focus of attention and association with palliative care on symptom management and the use of technical equipment (syringe driver) in the relief of these symptoms. According to Becker (2007), this narrow view of the role of palliative care (scientific and technical elements) while valued and important, flourishes to the detriment of other intrinsic elements, such as truth telling, spiritual care, ethical issues and understanding grief and loss as a lived experience for patients and families. Moreover, participants failed to recognise the expert role they perform regarding the above elements in symptom management and identified their lack of scientific knowledge regarding symptom management as being a negative factor for them.…”

Section: Aspects Of the Findingsmentioning

confidence: 99%

Providing comfort to patients in their palliative care trajectory: experiences of female nurses working in an acute setting

Roche-Fahy

Dowling

2009

Int J Palliat Nurs

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This study aims to explore the lived experience of nurses who provide comfort to palliative care patients in an acute setting in a small urban hospital in the west of Ireland. A qualitative approach using Gadamerian hermeneutic phenomenology was chosen for the study and data were collected using open interviewing. The main findings revealed four major themes (with sub-themes) that describe the lived experience of providing comfort to palliative care patients in an acute setting: time needed to provide comfort, emotional cost to the nurse in providing comfort, a holistic approach in the provision of comfort, and the role of education and the expert team in providing comfort. The study findings will contribute to a greater understanding of the difficulties and challenges that general non-specialized nurses in the acute setting have to understand and apply the philosophy of palliative care to patients in an acute care setting. The findings should also contribute to a broader appreciation between specialized and non-specialized nurses who are responsible for the delivery of holistic, individual person-centred care to patients requiring palliative care.

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Section: Aspects Of the Findingsmentioning

confidence: 99%

Providing comfort to patients in their palliative care trajectory: experiences of female nurses working in an acute setting

Roche-Fahy

Dowling

2009

Int J Palliat Nurs

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“…These are the 'core competencies' that healthcare professionals must possess to perform and provide palliative care successfully. [21][22][23][24][25] Palliative care nursing competency is seen as an antecedent to palliative care nursing practice and it is What this paper adds?…”

Section: Introductionmentioning

confidence: 99%

Nursing competencies across different levels of palliative care provision: A systematic integrative review with thematic synthesis

et al. 2020

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Background: Palliative care exists in diverse healthcare settings. Nurses play a crucial role in its provision. Different levels of palliative care provision and education have been recognized in the literature. Therefore, nurses need a set of various competencies to provide high-quality palliative care. Aims: To systematically synthesize the empirical evidence of (1) nursing competencies needed in palliative care and (2) whether these competencies differ across the level of palliative care. Design: Systematic integrative review with thematic synthesis. Prospero: CRD42018114869. Data sources: CINAHL, PubMed, Academic Search Premier, Scopus and Medic databases. Studies on nursing competencies linked to palliative care reported in English, Swedish, Finnish, Spanish, Portuguese or German were considered. Search terms: ‘palliative care or hospice care or end-of-life care’, ‘competency or professional competence or skills’ and ‘nursing’. Articles were independently screened and reviewed by two researchers. Quality appraisal was conducted following Hawker’s criteria. Results: A total of 7454 articles were retrieved, 21 articles were included in the analysis. Six diverse nursing competencies dimensions, namely leadership, communication, collaboration, clinical, ethico-legal and psycho-social and spiritual were identified. The reports rarely defined the level of palliative care and covered a wide array of healthcare settings. Conclusion: Nurses need a wide range of competencies to provide quality palliative care. Few studies focused on which competencies are relevant to a specific level of palliative care. Further research is needed to systematize the nursing competencies and define which nursing competencies are central for different levels of palliative care to enhance palliative care development, education and practice.

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“…However, while the merits of a competency framework are evident, if it is used inappropriately or not understood, it can conversely create a defensive and reductionist approach to practice (Becker, 2007). This study showed that less than half of the participants were using the Framework in practice at the time of evaluation.…”

Section: Discussionmentioning

confidence: 80%

The outcome competency framework for practitioners in infection prevention and control: use of the outcome logic model for evaluation

Burnett

Curran

Loveday

et al. 2013

Journal of Infection Prevention

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Peer reviewed article ealthcare is delivered in a dynamic environment with frequent changes in populations, methods, equipment and settings. Infection prevention and control practitioners (IPCPs) must ensure that they are competent in addressing the challenges they face and are equipped to develop infection prevention and control (IPC) services in line with a changing world of healthcare provision. A multifaceted Framework was developed to assist IPCPs to enhance competence at an individual, team and organisational level to enable quality performance and improved quality of care. However, if these aspirations are to be met, it is vital that competency frameworks are fit for purpose or they risk being ignored. The aim of this unique study was to evaluate short and medium term outcomes as set out in the Outcome Logic Model to assist with the evaluation of the impact and success of the Framework. This study found that while the Framework is being used effectively in some areas, it is not being used as much or in the ways that were anticipated. The findings will enable future work on revision, communication and dissemination, and will provide intelligence to those initiating education and training in the utilisation of the competences. IntroductionThe World Health Organization (WHO), in a report on the impact of healthcare associated infections (HCAI), summarised the problem as follows: "The impact of healthcare associated infection implies prolonged hospital stay, long-term disability, increased resistance of micro-organisms to antimicrobials, a massive additional financial burden for health systems, high costs for patients and their families and excess deaths" (WHO, 2011, p. 3). Additionally, the WHO (2011) report also highlights that HCAI are a hidden problem that cut across all healthcare settings and are yet to be solved nationally and internationally. However, recent demonstrable improvements in significant HCAI (e.g. meticillin resistant Staphylococcus aureus bacteraemia and Clostridium difficile infection) across the UK indicate that even if the war is not won, significant battles are having an impact. Embedding high standards of infection prevention and control (IPC) practice is fundamental in improving the safety and quality of patient care. To achieve this, it is essential to have a competent and confident workforce to address the continuing and evolving challenges of reducing and controlling HCAI.In 2011, the Infection Prevention Society (IPS), in partnership with the national health departments, Skills for Health, the Council of Deans and other stakeholders published the Outcome Competences Framework for Practitioners in Infection Prevention and Control (Infection Prevention Society, 2011) (hereafter called the Framework). The purpose of the Framework is to assist practitioners working in IPC to build competence throughout their career so that they can provide expert advice and leadership in the pursuit of improved quality of care for patients through the reduction in the burden of disease and illness c...

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The development of core competencies for palliative care educators

Cited by 11 publications

References 5 publications

Providing comfort to patients in their palliative care trajectory: experiences of female nurses working in an acute setting

Providing comfort to patients in their palliative care trajectory: experiences of female nurses working in an acute setting

Nursing competencies across different levels of palliative care provision: A systematic integrative review with thematic synthesis

The outcome competency framework for practitioners in infection prevention and control: use of the outcome logic model for evaluation

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