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Non-specialist palliative care: A principle-based concept analysis.

Mary Nevin1, Valerie Smith1, Geralyn Hynes1

  • 1School of Nursing and Midwifery, Trinity College Dublin, The University of Dublin, Ireland.

Palliative Medicine
|April 25, 2019
PubMed
Summary

Non-specialist palliative care is crucial for chronic illness patients but lacks clear definition and consistent application. Further research is needed to define and measure this essential healthcare approach.

Keywords:
Palliative carebasic palliative careconcept analysisconcept formationgeneralist palliative carenon-specialist palliative care

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Area of Science:

  • Palliative Care Research
  • Healthcare Concept Analysis
  • Chronic Illness Management

Background:

  • Non-specialist palliative care is vital for improving care for chronic illness patients.
  • Inconsistent terminology and international variations hinder consistent application of palliative care.
  • A clear understanding of non-specialist palliative care is needed.

Purpose of the Study:

  • To enhance conceptual, theoretical, and operational understanding of non-specialist palliative care.
  • To clarify the definition and application of non-specialist palliative care.
  • To address the need for a systematic exploration of non-specialist palliative care.

Main Methods:

  • A principle-based concept analysis was employed.
  • Analysis considered epistemological, pragmatic, logical, and linguistic principles.
  • Extensive literature searches included major databases and grey literature.

Main Results:

  • Essential attributes of non-specialist palliative care were identified but poorly understood and measured.
  • The concept is linked to quality of life, holism, and patient-centered care.
  • Blurred roles with specialist palliative care and conceptual immaturity were noted.

Conclusions:

  • Non-specialist palliative care is conceptually immature, posing challenges for healthcare practitioners.
  • Clearer definitions and measurement strategies are needed for effective planning and delivery.
  • Further research is warranted to establish a robust framework for non-specialist palliative care.