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      Diseño de un curso de formación continuada en cuidados paliativos basado en competencias Translated title: Design of a continuous training palliative care course based on competencies

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          Abstract

          Resumen El objetivo de esta publicación es mostrar la estructura y contenidos de un curso de formación continuada en cuidados paliativos para enfermería. Se han empleado las últimas tendencias metodológicas en educación, y se ha tomado como referencia el modelo de competencias de la Facultad de Enfermería de la Universidad de Montreal. El resultado de la investigación ha conducido al diseño de un curso, del que los profesionales de la enfermería se pueden beneficiar para mejorar sus habilidades para el cuidado paliativo. Contemplar nuevos enfoques en la formación intermedia de cuidados paliativos en enfermería, frente a los viejos métodos de aprendizaje, proporciona una mayor integración de los modelos actuales, y promueve la calidad y la satisfacción asistencial en el contexto en el que se desarrollan.

          Translated abstract

          Abstract: The objective of this publication is to show the structure and contents of a continuing education course in palliative care for nursing. The latest methodological trends in education have been used, and the competency model of the Faculty of Nursing of the University of Montreal has been taken as reference. The result of the research has led to the design of a course, from which nursing professionals can benefit to improve their skills for palliative care. Contemplating new approaches in the intermediate training of palliative care in nursing, compared to the old methods of learning, provides a greater integration of current models, and promotes quality and care satisfaction in the context in which they are developed.

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          Most cited references37

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          A systematic review of the effectiveness of simulation debriefing in health professional education.

          The objective of this review was to identify, appraise and synthesise the best available evidence for the effectiveness of debriefing as it relates to simulation-based learning for health professionals.
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            Symptom severity of patients with advanced cancer in palliative care unit: longitudinal assessments of symptoms improvement

            Background This study assessed the symptom severity of patients with advanced cancer in a palliative care unit and explored the factors associated with symptom improvement. Methods This study was conducted in a palliative care unit in Taiwan between October 2004 and December 2009. Symptom intensity was measured by the “Symptom Reporting Form”, and graded on a scale of 0 to 4 (0 = none, and 4 = extreme). These measures were assessed on the 1st, 3rd, 5th, and 7th Day in the palliative care unit. The study data comprised routine clinical records and patients’ demographic data. Generalized estimating equation (GEE) was used to assess the symptom improvement, and investigate the factors associated with the symptom reporting form scores. Results Among the 824 recruited patients with advanced cancer, pain (78.4 %), anorexia (64.4 %) and constipation (63.5 %)were the most common and severe symptom. After controlling for other factors in the multivariate GEE model, the day of palliative care administration was a significant factor associated with all of the scales, except Days 7 on the dyspnoea and oedema scales and Day 5 on the anxiety scale. In addition, patients aged ≥ 65 years exhibited significantly lower scores on the pain, sleep disturbance, depression, and anxiety scales than did those aged < 65 years. Moreover, female patients exhibited higher scores on the vomiting, anorexia, oedema, depression, and anxiety scales than did male patients. Furthermore, patients with gastrointestinal tract cancer exhibited higher scores on the constipation, vomiting, anorexia, oedema, depression, and anxiety scales and lower scores on the dyspnoea scale than did those with lung cancer. Patients with breast cancer exhibited higher scores on the oedema scale and lower scores on the anxiety scale. Patients with genitourinary cancer exhibited higher scores on the vomiting and oedema scales and lower scores on the dyspnoea scale. Patients with head, neck, and oral cancer exhibited lower scores on the oedema scale alone. Conclusion The symptom severity declined during the first week in the palliative care unit. In addition, differences in sex and primary cancer sites may contribute to varying degrees of symptom improvement. Electronic supplementary material The online version of this article (doi:10.1186/s12904-016-0105-8) contains supplementary material, which is available to authorized users.
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              A qualitative exploratory study of nursing students' assessment of the contribution of palliative care learning

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                Author and article information

                Journal
                ene
                Ene
                Ene.
                Martín Rodríguez Álvaro (Santa Cruz de La Palma, La Palma, Spain )
                1988-348X
                2020
                : 14
                : 1
                : 14111
                Affiliations
                [1] Navarra orgnameUniversidad Pública de Navarra orgdiv1Complejo Hospitalario de Navarra Spain
                [2] Montreal orgnameUniversidad de Montreal Canadá
                Article
                S1988-348X2020000100011 S1988-348X(20)01400100011
                74a4a9df-204c-42ba-b937-711c4f3b14bd

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 26 July 2019
                : 18 August 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 37, Pages: 0
                Product

                SciELO Spain

                Categories
                Artículos

                Continuing,Hospice and Palliative Care Nursing,Investigación en Educación de Enfermería,Educación Continua en Enfermería,Enfermería de Cuidados Paliativos al Final de la Vida,Nursing,Education,Nursing Education Research

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