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Hospice nursing: the specialty.

D J Wright1

  • 1School of Nursing, Loma Linda University, California, USA.

Cancer Nursing
|February 24, 2001
PubMed
Summary
This summary is machine-generated.

Experienced hospice nurses require specialized knowledge and skills, including assessment, communication, and palliative care. They primarily acquire these competencies through practical experience, highlighting a need for advanced hospice nursing education.

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Area of Science:

  • Nursing
  • Palliative Care
  • Qualitative Research

Background:

  • Hospice nursing is a specialized field with limited formal education in basic nursing programs.
  • Experienced hospice nurses' perceived knowledge and skills are crucial for effective end-of-life care.
  • Understanding knowledge acquisition methods is vital for developing targeted educational strategies.

Purpose of the Study:

  • To identify and delineate the essential knowledge and skills base for hospice nursing practice.
  • To determine how hospice nurses acquire specialized knowledge and skills.
  • To inform curriculum development and professional education in hospice care.

Main Methods:

  • Focused ethnography, a qualitative research method, was employed.
  • Data were collected from hospice nurses within their community-based agency settings.

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  • Data analysis involved concurrent collection and analysis until data saturation was achieved.

    • Main Results:

    • Eleven emergent categories of knowledge and skills were identified.
    • Key skill categories included assessment, communication, technical, and management skills.
    • Knowledge categories encompassed end-stage disease, palliative therapeutics, ethics, and family dynamics, with assessment skills most frequently observed.

    Conclusions:

    • Hospice nurses primarily learn their specialty through hands-on experience.
    • There is a clear need for graduate-level education in hospice nursing to formalize and advance the specialty.
    • The findings underscore the importance of practical experience complemented by structured academic preparation.