The contribution of generalist community nursing to palliative care: a retrospective case note review.

IF 0.7 Q4 NURSING

International Journal of Palliative Nursing Pub Date : 2023-02-02 DOI:10.12968/ijpn.2023.29.2.75

Jackie Robinson, Rosemary Frey, Gillian Gibbs, Meenu Hayden, Merryn Gott

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引用次数: 0

Abstract

Background: There is a paucity of evidence regarding the contribution of generalist community nursing to palliative care. Aim: The aim of this study was to identity the proportion of patients referred to a generalist community nursing service who meet the criteria for palliative care need and explore key aspects of their management. Methods: A retrospective case note review of people known to a generalist community nursing service was undertaken to identify people with palliative care needs. Results: Of the 1284 people enrolled in the community nursing service, 21.1% (n=271) were identified as having palliative care needs, of which most (82.7%; n=224) had a non-cancer illness. However, palliative care need was largely unrecognised in the referrals to community nursing and there was little evidence of a palliative approach being integrated into nursing care. Conclusions: Nursing has a significant role in the provision of generalist palliative care in the community. However, research is needed to identify the barriers community nurses experience identifying needs and providing palliative care. A focus on education and support in implementing screening tools, which may assist community nurses in recognising needs and delivering palliative in the generalist setting, is urgently needed.

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全科社区护理对姑息治疗的贡献:回顾性病例回顾。

背景:关于全科社区护理对姑息治疗的贡献缺乏证据。目的:本研究的目的是确定转诊到全科社区护理服务的患者符合姑息治疗需求标准的比例，并探讨其管理的关键方面。方法:对全科社区护理服务所认识的人进行回顾性病例回顾，以确定有姑息治疗需求的人。结果:在1284名参加社区护理服务的人中，21.1% (n=271)被确定为有姑息治疗需求，其中大多数(82.7%;N =224)患有非癌症疾病。然而，在转介到社区护理时，姑息治疗需求在很大程度上未被认识到，并且很少有证据表明姑息治疗方法被纳入护理。结论:护理在社区提供全科姑息治疗中起着重要作用。然而，需要进行研究以确定社区护士在确定需求和提供姑息治疗方面遇到的障碍。迫切需要在实施筛查工具方面加强教育和支持，这可能有助于社区护士认识到需求，并在全科医生的环境中提供姑息治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Palliative Nursing NURSING-

CiteScore

1.20

自引率

10.00%

发文量

期刊介绍： Since its launch in 1995, International Journal of Palliative Nursing (IJPN) has been committed to promoting excellence in palliative and hospice care. It is now established as the leading journal for nurses working in this most demanding profession, covering all aspects of palliative care nursing in a way which is intelligent, helpful and accessible, and so useful in daily practice. The aim of IJPN is to provide nurses with essential information to help them deliver the best possible care and support for their patients. Each issue contains an unparalleled range of peer-reviewed clinical, professional and educational articles, as well as helpful and informative information on practical, legal and policy issues of importance to all palliative nurses.