TY - JOUR
T1 - Global Survey of the Roles, Satisfaction, and Barriers of Home Health Care Nurses on the Provision of Palliative Care
AU - Brant, Jeannine M.
AU - Fink, Regina M.
AU - Thompson, Cara
AU - Li, Ya Huei
AU - Rassouli, Maryam
AU - Majima, Tomoko
AU - Osuka, Tomoko
AU - Gafer, Nahla
AU - Ayden, Ayfer
AU - Khader, Khaled
AU - Lascar, Eulalia
AU - Tang, Lili
AU - Nestoros, Sophia
AU - Abdullah, Maihan
AU - Michael, Natasha
AU - Cerruti, Julie
AU - Ngaho, Eric
AU - Kadig, Yolanda
AU - Hablas, Mohamed
AU - Istambouli, Rana
AU - Muckaden, Mary A.
AU - Ali, Mushtaq Najm
AU - Aligolshvili, Bella
AU - Obeidat, Rana
AU - Kunirova, Gulnara
AU - Al-Omari, Ma'An
AU - Qadire, Mohammad
AU - Omran, Suha
AU - Mouhawej, Marie C.
AU - Zouak, Mohcine
AU - Ghrayeb, Ibtisam
AU - Manasrah, Nemeh
AU - Youssef, Alexey
AU - Fernández-Ortega, Paz
AU - Tuncel Oguz, Gonca
AU - Cajucona, Loyoda Amor
AU - Leaphart, Kassie
AU - Day, Alexa
AU - Silbermann, Michael
N1 - Publisher Copyright:
© Copyright 2019, Mary Ann Liebert, Inc., publishers 2019.
PY - 2019/8/1
Y1 - 2019/8/1
N2 - Background: The World Health Assembly urges members to build palliative care (PC) capacity as an ethical imperative. Nurses provide PC services in a variety of settings, including the home and may be the only health care professional able to access some disparate populations. Identifying current nursing services, resources, and satisfaction and barriers to nursing practice are essential to build global PC capacity. Objective: To globally examine home health care nurses' practice, satisfaction, and barriers, regarding existing palliative home care provision. Design: Needs assessment survey. Setting/Subjects: Five hundred thirty-Two home health care nurses in 29 countries. Measurements: A needs assessment, developed through literature review and cognitive interviewing. Results: Nurses from developing countries performed more duties compared with those from high-income countries, suggesting a lack of resources in developing countries. Significant barriers to providing home care exist: personnel shortages, lack of funding and policies, poor access to end-of-life or hospice services, and decreased community awareness of services provided. Respondents identified lack of time, funding, and coverages as primary educational barriers. In-person local meetings and online courses were suggested as strategies to promote learning. Conclusions: It is imperative that home health care nurses have adequate resources to build PC capacity globally, which is so desperately needed. Nurses must be up to date on current evidence and practice within an evidence-based PC framework. Health care policy to increase necessary resources and the development of a multifaceted intervention to facilitate education about PC is indicated to build global capacity.
AB - Background: The World Health Assembly urges members to build palliative care (PC) capacity as an ethical imperative. Nurses provide PC services in a variety of settings, including the home and may be the only health care professional able to access some disparate populations. Identifying current nursing services, resources, and satisfaction and barriers to nursing practice are essential to build global PC capacity. Objective: To globally examine home health care nurses' practice, satisfaction, and barriers, regarding existing palliative home care provision. Design: Needs assessment survey. Setting/Subjects: Five hundred thirty-Two home health care nurses in 29 countries. Measurements: A needs assessment, developed through literature review and cognitive interviewing. Results: Nurses from developing countries performed more duties compared with those from high-income countries, suggesting a lack of resources in developing countries. Significant barriers to providing home care exist: personnel shortages, lack of funding and policies, poor access to end-of-life or hospice services, and decreased community awareness of services provided. Respondents identified lack of time, funding, and coverages as primary educational barriers. In-person local meetings and online courses were suggested as strategies to promote learning. Conclusions: It is imperative that home health care nurses have adequate resources to build PC capacity globally, which is so desperately needed. Nurses must be up to date on current evidence and practice within an evidence-based PC framework. Health care policy to increase necessary resources and the development of a multifaceted intervention to facilitate education about PC is indicated to build global capacity.
KW - cancer
KW - community
KW - home health
KW - nursing
KW - palliative care
UR - http://www.scopus.com/inward/record.url?scp=85070472512&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85070472512&partnerID=8YFLogxK
U2 - 10.1089/jpm.2018.0566
DO - 10.1089/jpm.2018.0566
M3 - Article
C2 - 31380727
AN - SCOPUS:85070472512
SN - 1096-6218
VL - 22
SP - 945
EP - 960
JO - Journal of Palliative Medicine
JF - Journal of Palliative Medicine
IS - 8
ER -