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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
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Experiences with a Shared Position Between Specialized and Basic Palliative Care: A Qualitative Study.

Helle Nordestgaard Matthiesen1, Josefine Maria Bruun2, Mette Asbjoern Neergaard3

  • 1Section for Specialist Palliative Care, Aarhus University Hospital, Denmark; Department of Oncology, Aarhus University Hospital, Denmark.

Seminars in Oncology Nursing
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PubMed
Summary
This summary is machine-generated.

Shared nursing positions enhance palliative care continuity and mutual learning between specialized and basic units. However, these roles can cause professional strain and role conflicts for nurses.

Keywords:
Active learningHospital shared servicesInterviewPalliative careShared position

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Area of Science:

  • Palliative Care Nursing
  • Healthcare Management
  • Organizational Psychology

Background:

  • Shared nursing positions between specialized and basic palliative care units may improve care trajectories and nursing competencies.
  • Little is known about the practical experiences of nurses in these dual roles.

Purpose of the Study:

  • To explore and describe the experiences of nurses in shared positions between specialized and basic inpatient palliative care units.

Main Methods:

  • Qualitative study using field notes and interviews with a specialized nurse, managers, and colleagues.
  • Analysis employed Kvale and Brinkmann's qualitative approach for in-depth understanding.

Main Results:

  • Mutual learning and improved patient continuity were observed when nurses followed patients across settings.
  • Nurses reported professional satisfaction but also experienced energy drain, role conflicts, and feelings of inadequacy.
  • Challenges included lack of continuity in specialized units and limited co-determination.

Conclusions:

  • Shared nursing positions offer opportunities for enhanced learning and patient continuity in palliative care.
  • Limitations include professional strain and potential for role conflict, questioning the sole reliance on individual staff for shared responsibilities.
  • Development of systematic collaboration models between basic and specialized palliative care is recommended.