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Howland K, Matricciani LA, Cornelius-Bell A, Kelly MA. The concept of capability in pre-registration nursing education: A scoping review. NURSE EDUCATION TODAY 2024; 139:106240. [PMID: 38761466 DOI: 10.1016/j.nedt.2024.106240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Revised: 04/26/2024] [Accepted: 05/05/2024] [Indexed: 05/20/2024]
Abstract
BACKGROUND Capability in nursing education is an emerging concept that includes various requisites, which can be applied in complex or unfamiliar clinical settings. Despite growing research for practising nurses, the requisites of capability for pre-registration nursing students entering the workforce remain unclear. OBJECTIVE The objective was to identify the requisites that constitute capability for practice among pre-registration nursing students as well as the enablers to develop capabilities. DESIGN A scoping review was performed using the Joanna Briggs Institute methodology. DATA SOURCES Records published without date restriction were searched using MEDLINE, Embase, Emcare, CINAHL, and Scopus databases. Grey literature and reference list searching was conducted. REVIEW METHODS Sources explicitly reporting requisites of capability or enablers of capability development in pre-registration nursing education were eligible. All global sources written in English and available in full text were included. Data were extracted and synthesised using a specifically designed extraction tool. RESULTS The number of records reviewed totalled 896. Twenty-three studies met the criteria for inclusion in the synthesis. Nineteen capability requisites for practice were reported. Whilst various enablers to support development of capability requisites were reported, some challenges were also identified. CONCLUSION This study identified requisites of capability for practice and enablers that may support development of capability in pre-registration nursing education. This holistic set of capabilities has previously not been reported. Given the emerging nature of the concept, this collective set of requisites may not be indicative of all required capabilities of nursing students upon graduation. Efforts to develop a definitive set of requisites and explore strategies to support and enable capability development are needed to advance this concept in the pre-registration nursing education context.
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Affiliation(s)
- Kirstie Howland
- Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia; Adelaide Nursing School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
| | - Lisa A Matricciani
- Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia; Rosemary Bryant AO Research Centre, UniSA Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia; Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, Australia.
| | - Aidan Cornelius-Bell
- Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia; Teaching Innovation Unit, University of South Australia, Adelaide, South Australia, Australia.
| | - Michelle A Kelly
- Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
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Jones K, Draper J, Bolton N. Nursing students experiences of end-of-life care. Int J Palliat Nurs 2023; 29:466-475. [PMID: 37862156 DOI: 10.12968/ijpn.2023.29.10.466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2023]
Abstract
BACKGROUND Undergraduate nursing students spend a significant amount of time in clinical placements where they are involved in care at the end of a person's life and care after death. While their role is to provide compassionate care, some students feel wholly unprepared. AIMS The aim of this qualitative study was to explore student nurses' experiences of care in death, dying and post death care, and to explore how students can be better prepared to provide such care. METHODS This is a qualitative descriptive study that is concerned with the subjective reality of participant's experiences. FINDINGS Six themes were developed from the analysis: first encounters with death and dying; preparedness; mentoring and support received; the caring role; striving to cope; working with families and working through COVID-19. CONCLUSION Students described their experience of placements in end-of-life care as challenging, yet were also able to adopt ways to develop as compassionate practitioners.
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Affiliation(s)
- Kerry Jones
- Senior Lecturer in End-of-Life Care, The Open University, Milton Keynes, Buckinghamshire
| | - Jan Draper
- Emeritus Professor in Nursing, The Open University, Milton Keynes, Buckinghamshire
| | - Nerys Bolton
- Associate Head of School, Curriculum and Innovation, The Open University, Milton Keynes, Buckinghamshire
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Durojaiye A, Ryan R, Doody O. Student nurse education and preparation for palliative care: A scoping review. PLoS One 2023; 18:e0286678. [PMID: 37399170 DOI: 10.1371/journal.pone.0286678] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 05/20/2023] [Indexed: 07/05/2023] Open
Abstract
BACKGROUND The World Health Organisation and palliative care stakeholders recommend that healthcare workers are educated in palliative care. Provision of high-quality palliative care is fundamental to nursing practice. However, caring for palliative care patients and meeting family needs is challenging without appropriate knowledge and experience. Palliative care education and clinical skill development for undergraduate student nurses is a priority to ensure graduate nurses are equipped with the knowledge and skill to deliver safe and competent care. METHODS A scoping review guided by Arksey and O'Malley's framework was used to identify undergraduate student nurses' palliative care education and preparation. A comprehensive literature search of five electronic databases and grey literature were conducted from January 2002 to December 2021. The aim was to review the empirical evidence and ascertain how undergraduate student nurses' palliative care education is organised, facilitated, delivered and evaluated. Screening was performed independently by two reviewers against eligibility criteria with meetings to discuss included papers and form a consensus. Data was extracted and related to palliative care undergraduate student nurses' education, educational model, methodology, key findings, and recommendations. Analysed and summarised data was mapped onto the four key review questions (educational models utilised, methods used to assess effectiveness, facilitators/barriers and gaps in the literature). RESULTS 34 papers met the criteria for this review. The review highlights that undergraduate nursing palliative care education is more evident in high income countries. Limited and diverse published research existing in low- and middle-income countries. Educational models utilised were theoretical and experiential learning and educational process, early integration and multiple learning methods which were highlighted as facilitating factors. However, crowded curricula, lack of palliative care clinical placement expertise, difficulty providing clinical placement, timing and delivery of palliative care and difficulty responding to simulated environments (manikins) were perceived barriers. Nevertheless, palliative care education can increase knowledge, positive attitude, self-confidence and adequate preparation of undergraduate student nurses. CONCLUSION This review highlights that there is limited research regarding the timing and delivery of palliative care principles and practice in undergraduate student nurse education. Early integration of palliative care education impacts upon students perceived preparedness for practice and positively influences their attitudes to palliative care provision.
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Affiliation(s)
- Abiola Durojaiye
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| | - Ruth Ryan
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| | - Owen Doody
- Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
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Oba K, Tanimura C, Noguchi Y, Chujo M, Yoshioka SI. Perspectives of nursing students on end-of-life nurse education: A qualitative study of the guided death experience. NURSE EDUCATION TODAY 2023; 126:105834. [PMID: 37167831 DOI: 10.1016/j.nedt.2023.105834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 04/11/2023] [Accepted: 04/23/2023] [Indexed: 05/13/2023]
Abstract
BACKGROUND Although various studies reported on educational methods for end-of-life care, there is lack of evidence on how nursing students experience simulated death. OBJECTIVES This study explored the experiences of undergraduate nursing students who participated in a guided death experience. DESIGN The research utilized a qualitative descriptive design. SETTINGS The research was conducted at a Japanese university nursing school. PARTICIPANTS A total of 82 nursing students were recruited to complete an end-of-life course in which they participated in a guided death experience as part of their third-year curriculum. METHODS Descriptions of the guided death experience were analyzed using content analysis. RESULTS Nursing students' experiences in the guided death experience fell into two main categories: "subjective experience of immersing oneself in the world of the patient who is dying" and "formation of nursing perspectives of end-of-life care." The former focused on subjective experiences of nursing students vividly expressing their own emotions such as grief, anger, fear, and depression during the guided death experience process. The latter expressed recognition of the essence of end-of-life-care through the guided death experience, such as thinking about needs of the person who is dying, being present, and listening to the individual. CONCLUSIONS In end-of-life nurse education, the guided death experience allows students to face first-person death. This fosters a core view of nursing in palliative and end-of-life care. Overall, the guided death experience is an important means of preparatory education for relevant clinical practice.
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Affiliation(s)
- Keiko Oba
- Department of Adult & Elderly Nursing, School of Health Science, Faculty of Medicine, Tottori University, 86 Nishi-Cho, Yonago, Tottori 683-8503, Japan.
| | - Chika Tanimura
- Department of Adult & Elderly Nursing, School of Health Science, Faculty of Medicine, Tottori University, 86 Nishi-Cho, Yonago, Tottori 683-8503, Japan
| | - Yoshimi Noguchi
- Department of Adult & Elderly Nursing, School of Health Science, Faculty of Medicine, Tottori University, 86 Nishi-Cho, Yonago, Tottori 683-8503, Japan
| | - Masami Chujo
- Department of Adult & Elderly Nursing, School of Health Science, Faculty of Medicine, Tottori University, 86 Nishi-Cho, Yonago, Tottori 683-8503, Japan
| | - Shin-Ichi Yoshioka
- Department of Adult & Elderly Nursing, School of Health Science, Faculty of Medicine, Tottori University, 86 Nishi-Cho, Yonago, Tottori 683-8503, Japan
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Agustini NLPIB, Nursalam N, Sukartini T, Rismayanti IDA, Suniadewi NW. Modelo de aprendizaje de cuidados paliativos basado en la teoría de aprendizaje transformacional de cuidados paliativos de los estudiantes de enfermería en Indonesia. ENFERMERIA CLINICA 2022. [DOI: 10.1016/j.enfcli.2022.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Agustini NLPIB, Nursalam N, Sukartini T, Rismayanti IDA, Suniadewi NW. Palliative care learning model based on transformational learning theory in palliative care of nursing students in Indonesia. ENFERMERIA CLINICA (ENGLISH EDITION) 2022; 33:102-114. [PMID: 36206968 DOI: 10.1016/j.enfcle.2022.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 09/02/2022] [Accepted: 09/09/2022] [Indexed: 03/27/2023]
Abstract
INTRODUCTION Palliative care competence is one of the competencies that must be possessed by generalist nurses. For this reason, strategies for developing palliative care learning models need to be carried out to ensure nursing students have palliative care competencies. Therefore, this study was structured to develop a transformation theory-based palliative care learning model that prioritizes the active participation of students to deal with palliative care in future practice. METHODS This study was a cross-sectional study involving 189 nursing students as participants. The proposed model involves six variables, namely student characteristics, educator characteristics, learning media, palliative care competencies, transformative learning theory (TLT)-based palliative learning, and competency achievement. Data were collected using a questionnaire that was tested using the Structural Equation Modeling (SEM) technique. RESULTS SEM analysis showed that the R2 value of TLT-based palliative care learning was 0.707 or 70.7%. These results indicate that the diversity of TLT-based palliative care learning variables can be explained by the variables of students, educators, palliative competencies, and learning media by 70.7%. Each construct has a value of Q2 > 0, which means the model is satisfactory. The path coefficient value of 0.627 indicates that the characteristics of educators have the most significant contribution to the TLT-based palliative care learning model. CONCLUSION It can be concluded that the teaching-learning process based on TLT is a promising strategy to support nursing students to achieve palliative care competence.
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Affiliation(s)
- Ni Luh Putu Inca Buntari Agustini
- Faculty of Nursing, Universitas Airlangga, 60286, Indonesia; Nursing Department, Faculty of Health, Institute of Technology and Health Bali, 80226, Indonesia
| | | | | | | | - Ni Wayan Suniadewi
- Candidate of Doctor in Nursing, Faculty of Nursing, Universitas Airlangga, 60286, Indonesia
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Disaster education in undergraduate nursing curriculum: A Delphi study to prioritise content for nursing students. Collegian 2022. [DOI: 10.1016/j.colegn.2022.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Mastroianni C, Marchetti A, D'Angelo D, Artico M, Giannarelli D, Magna E, Motta PC, Piredda M, Casale G, De Marinis MG. Italian nursing students' attitudes towards care of the dying patient: A multi-center descriptive study. NURSE EDUCATION TODAY 2021; 104:104991. [PMID: 34139582 DOI: 10.1016/j.nedt.2021.104991] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 05/01/2021] [Accepted: 05/24/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND International literature reports that nursing students feel unprepared when facing patients and families within dying care. They consider their curricula inadequate in teaching end-of-life care and promoting the attitudes required to care for dying patients. Findings of recent studies exploring nursing students' attitudes towards care of the dying patient are often contradictory. OBJECTIVES To explore Italian nursing students' attitudes towards caring for dying patients. DESIGN A multicenter cross-sectional study was conducted. SETTINGS The Bachelor's Degree in Nursing courses of four Universities of the Lazio Region. PARTICIPANTS The sample included 1193 students. METHODS Data were collected between September 2017 and March 2018 using the Italian version of FATCOD-B-I. The differences between the mean scores were compared through t-test or ANOVA. Associations between scores and participant characteristics were evaluated through generalized linear regression. RESULTS The mean score of FATCOD-B-I was 115.3 (SD = 9.1). Higher scores were significantly associated with training in palliative care (p < 0.0001) and experience with terminally ill patients (p < 0.0001). Students manifested more negative attitudes when they perceived patients losing hope of recovering, and patient's family members interfering with health professionals' work. Uncertainties emerged around knowledge of opioid drugs, decision-making, concepts of death and dying, management of mourning, and relational aspects of patient care. CONCLUSIONS Italian nursing students seem to have more positive attitudes towards care of dying patients than most other countries. They believe that caring for a terminal patient is a formative, useful experience but they do not feel adequately prepared in practice. Deeper palliative care education, integrated with practical training, would prepare students better, enabling them to discover their own human and professional capacity to relieve suffering.
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Affiliation(s)
- Chiara Mastroianni
- Antea Foundation Palliative Care Center, Piazza di Santa Maria della Pietà, 5, 00135 Rome, Italy.
| | - Anna Marchetti
- Research Unit of Nursing Science, Campus Bio-Medico di Roma University, Via Alvaro del Portillo 21, 00128, Rome, Italy.
| | - Daniela D'Angelo
- Centro Eccellenza Clinica, Qualità e Sicurezza delle Cure, Istituto Superiore di Sanità, Viale Regina Elena, 299, 0016 Rome, Italy.
| | - Marco Artico
- Department of Palliative Care and Pain Therapy Unit, Azienda ULSS n. 4 Veneto Orientale, Piazza Alcide de Gasperi, 5, 30027 San Donà di Piave, Italy
| | - Diana Giannarelli
- Clinical Trial Center, Biostatistics and Bioinformatics Unit, National Cancer Institute Regina Elena IRCCS, Via Elio Chianesi, 53, 00144 Rome, Italy.
| | - Elisa Magna
- Department of Biomedicine and Prevention, Tor Vergata University, Viale Montpellier 1, 00133 Rome, Italy.
| | - Paolo Carlo Motta
- Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Piazza del Mercato, 15, 25121 Brescia, Italy.
| | - Michela Piredda
- Research Unit of Nursing Science, Campus Bio-Medico di Roma University, Via Alvaro del Portillo 21, Rome, Italy..
| | - Giuseppe Casale
- Antea Foundation Palliative Care Center, Piazza di Santa Maria della Pietà, 5, 00135 Rome, Italy.
| | - Maria Grazia De Marinis
- Research Unit of Nursing Science, Campus Bio-Medico di Roma University, Via Alvaro del Portillo 21, Rome, Italy..
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Eltaybani S, Igarashi A, Yamamoto-Mitani N. Palliative and end-of-life care in Egypt: overview and recommendations for improvement. Int J Palliat Nurs 2021; 26:284-291. [PMID: 32841078 DOI: 10.12968/ijpn.2020.26.6.284] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND The literature on the situation of palliative and end-of-life care in the Arab and Islamic world, including Egypt, is limited and does not present a clear picture of the cultural context. This report aims to portray the palliative and end-of-life care situation in Egypt, focusing on the nursing viewpoint. First, we describe health- and illness-related cultural, religious, and ethical issues. Second, we present an overview of the healthcare and nursing system in Egypt. Third, we discuss the situation of palliative and end-of-life care, highlighting the shortcomings of existing literature. Finally, we delineate country-specific recommendations to improve the palliative and end-of-life care situation at the level of policy, education, and research. Countries with similar healthcare, cultural, legal, religious, economic, or ethical contexts may benefit from the recommendations made in this study.
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Affiliation(s)
- Sameh Eltaybani
- PhD Candidate, Department of Palliative Care Nursing, Graduate School of Medicine, University of Tokyo, and Assistant Lecturer, Department of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, Egypt
| | - Ayumi Igarashi
- Assistant Professor, Department of Gerontological Home Care and Long-Term Care Nursing, University of Tokyo, Japan
| | - Noriko Yamamoto-Mitani
- Professor, Department of Gerontological Home Care and Long-Term Care Nursing, University of Tokyo, Japan
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Heath L, Egan R, Ross J, Iosua E, Walker R, MacLeod R. Preparing nurses for palliative and end of life care: A survey of New Zealand nursing schools. NURSE EDUCATION TODAY 2021; 100:104822. [PMID: 33705968 DOI: 10.1016/j.nedt.2021.104822] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 01/31/2021] [Accepted: 02/13/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND Nurses play a vital role in the care of people with advanced life-limiting illnesses, so palliative and end of life care is an essential skill nurses need to learn. Despite numerous reports in the international literature about educational developments in this area, there are widespread inconsistencies in undergraduate education, and graduates continue to report feeling unprepared for this part of their work. Little is known about how New Zealand nursing students learn about this important area of clinical practice. OBJECTIVES To obtain information about teaching content, organisation, delivery, assessment and clinical learning opportunities in palliative and end of life care in undergraduate nurse education in New Zealand. DESIGN Quantitative descriptive cross sectional study. SETTINGS Tertiary education institutions that provide the Bachelor of Nursing programme in New Zealand. PARTICIPANTS Academic leads and course coordinators. METHODS National online survey. RESULTS A total of 13/18 (72%) educational institutions completed the survey. All integrate palliative and end of life care in their teaching with an identified coordinator at 12 (92%) institutions. Between 1 and 10 h of formal teaching is provided at 11 (85%) institutions where lectures and tutorials are most comon. Clinical placements with specialist palliative care providers are scarce and limited to senior students as elective placements. Assessment of student learning in palliative and end of life care is carried out at seven (54%) institutions, and formally evaluated at 12 (92%). Lack of teaching time and clinical placements with palliative care providers are barriers to increased learning opportunities in palliative and end of life care. CONCLUSIONS This article provides comprehensive information about palliative and end of life care teaching in undergraduate nurse education in New Zealand. Teaching on this subject is not a mandatory requirement so there are inconsistencies in the teaching provided between educational institutions, and significant barriers to development. Mandatory competencies need to be introduced to ensure graduates have the knowledge, skills and attitudes required to provide optimal care for people near the end of life.
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Affiliation(s)
- Lis Heath
- Department of Medicine, University of Otago, Dunedin, New Zealand.
| | - Richard Egan
- Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
| | - Jean Ross
- School of Nursing, Otago Polytechnic, Dunedin, New Zealand.
| | - Ella Iosua
- Centre for Biostatistics, University of Otago, Dunedin, New Zealand.
| | - Robert Walker
- Department of Medicine, University of Otago, Dunedin, New Zealand.
| | - Rod MacLeod
- School of Population Health, University of Auckland, Auckland, New Zealand
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Martins Pereira S, Hernández-Marrero P, Pasman HR, Capelas ML, Larkin P, Francke AL. Nursing education on palliative care across Europe: Results and recommendations from the EAPC Taskforce on preparation for practice in palliative care nursing across the EU based on an online-survey and country reports. Palliat Med 2021; 35:130-141. [PMID: 32912033 DOI: 10.1177/0269216320956817] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Nurses are the largest regulated group of healthcare professionals involved in palliative care. In 2004, a taskforce of the European Association for Palliative Care (EAPC) launched the 'Guide for development of palliative nurse education in Europe' (hereinafter, the EAPC 2004 Guide). No systematic evaluation of its impact in the development of palliative care education was undertaken. AIMS To describe current undergraduate and postgraduate nursing education across Europe; to identify the roles that nurses with different palliative care educational levels have in palliative care; and to assess the uptake of the EAPC 2004 Guide in the development of palliative care nursing in Europe. DESIGN Descriptive research involving an online survey among nursing experts, and the consultation of national representatives. SETTING/PARTICIPANTS A total of 135 nurses (52% response rate) from 25 countries completed the online survey; representatives from 16 countries were consulted. RESULTS In 14 (56%) countries, palliative care was not identified as a mandatory subject within undergraduate nursing education. The EAPC 2004 Guide is widely known and was/is being used in many countries to promote palliative care nursing education. Large variations were found across and within country responses. CONCLUSIONS Palliative care nursing education varies largely in Europe. The wide awareness and use of the EAPC 2004 Guide show how policy measures can influence the development of palliative care education. Recommendations are built and focus on both fostering the use of this guide and implementing policy measures to ensure that palliative care nursing is recognised and certified as a specialty in all European countries.
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Affiliation(s)
- Sandra Martins Pereira
- Católica Porto Business School, CEGE: Research Centre in Management and Economics, Universidade Católica Portuguesa, Porto, Portugal.,Instituto de Bioética, Universidade Católica Portuguesa, Porto, Portugal.,UNESCO Chair in Bioethics, Universidade Católica Portuguesa, Porto, Portugal
| | - Pablo Hernández-Marrero
- Católica Porto Business School, CEGE: Research Centre in Management and Economics, Universidade Católica Portuguesa, Porto, Portugal.,Instituto de Bioética, Universidade Católica Portuguesa, Porto, Portugal.,UNESCO Chair in Bioethics, Universidade Católica Portuguesa, Porto, Portugal
| | - H Roeline Pasman
- Expertise Center for Palliative Care, Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam and Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Manuel Luís Capelas
- Portuguese Observatory for Palliative Care, Centre for Interdisciplinary Research in Health, Institute of Health Sciences, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Philip Larkin
- Centre Hospitalier Universitaire Vaudois (CHUV), UNIL
- Université de Lausanne, Lausanne, Switzerland
| | - Anneke L Francke
- Expertise Center for Palliative Care, Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam and Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.,Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands
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Eltaybani S, Igarashi A, Yamamoto-Mitani N. Palliative care in adult intensive care units: A nationwide survey. Nurs Crit Care 2020; 26:315-325. [PMID: 33107206 DOI: 10.1111/nicc.12565] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 09/30/2020] [Accepted: 10/05/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND There are no data on the provision of palliative nursing care in Egyptian adult intensive care units (ICUs). The Palliative and End-Of-Life (PEOL) Care Index is reliable and content valid; however, its construct and criterion validities have not been examined. AIMS AND OBJECTIVES First, to assess palliative care education, practice, and perceived competence among adult ICU nurses in Egypt. Second, to explore factors related to palliative care nursing practice and perceived competence. Third, to assess the construct and criterion validities of the PEOL Care Index. DESIGN A cross-sectional survey. METHODS Nurse managers and staff nurses in 33 adult ICUs completed self-administered questionnaires. The questionnaires assessed nurses' palliative care practice and perceived competence. A multilevel regression analysis was used to determine the best predictors of palliative care practice and perceived competence. Theory evidence construct validity and predictive criterion validity of the PEOL Care Index were examined. RESULTS Thirty-three nurse managers and 403 staff nurses participated in the study-response rate = 100% and 72.5%, respectively. On a 0-100 scale, the mean scores of undergraduate education, practice, and perceived competence were 54.0 ± 18.7, 49.7 ± 18.1, and 54.5 ± 17.0, respectively. Palliative care practice was significantly related to receiving in-service training on palliative care or end-of-life care (regression coefficients: 3.39), higher job satisfaction (0.97), and higher organizational support (1.85). Palliative care perceived competence was significantly related to older nurses' age (0.20), higher job satisfaction (0.97), and higher palliative care undergraduate education (0.63). CONCLUSIONS Palliative care education, practice, and perceived competence among adult ICU nurses in Egypt are inadequate, especially in terms of spiritual and cultural care. The PEOL Care Index is construct and criterion valid. RELEVANCE TO CLINICAL PRACTICE Palliative care education should begin in nursing schools and extend through clinical in-services. Guidelines should be developed to maximize staff collaboration and the utilization of chaplains in ICUs.
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Affiliation(s)
- Sameh Eltaybani
- Department of Gerontological Home Care and Long-term Care Nursing/Palliative Care Nursing, The University of Tokyo, Tokyo, Japan.,Department of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
| | - Ayumi Igarashi
- Department of Gerontological Home Care and Long-term Care Nursing/Palliative Care Nursing, The University of Tokyo, Tokyo, Japan
| | - Noriko Yamamoto-Mitani
- Department of Gerontological Home Care and Long-term Care Nursing/Palliative Care Nursing, The University of Tokyo, Tokyo, Japan
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Kwon SH, Cho YS. Current Status of End-of-Life Care Education in Undergraduate Nursing Curriculum. ACTA ACUST UNITED AC 2019. [DOI: 10.14475/kjhpc.2019.22.4.174] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- So-Hi Kwon
- Research Institute of Nursing Science, College of Nursing, Kyungpook National University, Daegu, Korea
| | - Yeon-Su Cho
- College of Nursing, Kyungpook National University, Daegu, Korea
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Croxon L, Deravin L, Anderson J. Dealing with end of life-New graduated nurse experiences. J Clin Nurs 2017; 27:337-344. [DOI: 10.1111/jocn.13907] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2017] [Indexed: 11/27/2022]
Affiliation(s)
- Lyn Croxon
- School of Nursing; Midwifery & Indigenous Health; Charles Sturt University; Dubbo NSW Australia
| | - Linda Deravin
- School of Nursing; Midwifery and Indigenous Health; Charles Sturt University; Bathurst NSW Australia
| | - Judith Anderson
- School of Nursing; Midwifery and Indigenous Health; Charles Sturt University; Bathurst NSW Australia
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Bergman J, Laviana AA. Opportunities to maximize value with integrated palliative care. J Multidiscip Healthc 2016; 9:219-26. [PMID: 27226721 PMCID: PMC4863682 DOI: 10.2147/jmdh.s90822] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Palliative care involves aggressively addressing and treating psychosocial, spiritual, religious, and family concerns, as well as considering the overall psychosocial structures supporting a patient. The concept of integrated palliative care removes the either/or decision a patient needs to make: they need not decide if they want either aggressive chemotherapy from their oncologist or symptom-guided palliative care but rather they can be comanaged by several clinicians, including a palliative care clinician, to maximize the benefit to them. One common misconception about palliative care, and supportive care in general, is that it amounts to “doing nothing” or “giving up” on aggressive treatments for patients. Rather, palliative care involves very aggressive care, targeted at patient symptoms, quality-of-life, psychosocial needs, family needs, and others. Integrating palliative care into the care plan for individuals with advanced diseases does not necessarily imply that a patient must forego other treatment options, including those aimed at a cure, prolonging of life, or palliation. Implementing interventions to understand patient preferences and to ensure those preferences are addressed, including preferences related to palliative and supportive care, is vital in improving the patient-centeredness and value of surgical care. Given our aging population and the disproportionate cost of end-of-life care, this holds great hope in bending the cost curve of health care spending, ensuring patient-centeredness, and improving quality and value of care. Level 1 evidence supports this model, and it has been achieved in several settings; the next necessary step is to disseminate such models more broadly.
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Affiliation(s)
- Jonathan Bergman
- Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA; Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA; Veterans Health Affairs-Greater Los Angeles, Los Angeles, CA, USA
| | - Aaron A Laviana
- Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
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16
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Gillan PC, van der Riet P, Jeong S. Australian nursing students' stories of end-of-life care simulation. Nurs Health Sci 2016; 18:64-9. [DOI: 10.1111/nhs.12233] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2014] [Revised: 05/24/2015] [Accepted: 05/29/2015] [Indexed: 12/17/2022]
Affiliation(s)
| | | | - Sarah Jeong
- University of Newcastle; Ourimbah NSW Australia
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17
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Phillips JL, Agar MR. Exemplary nursing leadership is central to improving care of the dying. J Nurs Manag 2016; 24:1-3. [DOI: 10.1111/jonm.12353] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Jane L. Phillips
- Centre for Cardiovascular and Chronic Care, Faculty of Health; University of Technology Sydney; Ultimo NSW Australia
- School of Nursing; University of Notre Dame Australia; Sydney NSW Australia
- School of Medicine; Sydney University; Sydney NSW Australia
| | - Meera R. Agar
- Centre for Cardiovascular and Chronic Care, Faculty of Health; University of Technology Sydney; Ultimo NSW Australia
- Discipline of Palliative and Supportive Services; Flinders University; Adelaide SA Australia
- South West Sydney Clinical School, and Improving Palliative Care through Clinical trials (ImPACCT); University of New South Wales; Sydney NSW Australia
- Department of Palliative Care; Braeside Hospital, HammondCare; Sydney NSW Australia
- Ingham Institute of Applied Medical Research; Sydney NSW Australia. Dementia Collaborative Research Centre; Queensland University of Technology; Brisbane Qld Australia
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18
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Hagelin CL, Melin-Johansson C, Henoch I, Bergh I, Ek K, Hammarlund K, Prahl C, Strang S, Westin L, Österlind J, Browall M. Factors influencing attitude toward care of dying patients in first-year nursing students. Int J Palliat Nurs 2016; 22:28-36. [DOI: 10.12968/ijpn.2016.22.1.28] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Carina Lundh Hagelin
- Senior Lecturer, Sophiahemmet University, Stockholm, Sweden
- Senior Lecturer, Stockholms Sjukhem Foundation, Stockholm, Sweden
- Senior Lecturer, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden
| | - Christina Melin-Johansson
- Associate Professor, Department of Nursing, Mid Sweden University, Östersund, Sweden
- Associate Professor, Senior Lecturer, Associate Professor, Senior Lecturer, Associate Professor Institute of Caring Sciences and Health, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Ingela Henoch
- Associate Professor, Senior Lecturer, Associate Professor, Senior Lecturer, Associate Professor Institute of Caring Sciences and Health, The Sahlgrenska Academy, University of Gothenburg, Sweden
- Senior Lecturer, Associate Professor, Angered's Local Hospital, Gothenburg, Sweden
| | - Ingrid Bergh
- Professor, Senior Lecturer, Senior Lecturer, Associate Professor, School of Health and Education, University of Skövde, Sweden
| | - Kristina Ek
- Professor, Senior Lecturer, Senior Lecturer, Associate Professor, School of Health and Education, University of Skövde, Sweden
| | - Kina Hammarlund
- Professor, Senior Lecturer, Senior Lecturer, Associate Professor, School of Health and Education, University of Skövde, Sweden
| | - Charlotte Prahl
- Senior Lecturer, Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden
| | - Susann Strang
- Associate Professor, Senior Lecturer, Associate Professor, Senior Lecturer, Associate Professor Institute of Caring Sciences and Health, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Lars Westin
- Professor, Senior Lecturer, Senior Lecturer, Associate Professor, School of Health and Education, University of Skövde, Sweden
| | - Jane Österlind
- Senior Lecturer, Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden
| | - Maria Browall
- Professor, Senior Lecturer, Senior Lecturer, Associate Professor, School of Health and Education, University of Skövde, Sweden
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Abstract
BACKGROUND Nurses play a major role all over the world in the palliative care team. AIM The aim of this study was to investigate the knowledge and attitude of nurses toward palliative care in a tertiary level hospital in Nigeria. SUBJECTS AND METHODS SETTING This cross-sectional questionnaire-based study was carried out among nurses at a tertiary health care facility in Ado-Ekiti, South-West Nigeria. A cross-sectional questionnaire-based study was carried out. The questionnaire sought information about the sociodemographic profile of respondents, their knowledge of definition and philosophy of palliative care among other things. Descriptive statistics was used to obtain the general characteristics of the study participants, while Chi-square was used to determine the association between categorical variables. A two-sided P < 0.05 was considered as significant. RESULTS A total of 100 questionnaires were returned with a female preponderance among the respondents with F: M ratio of 9:1. Regarding the definition of palliative care, 71.8% (48/66) of the respondents understood palliative care to be about pain medicine, 55% (33/60) thought it to be geriatric medicine, while 90.2% (83/92) felt palliative care is about the active care of the dying. Exactly 80.5% (66/82) respondents agreed that palliative care recognizes dying as a normal process while 84.1% (74/88) respondents were of the opinion that all dying patients would require palliative care. The use of morphine would improve the quality of life of patients according to 68.9% (42/61) of respondents. CONCLUSION There are gaps in the knowledge of healthcare workers in the area of palliative care and this call for a review of the current nursing curriculum and practice guidelines in Nigeria.
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Affiliation(s)
- Jo Fadare
- Department of Pharmacology, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria
| | - Am Obimakinde
- Department of Family Medicine, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti State, Nigeria
| | - Do Olaogun
- Department of Obstetrics and Gynecology, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti State, Nigeria
| | - Jm Afolayan
- Department of Anesthesia, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria
| | - O Olatunya
- Department of Pediatrics, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria
| | - Ko Ogundipe
- Department of Surgery, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria
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20
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Jafari M, Rafiei H, Nassehi A, Soleimani F, Arab M, Noormohammadi MR. Caring for dying patients: attitude of nursing students and effects of education. Indian J Palliat Care 2015; 21:192-7. [PMID: 26009673 PMCID: PMC4441181 DOI: 10.4103/0973-1075.156497] [Citation(s) in RCA: 59] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Background: Education about caring for dying patients could be effective in changing nursing students’ attitude toward caring for dying patients. Aim: The aim of the present study was to examine the nursing students’ attitude toward caring for dying patients and effects of education on their attitude. Materials and Methods: The present study enjoys a quasi-experimental method with using one-group pre-test/post-test design conducted in Bam in southeast of Iran. The attitude of nursing students was measured using Frommelt Attitude Toward Care of the Dying (FATCOD) scale before and after an educational intervention. Data were analyzed using non-parametric tests in Statistical Package for the Social Sciences (SPSS) 18 software. Results: Of 32 students, 30 participated in this study (response rate of 94%). Only 20% of the students reported previous experience of dying patients in their clinical courses. Students showed moderately negative to neutral attitudes toward caring for dying patients. Education has improved students’ attitude significantly (mean score of FATCOD before study were 3.5 ± 0.43 and after intervention were 4.7 ± 0.33) (P < 0.001). Conclusion: Educational programs about death and caring for dying patients should be added to undergraduate nursing curricula. Further research recommended examining nursing students’ knowledge about caring for dying patients and the effect of education on their knowledge.
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Affiliation(s)
- Mojtaba Jafari
- Department of Medical and Surgical Nursing, Faculty of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran
| | - Hossein Rafiei
- School of Nursing and Midwifery, Qazvin University of Medical Science, Qazvin, Iran
| | - Asra Nassehi
- Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | | | - Mansuor Arab
- Department of Medical and Surgical Nursing, Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
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21
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Cavaye J, Watts JH. Student Nurses Learning about Death, Dying, and Loss: Too Little, Too Late? ACTA ACUST UNITED AC 2014. [DOI: 10.2190/il.22.4.c] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Concerns about the care provided to people dying from life-threatening illness have prompted a number of international reforms to improve the quality of palliative and end-of-life (EOL) care. The majority of this care is provided by nurses. They spend more time with dying patients than any other health professionals and therefore, need specific clinical skills and knowledge. Palliative and EOL care education is increasingly being positioned as a specialism, available only to a small number of registered nurses as part of continuing professional development. However, increasing numbers of patients with life-threatening illness are being treated in non-specialist settings by nurses with a generalist education. Furthermore, undergraduate nurse education has traditionally had a limited focus on palliative and EOL care, hence claims that undergraduate nursing curricula are inadequate. Drawing on an international literature, this review explores the evidence about the adequacy of undergraduate curricula in this area. It considers the extent to which palliative and EOL curriculum is included in undergraduate nurse education and draws upon evidence from students and registered nurses, who as consumers of education, report feeling unprepared to care for and communicate with, dying patients.
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22
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Chow SKY, Wong LT, Chan YK, Chung TY. The impact and importance of clinical learning experience in supporting nursing students in end-of-life care: Cluster analysis. Nurse Educ Pract 2014; 14:532-7. [DOI: 10.1016/j.nepr.2014.05.006] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2013] [Revised: 01/30/2014] [Accepted: 05/10/2014] [Indexed: 11/26/2022]
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23
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Al Qadire M. Knowledge of palliative care: an online survey. NURSE EDUCATION TODAY 2014; 34:714-718. [PMID: 24067784 DOI: 10.1016/j.nedt.2013.08.019] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2013] [Revised: 08/07/2013] [Accepted: 08/29/2013] [Indexed: 06/02/2023]
Abstract
BACKGROUND The main purpose of palliative care is to manage symptoms among patients, reduce their burden of pain, and improve their quality of life. Nurses are an essential part of the palliative care team in providing high standards of care since they spend the longest time with patients. However, lack of adequate knowledge of palliative care is considered as one of the main barriers to palliative care development and practise. OBJECTIVE To evaluate Jordanian nursing students' knowledge about palliative care. METHODS Design A quantitative research method and descriptive online-survey design were used. Settings and Participants The sample consisted of 220 students enrolled in five nursing schools (four governmental and one private) in Jordan. The Palliative Care Quiz for Nursing was used to measure students' knowledge. RESULTS The sample consisted of 220 nursing students; the mean age was 20.5, SD 2.5, and most of the students were female (67), 74 (34%) were fourth-year students and 58 (26%) were in their third year. The total mean score was low, at 8.0 (SD 3.1), ranging from 0 to 18 and the number of correctly answered statements ranged from 60 (27%, statement no. 3) to 145 (66%, statement no. 2). It was found that there were no significant impacts (H (3)=5.69, p=0.137) for place of study. However, students' knowledge was strongly affected by their academic level (H (3)=12.60, p=0.005). CONCLUSIONS Integrating palliative care education is required as the mainstay to improve students' knowledge and therefore practise. This education needs to be comprehensive in covering the basic principles of palliative care and symptom management and it should be distributed throughout the different courses to discuss palliative care within different contexts, such as elderly, paediatric and adult settings.
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Affiliation(s)
- Mohammad Al Qadire
- Doctor of Oncology and Palliative care Nursing, Faculty of Nursing, Al al-Bayt University, Mafraq 25113, Jordan.
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24
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Gillan PC, van der Riet PJ, Jeong S. End of life care education, past and present: a review of the literature. NURSE EDUCATION TODAY 2014; 34:331-42. [PMID: 23838297 DOI: 10.1016/j.nedt.2013.06.009] [Citation(s) in RCA: 119] [Impact Index Per Article: 11.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2013] [Revised: 06/10/2013] [Accepted: 06/12/2013] [Indexed: 05/21/2023]
Abstract
BACKGROUND Research on end of life care education suggests that undergraduate nursing students are largely unprepared to provide end of life care to dying patients and their families. Although there have been attempts to address the issue of lack of preparedness, little is known on how to improve this. LITERATURE REVIEW AIMS To examine how end of life care education has been delivered to undergraduate nursing students and to critically discuss the research on modes of delivery and teaching strategies. REVIEW METHODS An extensive literature search on end of life care education in the undergraduate nursing curriculum was conducted in CINAHL, Mosby's Index, Cochrane Database, Scopus, Eric via Proquest, and Medline. 18 research papers published between 1984 and 2012 that met the selection criteria are included in the review. FINDINGS Findings of these 18 articles are reported under two main themes: Modes of End of Life Education Delivery and End of Life Care Education Initiatives. CONCLUSION This review highlights issues with end of life care education and suggests that end of life care simulation is an innovative strategy that may help to prepare undergraduate nursing students to provide quality end of life care.
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Affiliation(s)
- Pauline C Gillan
- University of New England, P.O Box U90, Armidale, NSW 2351, Australia.
| | | | - Sarah Jeong
- University of Newcastle, P. O. Box 127, Ourimbah, NSW 2258, Australia.
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25
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An Integrated Literature Review of Death Education in Pre-Registration Nursing Curricula: Key Themes. ACTA ACUST UNITED AC 2014. [DOI: 10.1155/2014/564619] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Recent policy has raised the profile of end-of-life care internationally, with the aim of increasing access to quality care for everyone experiencing life-limiting illness. This reflects an international shift in the provision of palliative care to encompass chronic conditions other than cancer. Nurses have an important role in delivering this care and need to be equipped with particular knowledge and skills. However, pre-registration nursing curricula have traditionally had a limited emphasis on death and dying and nurses report feeling unprepared to care for dying patients. This has led to claims that death education in pre-registration curricula is inadequate. This integrated review explores the published literature that reports on death education within pre-registration nurse education. Presenting an international overview, the aim of the review is to contribute to knowledge about the nature and extent of death education in pre-registration curricula. In the context of this paper, death education encompasses both palliative and end-of-life care. Electronic searches of major bibliographic databases found inconsistencies across educational provision with variations in quantity, content, and approach. Despite an increasing amount of death education in pre-registration curricula, there remains a deficit in key areas such as knowledge, skills, organisation of care, and teamwork.
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26
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Valles Martínez P, García Salvador I. Formación básica en cuidados paliativos: estado actual en las universidades de enfermería españolas. ACTA ACUST UNITED AC 2013. [DOI: 10.1016/j.medipa.2013.03.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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27
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Davidson PM, De Geest S, Hill MN. Nurses addressing the challenges of chronic illness: From primary to palliative care. Collegian 2010; 17:43-5. [DOI: 10.1016/j.colegn.2010.05.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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