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Nurses' needs in delivering palliative care for long-term conditions
Gillian Tomison1, Joan R S McDowell
1NHS Tayside, Cornhill Macmillan Center. gill.tomison@nhs.net
British Journal of Community Nursing
|June 7, 2011
Summary
Community nurses require strong therapeutic relationships, adequate resources, coordinated care, and collaboration to effectively provide palliative care for individuals with long-term conditions. Meeting these needs is crucial for optimal patient support.
Area of Science:
- Nursing
- Palliative Care
- Healthcare Management
Background:
- Community nurses play a vital role in delivering palliative care.
- Patients with long-term conditions often require ongoing palliative support.
- Understanding nurses' needs is essential for improving care delivery.
Purpose of the Study:
- To explore the needs of community nurses in providing palliative care to patients with long-term conditions.
- To identify key factors influencing the effectiveness of community nursing in palliative care.
Main Methods:
- Qualitative exploratory descriptive design.
- Purposive sampling of ten community nurses (Band 5-7).
- Semi-structured interviews analyzed using an adapted Burnard's framework.
Main Results:
- Nurses identified needs in establishing therapeutic relationships, accessing resources, coordinating clinical care, and collaborative working.
- Lack of resources, educational needs, and late referrals were significant challenges.
- Meeting identified needs was perceived as essential for effective palliative care delivery.
Conclusions:
- Addressing the identified needs of community nurses can enhance palliative care for long-term conditions.
- Improved resource allocation, education, and referral processes are recommended.
- Strengthening collaborative working is key to optimizing community nursing palliative care services.
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