Agustina Hana Rizmadewi, Purba Chandra Isabella Hostanida, Eriyani Theresia, Haroen Hartiah, Fitri Siti Ulfah Rifa'atul, Alshammari Muna A, Azwadina Aliffa, Ramdhani Muhammad Zaky
Department of Fundamental Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia.
Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia.
J Multidiscip Healthc. 2025 Apr 24;18:2271-2280. doi: 10.2147/JMDH.S501701. eCollection 2025.
Palliative care is essential for improving the quality of life for patients with life-threatening illnesses and their families. However, access remains limited, especially in lower-middle-income countries. Education plays a vital role in developing quality palliative care services and is crucial for cultivating competencies that enhance the delivery of care. Meanwhile, its integration into nursing curricula is inconsistent, particularly in the Asia-Pacific region. This scoping review explores core palliative care competencies for undergraduate nursing students in the Asia-Pacific region, aiming to identify, develop, and integrate these competencies into nursing education and practice. The review followed Arksey and O'Malley's five-stage framework, including a comprehensive search of databases and search engines such as PubMed/MEDLINE, CINAHL, PsycINFO, Scopus, Google Scholar, ProQuest, ResearchGate, and Academic-Edu. The study included 23 articles published from 2012 to 2023, focusing on empirical data and theoretical models related to palliative care education in the Asia-Pacific region. The review identified key palliative care competencies, including holistic care, conceptual knowledge, communication, collaboration, and emotional preparedness for death. Barriers to integration include limited resources, insufficient trained educators, and inadequate clinical placements. Facilitators include positive clinical experiences and exposure to palliative care environments, which enhance students' competencies and attitudes. There is a significant need to standardize and strengthen the integration of palliative care competencies in nursing curricula across the Asia-Pacific region. By adopting innovative teaching methods and ensuring comprehensive education, nursing students can be better prepared to deliver high-quality, patient-centered palliative care, ultimately improving patient outcomes and addressing the growing need for these services.
姑息治疗对于提高患有危及生命疾病的患者及其家属的生活质量至关重要。然而，其可及性仍然有限，尤其是在中低收入国家。教育在发展高质量姑息治疗服务中发挥着至关重要的作用，对于培养提高护理服务能力也至关重要。与此同时，将其纳入护理课程的情况并不一致，特别是在亚太地区。本范围综述探讨了亚太地区本科护理学生的核心姑息治疗能力，旨在确定、发展这些能力并将其纳入护理教育与实践。该综述遵循了阿克西和奥马利的五阶段框架，包括全面搜索数据库和搜索引擎，如PubMed/MEDLINE、CINAHL、PsycINFO、Scopus、谷歌学术、ProQuest、ResearchGate和Academic-Edu。该研究纳入了2012年至2023年发表的23篇文章，重点关注与亚太地区姑息治疗教育相关的实证数据和理论模型。该综述确定了关键的姑息治疗能力，包括整体护理、概念知识、沟通、协作以及对死亡的情绪准备。整合的障碍包括资源有限、受过培训的教育工作者不足以及临床实习安排不当。促进因素包括积极的临床经验和接触姑息治疗环境，这可提高学生的能力和态度。非常有必要在亚太地区的护理课程中规范和加强姑息治疗能力的整合。通过采用创新的教学方法并确保全面教育，护理学生可以更好地准备好提供高质量的、以患者为中心的姑息治疗，最终改善患者结局并满足对这些服务日益增长的需求。
