Related Experiment Video
Updated: Aug 25, 2025

Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
Development of a Primary Palliative Nursing Care Competence Model and Assessment Tool: A Mixed-Methods Study
1About the Authors Megan P. Lippe, PhD, RN, is an associate professor, University of Texas Health Science Center San Antonio School of Nursing, San Antonio, Texas. She was with the University of Alabama Capstone College of Nursing when this study was conducted. Andra Davis, PhD, RN, is an associate professor, University of Portland School of Nursing, Portland, Oregon. She was with Washington State University School of Nursing when this study was conducted. The authors thank Dr. Shandeigh Berry, Dr. Celestina Barbosa-Leiker, Dr. Jessica Henderson, and Alexandra Stanley for their assistance with the study. We also extend our gratitude to our expert panelists (Drs. Betty Ferrell, Polly Mazanec, Linda Ward, Seiko Izumi, and Mandy Kirkpatrick, and Mrs. Connie Dahlin) and our focus group participants for their valuable contributions. This project was funded by the National League for Nursing Dorothy Otto Research Award. For more information, contact Dr. Lippe at lippe@uthscsa.edu .
Aim:
The purpose of this study was to develop a new primary palliative nursing care (PPNC) competence model and assessment tool.
Background:
Consensus guidelines, a national position statement, and new nursing program accreditation standards require nurses to be educated in providing PPNC. A means to assess PPNC competence for prelicensure nursing students and entry-level nurses is needed.
Method:
The mixed-methods study utilized a three-phase design encompassing in-depth document analysis and expert workgroups; focus groups with palliative care educators, practitioners, and administrators; and stakeholder focus groups.
Results:
Findings across all phases resulted in development of a PPNC competence model and assessment tool, each composed of nine domains and associated competency statements.
Conclusion:
There is a global imperative for nurses to provide high-quality PPNC. Both the model and assessment tool are vital to develop a nursing workforce with the skills to care for persons with serious illness and their families.
Related Concept Videos
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
Nursing Assessment
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
Aims Of Nursing
The Professional Nurse
Communication skills: These are critical characteristics, especially speaking and listening.
Planning Nursing Care I
Ethical Issues
Ethical Concerns in Healthcare:

