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Kim ES, Kim S, Kim K, Lee H. Psychometric properties of the Korean version of the Palliative Care Nursing Self-Competence scale for infant use. Aust Crit Care 2023; 36:1019-1024. [PMID: 36759272 DOI: 10.1016/j.aucc.2022.12.010] [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] [Received: 03/24/2022] [Revised: 10/21/2022] [Accepted: 12/20/2022] [Indexed: 02/10/2023] Open
Abstract
BACKGROUND Despite the significant advances in neonatal treatment and care over the past 30 years, palliative care in the neonatal intensive care unit has not been fully provided in South Korea. Neonatal nurses are essential professionals in palliative care as they are directly involved in the care, but there is little information on their palliative care competency because no assessment instrument is available in Korea. OBJECTIVES The aim of this study was to develop and test the validity and reliability of the Korean version of the Palliative Care Nursing Self-Competence scale for neonatal palliative care. METHODS This scale for infant care was developed through parallel translation techniques and revised based on cognitive interviews. Survey data were then collected from 220 neonatal nurses who worked in 13 neonatal intensive care units in Korea. Internal consistency reliability, construct validity based on exploratory factor analysis, and criterion-related validity were tested. RESULTS The final version of the scale included 40 items in five domains that explained 53.4% of the variance. Criterion-related validity was confirmed based on a positive correlation with the Korean version of the attitudes towards neonatal palliative care measurement tool. The Cronbach's alpha for the scale was 0.95. CONCLUSIONS The Korean version of the Palliative Care Nursing Self-Competence scale for infant care has satisfactory construct validity and reliability to measure palliative care self-competence of neonatal nurses in Korea and evaluate an education program in future studies.
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Affiliation(s)
- Eun Sook Kim
- Neonatal Intensive Care Unit, Samsung Medical Center, 06351, South Korea.
| | - Sujeong Kim
- Department of Family Health Nursing, College of Nursing, The Catholic University of Korea, 06591, South Korea; Research Institute for Hospice/Palliative Care, The Catholic University of Korea, 06591, South Korea.
| | - Kyua Kim
- Pediatric Intensive Care Unit, Severance Hospital Health Care System, 03722, South Korea.
| | - Hyejung Lee
- Mo-Im Kim Nursing Research Institute, Yonsei University Seoul, 03722, South Korea; College of Nursing, Yonsei University Seoul, 03722, South Korea.
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Khalil H, Byrne A, Ristevski E. The development and implementation of a clinical skills matrix to plan and monitor palliative care nurses' skills. Collegian 2019. [DOI: 10.1016/j.colegn.2019.05.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Cadell S, Bosma H, Johnston M, Porterfield P, Cline L, Da Silva J, Fraser J, Boston P. Practising Interprofessional Teamwork from the First Day of Class: A Model for an Interprofessional Palliative Care Course. J Palliat Care 2019. [DOI: 10.1177/082585970702300405] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Susan Cadell
- Manulife Centre for Healthy Living, Lyle S. Hallman Faculty of Social Work, Wilfrid Laurier University, Kitchener, Ontario
| | - Harvey Bosma
- School of Social Work, University of British Columbia, Vancouver, British Columbia
| | - Meaghen Johnston
- School of Social Work, University of British Columbia, Vancouver, British Columbia
| | | | - Leah Cline
- Canuck Place Children's Hospice, Vancouver, British Columbia
| | | | - Jacky Fraser
- Providence Health Care, Vancouver, British Columbia
| | - Pat Boston
- Division of Palliative Care, University of British Columbia, Department of Family Practice, Vancouver, British Columbia, Canada
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Kortes-Miller K, Habjan S, Lou Kelley M, Fortier M. Development of a Palliative Care Education Program in Rural Long-Term Care Facilities. J Palliat Care 2019. [DOI: 10.1177/082585970702300305] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In North America, people 85 years and older are the fastest growing age cohort and long-term care homes are increasingly becoming the place of end-of-life care. This is especially true in rural communities where services are lacking. Staff in long-term care homes lack education about palliative care, but in rural areas, accessing education and the lack of relevant curricula are barriers. The focus of this paper is to describe an approach to developing and delivering a research-based palliative care education curriculum in rural long-term care homes. The approach included conducting a detailed assessment of staffs’ educational needs and preferred educational formats; developing a 15-hour interprofessional curriculum tailored to the identified needs; and delivering the curriculum on site in rural long-term care homes. Staff confidence and participation in delivering palliative care increased. Based on work in northwestern Ontario, Canada, this approach can serve as a model for palliative care education in other rural areas.
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Affiliation(s)
- Kathy Kortes-Miller
- Centre for Education and Research on Aging and Health, Lakehead University, Thunder Bay, Ontario, Canada
| | - Sonja Habjan
- Centre for Education and Research on Aging and Health, Lakehead University, Thunder Bay, Ontario, Canada
| | - Mary Lou Kelley
- Centre for Education and Research on Aging and Health, Lakehead University, Thunder Bay, Ontario, Canada
| | - Marilyn Fortier
- Centre for Education and Research on Aging and Health, Lakehead University, Thunder Bay, Ontario, Canada
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Melo CG, Oliver D. Can Addressing Death Anxiety Reduce Health Care Workers’ Burnout and Improve Patient Care? J Palliat Care 2018. [DOI: 10.1177/082585971102700405] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Death anxiety may interfere with health care workers’ (HCWs) relationships with patients and patients’ families and increase HCWs’ levels of burn-out. This study shows the impact of a six-day course for HCWs that provided training in communication, in offering emotional and spiritual support to patients, and in personal introspection on death anxiety. The HCWs were given questionnaires to evaluate their level of burnout, personal well-being, and death anxiety as well as the quality of their relationships with patients before the course and four months after it. There were 150 study participants, all HCWs involved in caring for dying patients (85 in palliative care units and 65 in other settings). There was a control group of 26 HCWs who cared for the dying in settings other than palliative care units. The results show that the course appeared to lead to a significant reduction in levels of burnout and death anxiety; they also indicated an increase in personal well-being and professional fulfillment, and participants perceived an improvement in the quality of their relationships with patients and patients’ families.
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Affiliation(s)
- Carol Gouveia Melo
- C Gouveia Melo (corresponding author) Centre for Professional Practice, University of Kent, Compass Centre South, Chatham Maritime, Chatham, Kent, UK ME4 4YG; mail to: Rua Gil Vicente 12, Bloco C R/C, 2775-198 Parede, Portugal
| | - David Oliver
- Centre for Professional Practice, University of Kent, Chatham, UK, and Wisdom Hospice, Rochester, UK
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Samson T, Shvartzman P. Secondary Traumatization and Proneness to Dissociation Among Palliative Care Workers: A Cross-Sectional Study. J Pain Symptom Manage 2018; 56:245-251. [PMID: 29729350 DOI: 10.1016/j.jpainsymman.2018.04.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2018] [Revised: 04/24/2018] [Accepted: 04/24/2018] [Indexed: 01/09/2023]
Abstract
CONTEXT Exposure to dying patients can contribute to secondary traumatic stress (STS) among palliative care workers. Peritraumatic dissociation (PETD), an individual's personal proneness to dissociation during exposure to a stressful event, is the strongest predictor of post-traumatic stress, but existing research on its relationship to STS is limited. OBJECTIVE To compare the level of STS among palliative workers with clinical levels of PETD compared with those without clinical levels of PETD. METHODS A cross-sectional self-report survey. SETTING/PARTICIPANTS These include about 420 physicians and nurses working in hospital-based and/or home-based palliative care units. INCLUSION CRITERIA two years' experience with at least 10 hours/week of direct care for terminally ill patients. RESULTS About 144 participants returned completed questionnaires (response rate 35%). Sixty percent reported a nonclinical level of dissociation. Workers with a clinical level of dissociation had significantly higher levels of STS compared with workers who did not. Awareness of an interaction effect between PETD and fear of dying progression can advance our understanding of how the development of PETD during exposure to dying can have an impact that is beyond the main effect on STS. CONCLUSIONS The clinical level of PETD correlates significantly with STS. Further research is needed to understand whether STS is related to the individual's own vulnerability, as reflected by their personal proneness to dissociation, during exposure to death and dying.
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Affiliation(s)
- Tali Samson
- Department of Family Medicine, Pain and Palliative Care Unit, Siaal Research Center for Family Medicine and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Clalit Health Services - Southern District, Beer-Sheva, Israel.
| | - Pesach Shvartzman
- Department of Family Medicine, Pain and Palliative Care Unit, Siaal Research Center for Family Medicine and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Clalit Health Services - Southern District, Beer-Sheva, Israel
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Abu-El-Noor NI, Abu-El-Noor MK. Attitude of Palestinian Nursing Students Toward Caring for Dying Patients. J Holist Nurs 2015; 34:193-9. [DOI: 10.1177/0898010115596492] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Death is a natural process that occurs each day. Some nursing students may encounter the experience of taking care of a dying patient while others do not. Therefore, their attitude toward death and caring for dying patients may vary. The purpose of this study was to assess Palestinian student nurses’ attitudes toward death and caring for dying patients and their families. In a cross-sectional, descriptive study, all fourth-year students at the College of Nursing, Islamic University of Gaza, Palestine, were invited to participate in this study. A total of 141 students completed the Frommelt Attitude Toward Care of the Dying Scale Form B (FATCOD-B). Results revealed that the mean score on the FATCOD-B was (96.96 ± 8.30). Overall, nursing students in the sample demonstrated a relatively low attitude toward caring for dying patients and their families. No statistically significant differences of students’ attitudes toward caring for dying patients were found between male and female students nor between students who attended death cases and those who did not. The results suggest that theoretical nursing education should place more emphasis on palliative care to improve the quality of care at the end of life.
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Coventry TH, Maslin-Prothero SE, Smith G. Organizational impact of nurse supply and workload on nurses continuing professional development opportunities: an integrative review. J Adv Nurs 2015; 71:2715-27. [DOI: 10.1111/jan.12724] [Citation(s) in RCA: 63] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/04/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Tracey H. Coventry
- University of Notre Dame Australia; School of Nursing and Midwifery; Fremantle Western Australia Australia
| | - Sian E. Maslin-Prothero
- University of Newcastle; Callaghan New South Wales Australia
- Keele University; Staffordshire UK
| | - Gilly Smith
- School of Nursing and Midwifery; Edith Cowan University; Perth Western Australia Australia
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Peters L, Cant R, Sellick K, O'Connor M, Lee S, Burney S, Karimi L. Is work stress in palliative care nurses a cause for concern? A literature review. Int J Palliat Nurs 2013; 18:561-7. [PMID: 23413505 DOI: 10.12968/ijpn.2012.18.11.561] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
UNLABELLED Palliative care nurses are at risk of work stress because their role involves exposure to frequent deaths and family grieving. Little is known about their degree of stress or whether they suffer stress or burnout more than nurses in other disciplines. AIM The aim of this paper is to critically examine the current literature concerning stress and burnout in palliative care nurses. RESULTS Sixteen papers were included in the review. Although work demands were a common cause of stress in the studies reported, there was no strong evidence that palliative care or hospice nurses experienced higher levels of stress than nurses in other disciplines. Common causes of stress were the work environment, role conflict, and issues with patients and their families. Constructive coping styles appeared to help nurses to manage stress. CONCLUSION Managers have a key role in providing education and training for palliative care nurses to support their personal development and to help reduce vulnerability to and the impact of stress in the workplace.
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Affiliation(s)
- Louise Peters
- Palliative Care Research Team, School of Nursing and Midwifery, Monash University, Melbourne, Australia.
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Creation of a questionnaire to measure stress among nurses engaged in palliative care on general wards. Support Care Cancer 2012; 20:2537-44. [DOI: 10.1007/s00520-011-1368-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2011] [Accepted: 12/26/2011] [Indexed: 10/14/2022]
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Brien LA, Legault A, Tremblay N. Affective learning in end-of-life care education: the experience of nurse educators and students. Int J Palliat Nurs 2008; 14:610-4. [DOI: 10.12968/ijpn.2008.14.12.32066] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - Alain Legault
- Faculty of Nursing, Université de Montréal, Quebéc, Canada
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Lauder W, Watson R, Topping K, Holland K, Johnson M, Porter M, Roxburgh M, Behr A. An evaluation of fitness for practice curricula: self-efficacy, support and self-reported competence in preregistration student nurses and midwives. J Clin Nurs 2008; 17:1858-67. [DOI: 10.1111/j.1365-2702.2007.02223.x] [Citation(s) in RCA: 62] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Brajtman S, Fothergill-Bourbonnais F, Casey A, Alain D, Fiset V. Providing direction for change: assessing Canadian nursing students learning needs. Int J Palliat Nurs 2007; 13:213-21. [PMID: 17577173 DOI: 10.12968/ijpn.2007.13.5.23491] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
AIM To examine the current curriculum content and learning needs of graduating nursing students related to end-of-life care (EOLC). DESIGN A survey method was employed. SAMPLE A purposive sample of 58 Anglophone and Francophone students completed the Palliative Care Quiz for Nursing (PCQN) and Frommelt's Attitudes Toward Care of the Dying Scale (FATCOD). Students responded to open-ended questions regarding perceptions of preparedness to care for terminally ill patients, and provided suggestions for changes to the curriculum. Key informant educators identified opportunities to include EOLC content in courses and clinical placements. RESULTS Results indicated that students held positive attitudes towards caring for dying patients, had modest knowledge levels, and that one third did not feel adequately prepared to care for dying patients. Although EOLC education tends to be threaded throughout the program, the emphasis is dependent upon the commitment of individual professors and clinical instructors with experience and/or expertise in this area. CONCLUSION Students and educators agreed more emphasis on EOLC was needed. Recommendations include development of teaching strategies and experiential learning in EOLC throughout the curriculum.
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Affiliation(s)
- Susan Brajtman
- School of Nursing, Algonquin College, University of Ottawa, Canada.
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Brajtman S, Higuchi K, McPherson C. Caring for patients with terminal delirium: palliative care unit and home care nurses’ experiences. Int J Palliat Nurs 2006; 12:150-6. [PMID: 16723959 DOI: 10.12968/ijpn.2006.12.4.21010] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
AIM To explore palliative care unit and home care nurses' experiences of caring for patients with terminal delirium. DESIGN A qualitative exploratory design using individual interviews. SAMPLE Participants included five nurses working in an interdisciplinary palliative care unit located in a large Canadian city hospital, and four nurses from a palliative home care nursing team located in the same city. RESULTS Nurses in both sites experienced multiple challenges caring for delirious patients. Additional education on delirium and collaborative teamwork were viewed as key factors in enhancing their ability to care for and support this patient and family population. Four core themes reflected the participants' perceptions and experiences: experiencing distress; the importance of presence; valuing the team; and the need to know more. CONCLUSION Findings suggest the need for interdisciplinary educational initiatives focused on the identification and management of terminal delirium, and targeted to the specific context in which nurses practise.
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Affiliation(s)
- Susan Brajtman
- School of Nursing, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, Canada.
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Brazil K, Vohra JU. Identifying educational needs in end-of-life care for staff and families of residents in care facilities. Int J Palliat Nurs 2005; 11:475-80. [PMID: 16215526 DOI: 10.12968/ijpn.2005.11.9.19782] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
AIM the purpose of this article is to describe educational needs in end-of-life (EoL) care for staff and families of residents in long-term care (LTC) facilities in the province of Ontario, Canada. Barriers to providing end-of-life care education in LTC facilities are also identified. DESIGN, SETTING AND PARTICIPANTS cross-sectional survey of directors of care in all licensed LTC facilities in the province of Ontario, Canada. RESULTS directors of care from 426 (76.9% response rate) licensed LTC facilities completed a postal-survey questionnaire. Topics identified as very important for staff education included pain and symptom management and communication with family members about EoL care. Priorities for family education included respecting the residents' expressed wishes for care and communication about EoL care. Having sufficient institutional resources was identified as a major barrier to providing continuing education to both staff and families. CONCLUSION through examining educational needs in EoL care this study identified an environment of inadequate staffing and over-burdened care providers. The importance of increased staffing concomitant with education is a priority for LTC facilities.
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Affiliation(s)
- Kevin Brazil
- Department of Clinical Epidemiology and Biostatistics, McMaster University, and St Joseph's Health System Research Network, 105 Main Street East, Level P1, Hamilton, Ontario, Canada L8N 1G6, UK.
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