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ID: <

10670/1.3wen49

>

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DOI: <

10.26226/morressier.5c76c8bee2ea5a7237612965

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Basic Model fu00fcr Palliativ Nursing in Germany

Abstract

Basic model fu00fcr palliativ nursing in GermanyMichaela Hach , Katja Goudinoudis1, Christiane Klimsch1, Gabriele Mu00fcller-Mundt1, Dorothu00e9e Becker1BackgroundPalliative nursing in Germany is faced with the question of how to make the manifold implicit knowledge explicit and how to reach an evidence based nursing practice. The basis is the description of the core and the specifics of professional palliative care nursing. As a first step for this the section of palliative care nursing of the German association of palliative medicine has developed through a consensual process, the care guideline for palliative nursing and the S1 guideline-process of central nursing phenomenons in palliative care. However, these are not sufficient enough for the theoretical and empirical foundation of palliative care. In order to tackle pressing challenges in German palliative care in a knowledge-based and research-oriented manner, an independent professional profile and a uniform technical language is needed.MethodsPreliminary literature analysis of nursing theories and concept development in palliative care. Two workshops were held with experts from the members of the section care (n=24): Card inquiry and thematic clustering, world cafu00e9 and plenary discussion, final consensus findingPrevious resultsBased on previous analysis, five concepts were identified as central and put up for discussion in the expert workshops. With slight shifts in emphasis, four concepts were found essential in the discourse: care ethics, corporeality, interpretative diagnosis and evidence based nursing, which are rudimentary also reflected in the Hospice and Palliative Act, in the Nursing Profession Act and Social Code XI underlying concept of care. The elaborated central phenomena and meta paradigms show a high degree of congruence with the interdisciplinary EAPC core competences.DiscussionBy consensus, the expert group was able to develop key dimensions for the foundation of a theoretical conceptualization of palliative nursing, whose empirical foundation is to be strived based on studies on palliative care nursing practice. What is also needed is a broader discourse on practice, pedagogy, research and science in palliative care nursing.

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