{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T10:59:33Z","timestamp":1779879573635,"version":"3.53.1"},"reference-count":47,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"name":"Western Sydney Human Research Ethics Committee","award":["H9963"],"award-info":[{"award-number":["H9963"]}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Nurse Education in Practice"],"published-print":{"date-parts":[[2018,11]]},"DOI":"10.1016\/j.nepr.2018.09.001","type":"journal-article","created":{"date-parts":[[2018,9,17]],"date-time":"2018-09-17T11:50:00Z","timestamp":1537185000000},"page":"70-76","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"special_numbering":"C","title":["Assessing nursing assistants\u2019 competency in palliative care: An evaluation tool"],"prefix":"10.1016","volume":"33","author":[{"given":"Sara","family":"Karacsony","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Good","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Edenborough","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.nepr.2018.09.001_bib1","series-title":"Palliative Care in Residential Aged Care","author":"Australia Institute of Health and Welfare","year":"2018"},{"key":"10.1016\/j.nepr.2018.09.001_bib2","series-title":"The Role of Registered Nurses in Residential Aged Care facilities","author":"Australian College of Nursing","year":"2016"},{"key":"10.1016\/j.nepr.2018.09.001_bib3","series-title":"Residential Aged Care and Home Care 2014-5","author":"Australian Institute of Health and Welfare","year":"2016"},{"key":"10.1016\/j.nepr.2018.09.001_bib4","series-title":"Residential Aged Care and Home Care 2014-15","author":"Australian Institute of Health and Welfare","year":"2016"},{"key":"10.1016\/j.nepr.2018.09.001_bib5","series-title":"Guidelines for a Palliative Approach in Residential Aged Care","author":"Australian Department of Health and Ageing","year":"2006"},{"key":"10.1016\/j.nepr.2018.09.001_bib6","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1111\/scs.12117","article-title":"Applying a palliative care approach in residential care: effects on nurse assistants' experiences of care provision and caring climate","volume":"28","author":"Beck","year":"2014","journal-title":"Scand. J. Caring Sci."},{"key":"10.1016\/j.nepr.2018.09.001_bib7","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/j.ijnurstu.2011.10.016","article-title":"Having to focus on doing rather than being - nurse assistants' experience of palliative care in muncipal residential care settings","volume":"49","author":"Beck","year":"2012","journal-title":"Int. J. Nurs. Stud."},{"key":"10.1016\/j.nepr.2018.09.001_bib8","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1111\/j.1748-3743.2012.00343.x","article-title":"Nurse assistants' experience of an intervention focused on a palliative care approach for older people in residential care","volume":"9","author":"Beck","year":"2014","journal-title":"Int. J. Older People Nurs."},{"key":"10.1016\/j.nepr.2018.09.001_bib9","series-title":"Guidelines for a Palliative Approach in Residential Aged Care - Enhanced Version. Canberra","author":"Commonwealth of Australia","year":"2006"},{"key":"10.1016\/j.nepr.2018.09.001_bib10","article-title":"Exploring healthcare assistants' role and experience in pain assessment and management for people with advanced dementia towards the end of life: a qualitative study","volume":"16","author":"De Witt Jansen","year":"2017","journal-title":"BMC Palliat. Care"},{"key":"10.1016\/j.nepr.2018.09.001_bib11","series-title":"Australia's Aged Care Sector: Economic Contribution and Future Directions","author":"Deloitte Access Economics PTY Ltd","year":"2016"},{"key":"10.1016\/j.nepr.2018.09.001_bib12","series-title":"Job outlook. Nursing Support and Personal Care Workers","author":"Department of Employment","year":"2016"},{"key":"10.1016\/j.nepr.2018.09.001_bib13","doi-asserted-by":"crossref","first-page":"251","DOI":"10.3928\/19404921-20101103-01","article-title":"An evaluation of aged-care workers' knowledge of and attitudes toward the palliative approach","volume":"4","author":"Ford","year":"2011","journal-title":"Res. Gerontol. Nurs."},{"key":"10.1016\/j.nepr.2018.09.001_bib14","series-title":"Necessary but Not yet Sufficient: a Survey of Aged Residential Care Staff Perceptions of Palliative Care Communication, Education and Delivery","author":"Frey","year":"2016"},{"key":"10.1016\/j.nepr.2018.09.001_bib15","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1136\/bmjspcare-2011-000028","article-title":"What questionnaires exist to measure the perceived competence of generalists in palliative care provision? A critical literature review","volume":"1","author":"Frey","year":"2011","journal-title":"BMJ Support. Palliat. Care"},{"key":"10.1016\/j.nepr.2018.09.001_bib16","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12904-016-0150-3","article-title":"Sometimes I've gone home feeling that my voice hasn't been heard\": a focus group study exploring the views and experiences of health care assistants when caring for dying residents","volume":"15","author":"Fryer","year":"2016","journal-title":"BMC Palliat. Care"},{"key":"10.1016\/j.nepr.2018.09.001_bib17","first-page":"86","article-title":"Core competencies in palliative care: an EAPC White Paper on palliative care education - part 1","volume":"20","author":"Gamondi","year":"2013","journal-title":"Eur. J. Palliat. Care"},{"key":"10.1016\/j.nepr.2018.09.001_bib18","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1177\/0193841X09340214","article-title":"A comparison of web-based and paper-based survey methods: testing assumptions of survey mode and response cost","volume":"33","author":"Greenlaw","year":"2009","journal-title":"Eval. Rev."},{"key":"10.1016\/j.nepr.2018.09.001_bib19","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1111\/hsc.12055","article-title":"Living and dying: responsibility for end-of-life care in care homes without on-site nursing provision - a prospective study","volume":"22","author":"Handley","year":"2014","journal-title":"Health Soc. Care Community"},{"key":"10.1016\/j.nepr.2018.09.001_bib20","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1111\/j.1741-6612.2009.00360.x","article-title":"Descriptive, exploratory study of the role of nursing assistants in Australian residential aged care facilities: the example of pain management","volume":"28","author":"Holloway","year":"2009","journal-title":"Australas. J. Ageing"},{"key":"10.1016\/j.nepr.2018.09.001_bib21","series-title":"SPSS Statistics","author":"IBM","year":"2013"},{"key":"10.1016\/j.nepr.2018.09.001_bib22","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1177\/0013164409355692","article-title":"Initial scale development: sample size for pilot studies","volume":"70","author":"Johanson","year":"2010","journal-title":"Educ. Psychol. Meas."},{"key":"10.1016\/j.nepr.2018.09.001_bib23","series-title":"Palliative Care in Nursing Homes: Results of a Survey about Knowledge and Self-efficacy of Nursing Staff. Schmerz","first-page":"1","author":"Kada","year":"2017"},{"key":"10.1016\/j.nepr.2018.09.001_bib24","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1016\/j.nedt.2015.05.008","article-title":"Measuring nursing assistants' knowledge, skills and attitudes in a palliative approach: a literature review","volume":"35","author":"Karacsony","year":"2015","journal-title":"Nurse Educ. Today"},{"key":"10.1016\/j.nepr.2018.09.001_bib25","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.jamda.2013.11.017","article-title":"Attitudes toward death, dying, end-of-life palliative care, and interdisciplinary practice in long term care workers","volume":"15","author":"Leclerc","year":"2014","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"10.1016\/j.nepr.2018.09.001_bib26","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1111\/jan.12259","article-title":"Exploring nursing assistants' roles in the process of pain management for cognitively impaired nursing home residents: a qualitative study","volume":"70","author":"Liu","year":"2014","journal-title":"J. Adv. Nurs."},{"key":"10.1016\/j.nepr.2018.09.001_bib27","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1177\/1533317512459793","article-title":"Development of the questionnaire on palliative care for advanced dementia (qPAD)","volume":"27","author":"Long","year":"2012","journal-title":"Am. J. Alzheimer's Dis. Other Dementias"},{"key":"10.1016\/j.nepr.2018.09.001_bib28","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1089\/jpm.2010.0471","article-title":"Staff perceptions of end-of-life care in aged residential care: a New Zealand perspective","volume":"14","author":"Marshall","year":"2011","journal-title":"J. Palliat. Med."},{"key":"10.1016\/j.nepr.2018.09.001_bib29","series-title":"Continuing Education Needs of Personal Care Workers in Residential Aged Care Facilities","author":"Martyn","year":"2016"},{"key":"10.1016\/j.nepr.2018.09.001_bib30","series-title":"Deparment of Health","article-title":"2016 National aged care workforce census and survey \u2013 the aged care workforce","author":"Mavromaras","year":"2017"},{"key":"10.1016\/j.nepr.2018.09.001_bib31","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1086\/JCE201021303","article-title":"\"Broken covenant\": healthcare Aides' \"experience of the ethical\" in caring for dying seniors in a personal care home","volume":"21","author":"Mcclement","year":"2010","journal-title":"J. Clin. Ethics"},{"key":"10.1016\/j.nepr.2018.09.001_bib32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1478-4491-11-69","article-title":"Foreign-born health workers in Australia: an analysis of census data","volume":"11","author":"Negin","year":"2013","journal-title":"Hum. Resour. Health"},{"key":"10.1016\/j.nepr.2018.09.001_bib33","series-title":"National Statement on Ethical Conduct in Human Research Guidelines (2007)","author":"NHMRC","year":"2007"},{"key":"10.1016\/j.nepr.2018.09.001_bib34","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1097\/NJH.0b013e3181dfd012","article-title":"State tested nursing aides' provision of end-of-life care in nursing homes: implications for quality improvement","volume":"12","author":"Nochomovitz","year":"2010","journal-title":"J. Hospice Palliat. Nurs."},{"key":"10.1016\/j.nepr.2018.09.001_bib35","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1080\/02602930701293231","article-title":"The adequacy of response rates to online and paper surveys: what can be done?","volume":"33","author":"Nulty","year":"2008","journal-title":"Assess Eval. High Educ."},{"key":"10.1016\/j.nepr.2018.09.001_bib36","doi-asserted-by":"crossref","first-page":"e32","DOI":"10.1016\/j.nedt.2015.08.002","article-title":"Essential competencies for the education of nursing assistants and care helpers in elderly care","volume":"35","author":"Oeseburg","year":"2015","journal-title":"Nurse Educ. Today"},{"key":"10.1016\/j.nepr.2018.09.001_bib37","series-title":"Registered Nurses in New South Wales Nursing Homes","author":"Parliament of New South Wales","year":"2016"},{"key":"10.1016\/j.nepr.2018.09.001_bib38","series-title":"The Development and Psychometric Assessment of an Instrument to Assess Palliative Care Competencies","author":"Perieira","year":"2006"},{"key":"10.1016\/j.nepr.2018.09.001_bib39","series-title":"Making Sense of Factor Analysis. Making Sense of Factor Analysis","author":"Pett","year":"2003"},{"key":"10.1016\/j.nepr.2018.09.001_bib40","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1089\/jpm.2012.0586","article-title":"German nursing home professionals' knowledge and specific self-efficacy related to palliative care","volume":"16","author":"Pfister","year":"2013","journal-title":"J. Palliat. Med."},{"key":"10.1016\/j.nepr.2018.09.001_bib41","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1016\/j.ijnurstu.2011.02.015","article-title":"An instrument to assess nurses' and care assistants' self-efficacy to provide a palliative approach to older people in residential aged care: a validation study","volume":"48","author":"Phillips","year":"2011","journal-title":"Int. J. Nurs. Stud."},{"key":"10.1016\/j.nepr.2018.09.001_bib42","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1111\/j.1748-3743.2008.00136.x","article-title":"A study of nurses' knowledge of a palliative approach in residential aged care facilities","volume":"3","author":"Ronaldson","year":"2008","journal-title":"Int. J. Older People Nurs."},{"key":"10.1016\/j.nepr.2018.09.001_bib43","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1111\/j.1365-2648.1996.tb03106.x","article-title":"The palliative care quiz for nursing (PCQN): the development of an instrument to measure nurses' knowledge of palliative care","volume":"23","author":"Ross","year":"1996","journal-title":"J. Adv. Nurs."},{"key":"10.1016\/j.nepr.2018.09.001_bib44","series-title":"SurveyMonkey Copyright \u00a9 Copyright \u00a9","author":"Surveymonkey","year":"1999"},{"key":"10.1016\/j.nepr.2018.09.001_bib45","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.jpainsymman.2010.03.016","article-title":"A measure of palliative care in nursing homes","volume":"41","author":"Thompson","year":"2011","journal-title":"J. Pain Symptom Manag."},{"key":"10.1016\/j.nepr.2018.09.001_bib46","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1016\/j.jpainsymman.2015.06.006","article-title":"Nursing home staff palliative care knowledge and practices: results of a large survey of frontline workers","volume":"50","author":"Unroe","year":"2015","journal-title":"J. Pain Symptom Manag."},{"key":"10.1016\/j.nepr.2018.09.001_bib47","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.jpainsymman.2015.02.008","article-title":"Preparedness for resident death in long-term care: the experience of front-line staff","volume":"50","author":"Van Riesenbeck","year":"2015","journal-title":"J. Pain Symptom Manag."}],"container-title":["Nurse Education in Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1471595317305139?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1471595317305139?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T07:54:19Z","timestamp":1761465259000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1471595317305139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":47,"alternative-id":["S1471595317305139"],"URL":"https:\/\/doi.org\/10.1016\/j.nepr.2018.09.001","relation":{},"ISSN":["1471-5953"],"issn-type":[{"value":"1471-5953","type":"print"}],"subject":[],"published":{"date-parts":[[2018,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Assessing nursing assistants\u2019 competency in palliative care: An evaluation tool","name":"articletitle","label":"Article Title"},{"value":"Nurse Education in Practice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.nepr.2018.09.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}