A Quantitative Framework Classifying the Palliative Care Workforce into Specialist and Generalist Components

Pang, Grace Su Yin; Qu, Li; Wong, Yin Yee; Tan, Yung Ying; Poulouse, Jissy; Neo, Patricia Soek Hui

doi:10.1089/jpm.2015.0017

Cited by 6 publications

(2 citation statements)

References 18 publications

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“…Chiarella and Duffield (2007) discussed the need to approach workforce issues by generating clinicians to provide primary palliative care rather than depending on specialty palliative care, meaning palliative care services by specialists. A study in Thailand found different palliative care use based on the intensity of patients' needs, suggesting that, while patients with severe symptom burden and distress would require palliative care services by specialists, patients with a low level of palliative care needs may well be managed by primary care (Pang, Qu, Wong, Tan, Poulouse, & Neo, 2015). Griffiths, Simon, Richardson, & Corner (2013) further delineated the roles of primary and specialty palliative care in nursing in the United Kingdom (UK) and pointed out a lack of clarity between nurses receiving additional education in palliative care versus clinical nurse specialists in palliative care.…”

Section: Anticipating Workforce Shortagementioning

confidence: 99%

Acute Care Nurses' Experiences of Basic Palliative Care

Neiman¹

2020

J Hosp Palliat Nurs

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As the population of chronically ill, older adults increases, there is a growing need for palliative care. The Institute of Medicine recommends that health care providers have a basic competency in palliative care. However, the definition of basic palliative care in practice and providers' understanding of basic palliative care lack clarity. The purpose of this study was to describe nurses' perceptions of basic palliative care in the acute care setting. This was accomplished by conducting focus group and individual interviews. The major themes of helping families navigate chronic illness and empowering families and subthemes of being present, giving options, and advocating emerged from the analysis. Through education and role modeling, nurses helped families navigate illness and end-of-life experiences. Study findings describe acute care nurses' perceptions of basic palliative care and may help to identify the educational needs of nurses in order to provide basic palliative care for patients and their families in acute care settings.

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Section: Anticipating Workforce Shortagementioning

confidence: 99%

Acute Care Nurses' Experiences of Basic Palliative Care

Neiman¹

2020

J Hosp Palliat Nurs

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“…Its role in caring for seriously ill patients, especially the boundary between specialty level care and generalist palliative care, is still evolving, 1 with profound implications for the workforce needed. 2,3 Currently, the prevailing view is that there is a shortage of HPM specialists in the U.S. 4e6 This has led to calls to expand the HPM workforce, through a variety of mechanisms. 7 Yet, looking at the experience of other specialties such as geriatrics and nephrology, it is known that training capacity can exceed the desire of trainees to enter the field.…”

Section: Introductionmentioning

confidence: 99%

The 2015 Class of Hospice and Palliative Medicine Fellows—From Training to Practice: Implications for HPM Workforce Supply

Lupu

Salsberg

Quigley

et al. 2017

Journal of Pain and Symptom Management

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Identification and Assessment of Breathlessness in Clinical Practice: A Systematic Review and Narrative Synthesis

Elliott-Button¹,

Johnson²,

Nwulu³

et al. 2020

Journal of Pain and Symptom Management

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ContextBreathlessness is common in chronic conditions but often goes unidentified by clinicians. It is important to understand how identification and assessment of breathlessness occurs across healthcare settings, to promote routine outcome assessment and access to treatment ObjectiveTo summarise how breathlessness is identified and assessed in adults with chronic conditions across different healthcare settings. MethodsThis is a systematic review and descriptive narrative synthesis (PROSPERO registration: CRD42018089782). Searches were conducted on Medline, PsycINFO, Cochrane Library, Embase and CINAHL (2000-2018) and reference lists. Screening was conducted by two independent reviewers, with access to a third, against inclusion criteria. Data were extracted using a bespoke proforma. ResultsNinety-seven studies were included; conducted in primary care (n=9), secondary care (n=53) and specialist palliative care (n=35). Twenty-five measures of identification and 41 measures of assessment of breathlessness were used. Primary and secondary care used a range of measures to assess breathlessness severity, cause, and impact for people with chronic obstructive pulmonary disease (COPD). Specialist palliative care used measures assessing broader symptom severity and function with less focus on overall quality of life (QoL). Few studies were identified from primary care. ConclusionVarious measures were identified, reflective of the setting's purpose. However, this highlights missed opportunities for breathlessness management across settings; primary care is particularly well-placed to diagnose and support breathlessness. The COPD approach (where symptoms and QoL are part of disease management) could apply to other conditions. Better documentation of holistic patient-reported measures may drive service improvement in specialist palliative care.

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A Quantitative Framework Classifying the Palliative Care Workforce into Specialist and Generalist Components

Abstract: Large-scale clinical data supports the use of a Pareto-based quantitative framework for a workforce comprising of mainly generalist PC staff supported by smaller numbers of PC specialists.

Cited by 6 publications

References 18 publications

Acute Care Nurses' Experiences of Basic Palliative Care

Acute Care Nurses' Experiences of Basic Palliative Care

The 2015 Class of Hospice and Palliative Medicine Fellows—From Training to Practice: Implications for HPM Workforce Supply

Identification and Assessment of Breathlessness in Clinical Practice: A Systematic Review and Narrative Synthesis

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