Developing a palliative care competence framework for health and social care professionals: the experience in the Republic of Ireland

Connolly, Michael; Ryan, Karen; Charnley, Karen

doi:10.1136/bmjspcare-2015-000872

Cited by 30 publications

(23 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…24 Second, the NACPC, although acknowledging geographic disparities, did little to address them. Regions with different baseline levels of palliative care services received equivalent levels of investment.…”

Section: Department Of Health Has Commissioned Skills For Care Andmentioning

confidence: 99%

A National Palliative Care Strategy for Canada

Morrison

2018

Journal of Palliative Medicine

View full text Add to dashboard Cite

Objective: To identify barrier to achieving universal access to high quality palliative care in Canada, review published national strategies and frameworks to promote palliative care, examine key aspects that have been linked to successful outcomes, and make recommendations for Canada. Background: In 2014, the World Health Organization called on members to develop and implement policies to ensure palliative care is integrated into national health services. Methods: Rapid review supplemented by the author's personal files, outreach to colleagues within the international palliative care community, review of European Association for Palliative Care publications, and a subsequent search of the table of contents of the major palliative care journals. Results: Frameworks were found for 10 countries ranging from detailed and comprehensive multi-year strategies to more general approaches including laws guaranteeing access to palliative care services for ''dying'' patients or recommendations for the development of clinical infrastructure. Few formal evaluations were found minimal comparative data exist regarding the quality of care, access to palliative care services, timing of access in the disease trajectory, and patient and family satisfaction with care. Factors that appear to be associated with success include: 1) input and early involvement of senior policy makers; 2) comprehensive strategies that address major barriers to universal access and that involve the key constituents; 3) a focus on enhancing the evidence base and developing a national system of quality reporting; and 4) substantial and sustained government investment. Discussion: Comprehensive national strategies appear to improve access to high quality palliative care for persons with serious illness and their families. Such strategies require sustained government funding and address barriers related to infrastructure, professional and public education, workforce shortages, and an inadequate evidence base.

show abstract

Section: Department Of Health Has Commissioned Skills For Care Andmentioning

confidence: 99%

A National Palliative Care Strategy for Canada

Morrison

2018

Journal of Palliative Medicine

View full text Add to dashboard Cite

show abstract

“…The development of the Palliative Care Competence Framework (PCCF) 11 has been reported in detail elsewhere. 12 The framework describes 6 domains of competence: principles of PC; communication; optimizing comfort and quality of life; care planning and collaborative practice; loss, grief, and bereavement; professional and ethical practice in the context of PC. Indicators for core competences are described for each domain.…”

Section: The Present Studymentioning

confidence: 99%

Development and Initial Psychometric Properties of a Questionnaire to Assess Competence in Palliative Care: Palliative Care Competence Framework Questionnaire

Connolly

McLean

Guérin

et al. 2018

Am J Hosp Palliat Care

Self Cite

View full text Add to dashboard Cite

show abstract

“…At a general level, competence in palliative care nursing can be defined as a combination of knowledge, skills and attitudes involving evidence‐based physical, emotional, psychosocial and spiritual care (Sherman, Matzo, & Metheny, ). In many countries, such as Great Britain, New Zealand, the USA, Canada and Ireland, defined frameworks detail the areas of competence for palliative care (Connolly, Charnlay, & Reagan, ; Connolly, Ryan, & Charnlay, ). For example, the core areas of palliative care as defined by the US National Consensus Project for Quality Palliative Care include the structure and process of care, along with the physical, psychological, psychiatric, social, spiritual, religious and existential aspects of care.…”

Section: Introductionmentioning

confidence: 99%

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

Soikkeli‐Jalonen

Stolt

Hupli

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To examine the content and reported psychometric properties of instruments for assessing nurses’ palliative care knowledge and skills in specialised healthcare units. Background Knowledge of palliative care, and competence in the delivery of care, is essential. Assessment of competence is an important means of evaluating the knowledge and skills of practitioners in order to improve the quality of care provided for patients and their families. Design An integrative review. Methods A systematic literature search was conducted in November 2018 in five databases: CINAHL, PubMed (Medline), Cochrane, Scopus and Web of Science. The quality assessment was conducted using the Joanna Briggs Institute's (JBI) Checklist for Analytical Cross‐Sectional Studies. The data were analysed using content analysis. PRISMA guidelines were followed to ensure explicit reporting. Results Overall, 5,413 studies were identified and 23 met the inclusion criteria. Nurses’ knowledge and skills, as assessed by the instruments, were as follows: (a) care for the patient, (b) care for the patient's family and (c) professional requirements. Ten instruments were identified assessing nurses’ knowledge and skills through knowledge tests and skill evaluation self‐tests. The psychometric properties of the instruments were reported to varying degrees, mainly focusing on internal consistency and content validation. Conclusions Nurses’ knowledge and skills were seen to contribute to the holistic care of the patient and his or her family, and the possession of adequate information and skills is essential when dealing with death and dying. The instruments are commonly available and potentially reliable, although reliability must be determined with caution, so validation studies in other cultures are recommended. Relevance to clinical practice These results could be utilised to improve the quality of palliative care by evaluating the knowledge and skills of nursing staff or when considering the needs of palliative care education.

show abstract

Developing a palliative care competence framework for health and social care professionals: the experience in the Republic of Ireland

Cited by 30 publications

References 6 publications

A National Palliative Care Strategy for Canada

A National Palliative Care Strategy for Canada

Development and Initial Psychometric Properties of a Questionnaire to Assess Competence in Palliative Care: Palliative Care Competence Framework Questionnaire

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

Contact Info

Product

Resources

About