The Core Competencies of Nurses Providing Home-based Palliative Care to Patients with Incurable Diseases: A Scoping Review.
Saeideh Ghaffarifar, Masoud Behzadifar, Heshmatolah Heydari
PMID 42483315WHAT IT FOUND
Nurses delivering home-based palliative care need knowledge of disease and health systems, attitudes supporting teamwork and ethics, and skills in pain, symptom, psychological, spiritual, and social care.
These competencies span the whole disease trajectory from diagnosis through death.
Key findings
01Core competencies for nurses providing home-based palliative care are categorized into knowledge, attitude, and skills.
02Knowledge requirements include understanding the philosophy of palliative care, familiarity with incurable diseases, and awareness of the healthcare system structure.
03Skill requirements encompass physical care, psychological care, spiritual care, social support, medication administration, care of dying patients, and communication skills.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review was restricted to English-language publications, which may have excluded valuable studies in other languages. The included studies varied in design and quality, ranging from qualitative studies to systematic reviews and national surveys.
Declared interests
None declared.
The easy way to misread this
This is a scoping review identifying competencies, not an evaluation of whether existing nursing programs successfully teach them. It describes what nurses need to know and do, but does not measure patient outcomes or the effectiveness of specific training methods.