Improving district nurses’ confidence and knowledge in the principles and practice of palliative care

Shipman, Cathy; Burt, Jenni; Ream, Emma; Beynon, Teresa; Richardson, Alison; Addington‐Hall, Julia

doi:10.1111/j.1365-2648.2008.04729.x

Cited by 60 publications

(58 citation statements)

References 44 publications

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“…An educational intervention on end-of-life communication skills has been demonstrated to increase knowledge and the practice of endof-life communication. 20,22,23,25 Historically, end-of-life discussions have focused primarily on cancer patients. With the increase in the geriatric population, endof-life communication is also needed for patients with non-cancer, life-limiting conditions such as end stage COPD or CHF.…”

Section: Discussionmentioning

confidence: 99%

Nurses' knowledge and comfort levels using the Physician Orders for Life-sustaining Treatment (POLST) form in the progressive care unit

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Nurses' knowledge and comfort levels using the Physician Orders for Life-sustaining Treatment (POLST) form in the progressive care unit

et al. 2015

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“…Training in palliative care also has positive effects on healthcare professionals' work experience as it increases their confidence and ability to manage patient symptoms, have difficult conversations, and provide support to family members (Shipman et al, 2008;Luxardo et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Palliative care education in Latin America: A systematic review of training programs for healthcare professionals

et al. 2017

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Objectives: The integration of palliative care (PC) education in medical and nursing curricula has been identified as an international priority. PC education has developed considerably in Latin America, but gaps in the integration of PC courses in undergraduate and postgraduate curricula remain. The aim of this review was to systematically examine the delivery of PC education in Latin America to explore the content and method of delivery of current PC programs, identify gaps in the availability of education opportunities, and document common barriers encountered in their implementation. Methods:We carried out a systematic review of peer-reviewed academic articles and grey literature. Peer-reviewed articles were obtained from the following databases: CINAHL Plus, Embase, Web of Science, and MEDLINE. Grey literature was obtained from the following directories: IAHPC, WHPCA, ALCP, and the Latin American Atlas of PC.Inclusion criteria were: 1) focused on describing PC courses; 2) aimed at healthcare professionals; and 3) implemented in Latin America. The PRISMA checklist was used to guide the reporting of the methods and findings. Results:We found 36 programs delivered in eight countries. Most programs were aimed interdisciplinary teams, taught at a postgraduate level, focused on pain and symptom management and used classroom-based methods. Tools for evaluating the courses were rarely reported. The main barriers in implementation included: lack of recognition of the 4 importance of PC education, lack of funding, and the unavailability of trained teaching staff. Significance of results:Considerable work needs to be done to improve the delivery of PC education programs in Latin American countries. Practice-based methods and exposure to clinical settings should be integrated into ongoing courses to facilitate learning. A regional platform needs to be created to share experiences of successful training programs and foster the development of PC education across Latin America.

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“…In addition, insufficient training can contribute to lack of professional confidence and create feelings of inadequacy in caring for dying patients (20). Education and support programs lead to improvements in nursing confidence in palliative care competencies and knowledge (8). Thus, systematic education programs and specialist palliative care teams to support medical professionals are necessary.…”

Section: Discussionmentioning

confidence: 99%

Regional Medical Professionals' Confidence in Providing Palliative Care, Associated Difficulties and Availability of Specialized Palliative Care Services in Japan

Hirooka

Miyashita

Morita

et al. 2014

Japanese Journal of Clinical Oncology

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Background: Although confidence in providing palliative care services is an essential component of providing such care, factors relating to this have not been investigated in Japan. Objective: This study aimed to explore confidence in the ability to provide palliative care and associated difficulties and to explore correlations between these variables. Design: A cross-sectional mail survey of medical doctors and registered nurses in Japan was performed as part of a regional intervention trial: the Outreach Palliative Care Trial of Integrated Regional Model study. Subjects: Questionnaires were sent to 7905 medical professionals, and 409 hospital doctors, 235 general practitioners, 2160 hospital nurses and 115 home visiting nurses completed them. Results: Confidence in providing palliative care was low and difficulties frequent for all types of medical professionals assessed. In particular, only 8 -24% of them, depending on category, agreed to 'having adequate knowledge and skills regarding cancer pain management'. In particular, 55 -80% of medical professionals acknowledged difficulty with 'alleviation of cancer pain'. Multiple regression analysis revealed that confidence was positively correlated with the amount of relevant experience and, for medical doctors, with 'prescriptions of opioids (per year)'. Moreover, difficulties were negatively correlated with the amount of relevant clinical experience. Conclusions: Effective strategies for developing regional palliative care programs include basic education of medical professionals on management of cancer-related pain (especially regarding opioids) and other symptoms.

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Improving district nurses’ confidence and knowledge in the principles and practice of palliative care

Cited by 60 publications

References 44 publications

Nurses' knowledge and comfort levels using the Physician Orders for Life-sustaining Treatment (POLST) form in the progressive care unit

Nurses' knowledge and comfort levels using the Physician Orders for Life-sustaining Treatment (POLST) form in the progressive care unit

Palliative care education in Latin America: A systematic review of training programs for healthcare professionals

Regional Medical Professionals' Confidence in Providing Palliative Care, Associated Difficulties and Availability of Specialized Palliative Care Services in Japan

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