PROGRESS IN PALLIATIVE CARE最新文献_第3页

Evaluating provision of psychological assessment and support in palliative care: A national survey of hospices in England 评估姑息关怀中心理评估和支持的提供情况：英格兰临终关怀机构全国调查

IF 1.7

PROGRESS IN PALLIATIVE CARE Pub Date : 2023-11-29 DOI: 10.1080/09699260.2023.2286418

Carole A. Paley, Vishal Keshwala, Michael Farfan Arango, Emily Hodgson, E. Chapman, Jaqueline Birtwistle

引用次数: 0

‘I’m very interested in learning more’: What health care professionals in the Dying2Learn Massive Open Online Course think of the death doula role 我对学习更多知识非常感兴趣"：Dying2Learn大型开放式在线课程中的医护专业人员对死亡陪护角色的看法

IF 1.7

PROGRESS IN PALLIATIVE CARE Pub Date : 2023-11-26 DOI: 10.1080/09699260.2023.2281113

D. Rawlings, Jenifer Tieman, L. Miller-Lewis

引用次数: 0

End-of-life care at home as a therapeutic landscape within a compassionate communities approach 在富有同情心的社区方法中，居家临终关怀作为一种治疗景观

PROGRESS IN PALLIATIVE CARE Pub Date : 2023-10-23 DOI: 10.1080/09699260.2023.2256176

Manjula Patel, Gillian Lewando Hundt, Anne Slowther

{"title":"End-of-life care at home as a therapeutic landscape within a compassionate communities approach","authors":"Manjula Patel, Gillian Lewando Hundt, Anne Slowther","doi":"10.1080/09699260.2023.2256176","DOIUrl":"https://doi.org/10.1080/09699260.2023.2256176","url":null,"abstract":"This article argues that a compassionate communities approach towards the end of life is a type of therapeutic landscape with particular characteristics. The emergence of public health approaches within palliative and end-of-life care has gained momentum internationally, with the concept of compassionate communities as one of its components. This qualitative case study explored the lived experiences of compassionate communities towards the end of life from the perspective of key actors at three different research sites providing palliative care, two of which were hospice settings and one a community organisation. The data collection methods included semi-structured interviews, focus groups, and contact diaries of people living towards the end of life (primary participants), their family members, friends, as well as volunteer befrienders and health professionals. Although there were differences in the compassionate communities approach across all three sites this study identified shared characteristics. First, home as the preferred place of care with physical, social, and psychological symbolic meanings; second, formal and informal care interfacing within and across inner and outer circles of care; third, the essential role of volunteer befrienders within the inner circle of care which strengthened the interface between the formal and informal care. The relational aspect between formal and informal care was considered to be significantly important. The characteristics of compassionate communities approaches within a home-based setting, meet the criteria for a type of therapeutic landscape, a place of maintaining well-being towards the end of life.","PeriodicalId":45106,"journal":{"name":"PROGRESS IN PALLIATIVE CARE","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135368634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers and mechanisms to the development of palliative care in Aceh, Indonesia 印度尼西亚亚齐发展姑息治疗的障碍和机制

PROGRESS IN PALLIATIVE CARE Pub Date : 2023-09-30 DOI: 10.1080/09699260.2023.2256177

Fiona Wilson, E. Wardani, T. Ryan, C. Gardiner, A. Talpur

{"title":"Barriers and mechanisms to the development of palliative care in Aceh, Indonesia","authors":"Fiona Wilson, E. Wardani, T. Ryan, C. Gardiner, A. Talpur","doi":"10.1080/09699260.2023.2256177","DOIUrl":"https://doi.org/10.1080/09699260.2023.2256177","url":null,"abstract":"The aim of this study was to identify barriers and mechanisms in the development of palliative care in the province of Aceh, North West Indonesia. Several factors, including an ageing population, have increased palliative care needs in the region; however, as with many low to middle income countries (LMICs), palliative care is not well established or integrated into mainstream health care services. Consequently, many people may experience serious health-related suffering (SHRS) at the end-of-life. Qualitative semi-structured interviews and focus groups were conducted with key stakeholders in Aceh, Indonesia and a semi-structured interview guide prompted an exploration of palliative care provision, including barriers and enablers. Interviews were digitally recorded, transcribed, and analysed using the principles of thematic analysis. Eight interviews and two focus groups were conducted with medics (n = 6), nurses (n = 7), hospital management (n = 1) and religious/cultural leaders (n = 2). The findings indicate that all participants recognise a need to reduce SHRS and a growing impetus to embed a culturally salient and sustainable model of palliative care within the Aceh healthcare system. The following four themes indicate key areas for further focus: (1) Local vision and leadership, (2) Prioritisation of palliative care policy and funding, (3) Access to palliative care in community and public services, and (4) supporting palliative care in the cultural context of Sharia law, family, and faith. Future expansion requires the identification of a culturally and socioeconomically salient package of palliative care which operates across rural community and acute care settings and is informed by further evaluation and evidence.","PeriodicalId":45106,"journal":{"name":"PROGRESS IN PALLIATIVE CARE","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136342348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Do palliative care research priorities match those for its care? A journals content analysis 2021–22 姑息治疗研究的重点是否与其护理相匹配?A期刊内容分析2021-22

PROGRESS IN PALLIATIVE CARE Pub Date : 2023-09-12 DOI: 10.1080/09699260.2023.2256175

J. Abel, A. Kellehear, M. Garrido, E. Hodges, J. Sawyer, C. Peterson

{"title":"Do palliative care research priorities match those for its care? A journals content analysis 2021–22","authors":"J. Abel, A. Kellehear, M. Garrido, E. Hodges, J. Sawyer, C. Peterson","doi":"10.1080/09699260.2023.2256175","DOIUrl":"https://doi.org/10.1080/09699260.2023.2256175","url":null,"abstract":"Background Most international definitions of palliative care in the worlds of policy and practice emphasize the ‘holistic’ dimensions of end-of-life experience and its care.Aim To discover whether the definitions of palliative care are reflected in the field’s research priorities.Design and Setting A content analysis of two research journals, one British and the other American, is described to provide a simple indicative answer to this question. The abstracts of 609 research papers drawn from these two journals between the years 2021–22 were examined thematically.Results The categories of physical alone, physical, and psychological, and psychological alone, when combined accounted for 69% of all research reports. The broader social aspects of care, outside of communication and advance care planning, were largely unaddressed. The social domain accounted for 29%, but 78% of this figure was about advance care planning and communication. Likewise, the role of spirituality, present in most of the definitions, was under researched and under reported. Even within this context, the results were disappointing. Spiritual care accounted for only 2% of reports.Conclusion Examination of research publications of two major palliative care research journals showed a significant overemphasis on symptom management and health service delivery assessments. This significant dearth of investigation in the major areas of social and spiritual domains is a call to action for researchers, grant making bodies, researchers, ethics committees, and journal editorial teams.","PeriodicalId":45106,"journal":{"name":"PROGRESS IN PALLIATIVE CARE","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135824681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Role of percutaneous nephrostomy in cancer patients 经皮肾造口术在癌症患者中的作用

IF 1.7

PROGRESS IN PALLIATIVE CARE Pub Date : 2023-09-06 DOI: 10.1080/09699260.2023.2249667

J. Ferraz-Gonçalves, Iolanda Vieira, Lígia Santos, Camila Oliveira

{"title":"Role of percutaneous nephrostomy in cancer patients","authors":"J. Ferraz-Gonçalves, Iolanda Vieira, Lígia Santos, Camila Oliveira","doi":"10.1080/09699260.2023.2249667","DOIUrl":"https://doi.org/10.1080/09699260.2023.2249667","url":null,"abstract":"Ureteric obstruction is common in cancer patients, representing an unfavorable prognostic factor in this population. Percutaneous nephrostomy (PCN) is often performed in these patients to prevent renal dysfunction and potentially increase survival. However, this procedure may negatively affect patients’ quality of life, and its survival benefit is not established. The objective is to characterize the population of cancer patients undergoing PCN, assess complications related to PCN, and identify potential prognostic factors in this population. Ninety-two patients were included; the median age was 70 years (range: 26–85), and 55 (60%) were males. Most patients had metastatic disease (n = 51; 55%). Bladder (n = 24; 26%), prostate (n = 15; 16%), and rectum (n = 10; 11%) were the most frequent primary tumor topographies. Twenty-seven patients (29%) had NPC-related complications, 16 (17%) had more than one complication, and 20 (22%) required hospitalization. The most frequent complications were infection (n = 23; 25%) and obstruction (n = 14; 15%). In the multivariate analysis, malignant obstructive uropathy was the only independent prognostic factor post-PCN. After three years of follow-up, 70 patients (76%) had died, mainly from cancer progression, and 2 (2%) due to PCN-related complications. Given the potential benefits and burdens, patients and, in some cases, family members should be involved in the decision. The problem is not the efficacy of PCN but the adequacy of the decision in the face of a limited life expectancy.","PeriodicalId":45106,"journal":{"name":"PROGRESS IN PALLIATIVE CARE","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59535327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding priorities of care: An assessment of FAMCARE-2 satisfaction surveys and thematic analysis in community palliative care 了解护理的优先事项：社区姑息治疗中FAMCARE-2满意度调查和主题分析的评估

IF 1.7

PROGRESS IN PALLIATIVE CARE Pub Date : 2023-09-02 DOI: 10.1080/09699260.2023.2241786

Matthew Cooper, Amanda Fischer, Natalie Dubrowin, Carol Kilkenny, Phillip Good

{"title":"Understanding priorities of care: An assessment of FAMCARE-2 satisfaction surveys and thematic analysis in community palliative care","authors":"Matthew Cooper, Amanda Fischer, Natalie Dubrowin, Carol Kilkenny, Phillip Good","doi":"10.1080/09699260.2023.2241786","DOIUrl":"https://doi.org/10.1080/09699260.2023.2241786","url":null,"abstract":"Background The palliative care sector currently faces cumulative challenges and finite resources to meet population needs. To optimise the effectiveness and efficiency of palliative care services, it is necessary to understand care needs and aspects prioritised by patients and families. Deepening our understanding of their experience and preferences will direct the sector’s limited resources toward achieving optimal care in the place of choice. Aim To assesses patient and carer satisfaction of a community palliative care service and to identify common themes that impact the experience of care, and the aspects of care that are important to them. Method A single-centre, prospective study exploring patient and carer satisfaction of two cohorts (patients receiving standard palliative care, or additional and intensive care support) via the Bupa Palliative Care Choices (BPCC) programme. A tool specifically designed to measure satisfaction with palliative care was utilised. Survey comments in the BPCC cohort were analysed thematically. Results Survey response rate was 35% and satisfaction results across all domains were high in both cohorts (very satisfied/satisfied >90%). Thematic analysis of comments identified priorities of care being emotional support for the patient and family, availability of the palliative care team, a focus on patient dignity, and provision of information relating to the patient’s condition and illness trajectory. Conclusion This study provides insights into patient and family priorities of care and identifies areas of need as emotional support, availability of and access to 24-hour care, respecting patient’s dignity, and transparent discussions regarding the patient’s condition and illness trajectory.","PeriodicalId":45106,"journal":{"name":"PROGRESS IN PALLIATIVE CARE","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46679829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating palliative care into primary health care: Indian perspectives 将姑息治疗纳入初级卫生保健:印度人的观点

IF 1.7

PROGRESS IN PALLIATIVE CARE Pub Date : 2023-08-27 DOI: 10.1080/09699260.2023.2241799

Radhika R. Pai, Malathi G. Nayak, Anita Jesline Serrao, N. Salins

引用次数: 0

Volunteer experiences at a hospice for homeless individuals during the COVID-19 pandemic 新冠肺炎大流行期间无家可归者收容所的志愿者体验

IF 1.7

PROGRESS IN PALLIATIVE CARE Pub Date : 2023-08-27 DOI: 10.1080/09699260.2023.2241791

A. Kamimura, S. Panahi, Ashley Kang, K. C. Whitesitt, Jeanie Ashby, Jill Olmsted

{"title":"Volunteer experiences at a hospice for homeless individuals during the COVID-19 pandemic","authors":"A. Kamimura, S. Panahi, Ashley Kang, K. C. Whitesitt, Jeanie Ashby, Jill Olmsted","doi":"10.1080/09699260.2023.2241791","DOIUrl":"https://doi.org/10.1080/09699260.2023.2241791","url":null,"abstract":"Context Volunteers provide important social support for homeless people. While motivations of the volunteer population for homeless people have been studied, little is known about volunteers for a hospice targeting the homeless population. Objectives The purpose of this study is to describe volunteer experiences and motivation at a hospice for homeless people during the COVID-19 pandemic. Methods This study was conducted at a hospice for homeless individuals in Fall 2021. Data were collected by six virtual focus groups in November and December 2021. There were 21 participants. The recordings of the focus groups were automatically transcribed via ZOOM. The data were analyzed based on themes. Results This study has highlighted three main findings. First, honoring a loved one and being engaged in the community were two main reasons individuals began volunteering at the hospice center. Second, volunteers faced many challenges during the COVID-19 pandemic, including a slow start, increased use of technology, and constant change in volunteers’ responsibilities due to safety reasons. During this time however, volunteers felt much support from the program staff. Third, interactions with staff, other volunteers and residents were the main reasons driving volunteer motivation. Conclusions This project examined the under-studied subject of volunteers’ experiences at a hospice for homeless people and provided insight in this topic. While the COVID-19 pandemic affected volunteering at a hospice for homeless people, support from the program staff and leadership helped sustain volunteer motivation.","PeriodicalId":45106,"journal":{"name":"PROGRESS IN PALLIATIVE CARE","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44898577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the awareness, knowledge and perceptions of palliative care at end-of-life in a Canadian population 探索意识，知识和看法的临终关怀在加拿大人口

IF 1.7

PROGRESS IN PALLIATIVE CARE Pub Date : 2023-08-08 DOI: 10.1080/09699260.2023.2241789

Priya Patel, S. Koppikar, Lily Spoozak, L. Lyons

{"title":"Exploring the awareness, knowledge and perceptions of palliative care at end-of-life in a Canadian population","authors":"Priya Patel, S. Koppikar, Lily Spoozak, L. Lyons","doi":"10.1080/09699260.2023.2241789","DOIUrl":"https://doi.org/10.1080/09699260.2023.2241789","url":null,"abstract":"Background The role of palliative care (PC) in chronic disease and end-of-life (EOL) management is rapidly evolving. However, studies globally have demonstrated limited public knowledge and awareness of PC with several misconceptions. Objective The purpose was to expand upon previous Canadian studies by providing more current and detailed information about the awareness, knowledge and perceptions of PC in EOL management. Additionally, the reliability of self-reported PC knowledge was explored. Methods A cross-sectional study using an 8-item questionnaire was conducted at an urban medical centre with 100 adults. Descriptive statistics and Chi-square tests were used for analyses. Results Ninety-one participants had heard of PC, while 58 reported being knowledgeable of PC services. Females were significantly more knowledgeable than males (p < 0.05). Most participants knew that PC improves a patient’s quality of life (n = 71), would not shorten life in a dying individual (n = 71) and can be provided in locations outside of the hospital (n = 72). Many indicated that involving PC services would not make them feel like they were giving up hope. There was less awareness around when to involve PC services, as there were mixed answers to whether PC is only needed if someone is dying from an illness. Two-thirds of participants who reported being knowledgeable of PC answered at least 75% of questions correctly. Conclusion Participants were quite aware and knowledgeable of PC but would benefit from education about the PC role in both chronic disease and EOL management. Self-reported knowledge was a fairly reliable indicator of true knowledge in this study.","PeriodicalId":45106,"journal":{"name":"PROGRESS IN PALLIATIVE CARE","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47000699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0