Development of nurse competency assessment tool for end of life care*
Keywords:
instrument development; nurse competency; end of life careAbstract
The objective of this research was to define and develop a tool for assessing nurse competencies in the area of end of life care. In-depth interviews and group discussion were conducted with 15 registered nurses together with a literature review to determine competencies and related details that demonstrated skills, knowledge,
and capability in each competency. Content validation of the tool included qualitative content validity verified by 7 head nurses using the group discussion, and quantitative content validity verified by 3 experts.
The results revealed that the competencies in the area of end of life care consisted of 7 competencies as follows: 1) communication skills; 2) assessment and care planning; 3) pain management; 4) discomfort management; 5) spiritual care; 6) cultural care; and 7) bereavement care. Following the trial use of the instrument for assessing nurse competencies at 7 patient wards, it was found that the users totally agreed that the instrument was practical.
References
Srisatidnarakul B. Leadership and strategic management in organization for the 21st Century. Bangkok: Chulalongkorn University;2007. (in Thai)
Saenprasan P, Phanitayanusan U, Thadsri L, Charoensit S, Chaiphitak S, Parinyawat M, et al. Nursing management to learning. 4th ed. Bangkok: Sukhumvit; 2010. (in Thai)
Sangchart B, Thadmala M, Promlakano S. Potential development of nursing care for patients at the end of life. Journal of Nursing Science and Health 2013; 36(1): 54-66. (in Thai)
Todd P, Baldwin CM. Palliative care and culture: the optimize view. J Multicult Nurs Health 2006; 12(2): 28-32.
Ekwuthiwongsa R, Ngoangam P, Wuthisan P, Soontharapa W. End of life care of sick Buddhist monks. Journal of Nursing Science and Health 2015; 38(3): 110-9. (in Thai)
Mullen C, Thomas S. End of life care: Common care competencies. BJHCA 2009; 3(10):490-92.
Gammondi C, Lakin P, Payne S. Core competencies in palliative care: an EAPC while paper on palliative care education- Part 2. Eur J Palliat Care 2013; 20(3): 140-5.
Thailand Nursing and Midwifery Council. Competencies for nurses and midwifery. Nonthaburi: Thailand Nursing and Midwifery Council; 2010. (in Thai)
Leelawong S. Role and competencies of palliativecarenurse. In:HaruthaiC,Atthachaiwat A, Suwankesawong S, editors, Palliative nursing service system. Pathum Thani: Suetawanprinting; 2016: P. 47-63. (in Thai)
Palliative care Nursing New Zealand. A national professional development framework for palliative care nursing practice in Aotearoa New Zealand. Wellington: Ministry of Health. 2014.
Schroeder K, Lorenz K. Nursing, and the future of palliative care. Asia Pac J Oncol Nurs 2018;5(1): 4-8.
Abba K, Lloy-williams M, Hurton S. Discussing end of life wishes - the impact of community interventions? BMC Palliative Care 2019; 18:26 https://doi.org/10.1186/s12904-019-0407-8
Slort W, Schweitzer BP, Blankenstein AH, Abarshi EA, Riphagen II, Echteld MA, et al. Perceived barriers and facilitators for general practitioner-patient communication in palliative care: a systematic review. Palliat Med 2011; 25(6): 613-29.
Eagar K, Clapham SP, Allingham SF. Palliative care is effective: but hospital symptom outcomes superior. BMJ Supportive & Palliative CarePublished Online First: 31 August 2018. doi:10.1136/bmjspcare-2018-001534
National consensus project for quality palliative care. Clinical practice guidelines for quality palliative care, 4th ed. Richmond, VA: National Coalition for Hospice and Palliative Care; 2018.
Sherwen E. Improving end of life care for adults. Nurs Stand 2014; 28(32): 51-7.
Scarborough BM, Smith CB. Optimal pain management for patients with cancer in the modern era. CA Cancer J Clin 2018; 68(3):182-96.
O’Brien MR, Kinloch K, Groves KE, Jack BA. Meeting patients’ spiritual needs during end-of-life care: A qualitative study of nurses’ and healthcare professionals’ perceptions of spiritual care training. J Clin Nurs 2018; 28(1-2): 182-9.
Fitch M, Bartlett R. Patient perspectives about spirituality and spiritual care. Asia Pac J Oncol Nurs 2019; 6(2): 111-21.
Baldacchino DR. Nursing competencies for spiritual care. J Clin Nurs 2006; 15(7):885-96.
Speck P. Culture and spirituality: essential components of palliative care. Postgrad Med J 2016; 92(1088): 341-5.
Gijsberts MJHE, Liefbroer AI, Otten R, Olsman E. Spiritual care in palliative care: A systematic review of the recent European literature. Med Sci 2019; 7(2): [25]1-11.
Schill K, Caxaj S. Cultural safety strategies for rural Indigenous palliative care: a scoping review. BMC Palliat Care 2019 Feb 14; 18(1): 21. doi: 10.1186/s12904-019-0404-y.
Bloomer MJ, Botti M, Runacres F, Poon P, Barnfield J, Hutchinson AM. Cultural considerations at end of life in a geriatric inpatient rehabilitation setting. Collegian 2019; 26(1): 165-70. doi.org/10.1016/j.colegn.
07.004.
Songwathana P, Siriphan S. Thai nurses’ cultural competency in caring for clients living in a multicultural setting. Pac Rim Int J Nurs Res Thail[Internet]. 10 Feb 2015 [cited 12 Nov 2019]; 19(1): 19-1. Available from: https://www.tci-thaijo.org/index.php/ PRIJNR/article/view/18965
Lin MH, Wu CY, Hsu HC. Exploring the experiences of cultural competence among clinical nurses in Taiwan. Appl Nurs Res 2019; 45: 6-11.
Sangchart B. Suffering part 1: Fundamental experience of human condition. Journal of Nursing Science and Health 2015; 38(1):131-41. (in Thai)
Hudson P, Hall C, Boughey A, Roulston A. Bereavement support standards and bereavement care pathway for quality palliative care. Palliat Support Care 2018; 16(4): 375-87. doi:10.1017/S1478951517000451.
Srisatidnarakul B. The methodology in nursing research. 5th ed. Bangkok: U & I inter media;2010. (in Thai)
Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health 2006; 29(5): 489-97.
Keeley T, AI-Jannabi H, Lorgelly P, Coast J, A qualitative assessment of the content validityof th ICECAP-A and EQ-5D-5L and Their Appropriateness for Use in Health Research. PLos ONE [serial online] 2013; [cited 2020 Mar 31]. Available from: http://www.doi:10.1371/journal. pone.0085287
Berthelsen H, Hakanen J, Kristensen TS, Lonnblad A, Westerlund H. A qualitative study on the content validity of the social COPSOQ.SJWOP. [serial online] 2016 [cited 2020 mar 31]. Available from: http://www.//dx.doi.org/10.16993/sjwop.5
Downloads
Published
How to Cite
Issue
Section
License
The Journal of Nursing Science and Health is copyright holder of published articles. Distributions of articles published in Journal of Nursing Science and Health including online, photocopying which is not for teaching-learning purpose, publication submission elsewhere are prohibited except obtaining permission from the Journal of Nursing Science and Health.