A global exploration of palliative community care literature: An integrative review.
community nursing
end of life
palliative care nursing
professional resilience
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
revised:
21
02
2023
received:
13
12
2022
accepted:
23
03
2023
medline:
21
8
2023
pubmed:
16
4
2023
entrez:
15
4
2023
Statut:
ppublish
Résumé
This review sought to discover how community nurses globally provide palliative care, with specific focus on how they manage the personal and professional stressors associated with caring for dying clients in the home. An integrative review methodology was used to gain insight into how community palliative care is delivered worldwide. The provision of home palliative care by community nurses gives clients the ability to spend their final days in familiar surroundings. Research has focussed on the provision of palliative care in the inpatient setting, with little known about the community setting. Data were collected through a literature search, then a critical analysis approach was used to evaluate the strengths of palliative care literature by analysing recurrent themes to stimulate further research on the topic. The following databases were used to conduct the literature search: CINAHL, Medline, Pubmed, Scopus, Ovid. The results highlighted the importance of building a skilled palliative community nursing workforce and the need to offer specialised palliative care training to nurses, particularly around difficult conversations and service coordination. The literature identified the challenges implicit within the community nursing role in delivering palliative care, but it did not identify the factors that enhance the nurses' ability to manage the stressors associated with this role. The input of nurses must be sought to understand the development of resilience. Community palliative care nursing requires time spent with clients and family members who are suffering, therefore predisposing nurses to stress. Effort must be made to provide palliative care nurses with support to enhance professional resilience.
Sections du résumé
AIM
OBJECTIVE
This review sought to discover how community nurses globally provide palliative care, with specific focus on how they manage the personal and professional stressors associated with caring for dying clients in the home.
DESIGN
METHODS
An integrative review methodology was used to gain insight into how community palliative care is delivered worldwide.
BACKGROUND
BACKGROUND
The provision of home palliative care by community nurses gives clients the ability to spend their final days in familiar surroundings. Research has focussed on the provision of palliative care in the inpatient setting, with little known about the community setting.
METHODS
METHODS
Data were collected through a literature search, then a critical analysis approach was used to evaluate the strengths of palliative care literature by analysing recurrent themes to stimulate further research on the topic.
DATA SOURCES
METHODS
The following databases were used to conduct the literature search: CINAHL, Medline, Pubmed, Scopus, Ovid.
RESULTS
RESULTS
The results highlighted the importance of building a skilled palliative community nursing workforce and the need to offer specialised palliative care training to nurses, particularly around difficult conversations and service coordination.
CONCLUSION
CONCLUSIONS
The literature identified the challenges implicit within the community nursing role in delivering palliative care, but it did not identify the factors that enhance the nurses' ability to manage the stressors associated with this role. The input of nurses must be sought to understand the development of resilience.
IMPLICATIONS FOR THE PROFESSION
UNASSIGNED
Community palliative care nursing requires time spent with clients and family members who are suffering, therefore predisposing nurses to stress. Effort must be made to provide palliative care nurses with support to enhance professional resilience.
Types de publication
Journal Article
Review
Langues
eng
Pagination
5855-5864Informations de copyright
© 2023 John Wiley & Sons Ltd.
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