15 research outputs found
Palliative care nursing competencies and undergraduate nursing studentsâ views of palliative care education
Abstract
The main aim of this study was to describe the palliative care (PC) nursing competencies required from nurses on different PC levels and to examine nursing studentsâ views of PC education. The study consisted of three phases: (I) an integrative systematic review (sub-study I), (II) a descriptive qualitative study (sub-study II) and (III) a cross-sectional survey (sub-studies III-IV).
Sub-study I included 21 studies (n=7470 participants) from five databases. Based on a review, using thematic analysis, PC competencies merged from the data, namely collaboration, communication, cultural, clinical, psychosocial, spiritual, ethico-legal and leadership competence. A research gap of PC competencies required in different levels of PC provision was identified. In qualitative sub-study II, multidisciplinary groups of professionals (n=222) defined the PC nursing competencies required in different levels of PC. The competencies required in the basic level consisted of many competencies such as symptom management, supporting and encounters competencies. The competencies required in the specialist level included competencies such as maintaining expertise, advanced symptom management as also research and development competencies. In quantitative sub-study III, final year nursing students (n=1331) responded to a questionnaire and assessed the coverage of PC content in their education and their self-assessed competence of the subject. The students assessed that education on mental symptoms, existential issues and multicultural aspects were covered incompletely. Over half of the students wanted more education on pharmacological and non-pharmacological pain management. Almost all students considered PC as a useful subject, but only about half of them assessed their competence within PC as sufficient. In qualitative sub-study IV, final year nursing students (n=766) responded to the open-ended question in the survey and described their views of palliative care education. Based on a contents analysis three unifying categories were identified, 1) development needs and views of PC education, 2) the preferred types of PC education, and 3) factors that promote or hinder PC learning.
In conclusion, nurses need a wide range of competencies to provide PC. Nursing students consider PC as a useful subject, but still addressed the need to further develop the education on the subject.TiivistelmÀ
Tutkimuksen pÀÀtarkoituksena oli kuvata sairaanhoitajan osaamista palliatiivisen hoidon eri tasoilla ja selvittÀÀ sairaanhoitajaopiskelijoiden nÀkemyksiÀ palliatiivisen koulutuksen opetuksesta. Tutkimus koostui kolmesta vaiheesta: (I) integroitu jÀrjestelmÀllinen katsaus (osatutkimus I), (II) kuvaileva laadullinen tutkimus (osatutkimus II) ja (III) poikkileikkaustutkimus (osatutkimukset III-IV).
Osatutkimuksessa I oli 21 tutkimusta (n=7470) viidestÀ tietokannasta. Katsauksessa palliatiivisen hoidon osaamisalueiksi muodostuivat temaattisen analyysin mukaan; yhteistyö-, kommunikointi- ja kulttuuriosaaminen, kliininen, psykososiaalinen, spirituaalinen ja eettinen osaaminen sekÀ laki- ja johtamisosaaminen. Palliatiivisen hoidon eri tasoilla tarvittavasta osaamisesta löytyi niukasti tutkimustietoa. Laadullisessa osatutkimuksessa II ammattilaiset (n=222) mÀÀrittelivÀt palliatiivisen hoidon eri tasoilla tarvittavaa hoitotyön osaamista. Perustasolla osaaminen koostui osaamisalueista, kuten oireiden hoidon, tukemisen ja kohtaamisen osaaminen. Erityistason osaaminen koostui osaamisalueista, kuten asiantuntijuuden yllÀpito, vaativan oirehoidon, tutkimuksen ja kehittÀmisen osaamisesta. MÀÀrÀllisessÀ osatutkimuksessa III viimeisen vuoden sairaanhoitajaopiskelijat (n=1331) vastasivat kyselylomakkeeseen, jossa he arvioivat palliatiivisen hoidon sisÀltöjÀ koulutuksessa ja omaa osaamistaan aiheesta. Opiskelijat arvioivat, ettÀ psyykkisiÀ oireita, eksistentiaalisia kysymyksiÀ ja monikulttuurisia nÀkökulmia ei kÀsitelty riittÀvÀsti opetuksessa. Yli puolet opiskelijoista toivoi lisÀÀ koulutusta lÀÀkkeellisestÀ ja lÀÀkkeettömÀstÀ kivunhoidosta. LÀhes kaikki pitivÀt aihetta hyödyllisenÀ, mutta vain noin puolet heistÀ arvioi palliatiivisen hoidon osaamisen riittÀvÀksi. Laadullisessa osatutkimuksessa IV viimeisen vuoden sairaanhoitajaopiskelijat (n=766) vastasivat kyselylomakkeen avoimeen kysymykseen ja kuvasivat nÀkemyksiÀÀn palliatiivisen hoidon koulutuksesta. SisÀllönanalyysin mukaan muodostui kolme yhdistÀvÀÀ luokkaa 1) palliatiivisen hoidon koulutuksen kehittÀmistarpeet ja nÀkemykset palliatiivisesta hoidosta, 2) toiveet palliatiivisen hoidon koulutuksen toteuttamistavoista ja 3) palliatiivisen hoidon oppimista edistÀvÀt tai estÀvÀt tekijÀt.
JohtopÀÀtöksenÀ voidaan todeta, ettÀ sairaanhoitajat tarvitsevat moninaista osaamista palliatiivisen hoidon toteuttamiseen. Opiskelijat pitÀvÀt aihetta hyödyllisenÀ, mutta koulutuksen kehittÀmisen tarve on ilmeinen
Potilaiden ja lÀheisten kokemukset sairaanhoitajan palliatiivisen hoidon ja saattohoidon osaamisesta
TiivistelmÀ
Tutkimuksen tarkoituksena oli kuvailla potilaiden ja lÀheisten kokemuksia sairaanhoitajan palliatiivisen hoidon ja saattohoidon osaamisesta. Tutkimusaineisto kerÀtiin potilailta (n=10) ja lÀheisiltÀ (n=31) sÀhköisenÀ Webropol-kyselynÀ. Aineisto muodostui avoimesta kysymyksestÀ, jossa vastaajia pyydettiin kuvailemaan sairaanhoitajan osaamista palliatiivisessa hoidossa ja saattohoidossa. Aineisto analysoitiin induktiivisella sisÀllön analyysilla.
Sairaanhoitajat tarvitsevat palliatiivisessa hoidossa ja saattohoidossa moninaisia potilaan ja lÀheisen kohtaamisosaamiseen ja vuorovaikutusosaamiseen liittyviÀ taitoja. Potilaan ja lÀheisten mukaan sairaanhoitajalla tulee olla vahvaa osaamista potilaan oirehoidon lisÀksi palliatiivisen hoidon ja saattohoidon perusteiden osaamisesta. Sairaanhoitajat tarvitsevat myös ohjausosaamista sekÀ ihmislÀhtöisen palliatiivisen hoidon ja saattohoidon osaamista. Sairaanhoitajalla tulee olla myös juridista ja eettistÀ osaamista palliatiivisesta hoidosta ja saattohoidosta potilaan ja lÀheisten arvioimana.
Sairaanhoitajat tarvitsevat laaja-alaista osaamista laadukkaan palliatiivisen hoidon ja saattohoidon toteuttamiseksi. HeidÀn osaamista palliatiivisessa hoidossa ja saattohoidossa voidaan tukea kehittÀmÀllÀ ammattikorkeakoulujen opetussuunnitelmia ja lisÀÀmÀllÀ tÀydennyskoulutusta sairaanhoitajille sekÀ yhdenmukaistamalla palliatiivisen hoitotyön koulutusta kansallisella tasolla.Abstract
Patients and relatives experience of nurse competence in palliative care
The purpose of study was to describe patients and the nearby experiences of nurse competences in palliative care and end of life care. Data collected from patients (n=10) and nearby (n=31) by electronic questionnaire. Data consisted open question with palliative care and end of life care. Data were analyzed with inductive content analysis.
Nurses need in palliative care and end of life care an extensive interaction of patient and nearby and encounters competence. In addition, nurses need deep competence of patientsâ somatic symptoms management and competence of palliative care and end of life care in basic care. Also, competence of counselling and person-centered palliative care and end of life care, juridical and ethical competences were important.
Nurse need an extensive competence of palliative care and end of life implementation. The nurse competence in palliative care and end of life can be supported by developing contents of palliative care in the curricula of Applied Science, increasing continuing education for nurses and unifying palliative care education in national level
Nursing studentsâ views of the content of palliative care in undergraduate education and their self-assessed palliative care competence:a nationwide cross-sectional study
Abstract
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 studentsâ views of the PC contents during the nursing education; studentsâ 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 (nâ=â1331) 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%, Pâ<â.001), and more often felt that these competencies are relevant to their profession (72.2% vs. 57.6%, Pâ<â.001).
Conclusions: 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
Potilaiden ja lÀheisten kokemuksia lÀÀkÀrien palliatiivisen hoidon ja saattohoidon osaamisesta
Abstrakti
Palliatiivinen hoito on parantumattomasti sairaan potilaan ja hÀnen lÀheisensÀ aktiivista ja kokonaisvaltaista hoitoa. Palliatiivisen hoidon tarve tulee kasvamaan vÀestön ikÀÀntyessÀ ja pitkÀaikaissairauksien lisÀÀntyessÀ. Palliatiivisen hoidon saannin turvaamiseksi lÀÀkÀrillÀ tulee olla osaamista palliatiivisesta hoidosta ja saattohoidosta kaikilla terveydenhuollon tasoilla. Tutkimuksen tarkoituksena oli kuvailla potilaiden ja lÀheisten kokemuksia lÀÀkÀrien osaamisesta palliatiivisessa hoidossa ja saattohoidossa.
Tutkimusaineisto kerĂ€tiinâŻsĂ€hköisenĂ€ kyselynĂ€âŻja tiedote kyselystĂ€ oliâŻPalliatiivisen hoitotyön ja lÀÀketieteen koulutuksen monialaisen ja työelĂ€mĂ€lĂ€htöisen kehittĂ€misenâŻ(EduPal)âŻ-hankkeen verkkosivulla. Avoimeen kysymykseen:âŻMitĂ€ mielestĂ€si jokaisen lÀÀkĂ€rin tulee osata palliatiivisesta hoidosta ja saattohoidosta valmistuessaan?âŻvastasiâŻ41âŻpotilasta jaâŻlĂ€heistĂ€. Aineisto analysoitiin induktiivisellaâŻsisĂ€llön analyysilla.âŻ
Potilaiden ja lÀheisten mukaan lÀÀkÀrit tarvitsevat palliatiivisessa hoidossa ja saattohoidossa kivunhoidon osaamista. LisÀksi he tarvitsevat vuorovaikutusosaamista ja potilaslÀhtöisen hoidon osaamista. Potilaat ja lÀheiset arvoivat lÀÀkÀrin tarvitsevan vahvaa kliinistÀ osaamista palliatiivisesta hoidosta ja saattohoidosta. Myös lÀÀkÀreiden kohtaamisosaamista sekÀ potilaan ja lÀheisten tukemisosaamista pidettiin tÀrkeÀnÀ.
LÀÀkÀrillÀ tulee olla laaja-alaista osaamista palliatiivisesta hoidosta ja saattohoidosta. Potilaiden ja lÀheisten kokemusten huomioiminen lÀÀketieteen perusopetuksessa ja tÀydennyskoulutuksessa vahvistaa ja tukee kliinistÀ osaamista sekÀ potilaan hoidon laatua. LÀÀketieteen koulutukseen tulee lisÀtÀ vuorovaikutus- ja kohtaamistaitoja kehittÀvÀÀ opetusta sekÀ turvata kaikille lÀÀketieteen opiskelijoille osaaminen palliatiivisen hoidon ja saattohoidon perusteista.Abstract
Patientsâ and closed onesâ experiences on competences required from physicians in palliative care and end-of life care
Palliative care is active and holistic care for incurably ill patients and their closed ones. The need for palliative care will increase as the population ages and the amount of long-term illnesses increase. The purpose of the study was to describe the experiences of patients and their closed ones physiciansâ competence in palliative care and end-of-life care.
The research data was collected as an electronic survey and a newsletter on the website of Developing palliative nursing and medical education-EduPal -project. An open question: What do you think every physician should know about palliative care and end-of-life care when graduating? responded to 41 patients and closed ones. The data was analyzed using inductive content analysis.
According to patients and their closed ones, the physicians need competence in pain management in palliative care and end-of-life care. In addition, they need interaction skills and competence in patient-centred care. Patients and closed ones appreciated the physicians need for strong clinical competence in palliative care and end-of-life care. The competence in empathetic meeting of the patient and the competence in supporting of patients and closed ones were also considered important.
The physician must have extensive competence in palliative care and end-of-life care. Considering patientsâ and closed onesâ experiences in basic and continuing medical education strengthens and supports clinical competence and the quality of patient care. Medical education must be supplemented with a curriculum that develops interaction and communication skills, and all medical students must be provided with knowledge of the basics of palliative care and end-of-life care
Kivunhoidon ohjaus syöpÀÀ sairastavan potilaan ja hÀnen lÀheisensÀ kuvaamana palliatiivisessa hoidossa:integroitu kirjallisuuskatsaus
Abstract
Aim: The purpose of this integrative review was to describe patients and their caregiversâ views of pain counseling to patients who are terminally ill and suffer from cancer pain.
Data and methods: The data was collected from studies included in scientific databases at systematic search, focusing on studies published in Finnish or in English between the years 2000 and 2018. A quality assessment of these studies was carried out and after that nine peer reviewed studies were accepted for this review. The data was analyzed by content analysis.
Results: Based on results, patients and their caregivers were satisfied with counseling they have received, but they need more information of pain, painkillers, side effects of medicine and non-pharmacological interventions in pain relief. Pain counseling should be organized and congruent, regardless who provides the counseling. Patients and caregivers have experienced that interaction during counseling as good, because it increases the possibilities to meet the individual counseling needs. Due to counseling, the use of pain management methods increased among patients and caregivers and additionally, counseling reduced patients and their caregiversâ fears against to painkillers.
Discussion: Pain management counseling improves the patientâs quality of life. In the future, it would be important to solve the question of how to integrate palliative care and pain management counseling as a part of the holistic care of the patient and family caregivers already earlier than now.TiivistelmĂ€
Tutkimuksen tarkoitus: Integroidun kirjallisuuskatsauksen tarkoituksena oli kuvata kivunhoidon ohjausta palliatiivisessa hoidossa olevan, syöpÀÀ sairastavan potilaan ja hÀnen lÀheisensÀ nÀkökulmasta.
Aineisto ja menetelmĂ€t: Tiedonhaut tehtiin tieteellisiin viitetietokantoihin systemaattisella haulla. Haut kohdistettiin vuosina 2000â2018 julkaistuihin vertaisarvioituihin suomen- tai englanninkielisiin artikkeleihin. Aineistoksi valikoitui yhdeksĂ€n sisÀÀnotto- ja laadunarviointikriteerit tĂ€yttĂ€vÀÀ artikkelia. Aineisto analysoitiin sisĂ€llönanalyysillĂ€.
Tulokset: Tutkimusten mukaan potilaat ja lÀheiset olivat tyytyvÀisiÀ saamaansa ohjaukseen, mutta toivoivat saavansa lisÀÀ tietoa kivusta, kipulÀÀkityksestÀ, lÀÀkityksen sivuvaikutuksista sekÀ lÀÀkkeettömistÀ kivunlievitysmenetelmistÀ. Esille tuli myös, ettÀ kivunhoidon ohjauksen tulee olla suunniteltua ja yhdenmukaista, riippumatta siitÀ kuka ohjausta toteuttaa. Potilaat ja lÀheiset ovat kokeneet vuorovaikutuksellisen ohjauksen hyvÀksi, sillÀ se mahdollisti yksilöllisten ohjaustarpeiden huomioimisen. Potilaat ja lÀheiset ovat kokeneet kivunhoidon ohjauksen monipuolistaneen kivunhoitomenetelmien kÀyttöÀ ja vÀhentÀneen heidÀn ennakkoluulojaan kipulÀÀkitystÀ kohtaan.
PÀÀtelmÀt: Kivunhoidon ohjauksen on todettu parantavan potilaan elÀmÀnlaatua. Jatkossa olisi hyvÀ tutkia palliatiivisen hoidon ja laadukkaan kivunhoidon ohjauksen integroimista osaksi potilaan ja lÀheisen kokonaisvaltaista hoitotyötÀ entistÀ varhaisemmassa vaiheessa
Future palliative competence needs:a qualitative study of physiciansâ and registered nursesâ views
Abstract
Background: Globally, the need for palliative care will increase as a result of the ageing of populations and the rising burden of cancer, non-communicable diseases as well as some communicable diseases. Physicians and registered nurses working in palliative care should have a sufficient level of education and competence in managing the changing needs and requirements of palliative care. There is, however, need for evidence-based palliative care training and education of physicians and registered nurses. The purpose of this study was to describe the views of physicians and registered nurses regarding future competence needs within palliative care.
Methods: The study was conducted through use of a cross-sectional qualitative design. A total of 54 physicians and 110 registered nurses completed an open-ended questionnaire about the future competence needs of palliative care. The data were analyzed using inductive content analysis.
Results: The results revealed four main competence needs within palliative care for the coming decade: palliative care competence at all levels within healthcare and social welfare services; individualized palliative care competence; person-centered encounters competence; and systematic competence development within palliative care.
Conclusions: The results offer cues for education and professional development, which can be used to support physicians and registered nurses when future palliative care competences are included in educational programs. Seamless cooperation between palliative care services and educational institutions is recommended to ensure that undergraduate and postgraduate education is based on a continuous assessment of competence requirements within the field of palliative care. Therefore, online multi-professional simulations, for example, could be used to enhance future competencies within palliative care; undergraduate medical, nursing and allied healthcare students as well as postgraduate palliative care professionals and experts of experience could work together during simulations
Finnish nursing studentsâ perceptions of the development needs in palliative care education and factors influencing learning in undergraduate nursing studies:a qualitative study
Abstract
Background: Nurses have an essential role in providing high-quality palliative care to patients and their families. Hence, they require adequate palliative care education. However, there is only limited insight into how final-year nursing students perceive palliative care education in undergraduate nursing programs. This study aimed to describe nursing studentsâ perspectives of the development needs of palliative care education. An additional two aims emerged based on the collected data, namely, to describe the preferred education for palliative care and the factors which promote or hinder palliative care learning during undergraduate nursing studies.
Methods: The research was guided by a descriptive qualitative approach and applied inductive content analysis. The frequencies (f) of identified codes (reduced expressions) were counted to show the noteworthiness of each category in relation to the entirety. The participants were final-year nursing students (nâ=â766) who had participated in a national survey.
Results: The inductive content analysis identified three unifying categories. The first was âDevelopment needs and views of palliative care educationâ (fâ=â524), which consisted of the main categories âthe need to develop palliative care educationâ (fâ=â414) and âmeaning of palliative care and its educationâ (fâ=â110). Secondly âPreferred types of palliative care educationâ (fâ=â1379), including the main categories âteaching contents in palliative care educationâ (fâ=â905), âteaching methods for palliative care learningâ (fâ=â393), and âplacement of palliative care studiesâ (fâ=â81). Thirdly âThe facilitators and barriers to palliative care learningâ (fâ=â401), consisting of the main categories âfactors facilitating palliative care learningâ (fâ=â66) and âbarriers to palliative care learningâ (fâ=â335).
Conclusions: This study provides detailed information about nursing studentâs perspectives of palliative care education and its development needs. Hence, the results are relevant to decision-makers who want to develop undergraduate nursing curricula. This study highlights that palliative care education should be developed by ensuring that all students have equal access to palliative care education provided by highly competent teachers. Possibilities for clinical placements or visits to palliative care units during the education should also be improved. The participating students felt unprepared to provide high-quality palliative care even though they responded that palliative care is an important topic in their nursing studies
LĂ€hihoitajien kokemukset palliatiivisen hoidon ja saattohoidon osaamisesta
TiivistelmÀ
Tutkimuksen tarkoituksena oli kuvailla lÀhihoitajien kokemuksia palliatiivisen hoidon ja saattohoidon osaamisesta. Aineisto kerÀttiin lÀhihoitajilta (n=52) sÀhköisenÀ kyselynÀ Webropol-ohjelmalla syksyllÀ 2018. Tutkimusaineisto muodostui avoimesta kysymyksestÀ, jossa vastaajaa pyydettiin arvioimaan osaamista palliatiivisen hoidon eri osa-alueiden nÀkökulmasta. Aineisto analysoitiin aineistolÀhtöisellÀ sisÀllönanalyysillÀ.
LÀhihoitajat kokivat tarvitsevansa osaamista palliatiivisessa hoidossa ja saattohoidossa hienovaraisesta ja tukevasta vuorovaikutuksesta potilaan ja lÀheisten kanssa, moniammatillisesta yhteistyöstÀ sekÀ viestintÀ- ja suunnitteluosaamisesta. LisÀksi he arvioivat tarvitsevansa työssÀÀn perustietoa lÀÀketieteestÀ, fysiologiasta, hoitotieteestÀ, tunteiden prosessoinnista, kulttuurista, uskonnosta, lÀÀkehoidosta ja farmakologiasta. Myös osaaminen kivun sekÀ somaattisten ja psyykkisten oireiden hoidosta, yksilöllisestÀ palliatiivisesta perushoidosta, kuoleman arvokkaasta kohtaamisesta, eettisyydestÀ ja lainsÀÀdÀnnöstÀ sekÀ työhyvinvointitaidoista koettiin tÀrkeiksi.
LÀhihoitajat tarvitsevat monipuolista osaamista hyvÀn palliatiivisen hoidon ja saattohoidon toteuttamiseen. Tutkimuksen tuloksia voidaan hyödyntÀÀ lÀhihoitajien palliatiivisen hoidon ja saattohoidon osaamisen kartoittamisessa ja koulutuksen sekÀ opetuksen suunnittelussa ja kehittÀmisessÀ.Abstract
Practical nursesâ experiences of the need for competence in hospice and palliative care
The purpose of the study was to describe practical nursesâ experiences of competences in hospice and palliative care. The data collect were performed with an electronic questionnaire from practical nurses (n=52). The data consisted open questions with palliative care theme. The data were analyzed with inductive content analysis.
Practical nurses needed competence in hospice and palliative care including interaction of patient and relatives, multi-professional, communication and care planning. In addition, they estimate that they will need competence in of medicine, physiology, nursing science, emotion processing, culture, religion, medication and pharmacology. Also, competence pain and somatic symptom management, individualized hospice and palliative care basic care, precious death, ethical and legislative and well-being at work were considered important.
Practical nurses need versatile competence for the nursing out of hospice and palliative care. The result of this study can be used to develop hospice and palliative care training, teaching and competence assessment
Vuorovaikutuksen ja kohtaamisen osaaminen sairaanhoitajien ja lÀÀkÀreiden palliatiivisen hoidon ja saattohoidon koulutuksessa
TiivistelmÀ
IhmisillÀ on moninaisia keinoja kommunikoida. Ihmiselle luonnollinen ilmaisutapa on puhuminen. Puhe voi kuitenkin hÀiriintyÀ erinÀisistÀ syistÀ johtuen tai puuttua kokonaan. Sairaanhoitaja- ja lÀÀkÀrikoulutuksen tulee edistÀÀ vuorovaikutukseen ja kohtaamiseen liittyvÀÀ osaamista ja koulutuksen tulee antaa valmiudet tunnistaa ja tukea kommunikaatiossa tapahtuvia muutoksia. Terveysalan ammattilaisten tulee osata hyödyntÀÀ tulkkipalveluita ja puheterapeutin osaamista osana moniammatillista yhteistyötÀ. Potilaalle ja hÀnen lÀheisilleen on tÀrkeÀÀ tulla kuulluksi, ymmÀrretyksi ja kohdatuksi elÀmÀnsÀ loppuun saakka. Tavoitteena on löytÀÀ yhteinen kieli tai vuorovaikutuksen tapa, jolla tÀmÀ kohtaaminen ja ymmÀrretyksi tuleminen mahdollistuu.Abstract
Competence in interaction and encounter included in the education of nurses and physicians in palliative and end of life care
People have a variety of ways to communicate. The most natural way of human expression is to speak, but it can be disturbed for various reasons, or it can be either wholly absent or otherwise deficient. The training of nurses and physicians should include the skills of interaction and encounter. The training should also provide the ability to identify and support possible changes in communication. Professionals must utilize an interpreterâs services and a speech therapistâs expertise as part of multi-professional collaboration. It is essential for the patients and their loved ones to be heard, understood and encountered for the rest of their lives. The goal is to find a common language or means to interact that makes this encounter and understanding possible
Palliative nursing competencies required for different levels of palliative care provision:a qualitative analysis of health care professionalsâ perspectives
Abstract
Background: Nurses must possess adequate competencies to provide high-quality palliative care. Earlier statements have described certain competencies that are relevant for palliative care, yet only limited empirical research has focused on the perspective of health care professionals to clarify which competencies are required for different levels of palliative care provision.
Objective: The aim was to describe the required palliative nursing competencies of registered nurses aligned to different levels of palliative care provision, from the perspectives of multiprofessional groups.
Design: A qualitative study design.
Setting/Subjects: A purposive sample of professionals, working in different levels of palliative care across various settings in Finland, was used to gain information about the aim of the study (nâ=â222).
Measurements: Content analysis was applied to describe the competencies of registered nurses.
Results: Competencies relevant to basic palliative care were categorized under 17 main categories, which included a total of 75 subcategories. âCompetence in managing the most common symptomsâ was the main category that contained the largest number of reduced expressions (fâ=â75). An analysis of specialist palliative care data yielded 10 main categories, including 49 subcategories, with âCompetence in maintaining expertise and taking care of own well-being at workâ containing the most reduced expressions.
Conclusion: The study provided new knowledge; more specifically, competencies related to encounters and maintaining hope were described as palliative care nursing competences. The results can be used to ensure that palliative nursing education focuses on the competences that are necessary in practice