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Embedding a Palliative Approach in Nursing Care Delivery: An Integrated Knowledge Synthesis

Sawatzky, Richard PhD; Porterfield, Pat MSN; Roberts, Della MSN; Lee, Joyce PhD; Liang, Leah MSN; Reimer-Kirkham, Sheryl PhD; Pesut, Barb PhD; Schalkwyk, Tilly MSN; Stajduhar, Kelli PhD; Tayler, Carolyn MSA; Baumbusch, Jennifer PhD; Thorne, Sally PhD

doi: 10.1097/ANS.0000000000000163
Original Articles

A palliative approach involves adapting and integrating principles and values from palliative care into the care of persons who have life-limiting conditions throughout their illness trajectories. The aim of this research was to determine what approaches to nursing care delivery support the integration of a palliative approach in hospital, residential, and home care settings. The findings substantiate the importance of embedding the values and tenets of a palliative approach into nursing care delivery, the roles that nurses have in working with interdisciplinary teams to integrate a palliative approach, and the need for practice supports to facilitate that embedding and integration.

School of Nursing, Trinity Western University, Langley (Drs Sawatzky, Lee, and Reimer-Kirkham and Ms Liang), School of Nursing, University of British Columbia, Vancouver (Ms Porterfield and Drs Baumbusch and Thorne), Fraser Health Authority, Surrey (Mss Roberts and Tayler), School of Nursing, University of British Columbia–Okanagan Campus (Dr Pesut), Providence Health Care (Ms Schalkwyk), and School of Nursing and Institute on Aging and Lifelong Health, University of Victoria, Victoria (Dr Stajduhar), British Columbia, Canada.

Correspondence: Richard Sawatzky, PhD, School of Nursing, Trinity Western University, 7600 Glover Rd, Langley, BC V2Y 1Y1, Canada (

Funding for this research was provided by the Michael Smith Foundation for Health Research (MSFHR), British Columbia Nursing Research Initiative (BCNRI), PJ NRP 00050 (11-2). Sawatzky holds a Canada Research Chair (Tier 2) funded by the Canadian Institutes of Health Research. The funders had no involvement in study design or other research activities or in writing or submitting this report.

The authors have no conflicts of interest to declare.

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