Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.
Department of Medical Oncology, Amsterdam University Medical Centers, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
BMC Palliat Care. 2021 Feb 18;20(1):34. doi: 10.1186/s12904-021-00726-1.
One of the strategies to promote the quality of palliative care in non-specialised settings is the appointment of palliative care nurse champions. It is unclear what the most effective model to implement the concept of nurse champions is and little is known about palliative care nurse champions' own views on their role and responsibilities. This paper aims to describe views of palliative care nurse champions in hospitals and home care on their role, responsibilities and added value.
In 2018, a qualitative interview study was conducted with 16 palliative care nurse champions in two hospitals and four home care organisations in the southwest of the Netherlands. The framework approach was used to analyse the data.
Most palliative care nurse champions described their role by explaining concrete tasks or activities. Most nurse champions perceive their main task as disseminating information about palliative care to colleagues. A few nurses mentioned activities aimed at raising awareness of palliative care among colleagues. Most nurses were to a limited extent involved in collaboration with the palliative care expert team. Hospital nurse champions suggested that more support from the palliative care expert team would be helpful. Most nurse champions feel little responsibility for organisational tasks and inter-organisational collaboration. Especially hospital nurses found it difficult to describe their role.
The role of palliative care nurse champions in hospital and home care varies a lot and nurses have diverging views on palliative care in these settings. Comprehensively fulfilling the role of palliative care nurse champion is a challenge. Careful selection, training, support and task descriptions for nurse champions are needed to make the concept of nurse champions work in palliative care.
在非专科环境中提高姑息治疗质量的策略之一是任命姑息治疗护士冠军。目前尚不清楚实施护士冠军概念的最有效模式是什么，也不太了解姑息治疗护士冠军对自身角色和职责的看法。本文旨在描述医院和家庭护理中姑息治疗护士冠军对其角色、职责和附加值的看法。
2018 年，在荷兰西南部的两家医院和四家家庭护理机构中，对 16 名姑息治疗护士冠军进行了定性访谈研究。采用框架方法对数据进行分析。
大多数姑息治疗护士冠军通过解释具体任务或活动来描述自己的角色。大多数冠军认为自己的主要任务是向同事传播姑息治疗信息。少数护士提到了旨在提高同事对姑息治疗认识的活动。大多数护士在一定程度上参与了姑息治疗专家团队的合作。医院护士冠军建议姑息治疗专家团队提供更多支持。大多数护士冠军对组织任务和跨组织合作的责任有限。特别是医院护士发现很难描述自己的角色。
医院和家庭护理中姑息治疗护士冠军的角色差异很大，护士对这些环境中的姑息治疗有不同的看法。全面履行姑息治疗护士冠军的角色是一项挑战。需要对护士冠军进行精心的选拔、培训、支持和任务描述，以使护士冠军的概念在姑息治疗中发挥作用。
