Nurse Prescriber and Macmillan End of Life Education Nurse/Clinical Nurse Specialist, Palliative Care Team, West Suffolk NHS Foundation Trust, Bury St Edmunds.
Br J Nurs. 2021 Feb 25;30(4):244-249. doi: 10.12968/bjon.2021.30.4.244.
Palliative and end-of-life care skills for nurses in acute care are dependent on the level of training received. Hospices are seen as fountains of knowledge in end-of-life and complex care issues.
This study evaluated peer learning between registered nurses (RNs) at West Suffolk Foundation Trust and St Nicholas Hospice Care. Six acute and six hospice nurses spent 1 week each, over a 6-month period, shadowing in the opposite of their usual acute or hospice setting.
The study used an action research approach. Reflective diaries, questionnaires and evaluation forms provided feedback, giving nursing practice perspectives on learning gained during the shadowing process.
Key features were improved knowledge in medications for symptom management in end of life; understanding holistic assessments to enhance patient care; key competencies completed.
This study led to the development of the West Suffolk Foundation Trust 2-day shadowing model offering access to end-of-life care learning.
急症护理护士的姑息治疗和临终关怀技能取决于所接受的培训水平。临终关怀和复杂护理问题的专业知识通常被认为来自临终关怀机构。
本研究评估了萨福克西部基础信托基金会和圣尼古拉临终关怀的注册护士（RN）之间的同伴学习。六名急症病房护士和六名临终关怀病房护士在六个月的时间里，每周各花一周时间，在常规的急症或临终关怀环境之外进行跟班学习。
该研究采用行动研究方法。反思日记、问卷调查和评估表提供了反馈，从护理实践的角度了解了在跟班学习过程中获得的学习成果。
主要特点是改善了临终关怀时药物管理症状方面的知识；理解了整体评估以加强患者护理；完成了关键能力。
本研究导致了萨福克西部基础信托基金会为期两天的跟班学习模式的发展，为临终关怀学习提供了机会。
