Macmillan nurse facilitators: establishing a palliative resource nurse network in primary care

Byron, Shirley; Moriarty, Deirdre; O'Hara, Annette

doi:10.12968/ijpn.2007.13.9.27416

Cited by 11 publications

(8 citation statements)

References 12 publications

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“…The resource nurse is also supposed to work with system improvements related to routines, procedures and pathways, in addition to advising and guiding colleagues, disseminating new knowledge and initiating re ection (8). Parallel terms for the resource nurse in the Norwegian context are, in the international literature, the palliative resource nurse (10), link nurse (11) or palliative care champion (12).…”

Section: Introductionmentioning

confidence: 99%

Palliative Care in the Community – The Role of the Resource Nurse

Johansen¹,

Helgesen²

2021

Preprint

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Background : Approaches involving resource nurses have been used in several fields of practice to enhance quality of care. A literature review reveals limited research on the role of the resource nurse in palliative care in the community.Aim: To explore experiences pertaining to the resource nurse’s role in palliative care in nursing homes in Norway.Design: An explorative and descriptive design using group interviews. Methods: Two semi structured group interviews were conducted. Five resource nurses participated in the first interview, two resource nurses participated in the last interview. The group interviews were audiotaped, transcribed verbatim and analysed with systematic text condensation.Results: The resource nurses wish to promote high-quality palliative care. They are skilled palliative nurses working clinically, and they use their experience and knowledge to talk about and demonstrate good practice. By conveying knowledge and being role models, they bolster their colleagues’ confidence and skills in palliative care and contribute to a shared view of quality. They can potentially play an important role in facilitating reflection and collaboration in the palliative care team. However, the resource nurse’s function is affected by interpersonal, managerial and organisational factors.Conclusion: The resource nurse most important tool in promoting high-quality palliative care may be to support their colleagues being a role model and sharing knowledge and experience. The resource nurses play an important role in facilitating reflection and collaboration in the palliative care team and may contribute to ethical awareness and proper dialogues about end of life issues.

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Section: Introductionmentioning

confidence: 99%

Palliative Care in the Community – The Role of the Resource Nurse

Johansen¹,

Helgesen²

2021

Preprint

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“…Based on this concept we previously studied the impact of a palliative care nurse champions program on the quality of dying in the hospital, as experienced by bereaved relatives [27,28]. We hypothesized that similar to nurse champions in other fields, palliative care nurse champions may contribute to better quality of palliative care by improving the recognition of palliative care needs, the communication with patients and relatives, and the care delivered to both [14,[29][30][31][32]. However, in our study bereaved relatives of patients who died in the hospital did not evaluate the quality of dying better after the introduction of a palliative care nurse champions program on hospital wards, when compared to before [27].…”

Section: Introductionmentioning

confidence: 99%

“…In case of improving palliative care by a palliative care nurse network program, nurse champions firstly require sufficient clinical experience, knowledge of palliative care, teaching capacities, and authority towards managers and colleagues to be a resource and role model for colleagues [24,31]. Some UK studies confirmed that palliative care nurse champions themselves experienced increased knowledge on palliative care, and felt more confident when collaborating with physicians and experts [29][30][31][32]. Subsequently, this should affect the caring behavior of nurses.…”

Section: Introductionmentioning

confidence: 99%

Effect of a Palliative Care Nurse Champion Program on Nursing Care of Dying Patients in the Hospital: A Controlled before and after Study

FE¹,

A²,

CCD³

et al. 2017

J Nurs Health Stud

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Objective: Hospitals increasingly appoint nurse champions to improve quality of care. This study investigated the effect of palliative care nurse champions on nursing end-of-life care. Methods:Imbedded in a controlled before-after study (June 2009-July 2012) on care for the dying patient in the hospital, nurses completed questionnaires on end-of-life care within two weeks after the patient's death. Halfway the study, seven out of 18 participating wards appointed two palliative care nurse champions. Characteristics of end-of-life care were compared for patients who died before and after the introduction of the nurse champion program and with outcomes in 11 control wards. Results:In the intervention wards, data were collected on 81 patients in the pre-intervention period and on 93 patients in the post-intervention period; in control wards these numbers were 114 and 121, respectively (response 54%). After the introduction of the nurse champion program, nurses in the intervention wards more frequently discussed imminent death with patients (35% pre-intervention vs 50% post-intervention, p=0.05), were more frequently aware of psychological symptoms (57% vs 71%, p=0.04), and performed less futile interventions during the final hours (on average 0.8 vs 0.4 out of 4 interventions, p<0.01). These differences were not found in the control wards. No effect was found on nurses' awareness of patients' imminent death. Nurses' median score for quality of dying was lower in the postintervention period (7.5 vs 7.0 on a 0-10 scale; p=0.02). Conclusion:Nurse Champions had a beneficial effect on end-of-life nursing care in hospital. We found increased communication and more awareness of patients' palliative care needs. Increased awareness seems to have made nurses more critical about the quality of dying.

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“…Studies in the United Kingdom reported that nurse champions themselves experienced increased knowledge on palliative care and felt more confident in collaborating with physicians and experts. [4][5][6][7] No study has evaluated the effects on quality of care as experienced by patients or their relatives. In general, experimental studies on quality improvement interventions in EoL care in the hospital are scarce.…”

Section: Introductionmentioning

confidence: 99%