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Construction and Adjustment of the Training Program for Hospice Care Nursing Specialists Based on the Delphi Method

Received: 10 January 2023    Accepted: 31 January 2023    Published: 14 February 2023
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Abstract

Objectives: This study aimed to construct a novel training program focused on the cultivation of practical skills, in order to provide a reference for the training of hospice care (HС) nursing specialists in China. Methods: This study applied Delphi method to collect and analyze opinions of selected experts from different regions and organizations in China, who have knowledge or practical experience related to HC. Results: From October to December 2020, a total of 17 experts from 14 tertiary hospitals and 3 nursing colleges across China participated in the survey. In the first round, out of 17 experts 16 responded, with the expert positive coefficient of 93.8%. For the two rounds of survey, expert’s levels of familiarity with the field were 0.938 and 0.938, while expert’s judgment criterions were 0.868 and 0.878. Thus the authority coefficients for the two rounds were 0.903 and 0.908, indicating high enough degree of authority of the participating experts. Training content covered the overview of HC, comfort care, heart-spirit-community support, hospice services, ethics and law, communication skills and stress response. After proposed adjustments the final training program for HС nursing specialists included 8 first-level sections, 24 second-level sections, and 57 third-level sections, designed for theoretical training time of 4 weeks and practical training of 8 weeks. Conclusion: The new training program for Hospice Care nursing specialists was constructed and evaluated by experts. Content of the program was considered to be comprehensive and reliable, and could provide a reference for the training of HC nursing specialists in China.

Published in American Journal of Nursing Science (Volume 12, Issue 1)
DOI 10.11648/j.ajns.20231201.13
Page(s) 14-20
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hospice Care, Hospice and Palliative Care Nursing, Nurse Specialists, China, Surveys and Questionnaires

References
[1] Rosa, W. E, Ferrell, B. R. & Mazanec, P. Global Integration of Palliative Nursing Education to Improve Health Crisis Preparedness. J Contin Educ Nurs, 2021, 52 (3), 130-135.
[2] Hyden, K, Gelfman, L, Dionne-Odom, J, et al. Update in Hospice and Palliative Care. J Palliat Med, 2020, 23 (2), 165-170.
[3] Han, G. G, Chen, C. Y, Shi, Y. Enlightenment from the current situation of research and training on the core Competence of hospice nurses abroad to China. Chinese Nursing Management, 2019, 19 (5): 796-800.
[4] FANG E F, XIE C, SCHENKEL J A, et al. A research agenda for ageing in China in the 21st century (2nd edition): Focusing on basic and translational research, long-term care, policy and social networks [J]. Ageing Res Rev, 2020, 10 (1): 174.
[5] Sleeman, K. E, de Brito, M, Etkind, S, et al. The escalating global burden of serious health-related suffering: projections to 2060 by world regions, age groups, and health conditions. Lancet Glob Health, 2019, 7 (7), e883-e892.
[6] Chen, JY, et al. Application status quo of Delphi Method in evaluation index of specialty nursing quality. Nursing Research, 2016, 30 (29), 3591-3595.
[7] Frey, R, Balmer, D, Boyd, M, et al. Palliative care nurse specialists' reflections on a palliative care educational intervention in long-term care: an inductive content analysis. BMC Palliat Care, 2019, 18 (1), 103.
[8] Clark JE, Aitken S, Watson N, et al. Training oncology and palliative care clinical nurse specialists in psychological skills: evaluation of a pilot study. Palliat Support Care. 2015; 13 (3): 537-542.
[9] Centeno, C. & Arias-Casais, N. Global palliative care: from need to action. Lancet Glob Health, 2019, 7 (7), e815-e816.
[10] KRUK ME, GAGE AD, ARSENAULT C, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health, 2018, 6 (11): e1196-e1252.
[11] Li, Y. Y. & Chen, W. J. Application status of Delphi Method in Nursing Management. Nursing Research, 2018, 32 (21), 3339-3341.
[12] Mo, L, Urbauer, D. L, Bruera, E. & Hui, D. Recommendations for Palliative and Hospice Care in NCCN Guidelines for Treatment of Cancer. Oncologist, 2021, 26 (1), 77-83.
[13] Li Z, Hung P, He R, et al. Disparities in end-of-life care, expenditures, and place of death by health insurance among cancer patients in China: a population-based, retrospective study. BMC Public Health. 2020, 20 (1): 1354.
[14] Ferrell, B., Malloy, P. & Virani, R. The End of Life Nursing Education Nursing Consortium project. Ann Palliat Med, 2015, 4 (2), 61-69.
[15] Fan, R. R, Li, X. Y, Huang, X. J, et al. Establishment of training system for hospice care nurses. Chinese Journal of Nursing Education, 2020, 17 (9), 779-784.
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  • APA Style

    Shaoju Xie, Jiquan Zhang, Fan Xu, Qiao Li, Xi Luo, et al. (2023). Construction and Adjustment of the Training Program for Hospice Care Nursing Specialists Based on the Delphi Method. American Journal of Nursing Science, 12(1), 14-20. https://doi.org/10.11648/j.ajns.20231201.13

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    ACS Style

    Shaoju Xie; Jiquan Zhang; Fan Xu; Qiao Li; Xi Luo, et al. Construction and Adjustment of the Training Program for Hospice Care Nursing Specialists Based on the Delphi Method. Am. J. Nurs. Sci. 2023, 12(1), 14-20. doi: 10.11648/j.ajns.20231201.13

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    AMA Style

    Shaoju Xie, Jiquan Zhang, Fan Xu, Qiao Li, Xi Luo, et al. Construction and Adjustment of the Training Program for Hospice Care Nursing Specialists Based on the Delphi Method. Am J Nurs Sci. 2023;12(1):14-20. doi: 10.11648/j.ajns.20231201.13

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  • @article{10.11648/j.ajns.20231201.13,
      author = {Shaoju Xie and Jiquan Zhang and Fan Xu and Qiao Li and Xi Luo and Yaoyao Long and Xiaoli Zhong},
      title = {Construction and Adjustment of the Training Program for Hospice Care Nursing Specialists Based on the Delphi Method},
      journal = {American Journal of Nursing Science},
      volume = {12},
      number = {1},
      pages = {14-20},
      doi = {10.11648/j.ajns.20231201.13},
      url = {https://doi.org/10.11648/j.ajns.20231201.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20231201.13},
      abstract = {Objectives: This study aimed to construct a novel training program focused on the cultivation of practical skills, in order to provide a reference for the training of hospice care (HС) nursing specialists in China. Methods: This study applied Delphi method to collect and analyze opinions of selected experts from different regions and organizations in China, who have knowledge or practical experience related to HC. Results: From October to December 2020, a total of 17 experts from 14 tertiary hospitals and 3 nursing colleges across China participated in the survey. In the first round, out of 17 experts 16 responded, with the expert positive coefficient of 93.8%. For the two rounds of survey, expert’s levels of familiarity with the field were 0.938 and 0.938, while expert’s judgment criterions were 0.868 and 0.878. Thus the authority coefficients for the two rounds were 0.903 and 0.908, indicating high enough degree of authority of the participating experts. Training content covered the overview of HC, comfort care, heart-spirit-community support, hospice services, ethics and law, communication skills and stress response. After proposed adjustments the final training program for HС nursing specialists included 8 first-level sections, 24 second-level sections, and 57 third-level sections, designed for theoretical training time of 4 weeks and practical training of 8 weeks. Conclusion: The new training program for Hospice Care nursing specialists was constructed and evaluated by experts. Content of the program was considered to be comprehensive and reliable, and could provide a reference for the training of HC nursing specialists in China.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Construction and Adjustment of the Training Program for Hospice Care Nursing Specialists Based on the Delphi Method
    AU  - Shaoju Xie
    AU  - Jiquan Zhang
    AU  - Fan Xu
    AU  - Qiao Li
    AU  - Xi Luo
    AU  - Yaoyao Long
    AU  - Xiaoli Zhong
    Y1  - 2023/02/14
    PY  - 2023
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    DO  - 10.11648/j.ajns.20231201.13
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 14
    EP  - 20
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20231201.13
    AB  - Objectives: This study aimed to construct a novel training program focused on the cultivation of practical skills, in order to provide a reference for the training of hospice care (HС) nursing specialists in China. Methods: This study applied Delphi method to collect and analyze opinions of selected experts from different regions and organizations in China, who have knowledge or practical experience related to HC. Results: From October to December 2020, a total of 17 experts from 14 tertiary hospitals and 3 nursing colleges across China participated in the survey. In the first round, out of 17 experts 16 responded, with the expert positive coefficient of 93.8%. For the two rounds of survey, expert’s levels of familiarity with the field were 0.938 and 0.938, while expert’s judgment criterions were 0.868 and 0.878. Thus the authority coefficients for the two rounds were 0.903 and 0.908, indicating high enough degree of authority of the participating experts. Training content covered the overview of HC, comfort care, heart-spirit-community support, hospice services, ethics and law, communication skills and stress response. After proposed adjustments the final training program for HС nursing specialists included 8 first-level sections, 24 second-level sections, and 57 third-level sections, designed for theoretical training time of 4 weeks and practical training of 8 weeks. Conclusion: The new training program for Hospice Care nursing specialists was constructed and evaluated by experts. Content of the program was considered to be comprehensive and reliable, and could provide a reference for the training of HC nursing specialists in China.
    VL  - 12
    IS  - 1
    ER  - 

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Author Information
  • Department of Oncology, Deyang People's Hospital, Deyang, China

  • Department of Nursing, Deyang People's Hospital, Deyang, China

  • Department of Oncology, Deyang People's Hospital, Deyang, China

  • Department of Oncology, Deyang People's Hospital, Deyang, China

  • Department of Oncology, Deyang People's Hospital, Deyang, China

  • Department of Oncology, Deyang People's Hospital, Deyang, China

  • Department of Nursing, Deyang People's Hospital, Deyang, China

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