Abstract
Aim: The purpose of this research is to examine the relationship between the clinical nursing competence and nursing occupational experience in hospice/palliative care nurses (HPN) in Japan. Methods: A mail survey using an anonymous self-administered questionnaire was conducted on clinical nursing competence regarding communication, care and prediction of worsening of symptoms with the authors’ previous research as a framework. The subjects were nurses working in hospice/palliative care units in Japan, and the period of survey was January to February, 2014. Results: In this study, the relationship between the clinical nursing competence and nursing occupational experience of HPNs in hospice/palliative care which was clarified in the authors’ previous research was examined. The results showed that the amount of clinical nursing experience as a nurse was related to clinical nursing competence in the care of end-of-life patients and worsening of symptoms. The abundance of specialized nursing experience was also related to clinical nursing competence in communication in addition to care and prediction of worsening of symptoms. Training experience was also shown to be effective for hospice/palliative care. Conclusion: From these results, clinical nursing competence of HPNs in care of end-of-life patients and prediction of worsening of symptoms are possibly learned through the accumulation of clinical nursing experience as a nurse. However, HPN’s clinical nursing competence in communication was suggested to be developed through nursing practice in hospice/palliative care.
Highlights
There are many patients who require hospice/palliative care in Japan, including those with cancer
This shows that it is highly likely that abundant clinical nursing experience of an hospice/palliative care nurses (HPN) influences clinical nursing competence in caring for end-of-life patients and predicting worsening of symptoms, and we infer that these competencies are learned through accumulated clinical nursing experience
The results showed that the amount of clinical nursing experience as a nurse was related to clinical nursing competence in the care of end-of-life patients and worsening of symptoms
Summary
There are many patients who require hospice/palliative care in Japan, including those with cancer. High quality nursing skills is especially needed in hospice/palliative care facilities, as places where end-of-life patients receive care. The authors conduct qualitative research on the characteristics of nursing for end-of-life patients, using nurses other than specialized and certified nurses working in hospice/palliative care units as subjects. The results show that hospice/palliative care requires outstanding clinical nursing competence while supporting patients who are approaching a natural death [1]. Specialized nurses and certified nurses for end-of-life care are gradually increasing in Japan [2], but general nurses are numerous. Clinical nursing competence has been reported to increase with years of experience [7]-[9] This is the result from examining the years of service as general nurses, but we have not found any reports examining nursing occupational experience in hospice/palliative care units
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