title: Using a model for structured reflection on palliative care nursing: exploring the challenges raised.
abstract: Reflection on palliative care nursing practice has to encompass every dimension of the holistic care we offer. In this article a possible structured model for reflection on palliative care nursing is discussed and used to reflect on the care given during a community Macmillan nurse visit. The reflection revealed a number of challenges. These included the possible conflict between patient autonomy and quality of life for carers; the role of intuition in palliative nursing and spiritual care. The article concludes that reflection has a role to play in exploring the innate tensions in palliative care, voicing the often silent intuitive knowledge and promoting expertise in spiritual care.
authors.forename: Jill
authors.initials: J
authors.lastname: Souter
mesh_terms: D001291:Attitude of Health Personnel; D018939:Holistic Nursing; D006801:Humans; D019545:Intuition; D019359:Knowledge; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D024802:Nurse's Role; D015404:Nursing Methodology Research; D009736:Nursing Process; D009740:Nursing Staff / Q000523:psychology*; D010166:Palliative Care / Q000458:organization & administration*; D010344:Patient Advocacy; D010687:Philosophy, Nursing; D011788:Quality of Life; D029181:Spirituality; D013850:Thinking; D014062:Tongue Neoplasms / Q000451:nursing* / Q000523:psychology