CHPN Review Course Professional Issues Hospice and Palliative Nurses Association

Transcription

1 CHPN Review Course Professional Issues Disclosures Carma Erickson Hurt has no real or perceived conflicts of interest that relate to this presentation. Copyright 2015 by the. HPNA has the exclusive rights to reproduce this work, to prepare derivative works from this work, to publicly distribute this work, to publicly perform this work, and to publicly display this work. All rights reserved. No part of this course may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise. Objectives 1. Identify the standards and guidelines associated with palliative nursing 2. Review quality assurance and process improvement (QAPI) 3. Discuss professional development 1

2 Standards and Guidelines Standards of palliative nursing practice (HPNA) Palliative Nursing: Scope and Standards of Practice Based on the nursing process Standards of professional performance Standards and Guidelines The National Consensus Project for Quality Palliative Care: Clinical Practice Guidelines for Quality Palliative Care Domain 1: Structure and Processes of Care Domain 2: Physical Aspects of Care Domain 3: Psychological and Psychiatric Aspects of Care Domain 4: Social Aspects of Care Domain 5: Spiritual, Religious, and Existential Aspects of Care Domain 6: Cultural Aspects of Care Domain 7: Care of the Patient at the End of Life Domain 8: Ethical and Legal Aspects of Care Quality Assurance and Performance Improvement (QAPI) Improving care requires a systematic process of defining problems in order to identify potential causes with the goal of developing strategies to improve care Measuring Care (process measures and outcome measures) 2

3 Plan Do Act Study Objective Predictions Plan to carry out the cycle Plan for data collection Plan Do Carry out the plan Document observations Record data 3

4 Study Analyze data Comparing results to predictions Summarize what was learned What changes are to be made? Next cycle Act Professional Development Participate in ongoing educational activities to increase knowledge, skill, and competence Serve as role model, mentor, preceptor and educator for colleagues, students, and others Participate in peer reviews Seek and obtain status as Certified Hospice and Palliative Registered Nurse (CHPN ) 4

5 Specialty Certification Development 1991 Survey of Nurses 1994 first certification exam offered Certified Registered Nurse Hospice (CRNH) 1997 role delineation/practice analysis conducted 1999 Palliative nursing included Certified Hospice and Palliative Nurse (CHPN ) 2014 National Board for Certification of Hospice and Palliative Nurses (NBCHPN ) name changed to Hospice and Palliative Credentialing Center (HPCC) Only specialty organization that offers certification to all members of the nursing team Table 2 2. Available Palliative Care Certifications for Interdisciplinary Team Members Core Curriculum for the Hospice and Palliative Registered Nurse, 4 th ed Certification Credential Eligible Team Members Certifying Body Advanced Certified Hospice & Palliative Nurse Palliative Nurse Palliative Licensed Nurse Palliative Nursing Assistant Palliative Care Administrator Certified in Perinatal Loss Care ACHPN Clinical nurse specialists Nurse practitioners HPCC CHPN Registered nurses HPCC CHPLN Licensed practical/vocational nurses HPCC CHPNA Nursing assistants HPCC CHPCA Administrators HPCC CPLC Chaplain Child life specialist Counselor Physician Psychologist Registered nurse Social worker HPCC Self care Most common stressors in palliative care Burnout Emotional exhaustion Cynicism and depersonalization Ineffectiveness and lack of personal accomplishment 5

6 Compassion Fatigue Coping Strategies Personal coping strategies Career satisfaction Knowing self Positive emotions Positive relationships Legislative/Policy Issues Why does policy matter? Determines eligibility criteria Regulates access to medications Determines scope of practice Stipulates quality metrics Stimulates and provides incentives for innovation and quality improvement 6