Pauli J Lamppu, Pirita Forsius, Teija Hammar, Juho T Lehto, Minna Hökkä
{"title":"Palliative care competencies of nurses in primary care.","authors":"Pauli J Lamppu, Pirita Forsius, Teija Hammar, Juho T Lehto, Minna Hökkä","doi":"10.12968/ijpn.2024.0067","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Competency in palliative care is necessary to support the adequate quality of care of patients.</p><p><strong>Aim: </strong>To describe the self-evaluated level of competence of clinical nursing staff and supervisors' evaluations of staff competence in non-specialist palliative care settings.</p><p><strong>Methods: </strong>A web-based questionnaire provided a cross-sectional nationwide sample of answers.</p><p><strong>Findings: </strong>A total of 587 answers were analysed. Clinical nurses rated their competence lowest in the themes of communication and advance care planning (ACP). ACP was among the lowest scoring themes for supervisors' evaluations of staff competence. Similarly, the highest scoring themes for both groups included the theme evaluating symptom care and assessment. In this theme, competencies related to psychological and existential suffering scored lowest.</p><p><strong>Conclusion: </strong>This study provides an overview of nurses' PC competencies and highlighted some of the weaknesses they recognise. These shortcomings include evaluating and treating psychological and existential suffering, legal aspects of decision making and competencies related to ACP.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"31 9","pages":"421-427"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of palliative nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12968/ijpn.2024.0067","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Competency in palliative care is necessary to support the adequate quality of care of patients.
Aim: To describe the self-evaluated level of competence of clinical nursing staff and supervisors' evaluations of staff competence in non-specialist palliative care settings.
Methods: A web-based questionnaire provided a cross-sectional nationwide sample of answers.
Findings: A total of 587 answers were analysed. Clinical nurses rated their competence lowest in the themes of communication and advance care planning (ACP). ACP was among the lowest scoring themes for supervisors' evaluations of staff competence. Similarly, the highest scoring themes for both groups included the theme evaluating symptom care and assessment. In this theme, competencies related to psychological and existential suffering scored lowest.
Conclusion: This study provides an overview of nurses' PC competencies and highlighted some of the weaknesses they recognise. These shortcomings include evaluating and treating psychological and existential suffering, legal aspects of decision making and competencies related to ACP.