A mobile hospice nurse teaching team’s experience: training care workers in spiritual and existential care for the dying - a qualitative study
Identifieur interne : 000047 ( Pmc/Checkpoint ); précédent : 000046; suivant : 000048A mobile hospice nurse teaching team’s experience: training care workers in spiritual and existential care for the dying - a qualitative study
Auteurs : Kirsten Torn E [Norvège] ; Lars Johan Danbolt [Norvège] ; Kari Kvigne [Norvège] ; Venke S Rlie [Norvège]Source :
- BMC Palliative Care [ 1472-684X ] ; 2015.
Abstract
Nursing home and home care nursing staff must increasingly deal with palliative care challenges, due to cost cutting in specialized health care. Research indicates that a significant number of dying patients long for adequate spiritual and existential care. Several studies show that this is often a source of
The team of expert hospice nurses participated in a focus group interview. Data were analyzed using a phenomenological hermeneutical method.
The
Educational research supports these results. Studies show that efficient workplace teaching schemes allowexpert practitioners to teach staff to integrate several different knowledge forms and skills, applying a holisticknowledge approach. One of the features of workplace learning is that expert nurses are able to guide novices through the complexities of practice. Situated learning is therefore central for becoming proficient.
Situated bedside teaching provided by expert mobile hospice nurses may be an efficient way to develop care workers’ courage and competency to provide spiritual and existential end-of-life-care. Further research is recommended on the use of mobile expert nurse teaching teams to improve nursing competency in the primary health care sector.
Url:
DOI: 10.1186/s12904-015-0042-y
PubMed: 26385472
PubMed Central: 4574396
Affiliations:
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Box 5144, 0302 Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>MF, Norwegian School of Theology, Gydas vei 4, Majorstuen, P.O. Box 5144, 0302 Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Religionspsykologisk Senter (Center for the Psychology of Religion), Innlandet Hospital, P.O. Box 68, 2312 Ottestad, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Religionspsykologisk Senter (Center for the Psychology of Religion), Innlandet Hospital, P.O. Box 68, 2312 Ottestad</wicri:regionArea><wicri:noRegion>2312 Ottestad</wicri:noRegion></affiliation></author><author><name sortKey="Danbolt, Lars Johan" sort="Danbolt, Lars Johan" uniqKey="Danbolt L" first="Lars Johan" last="Danbolt">Lars Johan Danbolt</name><affiliation wicri:level="1"><nlm:aff id="Aff2">MF, Norwegian School of Theology, Gydas vei 4, Majorstuen, P.O. Box 5144, 0302 Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>MF, Norwegian School of Theology, Gydas vei 4, Majorstuen, P.O. Box 5144, 0302 Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Religionspsykologisk Senter (Center for the Psychology of Religion), Innlandet Hospital, P.O. Box 68, 2312 Ottestad, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Religionspsykologisk Senter (Center for the Psychology of Religion), Innlandet Hospital, P.O. Box 68, 2312 Ottestad</wicri:regionArea><wicri:noRegion>2312 Ottestad</wicri:noRegion></affiliation></author><author><name sortKey="Kvigne, Kari" sort="Kvigne, Kari" uniqKey="Kvigne K" first="Kari" last="Kvigne">Kari Kvigne</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Nursing, Faculty of Public Health, Hedmark University College, P.O. Box 400, 2418 Elverum, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Nursing, Faculty of Public Health, Hedmark University College, P.O. Box 400, 2418 Elverum</wicri:regionArea><wicri:noRegion>2418 Elverum</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Nursing, Nesna University College, Nesna, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Nursing, Nesna University College, Nesna</wicri:regionArea><wicri:noRegion>Nesna</wicri:noRegion></affiliation></author><author><name sortKey="S Rlie, Venke" sort="S Rlie, Venke" uniqKey="S Rlie V" first="Venke" last="S Rlie">Venke S Rlie</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Lovisenberg Diaconal University College, Lovisenberg gt.15B, 0456 Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Lovisenberg Diaconal University College, Lovisenberg gt.15B, 0456 Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26385472</idno><idno type="pmc">4574396</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4574396</idno><idno type="RBID">PMC:4574396</idno><idno type="doi">10.1186/s12904-015-0042-y</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000042</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000042</idno><idno type="wicri:Area/Pmc/Curation">000042</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000042</idno><idno type="wicri:Area/Pmc/Checkpoint">000047</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000047</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A mobile hospice nurse teaching team’s experience: training care workers in spiritual and existential care for the dying - a qualitative study</title><author><name sortKey="Torn E, Kirsten" sort="Torn E, Kirsten" uniqKey="Torn E K" first="Kirsten" last="Torn E">Kirsten Torn E</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Lovisenberg Diaconal University College, Lovisenberg gt.15B, 0456 Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Lovisenberg Diaconal University College, Lovisenberg gt.15B, 0456 Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">MF, Norwegian School of Theology, Gydas vei 4, Majorstuen, P.O. Box 5144, 0302 Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>MF, Norwegian School of Theology, Gydas vei 4, Majorstuen, P.O. Box 5144, 0302 Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Religionspsykologisk Senter (Center for the Psychology of Religion), Innlandet Hospital, P.O. Box 68, 2312 Ottestad, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Religionspsykologisk Senter (Center for the Psychology of Religion), Innlandet Hospital, P.O. Box 68, 2312 Ottestad</wicri:regionArea><wicri:noRegion>2312 Ottestad</wicri:noRegion></affiliation></author><author><name sortKey="Danbolt, Lars Johan" sort="Danbolt, Lars Johan" uniqKey="Danbolt L" first="Lars Johan" last="Danbolt">Lars Johan Danbolt</name><affiliation wicri:level="1"><nlm:aff id="Aff2">MF, Norwegian School of Theology, Gydas vei 4, Majorstuen, P.O. Box 5144, 0302 Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>MF, Norwegian School of Theology, Gydas vei 4, Majorstuen, P.O. Box 5144, 0302 Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Religionspsykologisk Senter (Center for the Psychology of Religion), Innlandet Hospital, P.O. Box 68, 2312 Ottestad, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Religionspsykologisk Senter (Center for the Psychology of Religion), Innlandet Hospital, P.O. Box 68, 2312 Ottestad</wicri:regionArea><wicri:noRegion>2312 Ottestad</wicri:noRegion></affiliation></author><author><name sortKey="Kvigne, Kari" sort="Kvigne, Kari" uniqKey="Kvigne K" first="Kari" last="Kvigne">Kari Kvigne</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Nursing, Faculty of Public Health, Hedmark University College, P.O. Box 400, 2418 Elverum, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Nursing, Faculty of Public Health, Hedmark University College, P.O. Box 400, 2418 Elverum</wicri:regionArea><wicri:noRegion>2418 Elverum</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Nursing, Nesna University College, Nesna, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Nursing, Nesna University College, Nesna</wicri:regionArea><wicri:noRegion>Nesna</wicri:noRegion></affiliation></author><author><name sortKey="S Rlie, Venke" sort="S Rlie, Venke" uniqKey="S Rlie V" first="Venke" last="S Rlie">Venke S Rlie</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Lovisenberg Diaconal University College, Lovisenberg gt.15B, 0456 Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Lovisenberg Diaconal University College, Lovisenberg gt.15B, 0456 Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author></analytic><series><title level="j">BMC Palliative Care</title><idno type="eISSN">1472-684X</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Nursing home and home care nursing staff must increasingly deal with palliative care challenges, due to cost cutting in specialized health care. Research indicates that a significant number of dying patients long for adequate spiritual and existential care. Several studies show that this is often a source of <italic>anxiety</italic> for care workers. Teaching care workers to alleviate dying patients’ spiritual and existential suffering is therefore important. The aim of this study is to illuminate a pioneering Norwegian <italic>mobile hospice nurse teaching team’s</italic> experience with teaching and training care workers in spiritual and existential care for the dying in nursing homes and home care settings.</p></sec><sec><title>Methods</title><p>The team of expert hospice nurses participated in a focus group interview. Data were analyzed using a phenomenological hermeneutical method.</p></sec><sec><title>Results</title><p>The <italic>mobile teaching team</italic> taught care workers to identify spiritual and existential suffering, initiate existential and spiritual conversations and convey consolation through active presencing and silence. The team members transferred their personal spiritual and existential care knowledge through situated “bedside teaching” and reflective dialogues. “The <italic>mobile teaching team</italic> perceived that the care workers benefitted from the situated teaching because they observed that care workers became more courageous in addressing dying patients’ spiritual and existential suffering.</p></sec><sec><title>Discussion</title><p>Educational research supports these results. Studies show that efficient workplace teaching schemes allowexpert practitioners to teach staff to integrate several different knowledge forms and skills, applying a holisticknowledge approach. One of the features of workplace learning is that expert nurses are able to guide novices through the complexities of practice. Situated learning is therefore central for becoming proficient.</p></sec><sec><title>Conclusions</title><p>Situated bedside teaching provided by expert mobile hospice nurses may be an efficient way to develop care workers’ courage and competency to provide spiritual and existential end-of-life-care. Further research is recommended on the use of mobile expert nurse teaching teams to improve nursing competency in the primary health care sector.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Boston, P" uniqKey="Boston P">P Boston</name></author><author><name sortKey="Bruce, A" uniqKey="Bruce A">A Bruce</name></author><author><name sortKey="Schreiber, R" uniqKey="Schreiber R">R Schreiber</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bruce, A" uniqKey="Bruce A">A Bruce</name></author><author><name sortKey="Schreiber, R" uniqKey="Schreiber R">R Schreiber</name></author><author><name sortKey="Petrovskaya, O" uniqKey="Petrovskaya O">O Petrovskaya</name></author><author><name sortKey="Boston, P" uniqKey="Boston P">P Boston</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ruijs, Cd" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Palliat Care</journal-id><journal-id journal-id-type="iso-abbrev">BMC Palliat Care</journal-id><journal-title-group><journal-title>BMC Palliative Care</journal-title></journal-title-group><issn pub-type="epub">1472-684X</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26385472</article-id><article-id pub-id-type="pmc">4574396</article-id><article-id pub-id-type="publisher-id">42</article-id><article-id pub-id-type="doi">10.1186/s12904-015-0042-y</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>A mobile hospice nurse teaching team’s experience: training care workers in spiritual and existential care for the dying - a qualitative study</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Tornøe</surname><given-names>Kirsten</given-names></name><address><phone>4792040570</phone><email>Kirsten.Tornoe@ldh.no</email></address><xref ref-type="aff" rid="Aff1"></xref><xref ref-type="aff" rid="Aff2"></xref><xref ref-type="aff" rid="Aff3"></xref></contrib><contrib contrib-type="author"><name><surname>Danbolt</surname><given-names>Lars Johan</given-names></name><address><email>Lars.Danbolt@sykehuset-innlandet.no</email></address><xref ref-type="aff" rid="Aff2"></xref><xref ref-type="aff" rid="Aff3"></xref></contrib><contrib contrib-type="author"><name><surname>Kvigne</surname><given-names>Kari</given-names></name><address><email>Kari.Kvigne@hihm.no</email></address><xref ref-type="aff" rid="Aff4"></xref><xref ref-type="aff" rid="Aff5"></xref></contrib><contrib contrib-type="author"><name><surname>Sørlie</surname><given-names>Venke</given-names></name><address><email>Venke.Sorlie@ldh.no</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1"><label></label>Lovisenberg Diaconal University College, Lovisenberg gt.15B, 0456 Oslo, Norway</aff><aff id="Aff2"><label></label>MF, Norwegian School of Theology, Gydas vei 4, Majorstuen, P.O. Box 5144, 0302 Oslo, Norway</aff><aff id="Aff3"><label></label>Religionspsykologisk Senter (Center for the Psychology of Religion), Innlandet Hospital, P.O. Box 68, 2312 Ottestad, Norway</aff><aff id="Aff4"><label></label>Department of Nursing, Faculty of Public Health, Hedmark University College, P.O. Box 400, 2418 Elverum, Norway</aff><aff id="Aff5"><label></label>Department of Nursing, Nesna University College, Nesna, Norway</aff></contrib-group><pub-date pub-type="epub"><day>18</day><month>9</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>18</day><month>9</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>14</volume><elocation-id>43</elocation-id><history><date date-type="received"><day>19</day><month>12</month><year>2014</year></date><date date-type="accepted"><day>28</day><month>7</month><year>2015</year></date></history><permissions><copyright-statement>© Tornøe et al. 2015</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>Nursing home and home care nursing staff must increasingly deal with palliative care challenges, due to cost cutting in specialized health care. Research indicates that a significant number of dying patients long for adequate spiritual and existential care. Several studies show that this is often a source of <italic>anxiety</italic> for care workers. Teaching care workers to alleviate dying patients’ spiritual and existential suffering is therefore important. The aim of this study is to illuminate a pioneering Norwegian <italic>mobile hospice nurse teaching team’s</italic> experience with teaching and training care workers in spiritual and existential care for the dying in nursing homes and home care settings.</p></sec><sec><title>Methods</title><p>The team of expert hospice nurses participated in a focus group interview. Data were analyzed using a phenomenological hermeneutical method.</p></sec><sec><title>Results</title><p>The <italic>mobile teaching team</italic> taught care workers to identify spiritual and existential suffering, initiate existential and spiritual conversations and convey consolation through active presencing and silence. The team members transferred their personal spiritual and existential care knowledge through situated “bedside teaching” and reflective dialogues. “The <italic>mobile teaching team</italic> perceived that the care workers benefitted from the situated teaching because they observed that care workers became more courageous in addressing dying patients’ spiritual and existential suffering.</p></sec><sec><title>Discussion</title><p>Educational research supports these results. Studies show that efficient workplace teaching schemes allowexpert practitioners to teach staff to integrate several different knowledge forms and skills, applying a holisticknowledge approach. One of the features of workplace learning is that expert nurses are able to guide novices through the complexities of practice. Situated learning is therefore central for becoming proficient.</p></sec><sec><title>Conclusions</title><p>Situated bedside teaching provided by expert mobile hospice nurses may be an efficient way to develop care workers’ courage and competency to provide spiritual and existential end-of-life-care. Further research is recommended on the use of mobile expert nurse teaching teams to improve nursing competency in the primary health care sector.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Palliative spiritual care</kwd><kwd>Primary health care</kwd><kwd>Staff training</kwd><kwd>Phenomenological hermeneutical</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2015</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Norvège</li></country><region><li>Østlandet</li></region><settlement><li>Oslo</li></settlement></list><tree><country name="Norvège"><region name="Østlandet"><name sortKey="Torn E, Kirsten" sort="Torn E, Kirsten" uniqKey="Torn E K" first="Kirsten" last="Torn E">Kirsten Torn E</name></region><name sortKey="Danbolt, Lars Johan" sort="Danbolt, Lars Johan" uniqKey="Danbolt L" first="Lars Johan" last="Danbolt">Lars Johan Danbolt</name><name sortKey="Danbolt, Lars Johan" sort="Danbolt, Lars Johan" uniqKey="Danbolt L" first="Lars Johan" last="Danbolt">Lars Johan Danbolt</name><name sortKey="Kvigne, Kari" sort="Kvigne, Kari" uniqKey="Kvigne K" first="Kari" last="Kvigne">Kari Kvigne</name><name sortKey="Kvigne, Kari" sort="Kvigne, Kari" uniqKey="Kvigne K" first="Kari" last="Kvigne">Kari Kvigne</name><name sortKey="S Rlie, Venke" sort="S Rlie, Venke" uniqKey="S Rlie V" first="Venke" last="S Rlie">Venke S Rlie</name><name sortKey="Torn E, Kirsten" sort="Torn E, Kirsten" uniqKey="Torn E K" first="Kirsten" last="Torn E">Kirsten Torn E</name><name sortKey="Torn E, Kirsten" sort="Torn E, Kirsten" uniqKey="Torn E K" first="Kirsten" last="Torn E">Kirsten Torn E</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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