Educating for a Palliative Approach to Care: A mixed method scoping review, environmental scan and philosophic analysis
The role of nursing in the care of people with life-limiting illness is of central importance as the focus is not on cure but on living well as illness progresses and preparing for EOL. Nurses spend more time with patients who are dying than any other health professional. Despite the central role that nurses play, inadequate training in a palliative approach is common. Palliative care competencies have been outlined by many organizations (e.g., Canadian Association of Schools of Nursing, American Association of College of Nurses). However, these competencies have focussed on traditional ideas of palliative care rather than a palliative approach and often do not account for context or skill mix of nursing care providers. It is important to identify the knowledge, skills and abilities important to this approach for each level of nursing care provider, taking into account context and skill mix. Further, it is important to identify not just the knowledge required but how to best educate for change.
How do we best prepare nurses, taking into account context and skill mix, to integrate a palliative approach?
- What knowledge, skills and abilities are required to provide nursing care using a palliative approach
- Are these knowledge, skills and abilities different from those required to provide high quality “generalist” nursing care or “specialist” palliative care?
- What resources currently exist to support education for nurses to integrate a palliative approach?
Pesut, Barb; Sawatzky, Richard; Stajduhar, Kelli; McLeod, Barbara; Erbacker, Lynnelle; Chan, Eric. Educating nurses for palliative care: A scoping review. Journal of Hospice & Palliative Nursing. Feb, 2014; Volume 16 Issue 1. 47-54.