Table 6 Required competencies for the specialist level
Main categories (1, 2, 3 and 6 produced already for the general level) (see Table 5) | Subcategories (Subcategories documented with Bold were created from the specialist level data) |
|---|---|
(1.) Competence in advanced care planning and decision-making (f = 125 on the general level) (f = 126 on the general and specialist levels in total) | Four subcategories on the general level (see Table 5) (51.) Demanding decision-making (f = 1) (a specialist level subcategory) |
(2.) Competence in social interactions (f = 107 on the general level) (f = 110 on the general and specialist levels in total) | Eight subcategories on the general level (see Table 5) (52.) Special skills in social interactions (f = 3) (a specialist level subcategory) |
(3.) Competence in basics of palliative care (f = 79 on the general level) (f = 81 on the general and specialist levels in total) | Eight subcategories on the general level (see Table 5) (53.) Children as significant others (f = 2) (a specialist level subcategory) |
(6.) Competence in pain management (f = 31 on the general level) (f = 40 on the general and specialist levels in total) | Three subcategories on the general level (see Table 5) (54.) Special methods and techniques of pain management (f = 9) (a specialist level subcategory) |
Main categories (Inductively produced for the Specialist level only) | Subcategories (Specialist level only) |
(14.) Competence in complex symptom management (f = 46) | (55.) Widespread and specialized symptom management as part of advanced competencies (f = 16) *** (56.) Evidence based management of symptoms (f = 14) (57.) Therapeutic procedures within palliative care (f = 10) (58.) Management of emergencies within palliative care (f = 5) (59.) Making home visits (f = 1) |
(15.) Research and development competence (f = 31) | (60.) Developing palliative care (f = 23) (61.) Performing research (f = 4) (62.) Coordination of palliative care pathway (f = 4) |
(16.) Competence to offer consultative and educational support to other professionals (f = 30) | (63.) Offering and coordinating consultations (f = 18) (64.) Offering education to other professionals (f = 12) |
(17.) Competence to offer palliative care to all patients, including special groups (f = 14) | (65.) Children and adolescents in palliative care (f = 6) (66.) Patients with substance abuse in palliative care (f = 1) (67.) Mentally handicapped patients in palliative care (f = 1) (68.) Psychiatric patients in palliative care (f = 1) (69.) Spinal cord injury patients in palliative care (f = 1) (70.) Patients with respiratory diseases in palliative care (f = 1) (71.) Patients with heart diseases in palliative care (f = 1) (72.) Special aspects of palliative care in cancer (f = 1) (73.) Patients with rare diseases in palliative care (f = 1) |
(18.) Verifiable competence to work on a specialized level of palliative care (f = 12) | (74.) Formally acquired educational competence to work on a specialized level of palliative care (f = 8) (75.) Adequate working experience needed for specialized level of palliative care (f = 4) |
(19.) Competence in providing specialist level of psychosocial support (f = 2) | - (No subcategories) |