The Specialist Palliative Care Nurses’ in an Italian Hospital: role, competences, and activities.
Specialist Palliative Care Nurses’ profile.
Keywords:
Palliative Care, Hospital Palliative Care Unit, Specialist Palliative Care Nurses, competences, skills, role, activities.Abstract
Background and aim of the work: Many authors tried to clarify the palliative care nurses’ role, overall in the home care setting, but little is known in different settings of care. We aim to present a Specialist profile of palliative care (PC) nurses in an Italian hospital-based Palliative Care Unit.
Methods: With an organizational case study approach, we conducted a literature review on PC nurse’s role, and we presented the Specialist PC nurses’ profile, describing competences and key related activities.
Results: Our specialist profile highlights that clinical activities are similar to the experiences described in the literature (symptom assessment and management, communication, interprofessional work), while training and research activities are new fields of interest that it’s important to explore and promote, most of all in our country.
Conclusions: Sustaining the flexibility of the role, being recognized by colleagues and keeping the three dimensions connected are the major challenges: drawing up a specialist palliative care nurses’ profile can help the team to better define the role framework in an interdisciplinary context.
References
Zimmermann C, Ryan S, Hannon B, et al. Team-based outpatient early palliative care: a complex cancer intervention. BMJ Support Palliat Care 2019;bmjspcare-2019-001903. doi:10.1136/bmjspcare-2019-001903
Gamondi C, Larkin P-J, Payne S. Core competencies in palliative care. Eur J Palliat Care 2013;20:86–91.
Sekse RJT, Hunskår I, Ellingsen S. The nurse's role in palliative care: A qualitative meta-synthesis. Journal of clinical nursing 2018; 27(1-2), e21-e38.
Hokka M., Martins Pereira S., Pölkki T. et al. Nursing competencies across different level of palliative care provision: a systematic integrative review with thematic synthesis. Palliat. Med. 2020;34(7):851-870
Wiencek C, Coyne P. Palliative care delivery models. Semin Oncol Nurs 2014;30:227–233.
Temel JS, Greer JA, El-Jawahri A, et al. Effects of early integrated palliative care in patients with lung and GI cancer: A randomized clinical trial. J Clin Oncol 2017;35:834–841.
Haun MW, Estel S, Rücker G, et al. Early palliative care for adults with advanced cancer. Cochrane Database Syst Rev 2017;6:CD011129.
Beccaro M, Costantini M, Rossi PG, et al. Actual and preferred place of death of cancer patients. Results from the Italian survey of the dying of cancer (ISDOC). J Epidemiol Community Health 2006;60:412–416.
Vinant P, Joffin I, Serresse L, et al. Integration and activity of hospital-based palliative care consultation teams: The INSIGHT multicentric cohort study. BMC Palliat Care 2017;16:36.
Ewing G, Farquhar M, Booth S. Delivering palliative care in an acute hospital setting: Views of referrers and specialist providers. J Pain Symptom Manage 2009;38:327–340.
Williams D, Sidani S. An analysis of the nurse practitioner role in palliative care. Can J Nurs Leadersh 2001;14:13–19.
Skilbeck J, Corner J, Bath P, et al. Clinical nurse specialists in palliative care. Part 1. A description of the MacMillan nurse caseload. Palliat Med 2002;16:285–296.
O'Connor M, Peters L, Walsh K. Palliative care nurse consultants in Melbourne: A snapshot of their clinical role. Int J Palliat Nurs 2008;14:350–355.
Csorba S. The role of a nurse specialist in palliative care: An israeli experience. Asia-Pac J Oncol Nurs 2017;4:112–115.
Georges JJ, Grypdonck M, de Casterle BD. Being a palliative care nurse in an academic hospital: A qualitative study about nurses' perceptions of palliative care nursing. J Clin Nurs 2002;11:785–793.
O'Connor M, Chapman Y. The palliative care clinical nurse consultant: An essential link. Collegian 2008;15:151–157.
Programma di Ricerca Regione Emilia-Romagna - Università, Ricerca per il Governo Clinico. [Emilia-Romagna Region Research Project - Universities, Research Program, Research for Clinical Governance], 2010–2012 https://assr.regione.emilia-romagna.it (accessed 22.01.2021)
D.M. 14 settembre 1994 n. 739: Regolamento concernente l'individuazione della figura e del relativo profile professionale dell'infermiere. Available at: http://www.salute.gov.it/imgs/C_17_normativa_1870_allegato.pdf
Federazione IFNC: Codice deontologico dell’infermiere [Nurse Code of Ethics]. Disponibile all’indirizzo. 2009. Available at: http://www. ipasvi. it/norme-e-codici/deontologia/il-codice-deonto (last accessed dicembre 14, 2016).
Società italiana di cure palliative: Il Core Curriculum dell’infermiere in cure palliative [Palliative Care Italian Society: The Palliative Care Nurse Core Curriculum]. 2013. Available at: https://www.sicp.it/aggiornamento/core-curriculum/2013/04/il-core-curriculum-dellinfermiere-in-cure-palliative/
Veronese S, Rabitti E, Costantini M, et al. Translation and cognitive testing of the Italian integrated palliative outcome scale (IPOS) among patients and healthcare professionals. PLoS One 2019;14:e0208536.
Moro C, Brunelli C, Miccinesi G, et al. Edmonton symptom assessment scale: Italian validation in two palliative care settings. Support Care Cancer 2006;14:30–37.
Zhou, Michelle, et al. "The utilization of telephone follow-up in the advanced cancer population: a review of the literature." Journal of comparative effectiveness research 1.6 (2012): 509-517.)
Hopkinson JB, Richardson A. A mixed-methods qualitative research study to develop a complex intervention for weight loss and anorexia in advanced cancer: The family approach to weight and eating. Palliat Med 2015;29:164–176.
Costantini M: Sfide e Opportunità delle Cure Palliative Moderne. [Challenges and Opportunities of Modern Palliative Care] Bologna: ASMEPA Edizioni (collana INCONTRI), 2017.
Kangas-Niemi A, Manninen K, Mattsson J. Facilitating affective elements in learning - in a palliative care context. Nurse Educ Pract 2018;33:148–153.
Quill TE, Abernethy AP. Generalist plus specialist palliative care--creating a more sustainable model. N Engl J Med 2013;368:1173–1175.
Harden K, Price D, Duffy E, et al. Palliative care: Improving nursing knowledge, attitudes, and behaviors. Clin J Oncol Nurs 2017;21:E232–E238.
Artioli G, Bedini G, Bertocchi E, et al. Palliative care training addressed to hospital healthcare professionals by palliative care specialists: A mixed-method evaluation. BMC Palliat Care 2019;18:88.
Tanzi S, Leo SD, Mazzini E, et al. Long-term sustainability of a quality improvement program on cancer pain management: A complex intervention in an inpatient setting. Tumori J 2019;106:0300891619869513.
Di Leo S, Alquati S, Autelitano C, et al. Palliative care in the emergency department as seen by providers and users: A qualitative study. Scand J Trauma Resusc Emerg Med 2019;27:88.
Seymour J, Clark D, Hughes P, et al. Clinical nurse specialists in palliative care. Part 3. Issues for the Macmillan nurse role. Palliat Med 2002;16:386–394.
Payne S, Ingleton C, Sargeant A, et al. The role of the nurse in palliative care settings in a global context. Cancer Nurs Pract 2009;8:21–26.
Kennedy C, Brooks Young P, Nicol J, et al. Fluid role boundaries: Exploring the contribution of the advanced nurse practitioner to multi-professional palliative care. J Clin Nurs 2015;24:3296–3305.
Newton J, McVicar A. Evaluation of the currency of the Davies and Oberle (1990) model of supportive care in specialist and specialised palliative care settings in England. J Clin Nurs 2014;23:1662–1676.
George T. Role of the advanced practice nurse in palliative care. Int J Palliat Nurs 2016;22:137–140.
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