Describe the special education       and/or skill training recommended for nurses so that the theory or model       can be used in their clinical practice. 

The development of a shared theory for palliative and hospice care in order to improve nursing

Assessment of the Practice Theory or Model

This practice theory is focused on the creation of shared theory in palliative and hospice care, which will enhance nurses’ competence. The theory is designed to enhance the care given to patients suffering from life-threatening diseases and their families through the integration of palliative care concepts into healthcare professionals’ understanding. This theory suggests that nurses could improve their palliative-care competence by sharing a common language and understanding palliative concepts.

Nursing Special Education and Skill Training

To help nurses apply the theory to their practice, they should receive special education and training. These include understanding palliative care concepts and communicating skills. Education should be focused on the development of skills to perform comprehensive assessments, manage symptoms, provide end-of life care and plan for future care. Skill training should include the development of skills to communicate with families and patients as well as cultural competence and ethical decision-making.

Based on the Theory or Model, Clinical Protocols

This theory and model can be used to develop clinical protocols. A palliative care team could develop protocols for communication, symptom management and the end of life. These protocols should be standardised and grounded in evidence-based practice so that patients get consistent and quality care.

Frequency of Nursing Research Theory/Model

The theory was used in nursing research. Dahlin, Coyne and Ferrell (2016) developed a shared theory in palliative nursing care as the theoretical framework. The study aimed to explore the relationships between nurses’ perceptions of their palliative care competence, palliative care education, and clinical experience. Study concluded that healthcare professionals must have an understanding of palliative and hospice care concepts to provide better nursing care for patients suffering from life-threatening conditions.

The Theory or Model As the Basis of Nursing Practice has Positive Results

This theory can be used to improve the quality and outcomes of nursing care. By enhancing nurses’ competence in palliative care, patients receive comprehensive care, symptom management, and end-of-life care. Nurses’ improved competence also leads to improved communication with patients and families, reducing the chances of misunderstandings and conflicts. This results in better patient satisfaction, which leads to improved outcomes for patients, such as a reduced burden of symptoms, better quality of life and greater comfort.


Dahlin, C., Coyne, P. J., & Ferrell, B. R. (2016). Education of nurses with generalist palliative skills: The cornerstone of palliative medicine education. Journal of Hospice & Palliative Nursing, 18(2), 149-156.

Peterson, S. J., & Bredow, T. S. (2016). The application of the middle range theory to nursing research. Lippincott Williams & Wilkins.


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