Canning Deebs, Rosenberg John P, Yates Patsy
Marie Curie Cancer Care and Thames Valley University, London, UK.
Int J Palliat Nurs. 2007 May;13(5):222-9. doi: 10.12968/ijpn.2007.13.5.23492.
There has been limited research into the scope or standards of specialist palliative care nursing practice in an Australian context. This study sought to develop a competency framework that described the core domains of specialist palliative care nursing. This article explores one key domain of specialist palliative care nursing practice - therapeutic relationships - that was identified as underpinning other domains of practice. A mixed method was used, involving a literature review, a survey including practice exemplars and an interview of specialist palliative care nurses. Seventy-four registered nurses working in designated specialist palliative care nursing roles from each Australian state and mainland territory were involved. The nurses represented metropolitan, regional, rural and remote communities, various inpatient facilities and community practice settings. Five core domains of specialist palliative care nursing practice were identified: complex supportive care, collaborative practice, leadership, improving practice and therapeutic relationships. Therapeutic relationships were identified as the central domain of specialist palliative care nursing practice to which all other domains were inextricably linked.
在澳大利亚的背景下，对专科姑息治疗护理实践的范围或标准的研究有限。本研究旨在制定一个能力框架，描述专科姑息治疗护理的核心领域。本文探讨了专科姑息治疗护理实践的一个关键领域——治疗关系，该领域被确定为其他实践领域的基础。采用了混合方法，包括文献综述、包含实践范例的调查以及对专科姑息治疗护士的访谈。来自澳大利亚每个州和大陆领地、担任指定专科姑息治疗护理角色的74名注册护士参与其中。这些护士代表了大都市、地区、农村和偏远社区、各种住院设施以及社区实践环境。确定了专科姑息治疗护理实践的五个核心领域：复杂支持性护理、协作实践、领导力、改进实践和治疗关系。治疗关系被确定为专科姑息治疗护理实践的核心领域，所有其他领域都与之紧密相连。
