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Improving district nurses' confidence and knowledge in the priniciples and practice of palliative care

Improving district nurses' confidence and knowledge in the priniciples and practice of palliative care
Improving district nurses' confidence and knowledge in the priniciples and practice of palliative care
Aim: this paper is a report of part of an evaluation of the impact of a national palliative care education and support programme on the knowledge and confidence of members of district nursing teams.

Background: district nursing teams are the mainstay of 'hands on' provision of care at home. In recognition of their central role, the English Department of Health commissioned a national palliative care education programme as postregistration education had been limited.

Methods: the evaluation, conducted between 2002 and 2004, had a mixed methods design. In the summative component, 1280 nurses were randomly selected from eight cancer networks to receive postal questionnaires 1 year apart, before and after the educational intervention. Changes in scores were calculated and a multiple regression analysis undertaken to identify predictors of improvement in confidence in competence and knowledge. The formative component involved qualitative interviews with a sub-sample of 39 district nurses participating in the programme.

Findings: nurses who responded in both years (374/32%) were included in the analysis. There was a small statistically significant increase in confidence in palliative care competency and knowledge after participation in the educational programmes. Nurses without district nursing qualifications and who had never worked in specialist palliative care had the largest improvements in scores. Qualitative data supported these findings.

Conclusion: the findings suggest that the education programme led to improvements in self-reported district nursing confidence in palliative care competencies and knowledge; it is likely that the baseline level of palliative care confidence in competency and knowledge has as a result been raised nationally
0309-2402
494-505
Shipman, Cathy
4508f5e7-c5b1-4955-af5d-431878d74e1a
Burt, Jenni
af1903e7-2bb8-464d-8e82-ec1076fdbb2e
Ream, Emma
cac5aaf5-797c-4aff-b86f-ea717ac178fa
Beynon, Teresa
3a03b742-eaaa-4e28-8568-7938136ce0bf
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Addington-Hall, Julia
87560cc4-7562-4f9b-b908-81f3b603fdd8
Shipman, Cathy
4508f5e7-c5b1-4955-af5d-431878d74e1a
Burt, Jenni
af1903e7-2bb8-464d-8e82-ec1076fdbb2e
Ream, Emma
cac5aaf5-797c-4aff-b86f-ea717ac178fa
Beynon, Teresa
3a03b742-eaaa-4e28-8568-7938136ce0bf
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Addington-Hall, Julia
87560cc4-7562-4f9b-b908-81f3b603fdd8

Shipman, Cathy, Burt, Jenni, Ream, Emma, Beynon, Teresa, Richardson, Alison and Addington-Hall, Julia (2008) Improving district nurses' confidence and knowledge in the priniciples and practice of palliative care. Journal of Advanced Nursing, 63 (5), 494-505. (doi:10.1111/j.1365-2648.2008.04729.x).

Record type: Article

Abstract

Aim: this paper is a report of part of an evaluation of the impact of a national palliative care education and support programme on the knowledge and confidence of members of district nursing teams.

Background: district nursing teams are the mainstay of 'hands on' provision of care at home. In recognition of their central role, the English Department of Health commissioned a national palliative care education programme as postregistration education had been limited.

Methods: the evaluation, conducted between 2002 and 2004, had a mixed methods design. In the summative component, 1280 nurses were randomly selected from eight cancer networks to receive postal questionnaires 1 year apart, before and after the educational intervention. Changes in scores were calculated and a multiple regression analysis undertaken to identify predictors of improvement in confidence in competence and knowledge. The formative component involved qualitative interviews with a sub-sample of 39 district nurses participating in the programme.

Findings: nurses who responded in both years (374/32%) were included in the analysis. There was a small statistically significant increase in confidence in palliative care competency and knowledge after participation in the educational programmes. Nurses without district nursing qualifications and who had never worked in specialist palliative care had the largest improvements in scores. Qualitative data supported these findings.

Conclusion: the findings suggest that the education programme led to improvements in self-reported district nursing confidence in palliative care competencies and knowledge; it is likely that the baseline level of palliative care confidence in competency and knowledge has as a result been raised nationally

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More information

Published date: September 2008

Identifiers

Local EPrints ID: 69377
URI: https://eprints.soton.ac.uk/id/eprint/69377
ISSN: 0309-2402
PURE UUID: 1e4d00d9-507c-4cec-81de-16d8a7945690
ORCID for Alison Richardson: ORCID iD orcid.org/0000-0003-3127-5755

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Date deposited: 10 Nov 2009
Last modified: 10 Dec 2019 01:40

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