Integration of a Palliative Approach in Home, Acute Medical, and Residential Care Settings: Findings From a Province-Wide Survey

<p>Supporting people with advancing chronic and life‐limiting1 conditions will be a dominant challenge for healthcare delivery in the next half‐century. The Initiative for a Palliative Approach in Nursing: Evidence and Leadership (www.iPANEL.ca) is a practice‐relevant nursing health services research initiative funded by the Michael Smith Foundation for Health Research to inform how we can best integrate a palliative approach2 into the care of people with advancing chronic life‐limiting conditions.</p> <p>This iPANEL report focuses on findings from a mixed methods province‐wide survey designed to obtain baseline descriptive information relevant to the integration of a palliative approach from Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Healthcare Workers (HCWs) in acute medical care units, residential care facilities, and home care settings. The report provides results pertaining to the following objectives:</p> <p>To describe how nurses use principles of a palliative approach in hospital, residential and homecare settings that do not specialize in palliative care.</p> <p>To describe educational preparation and competencies in a palliative approach as perceived by RNs, LPNs, care aids and community health workers.</p> <p>The survey included 114 randomly selected healthcare settings equally drawn from a listing of all eligible settings in five regional health authorities. A total of 1,468 RNs, LPNs, and HCWs across urban and rural settings completed the survey questionnaire. Additionally, 25 nurses (either RNs or LPNs), and 5 HCWs participated in follow‐up qualitative interviews.</p>

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