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Nursing competencies across different levels of palliative care provision: a systematic integrative review with thematic synthesis

dc.contributor.authorHökkä, Minna
dc.contributor.authorPereira, Sandra
dc.contributor.authorPölkki, Tarja
dc.contributor.authorKyngäs, Helvi
dc.contributor.authorHernández-Marrero, Pablo
dc.date.accessioned2020-07-01T11:39:52Z
dc.date.available2020-07-01T11:39:52Z
dc.date.issued2020
dc.description.abstractBackground: Palliative care exists in diverse healthcare settings. Nurses play a crucial role in its provision. Different levels of palliative care provision and education have been recognized in the literature. Therefore, nurses need a set of various competencies to provide high-quality palliative care. Aims: To systematically synthesize the empirical evidence of (1) nursing competencies needed in palliative care and (2) whether these competencies differ across the level of palliative care. Design: Systematic integrative review with thematic synthesis. Prospero: CRD42018114869. Data sources: CINAHL, PubMed, Academic Search Premier, Scopus and Medic databases. Studies on nursing competencies linked to palliative care reported in English, Swedish, Finnish, Spanish, Portuguese or German were considered. Search terms: ‘palliative care or hospice care or end-of-life care’, ‘competency or professional competence or skills’ and ‘nursing’. Articles were independently screened and reviewed by two researchers. Quality appraisal was conducted following Hawker’s criteria. Results: A total of 7454 articles were retrieved, 21 articles were included in the analysis. Six diverse nursing competencies dimensions, namely leadership, communication, collaboration, clinical, ethico-legal and psycho-social and spiritual were identified. The reports rarely defined the level of palliative care and covered a wide array of healthcare settings. Conclusion: Nurses need a wide range of competencies to provide quality palliative care. Few studies focused on which competencies are relevant to a specific level of palliative care. Further research is needed to systematize the nursing competencies and define which nursing competencies are central for different levels of palliative care to enhance palliative care development, education and practice.pt_PT
dc.description.versionN/Apt_PT
dc.identifier.citationHökkä, M., Martins Pereira, S., Pölkki, T., Kyngäs, H., Hernández-Marrero, P. (2020). Nursing competencies across different levels of palliative care provision: a systematic integrative review with thematic synthesis. Palliative Medicine, art. n.º 0269216320918798pt_PT
dc.identifier.doi10.1177/0269216320918798pt_PT
dc.identifier.eid85085387397
dc.identifier.eissn1477-030X
dc.identifier.issn0269-2163
dc.identifier.pmid32452294
dc.identifier.urihttp://hdl.handle.net/10400.14/30766
dc.identifier.wos000536218100001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSAGE Publicationspt_PT
dc.subjectPalliative carept_PT
dc.subjectProfessional competencept_PT
dc.subjectCompetenciespt_PT
dc.subjectNursingpt_PT
dc.subjectSystematic integrative reviewpt_PT
dc.titleNursing competencies across different levels of palliative care provision: a systematic integrative review with thematic synthesispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titlePalliative Medicinept_PT
person.familyNameHökkä
person.familyNameMartins Pereira
person.familyNamePölkki
person.familyNameHernández-Marrero
person.givenNameMinna
person.givenNameSandra
person.givenNameTarja
person.givenNamePablo
person.identifierN-3873-2015
person.identifier.ciencia-idFA1A-47B9-5AE5
person.identifier.orcid0000-0002-3343-4839
person.identifier.orcid0000-0003-4113-8957
person.identifier.orcid0000-0002-8301-9537
person.identifier.orcid0000-0002-8893-3491
person.identifier.ridN-3890-2015
person.identifier.ridI-8065-2015
person.identifier.ridN-3873-2015
person.identifier.scopus-author-id24169551000
person.identifier.scopus-author-id16417188300
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication.latestForDiscovery60b77242-ab9e-45f4-8f73-3e6b67d68067

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