Dr Kozek on Oncology Nurses’ Perceived Difficulties in Providing Palliative Care to Adult Patients

"From the beginning of the study to the end, we did see a reduction in their perceived difficulties just by implementing these informational sessions.I do think other resources like informational sessions, open forums, or even discussions with nurses regarding palliative care [could] help open the door to these conversations with nurses."

Caroline Kozek, DNP, RN, AGNP-C, OCN, a clinical nursing specialist at John Theurer Cancer Center, discussed findings from a study assessing oncology nurses’ perceived difficulties in providing palliative care to adult patients with cancer, highlighting the potential impact of targeted educational interventions on improving nurse confidence and knowledge in this domain.

According to Kozek, the study demonstrated a measurable reduction in perceived challenges among oncology nurses following the implementation of structured informational sessions focused on palliative care concepts. These sessions aimed to clarify common misconceptions, promote communication strategies, and differentiate between palliative care, hospice care, and the transition phases that often blur these distinctions in clinical practice. Kozek emphasized that brief, focused educational opportunities could significantly enhance the comfort level of nurses in initiating and participating in palliative care discussions with both patients and colleagues.

A key barrier identified in the study was a general lack of experience and foundational knowledge among nurses regarding palliative care principles. Kozek noted that many oncology nurses are engaged in elements of palliative care during routine clinical activities but may not recognize these interventions as such. This unawareness can limit their ability to intentionally apply palliative principles or effectively communicate the goals of palliative care to patients and families.

Additionally, Kozek observed that the distinction between palliative and hospice care remains a point of confusion for many nurses, which may hinder timely and appropriate referrals or create hesitation in discussing these services with patients. By improving clarity and understanding through structured education, nurses are more likely to engage proactively in palliative care planning and contribute meaningfully to interdisciplinary care teams.

Kozek advocated for ongoing education and institutional support to sustain improvements in nurses' ability to deliver palliative care. Strategies such as regular in-service training, peer-led discussion forums, and open access to palliative care specialists were suggested as methods to reinforce knowledge and foster a culture of collaborative care. Ultimately, she underscored that empowering oncology nurses through education not only improves their confidence but also enhances the quality of care delivered to patients with serious illness.