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Competencies in Palliative Care: Empowering or Constraining

Competencies in Palliative Care: Empowering or Constraining. Cheshire Hospices Education Conference Transferring innovation and evidence in palliative care into practice Tuesday 13 October 2009. Mr. R Becker Macmillan Senior Lecturer in Palliative Care

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Competencies in Palliative Care: Empowering or Constraining

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  1. Competencies in Palliative Care: Empowering or Constraining Cheshire Hospices Education Conference Transferring innovation and evidence in palliative care into practice Tuesday 13 October 2009 Mr. R Becker Macmillan Senior Lecturer in Palliative Care Staffordshire University and Severn Hospice Shropshire England

  2. “Eighty percent of success in life is related to attitude rather than competency” Anon

  3. What is competency? “The skills, knowledge, experience, attributes and behaviours required by an individual in order to perform the job effectively” (RCN 2002)

  4. The Notion of Competency Assessment “There is no common understanding among HEI’s of what competence to practice is, nor consensus on the appropriate methods of assessing that competence.” “There is a climate of uncertainty amongst health care practitioners who are confused and overwhelmed by the proliferation of methodologies presented to them, which are often written in educational language that they are unfamiliar with.” Becker R (2000) Competency Assessment in Palliative Nursing. European Journal of Palliative Care. 7. (3) p88-91.

  5. Competencies are currently seen as…

  6. Competency development in palliative care • Novice to Expert (Benner 1984) • NHS Cancer Plan (2000) • Core Competency Framework, for nurses working in specialist palliative care (RCN 2002) • National Core Competency Framework (RCN 2003) • Knowledge and Skills Framework (DOH 2004) of the Agenda for Change (2005) • EOL care competencies (DOH 2009)

  7. Integrating Competencies? • USA – Robert Wood Johnson Foundation (Ferrell et al 1999) • Medical Education . (Pall Med Curric 1992) • Nursing ? Ad hoc (Lloyd Williams & Field 2002) • Allied Health Professionals ? Ad hoc (Becker 2007)

  8. The core skills of palliative care nursing: 1. Communication skills 2. Psychosocial skills 3. Team skills 4. Physical care skills 5. Life closure skills 6. Intrapersonal skills Becker R (2000) Competency Assessment in Palliative Nursing . European Journal of Palliative Care. Vol 7. No 3. Pages 88 – 91.

  9. A comparative view of the skills development of district nurses using a competency assessment tool COMMUNICATION SKILLS

  10. INTRAPERSONAL SKILLS

  11. I now see myself more as my peers see me, some of this I like and some of this I was surprised about. • I know I am judgemental and I have been working with someone who isn’t, to try and improve and learn • By focusing on how competent others see you it gives you another perspective on your own abilities. Honesty is everything. • I was told that I was not as good at listening as I thought. I was afraid of silence and I needed to practise this more. I never realised. Becker R (2000) Competency Assessment in Palliative Nursing . European Journal of Palliative Care. Vol 7. No 3. Pages 88 – 91.

  12. The way forward?

  13. Thank you for listening Mr. R Becker Macmillan Senior Lecturer in Palliative Care Staffordshire University and Severn Hospice, Shropshire. E mail: bobb@severnhospice.org.uk

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