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Existing theories in cancer care
Published in Carol L. Cox, Maya Zumstein-Shaha, A Theory of Cancer Care in Healthcare Settings, 2017
A. E. Belcher, J. Wenzel Song, M. Zumstein-Shaha
In order to effectively address palliative care needs, clear definitions of what palliative care is and what it is not, will become increasingly important (Baumhover, 2015). Theory work, such as that by Desbiens et al. (2012) and Ferrell et al. (2007), highlight the need for further study of ways in which to positively impact nurses’ and other health care providers’ attitudes about and actions pertaining to palliative care. The End-of-Life Nursing Education Consortium, a national education initiative to improve palliative care, specifically targets oncology providers, along with general geriatric and pediatric populations.
Cancer pain management in the community setting
Published in Nigel Sykes, Michael I Bennett, Chun-Su Yuan, Clinical Pain Management, 2008
Margaret Gibbs, Vicky Robinson, Nigel Sykes, Christine Miaskowski
Unfortunately, no national initiative to provide palliative care services to cancer patients at home exists in the United States. However, recent efforts to build capacity in palliative care are proving fruitful. For example, between 2000 and 2005, the number of hospitals with palliative care services grew by 96 percent, from 632 to 1240 based on data from the 2007 American Hospital Association Annual Survey of Hospitals. In addition, in 2006, the Accreditation Council for Graduate Medical Education (ACGME) in the United States decided to begin accrediting hospice and palliative medicine fellowship programs. Starting in 2008, physicians will for the first time be able to become board certified in hospice and palliative care and the first fellowship programs will be able to seek ACGME accreditation.11 In addition, in terms of nursing education, End-of-Life Nursing Education Consortium (ELNEC-Oncology) in partnership with the Oncology Nursing Society has educated over 50,000 nurses around the United States in the principles and practices of palliative care.12
Development of palliative medicine in the United Kingdom and Ireland
Published in Eduardo Bruera, Irene Higginson, Charles F von Gunten, Tatsuya Morita, Textbook of Palliative Medicine and Supportive Care, 2015
A study published in September 2000 found that the majority of nurse respondents felt that end-of-life content was important to basic nursing. However, 71% of respondents said their pain management education was inadequate, 62% rated their overall content on end-of-life care as inadequate, and 59% rated their education of management of other symptoms as inadequate. This study also found that less than 35% of nurses rated their grief/ bereavement and spiritual support to patients at the end-of-life as effective. Â 13,14 A survey of senior nursing students completed at a major university in the fall of 2001 revealed that less than 5% of students had an end-of-life experience during their schooling. Nursing leaders from both the City of Hope National Medical Center and the Association of American Colleges of Nursing developed a comprehensive nursing education curriculum known as End-of-Life Nursing Education Consortium (ELNEC) for nursing faculty. Â 15 The purpose of the ELNEC, a Robert Wood Johnson Foundation funded project (2000-2004), was to develop and implement a comprehensive national effort to improve endof-life care by nurses through a joint collaboration between the American Association of College of Nursing (AACN) and the City of Hope Cancer Center. Data from a 1-year follow-up of five conferences convened for undergraduate faculty in schools of nursing revealed significant outcomes in a report of implementation in the nursing curriculum including an increase in the amount of content, perceived effectiveness of new graduates and of faculty expertise in end-of-life care, and a broad dissemination of all modules geographically. Â 14 Another study found a positive effect on nursing student attitudes toward care of the dying following use of the ELNEC education package. Â 13
Undergraduate nursing students’ palliative care knowledge and attitudes towards end-of-life care: a cross-sectional descriptive study
Published in Contemporary Nurse, 2020
Delgersuren Gelegjamts, Jae Yong Yoo, Jinhee Kim, Jin Sun Kim
Nursing education on PC in Mongolia could be improved by following recommendations from the European Association for Palliative Care or the End-of-Life Nursing Education Consortium. Moreover, nursing educators in Mongolia could improve their capacity to teach PC courses by attending train-the-trainer sessions. Additionally, nursing schools could change their curricula to include mandatory PC courses or integrate basic PC education into their curricula. Furthermore, addressing teaching strategies may be important in improving the quality of PC education. Mongolia is a large country with a small, widely dispersed population. To ensure the quality of PC education, even in remote areas, the development of an online PC course might be helpful. Previous studies reported that online PC courses positively impacted nurses’ PC knowledge (Broglio & Bookbinder, 2014) and nursing students’ attitudes towards EOL care (Corner et al., 2014). Future research may be necessary to analyze Mongolian nursing schools’ curricula, textbooks, and teaching strategies regarding PC.