护理学报 ›› 2019, Vol. 26 ›› Issue (11): 41-44.doi: 10.16460/j.issn1008-9969.2019.11.041
国外安宁疗护护士的胜任力及培养现状与启示
黄秀秀, 万巧琴
- 北京大学 护理学院,北京 100191
摘要： 目的 明确国外不同层级安宁疗护护士的胜任力标准,为我国安宁疗护护士的培养与教育提供依据。方法 通过查阅相关文献,分析并总结国外安宁疗护护士的胜任力标准及其培养方法。结果 美国、英国、加拿大均已针对不同层级安宁疗护护士制定了相对完善、系统的胜任力标准,并有较为明确的安宁疗护一般注册护士、专科护士、高级实践护士的培养及认证方法。结论 美国、英国、加拿大等国对于不同层次的安宁疗护护士胜任力标准、培养和认证方法较为明确,可借鉴其经验,结合我国特点,制定适合不同层级安宁疗护护士的胜任力标准和资质要求,改善安宁疗护的学校教育和继续教育,以及临床的安宁疗护服务质量。
中图分类号:
- R473.59
| [1] World Health Organization.WHO Definition of Palliative Care[EB/OL]. [2018-09-09]. http://www. who.int/cancer/palliative/definition/en/. [2] 中华人民共和国国家卫生和计划生育委员会. 对十二届全国人大五次会议第1356号建议的答复[EB/OL]. http://www.nhfpc.gov.cn/zwgk/jianyi/201712/3a814f3f0ce8469d9719f246dee29e43.shtml. [3] 张雪梅,胡秀英. 我国安宁疗护的发展现状、存在的问题及发展前景[J]. 中华现代护理杂志, 2016,22(34):4885-4888. DOI: 10.3760/cma.j.issn.1674-2907.2016.34.001. [4] The Economist Intelligence Unit. The2015 Quality of Death Index Ranking Palliative Care Across the World[EB/OL]. [2018-09-10].https://eiuperspectives.economist.com/sites/default/files/2015% 20EIU%20Quality%20of%20Death%20Index%20Oct%2029%20FINAL.pdf. [5] 司秋菊,邸淑珍,张学茹,等. “三位一体”安宁疗护教育模式探讨[J]. 医学研究与教育, 2018,35(2):57-62. DOI:10.3969/j.issn.1674-490X.2018.02.009. [6] Hospice and Palliative Credentialing Center. Certified Hospice and Palliative Nurse[EB/OL].[2018-08-29]. https://advancingexpertcare.org/HPNA/Certification/Credentials/RN_CHPN/HPCC/ CertificationWeb/CHPN. [7] Hospice and Palliative Nurses Association. Competencies for the Hospice and Palliative APN[EB/OL].[2018-09-11]. https://advancingexpertcare.org/. [8] O'Connor B. CARES: Competencies and Recommendations for Educating Undergraduate Nursing Students Preparing Nurses to Care for the Seriously Ill and Their Families[J]. J Prof Nurs,2016,32(2):78-84.DOI:10.1016/j.profnurs.2016.02.008. [9] Canadian Association of Schools of Nursing. Palliative and End-of-life Care Entry-to-practice Competencies and Indicators for Registered Nurses[EB/OL].[2018-09-20]. https: //casn.ca/wp-content/uploads/2014/12/PEOLCCompetenciesandIndicatorsEn.pdf. [10] European Association for Palliative Care. Core competencies in Palliative Care: An EAPC White Paper on Palliative Care Education - Part 1[EB/OL]. [2018-09-20]. https://www.sicp.it/wp-content/ uploads/2018/ 12/41_ALT_EAPC_CoreCompetenciesforPCsocialworkinEU_White_Paper.pdf [11] Canadian Nurse Association.Exam Blueprint and Specialty Competencies [EB/OL]. [2018-08-08].https://www.cna-aiic.ca/en/certification/exam-preparation/exam-competencies-and-blueprints. [12] Reville B, Foxwell AM.Competency Milestones: Guidelines for Advanced Practice Palliative Nurses[J]. J Hosp Palliat Nurs,2017,19(4):339-342.DOI:10.1097/NJH.0000000000000352. [13] Scottish Partnership for Palliative Care. A guide to Using Palliative Care Competence Frameworks[EB/OL].[2018-09-04].https://www.palliativecarescotland.org.uk/content/publications/A_guide_to_using_palliative_ care_competence_frameworks.pdf. [14] Canada Nursing Association.Advanced Nursing Practice a National Framework [EB/OL]. [2018-09-11].https://www.cna-aiic.ca/en. [15] Dickinson G E, Paul E S.End-of-Life Issues in UK Medical Schools[J]. Am J Hosp Palliat Care, 2015,32(6):634-640. DOI:10.1177/1049909114530492. [16] Bassah N, Seymour J, Cox K.A Modified Systematic Review of Research Evidence about Education for Pre-registration Nurses in Palliative Care[J]. BMC Palliat Care, 2014,13(1):1-10. DOI:10.1186/1472-684X-13-56. [17] Dickinson G E, Clark D, Sque M.Palliative Care and End of Life Issues in UK Pre-registration, Undergraduate Nursing Programmes[J]. Nurse Educ Today, 2008,28(2):163-170. DOI:10.1016/j.nedt.2007.03.008. [18] Ferrell B, Malloy P, Virani R.The End of Life Nursing Education Nursing Consortium project[J]. Ann Palliat Med, 2015,4(2):61-69. DOI:10.3978/j.issn.2224-5820.2015.04.05. [19] wiseGEEK. What Does a Palliative Care Nurse Do?[2018-09-01]. https://www.wisegeek.com/what-does-a-palliative-care-nurse-do.htm. [20] Canadian Nurse Association.Eligibility Requirements[EB/OL]. [2018-09-01].https://www. cna-aiic. ca/en/certification/ get-certified/initial-exam-eligibility. [21] Pawlow P, Dahlin C, Doherty C L, et al.The Hospice and Palliative Care Advanced Practice Registered Nurse Workforce: Results of a National Survey[J]. J Hosp Palliat Nurs, 2018,20(4):349-357.DOI:10.1097/NJH.0000000000000449. [22] Hospice and Palliative Credentialing Center. Advanced Certified Hospice and Palliative Nurse [EB/OL].[2018-08-20].https://advancingexpertcare.org/HPNA/Certification/Credentials/APRN_ACHPN/HPCC/CertificationWeb/ACHPN.aspx. [23] Indeed. Find Jobs [EB/OL].[2018-09-20]. https://www.indeed.com/jobs?q=Achpn&vjk=1c7f6070ee0f9cd4. [24] Marie Curie.How to Become a Palliative Care Nurse. [EB/OL].[2018-09-24]. https://www.Marie curie. org.uk/blog /how-to-become-a-palliative-care-nurse/193232. [25] Indeed. Find Jobs [EB/OL].[2018-09-20]. https://www.indeed.co.uk. [26] American Association of Colleges of Nursing. ELNEC Curricula [EB/OL].[2018-10-01]. https://www.aacnnursing.org/ELNEC/About/ELNEC-Curricula [27] 国家卫生计生委医政医管局. 国家卫生计生委办公厅关于印发安宁疗护实践指南(试行)的通知[EB/OL]. [2018-09-02].http://www.nhfpc.gov.cn/yzygj/s3593/201702/83797c0261a94781b158dbd 76666b717.shtml. [28] 台灣安寧緩和護理學會. 关于学会-学会简介[EB/OL]. [2018-09-04].http://www.hospicenurse.org.tw/UI/A1/A101000.aspx. |
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