Characteristics of the study.

Background
The provision of high-quality palliative care is important to nursing practice. However, caring for palliative care patients and their families is challenging within a complex everchanging health environment. Nonetheless the caring, artistic role of the nurse is fundamental to the care of the patient and family. However, this role is currently being overshadowed by the technical and scientific elements of nursing.
Methods
A scoping review was conducted utilising Arksey and O’Malley’s framework to identify the role and contribution of nurses in caring for patients with palliative care needs. An open time period search of eight electronic databases (MEDLINE, CINAHL, Academic Search Complete, PsycINFO, EMBASE, Web of Science, Scopus and Cochrane Library) was conducted on the 8th of March 2023 and updated on the 30th of April 2024. Screening was performed independently by two reviewers against eligibility criteria with meetings between authors to discuss included papers and form a consensus. Data was extracted relating to palliative care nursing, methodology, key findings, and recommendations. The analysed and summarised data was mapped onto Oldland et al seven domains framework: (a) medical/nursing and technical competence, (b) person centred care, (c) positive interpersonal behaviours, (d) clinical leadership and governance, (e) promotion of safety, (f) management of the environment, and (g) evidence-based practice.
Results
Fifty-five papers met the criteria for this review which describes the role and contribution of nurses in caring for palliative patients across all domains of professional practice. The review found the leading areas of nurse contribution were person centred, interpersonal and nursing care aspects, with leadership, managing the environment, patient safety and evidence-based practice evident but scoring lower. The contribution of the nurse in palliative care supports a biopsychosocial-educational approach to addressing the physical, emotional and social needs of patients with palliative care needs and their families across the care continuum.
Conclusion
Nurses in palliative care engage in a wide range of roles and responsibilities in caring for patients and their families with palliative care needs. However, there remains minimal evidence on the assessment, intervention, and evaluation strategies used by nurses to highlight the importance of their role in caring for patients and their families in this area. The findings of this review suggest that the artistic element of nursing care is being diluted and further research with a focus on evidencing the professional competence and artistic role of the nurse in the provision of palliative care is required. In addition, research is recommended that will highlight the impact of this care on patient and family care outcomes and experiences.

背景
高质量姑息治疗（palliative care）的提供，是护理实践的核心要义之一。然而，在复杂多变的医疗环境中，为姑息治疗患者及其家属提供照护，仍颇具挑战。尽管如此，护士所兼具的关怀性与艺术性角色，于患者及家属的照护工作中居于根本地位，但当前该角色正被护理实践中的技术与科学要素所掩盖。

方法
本研究采用Arksey与O’Malley的框架开展范围综述（scoping review），旨在明确护士在满足姑息治疗需求患者照护中的角色与贡献。2023年3月8日，研究团队对8个电子数据库（MEDLINE、CINAHL、Academic Search Complete、PsycINFO、EMBASE、Web of Science、Scopus及Cochrane图书馆）开展无时间限制的检索，并于2024年4月30日更新检索结果。由两名评审员依据纳入排除标准独立完成文献筛选，并通过作者间会议讨论纳入文献以达成共识。研究提取与姑息治疗护理、研究方法、关键发现及建议相关的数据，将分析整理后的数据映射至Oldland等人提出的七维度框架：(a) 医疗/护理与技术胜任力；(b) 以患者为中心的照护；(c) 积极人际互动行为；(d) 临床领导力与治理；(e) 安全促进；(f) 环境管理；(g) 循证实践。

结果
本次综述共纳入55篇符合标准的文献，阐述了护士在专业实践各维度中为姑息治疗患者提供照护的角色与贡献。研究发现，护士贡献的核心领域集中于以患者为中心、人际互动及护理照护层面；领导力、环境管理、患者安全及循证实践虽有所体现，但得分相对较低。姑息治疗领域的护士贡献，支撑起一套生物-心理-社会-教育整合模式，可满足姑息治疗患者及其家属在生理、情感及社会层面的需求，覆盖全照护连续体（care continuum）。

结论
姑息治疗领域的护士，在为满足姑息治疗需求的患者及其家属提供照护时，承担着广泛的角色与职责。但目前，关于护士用于凸显其在此领域照护中重要性的评估、干预及评价策略的相关证据仍较为匮乏。本综述结果表明，护理照护中的艺术性要素正被弱化，未来需开展进一步研究，以论证护士在姑息治疗照护中的专业胜任力与艺术性角色。此外，建议开展相关研究，以明确此类照护对患者及家属的照护结局与体验的影响。