Abstract
BACKGROUND: Nurses and certified nursing assistants (CNA) have a crucial role in 24/7 continuity of palliative care for many vulnerable patients and families, however, their perspective has been largely omitted in reported barriers to palliative care.
AIM: To describe barriers to ideal palliative care that are specific to nurses and CNAs working in all care settings.
METHODS: A cross-sectional, online survey was distributed to members of the Dutch Nurses' Association.
FINDINGS: Almost 50% of the participating 2377 nurses and CNAs experienced more than five barriers to ideal palliative care in their work situation; nurses and CNAs employed in regional hospitals, mental healthcare and nursing home settings encountered more barriers than those working in other settings.
CONCLUSION: The three most common barriers were: lack of proactive care planning, lack of internal consultation possibilities and lack of assessment of care recipients' preferences and needs for a seamless transition to another setting.
| Original language | English |
|---|---|
| Pages (from-to) | 294-305 |
| Number of pages | 12 |
| Journal | International journal of palliative nursing |
| Volume | 25 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2 Jun 2019 |
Keywords
- Multidisciplinary team
- Nurse practitioners
- Palliative care
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