Evaluating the specialist palliative care clinical nurse specialist role in an acute hospital setting: a mixed methods sequential explanatory study

被引:7
|
作者
Connolly, Michael [1 ]
Ryder, Mary [1 ]
Frazer, Kate [1 ]
Furlong, Eileen [1 ]
Escribano, Teresa Plazo [1 ]
Larkin, Philip [2 ,3 ]
Carruthers, Eileen [4 ,5 ,6 ,7 ]
McGuigan, Eileen [4 ,5 ,6 ,7 ]
机构
[1] Univ Coll Dublin, UCD Sch Nursing Midwifery & Hlth Syst, Dublin, Ireland
[2] Lausanne Univ Hosp, Palliat & Support Care Serv, Lausanne, Switzerland
[3] Univ Lausanne, Lausanne, Switzerland
[4] Palliat Care Serv, Louth, Ireland
[5] Palliat Care Serv, Meath, Ireland
[6] Palliat Care Serv, Cavan, Ireland
[7] Palliat Care Serv, Monaghan, Drogheda, Ireland
关键词
Specialist palliative care; Clinical nurse specialist; Acute hospital; Core competencies; COST-EFFECTIVENESS; NEEDS; COLLABORATION; SUPPORT; IMPACT; VIEWS; TEAMS;
D O I
10.1186/s12904-021-00834-y
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background Special palliative care is provided in a range of settings including a patient's home (their primary place of dwelling), a hospice in-patient unit, or an acute hospital. The aim of the study was to evaluate the role of the specialist in palliative care clinical nurse specialist (SPC CNS) role in an acute hospital setting. Methods This study was conducted using a mixed methods sequential explanatory approach in two phases; phase 1 involved completion of a study questionnaire (n = 121) and phase 2 involved part-taking in a focus group (n = 6) or individual interview (n = 4). Results Phase 1 results indicated that respondents held positive attitudes towards the Specialist Palliative Care Clinical Nurses Specialist (SPC CNS) in relation to clinical care, education and patient advocacy. Phase 2 qualitative findings identified the importance of the role in terms of symptom management, education and support. Conclusions This study provides an evaluation of a SPC CNS role since it was established in an acute hospital setting. The evidence indicates that there is a varied understanding of the role of the SPC CNS. The role was seen as an important one particularly in terms of referrals to and support provided by the SPC CNS, as well as recognition of the importance of the role is providing ongoing education to staff.
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页数:9
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