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Palliative nursing

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https://www.readbyqxmd.com/read/29212539/the-relationships-between-the-combination-of-person-and-organization-related-conditions-and-patients-perceptions-of-palliative-care-quality
#1
Tuva Sandsdalen, Sevald Høye, Ingrid Rystedt, Vigdis Abrahamsen Grøndahl, Reidun Hov, Bodil Wilde-Larsson
BACKGROUND: Little is known about the combination of person- and organization- related conditions and the relationships with patients' perspectives of care quality. Such a combination could contribute knowledge reflecting the complexity of clinical practice, and enhance individualized care. The aim was to investigate the relationships between the combination of person- and organization-related conditions and patients' perceptions of palliative care quality. METHODS: A cross-sectional study, including 191 patients in the late palliative phase (73% response rate) admitted to hospice inpatient care (n = 72), hospice day care (n = 51), palliative units in nursing homes (n = 30) and home care (n = 38), was conducted between November 2013 and December 2014, using the instrument Quality from the Patients' Perspective specific to palliative care (QPP-PC)...
December 6, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/29212346/palliative-care-providers-practices-surrounding-psychological-distress-screening-and-treatment-a-national-survey
#2
Elissa Kozlov, Claude Eghan, Sheila Moran, Keela Herr, M Carrington Reid
OBJECTIVE: To investigate how inpatient palliative care teams nationwide currently screen for and treat psychological distress. METHODS: A web-based survey was sent to inpatient palliative care providers of all disciplines nationwide asking about their practice patterns regarding psychological assessment and treatment. Descriptive statistics were used to characterize the sample and responses, and analysis of variance was conducted to determine whether certain disciplines were more likely to utilize specific treatment modalities...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29207739/assessment-of-palliative-care-awareness-among-undergraduate-healthcare-students
#3
Rajaragupathy Sujatha, Karthikeyan Jayagowri
Introduction: Palliative care knowledge is being given meager importance in the curriculum of medical and other allied medical sciences. It is vital that all health care practitioners including medical, pharmacy, physiotherapy and nursing are aware and apply the best principles of palliative care. Aim: To assess the awareness of palliative care among undergraduate students of medical, nursing, pharmacy and physiotherapy. Materials and Methods: The study population included total of 200 students...
September 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/29206564/advance-care-planning-in-an-accountable-care-organization-is-associated-with-increased-advanced-directive-documentation-and-decreased-costs
#4
William F Bond, Minchul Kim, Chris M Franciskovich, Jason E Weinberg, Jessica D Svendsen, Linda S Fehr, Amy Funk, Robert Sawicki, Carl V Asche
BACKGROUND: Advance care planning (ACP) documents patient wishes and increases awareness of palliative care options. OBJECTIVE: To study the association of outpatient ACP with advanced directive documentation, utilization, and costs of care. DESIGN: This was a case-control study of cases with ACP who died matched 1:1 with controls. We used 12 months of data pre-ACP/prematch and predeath. We compared rates of documentation with logit model regression and conducted a difference-in-difference analysis using generalized linear models for utilization and costs...
December 5, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29206069/the-palliative-care-resource-nurses-pilot-survey-a-descriptive-report-of-their-primary-palliative-care-role-and-educational-needs
#5
Toni L Glover, Paula Turpening, Cynthia Garvan, Sheri Kittelson
No abstract text is available yet for this article.
December 5, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29205442/palliative-care-for-end-of-life-patients-in-a-basic-emergency-service
#6
REVIEW
Maria Eduarda Diniz Pereira, António Barbosa, Maria Dos Anjos Dixe
This research sought to describe the care provided by the nursing staff of the Western Department of the Basic Emergency Service for end-of-life patients. This was a retrospective, quantitative, exploratory and descriptive (level I) study, which sought to research the nursing records of 83 patients from admission to death. Patients who met the following inclusion criteria were considered eligible: adults; had an oncological or nononcological, advanced and irreversible chronic disease; and died in the Basic Emergency Service in the period from January 2011 to December 2012...
December 5, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/29203132/deaths-in-france-characteristics-place-of-death-hospitalisations-and-use-of-palliative-care-during-the-year-before-death-hospital-care-the-year-before-death
#7
C Poulalhon, L Rotelli-Bihet, C Raso, R Aubry, A Fagot-Campagna, P Tuppin
AIM: Only limited data are available concerning the diseases managed and the hospital pathway before death. The aim of this study was to describe diseases, hospitalisations, and use of palliative care one year before death as well as place of death in France. METHODS: French health insurance general scheme beneficiaries who died in 2013 were identified in the National Health Insurance Information System (SNIIRAM) with a selection of information concerning their various hospital stays, including hospital palliative care (HPC) and nursing home care...
December 1, 2017: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/29196588/understanding-stage-ii-bidirectional-cavopulmonary-shunts
#8
Cecilia St George-Hyslop, Jennifer Thomas, Linda G Fazari
Despite improvements in surgical technique and medical management, single-ventricle lesions remain one of the most challenging congenital heart anomalies to treat, and mortality rates are high. Most infants who have single-ventricle palliation undergo a sequence of surgeries to optimize pulmonary and systemic blood flow. The first surgery to separate pulmonary and systemic blood flow is the bidirectional cavopulmonary shunt. This article describes single-ventricle lesions and gives a basic overview of outcomes and strategies to improve interstage mortality...
December 2017: Critical Care Nurse
https://www.readbyqxmd.com/read/29195213/nursing-students-emotional-intelligence-coping-styles-and-learning-satisfaction-in-clinically-simulated-palliative-care-scenarios-an-observational-study
#9
Ana Rosa Alconero-Camarero, Carmen María Sarabia-Cobo, Silvia González-Gómez, Isabel Ibáñez-Rementería, Lucía Lavín-Alconero, Ana Belén Sarabia-Cobo
BACKGROUND: Emotional intelligence is highly relevant in palliative care training, considering the coping styles used by nursing students. Clinical simulation provides the opportunity to evaluate these variables in a realistic and natural context. OBJECTIVES: To analyze the possible relation between emotional intelligence, coping styles and satisfaction with one's own self-learning in nursing students participating in simulated scenarios related to palliative care at the end of life...
November 16, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29186782/forging-a-frailty-ready-healthcare-system-to-meet-population-ageing
#10
(no author information available yet)
The beginning of the 21st century has seen health systems worldwide struggling to deliver quality healthcare amidst challenges posed by ageing populations. The increasing prevalence of frailty with older age and accompanying complexities in physical, cognitive, social and psychological dimensions renders the present modus operandi of fragmented, facility-centric, doctor-based, and illness-centered care delivery as clearly unsustainable. In line with the public health framework for action in the World Health Organization's World Health and Ageing Report, meeting these challenges will require a systemic reform of healthcare delivery that is integrated, patient-centric, team-based, and health-centered...
November 24, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29179847/-sophrology-for-developing-strategies-to-help-patients-adapt-to-cancer-treatments
#11
REVIEW
Michelle Gaide, Frédérique Surdej, Christelle Daoud-Carrera, Éric Dudoit, Florence Duffaud, Sébastien Salas
Radiotherapy forms a significant part of cancer treatment. Caregivers support and advise patients to help them to adapt to the treatment and limit the occurrence of side effects. A nurse and member of a mobile support care and palliative care unit shares her experience of working in a team using sophrology to relieve the anxiety resulting from the wearing of a mask in radiotherapy.
December 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/29178901/bereaved-family-members-perceptions-of-the-quality-of-end-of-life-care-across-four-types-of-inpatient-care-settings
#12
Kelli Stajduhar, Richard Sawatzky, S Robin Cohen, Daren K Heyland, Diane Allan, Darcee Bidgood, Leah Norgrove, Anne M Gadermann
BACKGROUND: The aims of this study were to gain a better understanding of how bereaved family members perceive the quality of EOL care by comparing their satisfaction with quality of end-of-life care across four different settings and by additionally examining the extent to which demographic characteristics and psychological variables (resilience, optimism, grief) explain variation in satisfaction. METHODS: A cross-sectional mail-out survey was conducted of bereaved family members of patients who had died in extended care units (n = 63), intensive care units (n = 30), medical care units (n = 140) and palliative care units (n = 155)...
November 25, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/29175560/protocol-and-pilot-testing-the-feasibility-and-acceptability-of-a-nurse-led-telephone-based-palliative-care-intervention-for-patients-newly-diagnosed-with-lung-cancer
#13
Lynn F Reinke, Elizabeth K Vig, Erica V Tartaglione, Leah M Backhus, Eric Gunnink, David H Au
No abstract text is available yet for this article.
November 23, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29173513/enabling-at-homeness-for-residents-living-in-a-nursing-home-reflected-experience-of-nursing-home-staff
#14
Lotta Saarnio, Anne-Marie Boström, Ragnhild Hedman, Petter Gustavsson, Joakim Öhlén
Older people are often living the last period of their lives in institutions such as nursing homes. Knowledge of this period, specifically related to at-homeness which can be described as wellbeing in spite of illness and has been regarded as one of the goals in palliative care, has been very little researched in the context of nursing homes and the experience of nursing home staff. The aim of this study was to explore the experiences of nursing home staff of how to enable at-homeness for residents. Qualitative interpretive description methodology guided the design...
December 2017: Journal of Aging Studies
https://www.readbyqxmd.com/read/29172891/politics-and-palliative-care-central-african-republic
#15
Dion Smyth
Dion Smyth's review of palliative nursing on the internet.
November 2, 2017: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/29172890/challenges-to-advance-care-planning-among-multidisciplinary-health-professionals-in-china
#16
Mei Ching Lee, Roger Auth, Katherine A Hinderer, Carla S Alexander
BACKGROUND: Advance care planning (ACP) is a critical component of quality end-of-life care. Little is known regarding the cultural influences on health professionals' attitudes toward the discussion of ACP in China. OBJECTIVE: To better understand attitudes toward ACP among Chinese healthcare professionals in China and the influence of cultural factors such as filial piety, or xiào. METHODS: A mixed methods study was used. This study reports the results of a descriptive cross-sectional survey of physicians, nurses and social workers with experience in palliative and end-of-life care...
November 2, 2017: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/29172885/what-influences-palliative-care-nurses-in-their-choice-to-engage-in-or-decline-clinical-supervision
#17
Nick Puffett, Paul Perkins
BACKGROUND: Clinical supervision (CS) has been around since the early 1990s in the UK and has been endorsed by government and professional bodies. Levels of engagement range from 18% to 85%. AIM: To investigate what influences palliative care nurses in their choice to engage in or decline clinical supervision. METHOD: A qualitative study was undertaken in an inpatient hospice in England and employed two focus groups to compare the views of participants and non-participants in CS...
November 2, 2017: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/29172637/discrepancies-between-the-supports-needed-for-discharge-of-patients-with-terminal-cancer-to-family-caregivers-and-what-supports-were-actually-provided-in-japan-assessment-of-palliative-care-unit-nurses
#18
Yasufumi Oosono, Kazuhito Yokoyama, Hiroaki Itoh, Miyuki Enomoto, Miki Ishiwata
OBJECTIVES: Even if patients with terminal cancer hope to spend the rest of their lives at home, they are often unable to leave the hospital early due to their family caregivers' anxiety. This study aimed to investigate in Japan the discrepancies between the supports needed by and actually provided by palliative care unit nurses (PCUNs) to the family caregivers for discharge of patients with terminal cancer. METHODS: In this cross-sectional study, self-administered questionnaires including 6-point Likert-type scales assessing the reasons for difficulties in transition to home-based care were distributed to 1227 PCUNs...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29169937/positive-deviance-and-hand-hygiene-of-nurses-in-a-quebec-hospital-what-can-we-learn-from-the-best
#19
Josiane Létourneau, Marie Alderson, Annette Leibing
BACKGROUND: Although it is well known that hand hygiene is the most effective measure to prevent health care-associated infections, hand hygiene adherence is low in Quebec, as it is elsewhere. For this study, an innovative framework was used to explore the clinical practice of nurses regarding hand hygiene and the factors that influence it: positive deviance, or the idea that there are people who find better solutions to problems than their peers. This study investigated positive deviance at the level of the care team to shed light on group dynamics...
November 21, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29169346/social-and-clinical-determinants-of-preferences-and-their-achievement-at-the-end-of-life-prospective-cohort-study-of-older-adults-receiving-palliative-care-in-three-countries
#20
Irene J Higginson, Barbara A Daveson, R Sean Morrison, Deokhee Yi, Diane Meier, Melinda Smith, Karen Ryan, Regina McQuillan, Bridget M Johnston, Charles Normand
BACKGROUND: Achieving choice is proposed as a quality marker. But little is known about what influences preferences especially among older adults. We aimed to determine and compare, across three countries, factors associated with preferences for place of death and treatment, and actual site of death. METHODS: We recruited adults aged ≥65-years from hospital-based multiprofessional palliative care services in London, Dublin, New York, and followed them for >17 months...
November 23, 2017: BMC Geriatrics
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