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Question

Palliative Care in Nursing Pre-Registration

Topic Title:

The benefit of incorporating palliative care education into the pre-registration nursing curriculum:   a systematic review.

Aim:

The aim of the review was to explore the benefits of incorporating palliative care (PC) into the pre-registration nursing education curriculum.

Objectives:

The specific object of the current review was to investigate the following:

·        How incorporating PC in pre-registration nursing education improves the skillset of practising nurses.

·        How incorporating PC in pre-registration nursing education improves the knowledge of practising nurses.

   The databases included CINAHL, MEDLINE, and EMBASE.

-         You can add PubMed or Cochrane if needed.

Table 1.1 Search String

Concept 1

 

 

 

AND

Concept 2

 

 

 

AND

Concept 3

Palliative care

OR

Supportive care

OR

Hospice care

OR

End of life care

OR

Terminal care

 

Nursing curriculum

OR

pre-registration nursing

OR

undergraduate nursing

OR

nursing education

OR

nursing baccalaureate

Benefit

OR

Skill*

OR

 Knowledge

OR

 Practice

OR

 Importance

OR

 Impact

OR

 Effect*

·        Compulsory term  /   Optional term

Table 1.2 Database Search

Databases

Number of studies retrieved

CINAHL

 

MEDLINE

EMBASE

 

Total number of articles retrieved

 

 

Expert Solution

Incorporating Palliative care in pre-registration nursing education enhances the skillset of practicing nurses, which plays a pivotal role in improving patients’ quality of life by enhancing the ability to accomplish personalized goals, including social support and system control. This skillset enables practicing nurses set realistic expectations in their profession through exercising impeccable communication. Including palliative care in nursing pre-registration denote the initial phase in commencing a strategic palliative care service line in engaging medical professional champions and organizational leadership (Lim and Noble-Jones, 2018). Frequently, practicing nurses advocate for novel PC service lines or programs in response to requests and demands from existing medical professionals. Engaging these medical frontline stakeholder’s links simultaneously as core petition institutional leadership for financial support can be significantly effective in establishing support for the implementation of novel service lines. Making the financial case for the incorporation of palliative care in patients suffering from varied disorders will not be a challenge. There is a shred of extensive evidence in support of palliative care’s role in upholding results around the quality of medical care, provider satisfaction, patient satisfaction, and healthcare utilization.

These published outcomes can be supplemented by examination of local data, which encompass clinical volumes by disease diagnosis, acute admissions, ICU or hospital length of stay, frequency of moderate to severe symptoms, rate of advance directive completion, and hospice utilization (Lim and Noble-Jones, 2018). Incorporating palliative care in nursing pre-registration influences the subjective reports from healthcare stakeholders, including patients, families, and nurses on the care gaps, which can be compelling information when advocating for resource allocation to the novel palliative care service lines. This concept triggers the involvement of organizational leadership, which is vital in understanding and aligning palliative care service line objectives with those of the larger healthcare institution.

The incorporation of Palliative care nurses’ pre-registration demonstrates an integrative and multidisciplinary treatment strategy that influences patients in maintaining mental, physical, and emotional health. Health professionals can take a long time to comprehend the necessity of every patient for them to offer treatment plans that grant lasting relief. Incorporation of PC in pre-registration influences the accomplishment of a conceptual alignment between institutional and PC leadership, which ultimately triggers early planning that characterizes a focused needs examination to identify what different patients, clinicians, families, and healthcare institutions want and require the most from the palliative care team (Lim and Noble-Jones, 2018). There are wide-ranging reasons to initiate palliative care programs, and incorporating PC in nursing pre-registration denotes a significant inaugural program to address the overall possible necessities from the start. Building an all-inclusive PC program across healthcare settings can takes years to decades. Professional knowledge in PC is significant in starting a novel palliative care program since it underscores the importance of identifying a focused care team whose primary goal entails addressing high-standard patient care or provider practice requirements.

Incorporating Palliative care in pre-registration nursing education enhances the degree of management of the multifaceted, time-consuming illness-related pain, particularly in the setting of snowballing monitoring requirements around therapeutic prescribing. Enhancing the skillset of medical nursing trainees guarantees effective utilization of hospice care, encompassing minimal rates of referrals and lengths of stay on hospice care (Lim and Noble-Jones, 2018). This strategy influence minimization of psychological distress in patients and their families around coming to terms with the diverse challenges of ailments such as cancer care. Incorporating Palliative care in pre-registration nursing education enhances the degree and facilitation of conversations around medical care goals and predetermined preferences in ailing patients along with the length of hospital stays or those distinguished as high utilizers of healthcare resources.

Palliative care provider education is integral to high-quality care, and palliative certification guarantees a robust knowledge base for the interdisciplinary team, encompassing practicing nurses (Lim and Noble-Jones, 2018). Incorporating Palliative care in pre-registration nursing education enhances denotes the probable availability of palliative care programs that characterize numerous resources in terms of human capital to influence the determination of assessment and improvement strategies to enhance quality healthcare. Organizations such as the American Society for Clinical Oncology (ASCO) are characterized by palliative care professionals, which enables them to issue applicable guidelines for palliative care in the universal setting, characterized by the availability of healthcare resources (Shoemaker and McInnes, 2022). This parameter outlines high-quality palliative care for patients ailing from diversified diseases in constrained settings under different healthcare models. Consistent among the overall standards and guidelines are requirements or recommendations including interdisciplinary care as a fundamental necessity to identify and address psychological, physical, spiritual, and social aspects of healthcare. Impacting nursing students with palliative care skills ensure that the commencement of PC diagnosis and the outcomes align with the healthcare goal of providing high-quality healthcare services to the community since a palliative care or oncology team together with a palliative care consultation team is locally available. Availability of palliative care nursing professionals guarantees that the provided palliative care is done in accordance with the established evidence-based local and universal guidelines.

Incorporating palliative care in pre-registration nursing education influence the improvement of knowledge in practicing nurses. Palliative care knowledge triggers the development of palliative programs, which are essential for including an evaluation structure, procedures, and outcomes of the model from its onset. Knowledge-based practices guarantee the provision of the best healthcare services at all care levels to those necessitating it the most. Significantly, PC knowledge among nursing practitioners denotes a perpetual examination that identifies the best opportunities and practices for healthcare quality improvement initiatives. This provision triggers quality improvement projects tailored towards improving healthcare in a specific area, including AD completion accuracy. Palliative care incorporation in nursing education serves as quality improvement projects that are best achieved by a multidisciplinary professional team of active stakeholders who wish to simplify the sustainable transition. Basic quality identification encompasses the identification of a problem of concern, and defining and measuring goals.

Reference list

Lim, D.A. and Noble-Jones, R., 2018. Interprofessional education (IPE) in clinical practice for pre-registration nursing students: A structured literature review. Nurse Education Today68, pp.218-225.

Shoemaker, L. and McInnes, S., 2022. Starting a Palliative Care Program at a Cancer Center. In The Comprehensive Cancer Center (pp. 107-120). 

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