iPanel – Conceptual foundations of a palliative approach: a knowledge synthesis

Over the past few years I have cited the iPANEL research (Initiative for a Palliative Approach in Nursing: Evidence and Leadership) as one of the most important research projects in hospice and palliative care today.

Today the iPANEL team announced the publication of their latest article – Conceptual foundations of a palliative approach: a knowledge synthesisThe article can be found here.

Please distribute this article widely! This is an open access journal, so SEND people to the LINK instead of sending the PDF. The number of hits impacts the ranking of the article on the journal’s website!

If you are citing the article, Rick has provided the citation to save you the time and effort of figuring that out!
Sawatzky, R., Porterfield, P., Lee, J., Dixon, D., Lounsbury, K., Pesut, B., Roberts, D., Tayler, C., Voth, J., & Stajduhar, K. (2016). Conceptual foundations of a palliative approach: A knowledge synthesis. BMC Palliative Care, 15(5). doi: 10.1186/s1290401600769. Available: http://www.biomedcentral.com/1472-684X/15/5

Congratulations to the iPANEL team!

Before we talk of Assisted Dying, let's ensure that all dying Canadians can access Hospice Palliative Care!

Robert Cribb’s article in The Star addresses Assisted Dying in a five part series addressing how Canadians are dying. It seems unlikely that the Boomers who fought for “Reproductive Rights” will not succeed at legalizing “Death Rights” including the right to chose “Assisted Dying”.

As Canadians participate in this discussion and laws change my greatest concern is that we CONTINUE to ADVOCATE or START to ADVOCATE to ensure:

  • hospice palliative care is accessible to all Canadians,
  • earlier in the disease process,
  • for people with any life limiting illnesses,
  • across all settings.

Currently less than 30% of dying Canadians receive the services of a specialty care hospice palliative care consult service.  Many only receive the service in the last days and weeks of life.

As I have shared in other blogs, Palliative Care Australia suggests that 65% of the dying can be well cared for by their primary health care team,  given that the primary care providers have basic education in a palliative approach.

A palliative approach, the integration of palliative principles and philosophy can be integrated in any setting, for people with any life limiting illness, earlier in the disease process.

In Canada two exiting research projects are exploring the integration of a palliative approach.

iPANEL  and Quality Palliative Care in Long Term Care are doing wonderful work as they explore ways to best integrate a palliative approach in “other settings”.






iPANEL research is worth following!

The iPANEL (Initiative for a Palliative Approach in Nursing: Evidence and Leadership) research team led a symposium on integrating a Palliative Approach in nursing education this week in Kelowna.  I was honoured to be invited and thrilled to share airspace with some of my heroes in nursing practice, research and education.

Go to the iPANEL website, bookmark it, and check back to follow their learnings and highlights at http://www.ipanel.ca/

From their website: rationale for the research:

Three quarters of British Columbians who die, do so without being identified as people who could benefit from the services associated with palliative care.

2 Through research, we create new knowledge about how nurses can further integrate palliative philosophies and services into non-specialized settings that provide end-of-life care.

3 Our research is informed by and informs clinical practice.
4 Our ultimate goal is to advance the further integration of the palliative approach into nursing practice in every care setting.

Specialized palliative units and hospices are essential for end of life care but not appropriate for all persons facing life-limiting chronic conditions. By offering a palliative approach in multiple settings, we can better care for people and their families through the many transitions of chronic conditions like dementia, lung, kidney and heart diseases, and cancer. (Retrieved from www.iPANEL.ca  May 4th 2012)

The iPANEL team is full of talent and love their work.  Wonderful to witness them in motion!

Topics addressed during the day included:

  • The Case for iPANEL
  • Survey of Nurse and health care workers… their self perceived palliative care nursing competency scale (Della Roberts and Dr Rick Sawatzky presented preliminary results)
  • Curricular competencies and scopes of practice
  • Scoping review of best evidence for preparing nurses in a palliative approach
  • Innovative curricular and clinical education models (Susan Ross from TRU presented the course on Death and Dying that she is teaching this month at TRU)
  • Providing a Palliative Approach in Rural Areas (Dr Barb Pesut presented the preliminary research, followed by questions and feedback with our reflections)
  • Discussion of barriers to care, with wonderful story from a family caregivers, Teresa Nutini, then discussion by Donna Mednel (Interior Health), Gail Potter and TAMMY McLead from Selkirk College)
  • And I MISSED a presentation by the one and only Dr Gweneth Doane in the evening session on Preparing reflective and relational nurses for a palliative approach”
  • Stay tuned to their website!

Esteem and gratitude to these researchers who are ALL about integrating research in practice, and all about collaborating with people working in practice to participate in research… and all about working with educators to make it all happen.