Evidence map›Paper›PMID 41152898›Full record

ArticleBMC palliative care2025

The effect of a Finnish national palliative care specialisation education on nurse's palliative care competence: A pretest-posttest study.

Maarit Lähteenmäki, Minna Koskimäki, Mervi Roos, Virpi Sulosaari, Minna Hökkä

Abstract read
In one paragraph

Article in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Maarit LähteenmäkiTampere University of Applied Sciences, Health and Wellbeing, Tampere, Finland. maarit.lahteenmaki@tuni.fi.ORCID http://orcid.org/0009-0008-7344-9884
Minna KoskimäkiFaculty of Social Sciences, University Lecturer, Tampere University, Nursing Science, Tampere, Finland.ORCID http://orcid.org/0000-0002-1568-1123
Mervi RoosFaculty of Social Sciences, University Lecturer, Tampere University, Nursing Science, Tampere, Finland.ORCID http://orcid.org/0000-0001-5163-5397
Virpi SulosaariTurku University of Applied Sciences, Health and Wellbeing, Turku, Finland.ORCID http://orcid.org/0000-0002-0898-3297
Minna HökkäSchool of Health and Wellbeing, Kajaani University of Applied Sciences, Kajaani, Finland.ORCID http://orcid.org/0000-0002-3343-4839

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNurses play an important role in caring for patients in palliative care and they need sufficient palliative care competence. Additionally, the need for palliative care is increasing. Therefore, palliative care and end-of-life care is one of the fields where nurses' specialisation education is needed the most. The aim of this study was to assess the effect of postgraduate specialist education on nurses' palliative care competence and the association between participants' age or work experiences and changes in their palliative care competencies.

methodsThe data were collected through electronic surveys at the beginning and at the end of specialisation education in 17 universities of applied sciences in Finland. The survey was conducted using the Nurses' Core Competence in Palliative Care (NCPC) instrument. The survey response rate was 89% (pre-training) and 69% (post training). Of 286 nurses, 143 completed both the pre- and post-survey. The data were analysed using nonparametric tests. The level of statistical significance was set at p ≤ 0.05.

resultsAfter the education participants' self-assessed core competencies in palliative care increased compared to before the education, indicating that their knowledge and skills increased in all five domains. Knowledge in Symptom Management, Systematic Use of the Edmonton Symptom Assessment System (ESAS), Teamwork Skills and Interpersonal Skills increased statistically significantly (P < 0.001). Likewise, Life Closure Skills increased statistically significantly (P = 0.044) after the education. Some associations were found, those who had five years or less of work experience in palliative care or end-of-life care reported a greater increase in Interpersonal Skills compared to those with more than ten years of work experience (P = 0.002). Also, those aged 40 or younger reported a greater increase in Interpersonal Skills than those aged 41-50 (P = 0.017).

conclusionThis study shows that palliative care specialist education increased nurses' palliative care competence. No statistical association was found between work experience in healthcare and changes in competence; the competence of all participants increased during the education. Palliative care specialist education improves nurses' self-assessed competence in palliative care and may indirectly improve the quality of palliative care.

Indexed as

Clinical CompetenceNursesPalliative CareAdultEducation, Nursing, GraduateFemaleFinlandHumansMaleMiddle AgedSurveys and QuestionnairesCompetenceEducationNursingPalliative carePalliative care specialist education

Identifiers

PMID41152898
PMCPMC12570459

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.