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Lippe MP, Wingett G, Davis A, Jizba T, Ehrlich O, Cormack CL, Fasolino T, Glover TL, Meskis S, LeBlanc RG, Weiss D, Kirkpatrick AJ. Instruments for Evaluating Student Learning Outcomes in Palliative Care: A Literature Review. J Hosp Palliat Nurs 2024:00129191-990000000-00143. [PMID: 39016275 DOI: 10.1097/njh.0000000000001051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/18/2024]
Abstract
Primary palliative care is a core component of nursing practice for which all students must receive formal education. Through competency-based education, nursing students develop the knowledge, attitudes, and skills to deliver quality primary palliative care before they transition to practice. Nurse educators in academic and practice settings should use reliable and valid means to evaluate student learning across cognitive, affective, and psychomotor domains. Expert faculty conducted a literature review to identify published instruments that evaluate primary palliative care student learning outcomes. Selected articles were required to include instrument reliability, validity, or both. The literature search yielded 20 articles that report on the development and testing of 21 instruments. Findings are organized into 3 learning domains that encompass 5 outcomes. Four instruments assess knowledge within the cognitive domain. In the affective domain, 3 instruments assess attitudes about caring for seriously ill or dying patients, 7 assess attitudes about death, and 5 assess self-efficacy. Competence and competency are evaluated in the psychomotor domain with 4 tools. Instrument implementation considerations within each domain are discussed. Faculty are encouraged to use robust evaluation measures such as those identified in the literature review to measure primary palliative care learning outcomes within a competency-based education framework.
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García-Salvador I, Chisbert-Alapont E, Campos AA, Mohedo JC, Navarro CH, Peris SF, López JB, De la Rica Escuín ML. Training Proposal in Palliative Care for Primary Care Nurses in a Health Area in Spain. NURSING REPORTS 2023; 13:890-901. [PMID: 37368345 DOI: 10.3390/nursrep13020078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 05/19/2023] [Accepted: 06/08/2023] [Indexed: 06/28/2023] Open
Abstract
BACKGROUND Primary Health Care nurses express deficits in their training in Palliative Care. The purpose of this study is to design a Palliative Care training plan and a bereavement care protocol for Primary Health Care nurses of the Dr. Peset Health Department according to their needs. METHODS Assessment of theoretical and practical training needs and literature review for the design of the training plan. RESULTS A training plan was elaborated that included a protocol of care for the bereaved. The plan was adjusted to the needs detected in Primary Health Care nurses of the Dr. Peset Health Department. Important training deficits were detected in clinical practice; Conclusions: Improving the care of people with palliative needs in Primary Health Care requires adequate training of the nurses who care for them so their knowledge is the basis of their interventions. This study was not registered.
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Affiliation(s)
- Isidro García-Salvador
- Nurse Oncology Service, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - Encarna Chisbert-Alapont
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Nurse Hematology Service, Valencia Health Department La Fe, 46026 Valencia, Spain
| | - Amparo Antonaya Campos
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Primary Care Nursing Director, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - Jorge Casaña Mohedo
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Nursing Department, Faculty of Health Sciences of Universidad Internacional de Valencia and Faculty of Medicine and Health Sciences of Universidad Católica San Vicente Mártir, 46001 Valencia, Spain
| | - Clara Hurtado Navarro
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Nurse Training Service, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - Silvia Fernández Peris
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Carena Association of Psycho-Oncology, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - José Bonías López
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Nurse Primary Care Center of San Marcelino, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - Maria Luisa De la Rica Escuín
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Nurse Research Group on Care in End-of-Life Processes, Institute for Health Research Aragón, 50009 Zaragoza, Spain
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Lippe MP, Davis A. Development of a Primary Palliative Nursing Care Competence Model and Assessment Tool: A Mixed-Methods Study. Nurs Educ Perspect 2023; 44:76-81. [PMID: 36240024 DOI: 10.1097/01.nep.0000000000001056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
AIM The purpose of this study was to develop a new primary palliative nursing care (PPNC) competence model and assessment tool. BACKGROUND Consensus guidelines, a national position statement, and new nursing program accreditation standards require nurses to be educated in providing PPNC. A means to assess PPNC competence for prelicensure nursing students and entry-level nurses is needed. METHOD The mixed-methods study utilized a three-phase design encompassing in-depth document analysis and expert workgroups; focus groups with palliative care educators, practitioners, and administrators; and stakeholder focus groups. RESULTS Findings across all phases resulted in development of a PPNC competence model and assessment tool, each composed of nine domains and associated competency statements. CONCLUSION There is a global imperative for nurses to provide high-quality PPNC. Both the model and assessment tool are vital to develop a nursing workforce with the skills to care for persons with serious illness and their families.
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Affiliation(s)
- Megan P Lippe
- About the Authors Megan P. Lippe, PhD, RN, is an associate professor, University of Texas Health Science Center San Antonio School of Nursing, San Antonio, Texas. She was with the University of Alabama Capstone College of Nursing when this study was conducted. Andra Davis, PhD, RN, is an associate professor, University of Portland School of Nursing, Portland, Oregon. She was with Washington State University School of Nursing when this study was conducted. The authors thank Dr. Shandeigh Berry, Dr. Celestina Barbosa-Leiker, Dr. Jessica Henderson, and Alexandra Stanley for their assistance with the study. We also extend our gratitude to our expert panelists (Drs. Betty Ferrell, Polly Mazanec, Linda Ward, Seiko Izumi, and Mandy Kirkpatrick, and Mrs. Connie Dahlin) and our focus group participants for their valuable contributions. This project was funded by the National League for Nursing Dorothy Otto Research Award. For more information, contact Dr. Lippe at
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Kirkpatrick AJ, Donesky D, Kitko LA. A Systematic Review of Interprofessional Palliative Care Education Programs. J Pain Symptom Manage 2023; 65:e439-e466. [PMID: 36736863 DOI: 10.1016/j.jpainsymman.2023.01.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 01/08/2023] [Accepted: 01/25/2023] [Indexed: 02/04/2023]
Abstract
CONTEXT Interprofessional education (IPE) involving palliative and end-of-life content benefits learners by addressing interprofessional and palliative care (PC) competency needs. OBJECTIVES A synthesis of educational approaches promoting interprofessional PC in academic and clinical settings would address research gaps and promote effective teaching. METHODS A systematic review of interprofessional PC educational studies was conducted to summarize current approaches in PC IPE and to appraise teaching and research methods. Characteristics of excellence in interprofessional PC education established by Donesky et al. served as a framework for evaluating studies in this systematic review. RESULTS A total of 39 articles met inclusion criteria for this review. Learners from medicine and nursing were the most included professions. University programs represented most studies, and evaluation methods demonstrated achievement of mostly self-reported outcomes like learner attitude and self-efficacy. While the effect of interprofessional collaboration on patient outcomes is well-documented, the effect of IPE on PC delivery is not. Although content spanned all interprofessional and PC domains, few studies addressed cultural aspects and fewer addressed well-being for the care provider. CONCLUSION In light of the current healthcare landscape, there is an imminent need to address culture and provider well-being more directly through interprofessional PC education. Education and research must also move beyond university programs into health systems to support the professional development of clinicians for systems integration, sustainability, and impact on patient outcomes. Future evaluation of interprofessional PC education would be strengthened by multisite studies, randomized controlled trials, and repeated measures looking at outcomes over time.
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Affiliation(s)
| | - DorAnne Donesky
- Clinical Nursing-Emeritus (D.D.), University of California, San Francisco, California, USA
| | - Lisa A Kitko
- School of Nursing (L.A.K.), University of Rochester, University of Rochester Medical Center, Rochester, New York, USA
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Parekh de Campos A, Levoy K, Pandey S, Wisniewski R, DiMauro P, Ferrell BR, Rosa WE. Integrating Palliative Care into Nursing Care. Am J Nurs 2022; 122:40-45. [PMID: 36261904 PMCID: PMC9889110 DOI: 10.1097/01.naj.0000897124.77291.7d] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
ABSTRACT The need for palliative care in our health care system has exponentially increased in the past few years as a result of the COVID-19 pandemic, the aging population, and the increasing number of people living with serious illnesses. While nurses play a critical role in delivering palliative care, many lack confidence and knowledge, causing practice gaps in the clinical and psychological management of seriously ill patients. The collective burden of the pandemic has demonstrated the importance of palliative care education and training, specifically in communication, symptom management, and continuing education. All nurses, including nursing students, transitioning nurses, and practicing nurses, should be trained to offer generalist (or primary) palliative care, in accordance with the American Association of Colleges of Nursing Essentials: Core Competencies for Professional Nursing Education. Provision of holistic, relationship-based, and integrated palliative care for patients and their families is an ethical obligation for all nurses.
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Affiliation(s)
- Amisha Parekh de Campos
- Amisha Parekh de Campos is an assistant clinical professor at the University of Connecticut School of Nursing in Storrs; Kristen Levoy is an assistant professor at the Indiana University School of Nursing and a research scientist at the university's Regenstrief Institute for Aging Research in Indianapolis; Shila Pandey and Renee Wisniewski are NPs in supportive care services at Memorial Sloan Kettering Cancer Center in New York City; Pierce DiMauro is a nurse researcher at the Columbia University Irving Medical Center School of Nursing in New York City; Betty R. Ferrell is a nurse scientist in the Division of Nursing Research and Education at City of Hope Medical Center in Duarte, CA; and William E. Rosa is chief research fellow at Memorial Sloan Kettering Cancer Center in New York City. Contact author: Amisha Parekh de Campos, . The authors have disclosed no potential conflicts of interest, financial or otherwise
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Undergraduate Nursing Education and End-of-Life Simulation: A Scoping Review. Clin Simul Nurs 2022. [DOI: 10.1016/j.ecns.2022.06.009] [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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Wong KTC, Chow AYM, Chan IKN. Effectiveness of Educational Programs on Palliative and End-of-life Care in Promoting Perceived Competence Among Health and Social Care Professionals. Am J Hosp Palliat Care 2021; 39:45-53. [PMID: 34409883 DOI: 10.1177/10499091211038501] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND There is a growing need for palliative care for patients near the end of life and their caregivers. Palliative and end-of-life care (EoLC) education are recommended for all health care (e.g., physicians, nurses, and allied health practitioners) and social care professionals (e.g., social workers) to ensure the quality of services. However, less attention has been afforded to generic, in contrast to specialized, EoLC education. This study evaluated the effectiveness of a series of short-term generic EoLC educational programs for health and social care professionals. METHOD A pre-post survey design was adopted, focusing on different EoLC core competences. RESULTS Significant improvement was observed in all perceived competences after the educational programs, regardless of participants' occupation or EoLC experience. Perceived competence in self-care was rated significantly higher than all other competences prior to the programs. Healthcare professionals rated significantly higher on competence in symptom management than social workers. Scores on communication skill and self-care competences were significantly higher following longer (i.e., 16-24 hours) than shorter (i.e., 4-8 hours) programs. CONCLUSION Generalist palliative/EoLC educational programs may enable health and social care professionals to refresh and extend their knowledge and skills and enhance their perceived competence in providing EoLC. Further research on generalist palliative/EoLC education is needed to examine the impact of continuing training on professionals' actual practice in EoLC and palliative care.
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Affiliation(s)
- Kelly Tsz Ching Wong
- Jockey Club End-of-Life Community Care Project, The University of Hong Kong, Pokfulam, Hong Kong
| | - Amy Yin Man Chow
- Jockey Club End-of-Life Community Care Project, The University of Hong Kong, Pokfulam, Hong Kong.,Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong
| | - Iris Kwan Ning Chan
- Jockey Club End-of-Life Community Care Project, The University of Hong Kong, Pokfulam, Hong Kong
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Hurst R, Prescott J. Counselling as a calling: Meaning in life and perceived self‐competence in counselling students. COUNSELLING & PSYCHOTHERAPY RESEARCH 2021. [DOI: 10.1002/capr.12406] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Robert Hurst
- School of Education and Psychology University of Bolton Bolton UK
| | - Julie Prescott
- School of Education and Psychology University of Bolton Bolton UK
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