Developing competencies for multidisciplinary hospice and palliative care professionals in Korea

Kang, Jina; Kim, Yeol; Yoo, Yang Suk; Choi, Jin Young; Koh, Su Jin; Jho, Hyun Jung; Choi, Youn Seon; Park, Jeanno; Moon, Dong Eon; Kim, Do Yeun; Jung, Yun Hwa; Kim, Won Chul; Lim, Seung Hee; Hwang, Seung Joo; Choe, Sang Ok; Jones, Desirée

doi:10.1007/s00520-013-1850-3

Cited by 22 publications

(32 citation statements)

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“…Documentary analysis was carried out from January to February 2017, based on the selection by the principal researcher of six relevant scientific articles on the topic [5][6][7][11][12][13] , two books on palliative care 2,14 and recommendations of online material of the websites of the following international institutions: the European Association for Palliative Care, the Société Canadienne des Médecins de Soins Palliatifs, the Australian Government Department of Health through the Palliative Care Curriculum for Undergraduates (PCCAU) and the American Association of Hospice and Palliative Medicine (AAHPM) 3,4,15,16 . The core competencies in palliative care of the AAHPM 16 were used in the documentary analysis as this is considered an important document for basic knowledge, although it is acknowledged that more complex competencies are required for undergraduate study.…”

Section: Methodsmentioning

confidence: 99%

Palliative care: A proposal for undergraduate education in Medicine

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Vilar

2018

Rev. bras. geriatr. gerontol.

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Objective: to propose essential competencies for the teaching of palliative care on undergraduate Medicine courses. Method: a documentary analysis of the literature on general competencies in palliative care was initially carried out, to construct a framework with suggestions of essential competencies for undergraduate education in Brazil. The elaborated material was then presented individually to eight professionals from a range of areas for analysis. All the professionals had specialized training in palliative care, and the material was accompanied by an interview with three open questions. The categorical thematic content analysis proposed by Bardin was used in the documentary analysis and the interviews with the professionals. Results: the initial documentary analysis resulted in five categories, eight subcategories and 96 units of analysis, based on which the researcher was able to construct the suggestions for competences, which were distributed with their respective contents in a framework with five modules. Six categories, 12 subcategories and 168 analysis units emerged from the interviews with the professionals following a reading of the material. From the discourse contained in the subcategories and units of analysis, suggestions emerged for a better distribution of the modules, resulting in the renaming of the same (Basic principles of palliative care, Symptom management, Teamwork, Ethical and legal issues, Care in the last moments of life). Conclusion: the discussion and improvement of the palliative care competencies suggested in this study will be essential at medical education forums, providing clarity about what is really required in general practitioner training.

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Section: Methodsmentioning

confidence: 99%

Palliative care: A proposal for undergraduate education in Medicine

Caldas

Moreira

Vilar

2018

Rev. bras. geriatr. gerontol.

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“…In the clinical setting, nurses act as advocates for patients who protect patients' autonomy and rights and perform the important role of helping patients make decisions about death [5]. Therefore, nurses need to be able to provide holistic end-of-life care so that patients can meet death in a dignified manner, and in order to perform such The literature on end-of-life care competency among nurses includes a Delphi study that aimed to outline the necessary competencies for end-of-life care among healthcare workers [9]; a study on end-of-life care competency and facilitators and barriers to end-of-life care among intensive care unit nurses [10]; a study on end-of-life care competency and stress associated with end-of-life care among nurses in care facilities [11]; a study on the effects of attitudes, experience, and knowledge on advance directives and the influence of perceptions of a good death on end-of-life care competency and the performance of end-of-life care among nurses at general hospitals [12]; and a study on end-of-life care competency and the frequency of end-of-life care among nurses at tertiary hospitals [13]. An advance directive is a policy that aims to protect the dignity and value of human life by guaranteeing the best interest of patients in the dying process and respecting their selfdetermination [14].…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting the End-of Life Care Competency of Tertiary Hospital Nurses

Jeong

Eun

2020

Korean J Hosp Palliat Care

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The purpose of this study was to investigate the levels of end-of-life care competency; knowledge, attitudes, and experiences regarding advance directives; perceptions of good death; and end-of-life care obstacles and supportive behaviors among tertiary care nurses. Methods: The participants were 150 nurses at a tertiary hospital in Jinju, Korea. The data collected using a questionnaire were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression in SPSS for Windows version 24.0. Results: The mean (±SD) score of end-of-life care competency was 3.63 (±0.53) on a 5-point scale. A significant difference in end-of-life care competency was found according to whether nurses had experienced the death of a family member or acquaintance (P=0.029). According to stepwise multiple regression analysis, the factors affecting end-of-life care competency were the frequency of end-of-life care supportive behaviors (β=0.38, P＜0.001), experience with advance directives (β=0.29, P＜0.001), and marriage (β=0.15, P=0.039). This model had an explanatory power of 27.9% (F=18.87, P ＜0.001). Conclusion: In order to improve nurses' end-of-life care competency, it is important to strengthen end-of-life care supportive behaviors by exposing nurses to those behaviors and providing frequent experience with advance directives.

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“…A primeira rodada do questionário resultou em vinte e cinco sugestões de competências, às quais foram adicionadas outras quinze presentes no Libro Blanco (ANECA, 2005). Para a segunda rodada (Kang et al, 2013), utilizou-se a técnica Delphi, de modo semelhante, para desenvolver competências em cuidados paliativos: na primeira rodada foi apresentado um checklist com sugestões de competências; na segunda foram acrescentadas sugestões dos participantes na rodada anterior.…”

Section: Resultados E Discussõesunclassified

Definição De Competências Em Cuidados Paliativos Na Formação Do Médico Generalista

Quintiliano

Soares

2020

New Trends in Qualitative Research

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Introdução: A matriz curricular de uma escola médica deve concordar com a prática profissional e ser pautada pelas necessidades da sociedade. No Brasil, a formação médica apresenta deficiência na abordagem dos cuidados paliativos. Objetivo: Definir as competências em cuidados paliativos necessárias para a formação do médico generalista. Metodologia: Pesquisa descritiva e exploratória utilizando-se da técnica Delphi. A amostra foi constituída por 11 médicos onde suas especialidades permitem ter área de atuação em cuidados paliativos. Na primeira rodada de perguntas foram elencadas competências que os profissionais consideraram necessárias para o médico generalista; na segunda os participantes escolheram as competências após o compilado da primeira rodada, com o acréscimo de algumas competências citadas no Libro Blanco; e na terceira rodada foi validada a matriz de competências elaborada por consenso. Resultados: As recomendações mais votadas pelos painelistas foram: conhecimento sobre cuidados paliativos, cuidados paliativos na atenção básica, controle de sintomas, trabalho interprofissional, habilidades de comunicação e bioética. Uma matriz com 30 competências foi desenvolvida. Conclusões: A técnica Delphi é uma importante ferramenta de pesquisa qualitativa que proporcionou a elaboração de uma matriz de competências em cuidados paliativos, a qual poderá contribuir na qualificação da formação médica e na assistência à saúde da população.

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Developing competencies for multidisciplinary hospice and palliative care professionals in Korea

Abstract: The competencies developed by multidisciplinary professionals are useful to identify the appropriate roles of each hospice and palliative care specialist involved in a team approach to patient care.

Cited by 22 publications

References 16 publications

Palliative care: A proposal for undergraduate education in Medicine

Palliative care: A proposal for undergraduate education in Medicine

Factors Affecting the End-of Life Care Competency of Tertiary Hospital Nurses

Definição De Competências Em Cuidados Paliativos Na Formação Do Médico Generalista

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