keyword
https://read.qxmd.com/read/37481524/palliative-care-as-a-digital-working-world-palladium-a-mixed-method-research-protocol
#21
JOURNAL ARTICLE
Sandra Grimminger, Maria Heckel, Moritz Markgraf, Sarah Peuten, Moritz Wöhl, Henner Gimpel, Carsten Klein, Christoph Ostgathe, Tobias Steigleder, Werner Schneider
BACKGROUND: In Palliative Care, actors from different professional backgrounds work together and exchange case-specific and expert knowledge and information. Since Palliative Care is traditionally distant from digitalization due to its holistically person-centered approach, there is a lack of suitable concepts enabling digitalization regarding multi-professional team processes. Yet, a digitalised information and collaboration environment geared to the requirements of palliative care and the needs of the members of the multi-professional team might facilitate communication and collaboration processes and improve information and knowledge flows...
July 22, 2023: BMC Palliative Care
https://read.qxmd.com/read/37462170/building-bridges-in-palliative-rehabilitation-an-evidence-based-toolkit-to-promote-collaboration
#22
JOURNAL ARTICLE
Ann M Henshaw, Sunny R Winstead
Background: Palliative care and rehabilitation professionals caring for seriously ill people and their families face barriers to effective, timely collaboration. Barriers such as ineffective communication processes, role misunderstanding across professions, and resource limitations can lead to underutilization of rehabilitation services for this vulnerable population. Objectives: To create practical connections between palliative care and rehabilitation professionals and to provide tools and strategies for teams to develop the core competencies (role clarity, communication, teamwork, and shared values) necessary to provide coordinated, timely, effective care to people living with serious illness...
July 18, 2023: American Journal of Hospice & Palliative Care
https://read.qxmd.com/read/37404961/characterizing-different-multidisciplinary-team-models-implemented-within-one-comprehensive-cancer-center
#23
JOURNAL ARTICLE
Sara Alfieri, Cinzia Brunelli, Claudia Borreani, Giuseppe Capri, Martina Angi, Giulia V Bianchi, Silvia Lo Dico, Pierangelo Spada, Viviana Fusetti, Ernesto Zecca, Augusto Caraceni
BACKGROUND: The multidisciplinary approach is considered "best practice" in oncology. Multidisciplinary Teamwork (MDTW) can be broadly classified into Multidisciplinary Team Meetings (MDTM) and Multidisciplinary Cancer Clinics (MDCC; involving also patients), yet both models are heterogeneously implemented. PURPOSE: This study aims at describing the different MDTW implemented models in a Comprehensive Cancer Center. METHODS: All clinical unit directors of the hospital were contacted to identify any MDTW activities the personnel of the unit were involved in...
2023: Journal of Multidisciplinary Healthcare
https://read.qxmd.com/read/37321259/palliative-care-knowledge-following-an-interdisciplinary-palliative-care-seminar
#24
JOURNAL ARTICLE
Sarah Mollman, Michelle Gierach, Amanda Sedlacek
BACKGROUND: The COVID-19 pandemic created a unique opportunity to evolve an interdisciplinary palliative care seminar (IPC) into a virtual platform. This seminar provides foundational palliative and hospice concepts, introductions into palliative care disciplines, integration of teamwork, and incorporates interdisciplinary student led patient encounters. Traditionally, this experience had been in person, however during the COVID-19 pandemic, healthcare restrictions transitioned the educational delivery to a virtual platform...
June 15, 2023: American Journal of Hospice & Palliative Care
https://read.qxmd.com/read/37309083/the-application-of-mdt-model-for-calciphylaxis-management-in-patients-with-end-stage-renal-disease
#25
JOURNAL ARTICLE
Yanyan Pan, Hui Wang, Yajun Ye, Manman Lv, Yamei Zhu, Ningning Wang, Jing Zhao, Jingping Shi, Xiaolin Lv
This study focuses on the application of nurse-led multidisciplinary collaborative therapy (MDT) management model for calciphylaxis prevention of patients with terminal renal disease. Through the establishment of a multidisciplinary management team spanning nephrology department, blood purification center, dermatology department, burn and plastic surgery department, infection department, stem cell platform, nutrition department, pain department, cardiology department, hydrotherapy group, dermatology group, and outpatient treatment room, the distribution of duties among team members were clarified to bring out the best advantages of a multidisciplinary teamwork during treatment and nursing...
June 12, 2023: International Wound Journal
https://read.qxmd.com/read/37258087/interprofessional-palliative-and-end-of-life-education-short-term-and-long-term-outcomes-mixed-methods-analysis
#26
JOURNAL ARTICLE
Adir Shaulov, Adi Finkelstein, Inon Vashdi, Freda DeKeyser Ganz, Anna Kienski Woloski-Wruble, Estelle Rubinstein, Esther-Lee Marcus, Lior Lesser, Dorith Shaham
ObjectiveInterprofessional care is integral to end-of-life (EOL) and palliative care (PC) and may be suited for EOL and PC education.We evaluate the impact of an interprofessional EOL care curriculum on participants, during the course, on completion and 4 years laterusing quantitative (questionnaires) and qualitative (open-ended questions and interviews) methods.The course included 14 fifth and sixth-year medical students, 9 social work students and 7 nursing students enrolled in master's degree programmes...
May 31, 2023: BMJ Supportive & Palliative Care
https://read.qxmd.com/read/37247981/-from-one-emotion-to-another-twenty-four-hours-in-the-life-of-a-hospital-doctor
#27
JOURNAL ARTICLE
Diane Friedman
Every morning has its own mood: joy, sadness, annoyance, etc. Like all human beings, and beyond their professionalism, caregivers experience emotions throughout their day of practice. These emotions are both personal and professional. For example, the situation of a patient at the end of life, in an intensive care unit, will bring out different emotions in all the protagonists (patient, family, care team), narrated by the doctor in charge of the patient.
May 2023: Revue de L'infirmière
https://read.qxmd.com/read/37218036/healthcare-providers-experiences-of-caring-for-patients-with-covid-19-requiring-extracorporeal-membrane-oxygenation-support
#28
JOURNAL ARTICLE
Lori Constantine, Danielle DeCicco, Roger D Carpenter, Stephanie Pockl, Katherine B Seachrist, R Osvaldo Navia
BACKGROUND: Coronavirus 19 (COVID-19) affected healthcare workers (HCW) in ways more than increasing the volume of patients needing care. Increased numbers of patients at younger ages required support with extracorporeal membrane oxygenation (ECMO). Providing this care requires an interdisciplinary team. AIM: This study explored the experiences of HCW caring for patients with COVID-19 on ECMO. METHODS: Face-to-face semi-structured interviews were conducted via videoconferencing, and transcript comparison was used for the analysis...
May 22, 2023: American Journal of Hospice & Palliative Care
https://read.qxmd.com/read/36991463/simulation-based-learning-in-palliative-care-in-postgraduate-nursing-education-a-scoping-review
#29
JOURNAL ARTICLE
Karoline Skedsmo, Andréa Aparecida Gonçalves Nes, Hege Vistven Stenseth, Kristin Hofsø, Marie Hamilton Larsen, Deborah Hilderson, Dieter Smis, Carina Lundh Hagelin, Camilla Olaussen, Marianne Trygg Solberg, Hanne Maria Bingen, Mia Alexandra Ølnes, Simen A Steindal
BACKGROUND: Nurses require advanced competence in palliative care, but they face wide variations in education and a shortage in opportunities for clinical placement. Simulation-based learning (SBL) can enable students to develop clinical skills, critical thinking and confidence. No scoping reviews to date have mapped the use of SBL in palliative care within postgraduate nursing education. METHODS: The aim of this scoping review was to systematically map published studies on the use of SBL in palliative care in postgraduate nursing education...
March 29, 2023: BMC Palliative Care
https://read.qxmd.com/read/36950093/early-palliative-care-for-solid-and-blood-cancer-patients-and-caregivers-quantitative-and-qualitative-results-of-a-long-term-experience-as-a-case-of-value-based-medicine
#30
JOURNAL ARTICLE
Sarah Bigi, Eleonora Borelli, Leonardo Potenza, Fabio Gilioli, Fabrizio Artioli, Giampiero Porzio, Mario Luppi, Elena Bandieri
INTRODUCTION: Cancer patients and their caregivers have substantial unmet needs, that negatively impact the clinical outcome and quality of life. However, interventions aimed to address such needs are still suboptimal, failing to answer the recent healthcare call for the adoption of value-based models of care. In the case of incurable oncologic and hematologic cancers, a value-based model of care should plan advanced care on patients' needs and include the quality of death as an outcome...
2023: Frontiers in Public Health
https://read.qxmd.com/read/36691142/two-mental-models-of-integrated-care-for-advanced-liver-disease-qualitative-study-of-multidisciplinary-health-professionals
#31
JOURNAL ARTICLE
Jennifer Arney, Caroline Gray, Anne M Walling, Jack A Clark, Donna Smith, Jennifer Melcher, Steven Asch, Fasiha Kanwal, Aanand D Naik
OBJECTIVES: The purpose of this paper is to present two divergent mental models of integrated advanced liver disease (AdvLD) care among 26 providers who treat patients with AdvLD. SETTING: 3 geographically dispersed United States Veterans Health Administration health systems. PARTICIPANTS: 26 professionals (20 women and 6 men) participated, including 9 (34.6%) gastroenterology, hepatology, and transplant physicians, 2 (7.7%) physician assistants, 7 (27%) nurses and nurse practitioners, 3 (11...
September 5, 2022: BMJ Open
https://read.qxmd.com/read/36607704/impact-of-interprofessional-teamwork-on-aligning-icu-care-with-patient-goals-a-qualitative-study-of-transactive-memory-systems
#32
JOURNAL ARTICLE
Jacqueline M Kruser, Demetrius Solomon, Joy Moy, Jane L Holl, Elizabeth M Viglianti, Michael E Detsky, Douglas A Wiegmann
RATIONALE: Although aligning care with patient goals is fundamental to critical care, this process is often delayed and leads to conflict among patients, families, and intensive care unit (ICU) teams. Interprofessional collaboration within ICU teams is an opportunity to improve goal-aligned care, yet this collaboration is poorly understood. A better understanding of how ICU team members work together to provide goal-aligned care may identify new strategies for improvement. OBJECTIVES: Transactive memory systems is a theory of group mind that explains how high-performing teams use a shared memory and collective cognition...
January 6, 2023: Annals of the American Thoracic Society
https://read.qxmd.com/read/36600439/implementation-and-perceived-impact-of-the-swan-model-of-end-of-life-and-bereavement-care-a-realist-evaluation
#33
REVIEW
Adele Stewart-Lord, Lesley Baillie, Laura Green, Fiona Murphy, Alison Leary
OBJECTIVES: To evaluate the End-of-Life and Bereavement Care model (SWAN) from conception to current use. DESIGN: A realist evaluation was conducted to understand what works for whom and in what circumstances. The programme theory, derived from a scoping review, comprised: person and family centred care, institutional approaches and infrastructure. Data were collected across three stages (May 2021 to December 2021): semi-structured, online interviews and analysis of routinely collected local and national data...
December 20, 2022: BMJ Open
https://read.qxmd.com/read/36478781/opportunities-for-integrating-palliative-care-in-ghana
#34
JOURNAL ARTICLE
Joshua Okyere, Kwaku Kissah-Korsah
INTRODUCTION: The integration of palliative care (PC) services is characterized by several barriers and challenges, which may include misperception of PC services as end-of-life care, poor referral systems, inadequate financial support, regulatory barriers, and the small size of PC professional workforce. Beyond these barriers, the question remains: what opportunities exist to facilitate the integration of PC in managing patients' conditions? Notably, for a resource-constrained country like Ghana, unearthing existing facilitating factors would enable the country to leverage the opportunities these factors present to promote PC integration...
2022: SAGE Open Nursing
https://read.qxmd.com/read/36472251/reliability-and-validity-of-the-self-efficacy-in-palliative-care-scale-among-nurses
#35
JOURNAL ARTICLE
Seongkum Heo, Miyeong Kim, HyunMi You, Sun Woo Hong, Minjeong An, Jisun Yang, Hee Jung Kim, JaeLan Shim, SaeHyun Chon, JinShil Kim
OBJECTIVES: To provide appropriate palliative care, nurses should have appropriate level of self-efficacy in palliative care, but the levels among nurses were low. To improve the levels effectively, self-efficacy in palliative care should be assessed using reliable and valid instruments. The purpose of this study was to examine the reliability and validity of the Self-Efficacy in Palliative Care Scale in Korean nurses. METHODS: In this cross-sectional, observational study, 272 nurses (mean age: 30 years) were enrolled from 6 university-affiliated medical centers or community hospitals in South Korea...
December 6, 2022: Palliative & Supportive Care
https://read.qxmd.com/read/36406840/using-latent-profile-analysis-to-understand-palliative-care-professionals-quality-of-life-during-the-covid-19-pandemic
#36
JOURNAL ARTICLE
Cristina Lluch-Sanz, Laura Galiana, José M Tomás, Amparo Oliver, Gabriel Vidal-Blanco, Noemí Sansó
Healthcare workers' professional quality of life has been increasingly under the spotlight, even more so during the COVID-19 pandemic, which has posed a genuine challenge for them. This study aims to describe the professional quality of life profiles of a sample of Spanish palliative care professionals during the COVID-19 pandemic, encompassing aspects such as work satisfaction, burnout, compassion fatigue, and compassion satisfaction; while studying the relationships between these profiles and sociodemographic variables, clinical situations experienced during the pandemic, protectors of professional quality of life, the quality of care delivered, and the professionals' wellbeing...
November 11, 2022: Current Psychology
https://read.qxmd.com/read/36242514/-it-s-pretty-much-flying-blind-in-the-home-care-setting-a-qualitative-study-on-the-influence-of-home-care-specific-circumstances-on-sedation-in-specialist-palliative-home-care
#37
JOURNAL ARTICLE
Sophie Meesters, Jeremias Bazata, Violet Handtke, Jan Gehrmann, Sandra Kurkowski, Carsten Klein, Claudia Bausewein, Eva Schildmann
BACKGROUND: Existing data on sedation at the end of life indicate challenges in the home care setting, leading to deviations from guidelines or non-provision of sedation. AIM: As part of the "SedPall" study, we aimed to explore circumstances in specialist palliative home care, which influence the practice of sedation. DESIGN: Semi-structured qualitative interviews ( n  = 59) and two focus groups ( n  = 4, n  = 5). Recruitment took place via contact persons...
October 14, 2022: Palliative Medicine
https://read.qxmd.com/read/36089480/what-should-the-surgeons-do-at-the-family-meeting-a-multi-disciplinary-qualitative-description-of-surgeon-participation-in-palliative-care-discussions
#38
JOURNAL ARTICLE
Kristen Schultz, Shannon Howard, Kirstin Moreno, Timothy Siegel, David Zonies, Karen Brasel, Mackenzie Cook
OBJECTIVE: National guidelines have suggested that quality surgical care should incorporate effective palliative care (PC). Numerous barriers to surgeon participation remain and the domains of optimal surgeon participation are unclear. DESIGN: Eight semi-structured and multi-professional focus groups with 34 total participants. Discussion was transcribed, and qualitative approaches were used to encode, identify, and categorize emergent themes. SETTING: Oregon Health & Science University, Portland Oregon...
September 8, 2022: Journal of Surgical Education
https://read.qxmd.com/read/36059907/advance-care-planning-and-communication-skills-improve-after-an-interprofessional-team-simulation-with-standardized-patients
#39
JOURNAL ARTICLE
Leah S Millstein, Paula Rosenblatt, Melissa H Bellin, Laura Whitney, Steven R Eveland, Mei Ching Lee, John Allen, Heather L Mutchie, Todd D Becker, John Cagle
Background: Improving rates of advance care planning (ACP) and advance directive completion is a recognized goal of health care in the United States. No prior study has examined the efficacy of standardized patient (SP)-based student interprofessional ACP trainings. Objectives: The present study aims to evaluate an interprofessional approach to ACP education using SP encounters. Design: We designed a pre-post evaluation of an innovative interprofessional ACP training curriculum using multimodal adult learning techniques to test the effects of completing ACP discussions with SPs...
2022: Palliative medicine reports
https://read.qxmd.com/read/36055722/what-palliative-care-physicians-wish-neurologists-knew
#40
REVIEW
Joshua Hauser
This chapter describes several features of palliative care that we believe can assist neurologists in caring for patients with serious illness. These features include the importance of recognizing suffering, the central of total pain (including physical, emotional, spiritual, and existential aspects), structural features of palliative care such as the distinction been palliative care and hospice, and the concept of primary and specialty palliative care. Structural features of palliative care such as interdisciplinary teamwork, approaches to self-care, and a perspective on prognostic uncertainty are also considered...
2022: Handbook of Clinical Neurology
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