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Palliative Medicine
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A stakeholder evaluation of the impact of the palliative care clinical nurse specialist upon doctors and nurses, within an acute hospital setting

Barbara Jack

Edge Hill College, School of Health Studies, University Hospital Aintree, Liverpool and the Marie Curie Centre, Liverpool, UK

Jackie Oldham

Centre for Rehabilitation Science, University of Manchester, Manchester Royal In"rmary, Manchester, UK

Anne Williams

University of Wales, Swansea School of Health Science, Swansea, UK

There has been an expansion in the number of palliative care teams based in the acute hospital setting. Although organization of these teams varies both in structure and approach, the clinical nurse specialist is one of the key members. The last decade has seen an escalation in the UK of clinical nurse specialists, and following the Calman-Hine Report and the more recent NHS Cancer Plan, it is anticipated that the number of clinical nurse specialists in palliative and cancer care is likely to grow.

This paper presents the qualitative findings of an evaluation study designed to investigate the impact of the clinical nurse specialist within a palliative care team based in an acute hospital setting. A stakeholder evaluation that encompassed 31 tape-recorded semi-structured interviews with senior nurses, consultants, junior doctors and nurses representing different grades were performed. The data was analysed for emerging themes utilising a case and cross case analysis methodology.

The results suggested the presence of the clinical nurse specialists is seen as beneficial to both medical and nursing staff. This paper will focus upon exploring these potential benefits, included providing support, advice and education.

Key Words: acute hospital • clinical nurse specialists • palliative care

Palliative Medicine, Vol. 17, No. 3, 283-288 (2003)
DOI: 10.1191/0269216303pm697oa
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