J Korean Acad Fundam Nurs.  2024 Nov;31(4):480-493. 10.7739/jkafn.2024.31.4.480.

Empowering Palliative Wound Care in Long-Term Care Facilities: A Comprehensive Nursing Competency for Palliative Wound Care

Affiliations
  • 1Professor, College of Nursing and L-HOPE Program for Community-Based Total Learning Health Systems, Korea University, Seoul, Korea
  • 2Assistance Professor, Department of Nursing, Far East University, Eumseong, Korea
  • 3Researcher, College of Nursing and L-HOPE Program for Community-Based Total Learning Health Systems, Korea University, Seoul, Korea
  • 4Assistance Professor, Department of Nursing, The University of Suwon, Hwaseong, Korea

Abstract

Purpose
The importance of wound care as a part of end-of-life care is rising due to aging populations and increased chronic disease prevalence. This study developed a comprehensive competency framework on palliative wound care for nursing staff within long-term care facilities (LTCFs).
Methods
The study utilized a three-phased exploratory methods approach involving topic modeling, expert interviews, and a Delphi survey.
Results
Four key competencies emerged regarding nursing competency for palliative wound care in LTCFs: (1) building partnerships with patients and caregivers, (2) an individual approach to wound treatment based on understanding the patient's situation, (3) a holistic approach through shared information and cooperative decision-making, and (4) integration of wound management knowledge within end-of-life care.
Conclusion
This framework supports developing targeted training programs for nurses to improve the quality of life for terminally ill patients in LTCFs.

Keyword

Clinical competence; Long-term care; Palliative care; Wounds and injuries
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