Nursing students’ lived experience in a community-based palliative care program

IF 2.5 Q2 NURSING
Teaching and Learning in Nursing Pub Date : 2026-10-01 Epub Date: 2026-06-22 DOI:10.1016/j.teln.2026.05.034
Shandeigh N. Berry PhD, RN, CNE, Sureeporn Thanasilp DNS, RN, Dip APMSN, Nantiya Watthayu PhD, RN, Anne Leuschner Schuchmann MSN, RN, Wilailuck Tantitrakul RN, Dip APMSN
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引用次数: 0

Abstract

Aim

To explore the lived experience of 23 nursing students learning holistic end-of-life care in a community-based palliative care program.

Background

The role of the generalist nurse includes providing holistic end-of-life care, yet new graduate nurses frequently report discomfort and uncertainty. Curricular challenges, limited clinical exposure, faculty discomfort, and difficulties translating theory into practice are barriers to palliative care competency, underscoring the need for an educational model to educate pre-licensure nursing students to deliver holistic end-of-life care.

Method

This was a Heideggerian interpretive phenomenological study.

Results

The relational and contextual dynamics of care allowed students to recognize that holistic care extends beyond technical competence to involve presence, attunement, and the capacity for deep listening. Emergent themes included: Environment as Cultivating Connection, Community as Empowering Connection, and Holistic Care as Beyond Skills.

Conclusion

Experiential learning is a powerful approach to foster a deeper understanding of complex concepts such as holistic end-of-life care. Pre-licensure nursing programs may consider study abroad experiential learning opportunities, particularly those that immerse students in diverse care environments.
护生在社区缓和疗护计划的生活经验
目的探讨23名护生在社区临终关怀项目中学习整体临终关怀的生活经验。全科护士的角色包括提供全面的临终关怀,然而新毕业的护士经常报告不适和不确定。课程挑战,有限的临床接触,教师的不适,以及理论转化为实践的困难是姑息治疗能力的障碍,强调需要一种教育模式来教育获得执照的护理学生提供全面的临终关怀。方法采用海德格尔解释现象学方法进行研究。结果护理的关系和情境动态使学生认识到整体护理超越了技术能力,涉及在场,协调和深度倾听的能力。新出现的主题包括:环境是培养联系,社区是增强联系,整体护理是超越技能。结论体验式学习是培养对复杂概念(如整体临终关怀)更深入理解的有效方法。执照预备护理课程可以考虑出国学习的体验式学习机会,特别是那些让学生沉浸在不同护理环境中的课程。
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来源期刊
CiteScore
2.60
自引率
10.50%
发文量
119
审稿时长
37 days
期刊介绍: Teaching and Learning in Nursing is the Official Journal of the National Organization of Associate Degree Nursing. The journal is dedicated to the advancement of Associate Degree Nursing education and practice, and promotes collaboration in charting the future of health care education and delivery. Topics include: - Managing Different Learning Styles - New Faculty Mentoring - Legal Issues - Research - Legislative Issues - Instructional Design Strategies - Leadership, Management Roles - Unique Funding for Programs and Faculty
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