{"title":"Quality of death and its related factors in terminally ill patients, as perceived by nurses.","authors":"Yaowarat Matchim, Borwarnluck Thongthawee, Parinya Raetong, Ruankwan Kanhasing","doi":"10.12968/ijpn.2022.28.10.491","DOIUrl":"https://doi.org/10.12968/ijpn.2022.28.10.491","url":null,"abstract":"<p><strong>Background: </strong>Little is known about the quality of death of terminally ill patients in hospitals in Thailand.</p><p><strong>Aim: </strong>To examine the quality of death of terminally ill patients and investigate correlations between the quality of death and the organisational climate; nurses' palliative care knowledge; nurses' palliative care practice; and nurses' perceptions of barriers in providing palliative care.</p><p><strong>Methods: </strong>A cross-sectional survey design was used. Data collected among 281 nurses were analysed by descriptive statistics, Pearson correlation and Spearman's rank correlation.</p><p><strong>Results: </strong>The overall quality of death of terminally ill patients in the hospital was moderate. Organisational climate and nurses' palliative care practice positively correlate with terminally ill patients' quality of death. Nurses' difficulty in providing palliative care negatively correlates with terminally ill patients' quality of death.</p><p><strong>Conclusion: </strong>Promoting an organisational climate and enhancing nurses' palliative care practice may improve the quality of death of terminally ill patients in this hospital.</p>","PeriodicalId":47415,"journal":{"name":"International Journal of Palliative Nursing","volume":"28 10","pages":"491-496"},"PeriodicalIF":1.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40562814","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}
{"title":"Experiences of emergency department nurses using palliative care resources and associated tools in the provision of quality care of a dying patient.","authors":"Suzanne Robson, Alison Craswell","doi":"10.12968/ijpn.2022.28.10.464","DOIUrl":"https://doi.org/10.12968/ijpn.2022.28.10.464","url":null,"abstract":"<p><p>Access to quality palliative and end-of-life care in the emergency department is as vitally important as care at any other stage of life. This study aimed to investigate nurses' perceptions of the use of a suite of dedicated resources to support the provision of care to patients who are dying in the emergency environment. The study followed a qualitative descriptive design; 11 semi-structured interviews were conducted and analysed using thematic coding. Five themes were developed: facilitating care delivery; comfort and environmental adjustments; visual symbolism; developing knowledge to overcome fear; and perceptions of family experiences. There is an increasing need to access palliative care in the emergency department; the use of a suite of resources can play an important role in the provision of quality care to the dying.</p>","PeriodicalId":47415,"journal":{"name":"International Journal of Palliative Nursing","volume":"28 10","pages":"464-472"},"PeriodicalIF":1.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40577922","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}
Patricia McNeilly, Sharon McCloskey, Valerie Peacock, Jayne E Price
{"title":"Reflecting on palliative care for children, young people and their families: a revised model.","authors":"Patricia McNeilly, Sharon McCloskey, Valerie Peacock, Jayne E Price","doi":"10.12968/ijpn.2022.28.10.482","DOIUrl":"https://doi.org/10.12968/ijpn.2022.28.10.482","url":null,"abstract":"The unique needs of children requiring palliative care and their families have been increasingly recognised on a global scale. The complexities of such care, the unpredictability of the illness trajectory and increased choice in terms of where care is provided has led to challenges for nurses/practitioners striving to provide optimal care for these families. Working in partnership with children and families and reflecting on practice are key issues in providing care and support. Reflective models are frequently used as a tool for two reasons: firstly, to reflect on practice with the aim of quality improvement; secondly, to help practitioners explore difficult or challenging aspects of care negotiated with families. Here, the authors report on a specialised model that has been developed and updated for use within children's palliative care. For reasons of confidentiality, a fictitious case study is used to illustrate how this model could be implemented during a debriefing session following the death of a child. While more research is needed, initial trials of the model by the authors suggests that using specialised reflective models and frameworks can help to facilitate such discussions in children's palliative care.","PeriodicalId":47415,"journal":{"name":"International Journal of Palliative Nursing","volume":"28 10","pages":"482-490"},"PeriodicalIF":1.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40562815","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}
Sarah El Khatib, Ansar Khoder, Dalal Moghrabi, Mohamad Rabah, Samaa Al Tabbah
{"title":"Nurses' knowledge about palliative care services in North Lebanon.","authors":"Sarah El Khatib, Ansar Khoder, Dalal Moghrabi, Mohamad Rabah, Samaa Al Tabbah","doi":"10.12968/ijpn.2022.28.10.474","DOIUrl":"https://doi.org/10.12968/ijpn.2022.28.10.474","url":null,"abstract":"<p><strong>Background: </strong>The surge in number of people needing palliative care services along with the deficit in nursing knowledge in in this field are challenges to be addressed in order to ensure higher quality end of life life care.</p><p><strong>Aim: </strong>The aim of this cross-sectional, exploratory pilot study was to assess nurses' knowledge in palliative care using the palliative care knowledge test (PCKT).</p><p><strong>Method: </strong>Descriptive analysis and correlations were carried out.</p><p><strong>Findings: </strong>Nurses showed insufficient knowledge in palliative care; 52% had a poor level (≤18 points) and 48% a fair level (19-28) of knowledge. No participants scored more than 73% in the total PCKT score. Nurses scored poorest in the management of dyspnoea and psychiatric problems.</p><p><strong>Conclusion: </strong>This pilot study demonstrated that promoting continuous education in palliative care is needed to provide quality care to terminally ill patients.</p>","PeriodicalId":47415,"journal":{"name":"International Journal of Palliative Nursing","volume":"28 10","pages":"474-481"},"PeriodicalIF":1.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40577921","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}
Tipsuda Sumneangsanor, Manyat Ruchiwit, Linda Weglicki
{"title":"The effects of a biofeedback and music training programme in reducing stress in Thai patients living with cancer receiving palliative care.","authors":"Tipsuda Sumneangsanor, Manyat Ruchiwit, Linda Weglicki","doi":"10.12968/ijpn.2022.28.10.453","DOIUrl":"https://doi.org/10.12968/ijpn.2022.28.10.453","url":null,"abstract":"<p><strong>Background: </strong>Stress can physically effect patients with cancer undergoing palliative care and should be targeted for prevention.</p><p><strong>Aim: </strong>To examine the effects of the biofeedback and music training programme (BMT programme) in decreasing stress among patients living with cancer receiving palliative care.</p><p><strong>Methods: </strong>A randomised controlled trial (RCT) repeated measure study was used to investigate the effects of the BMT programme.</p><p><strong>Findings: </strong>The participants in the BMT programme had the lowest mean stress recorded before, during and after the experiment, while the control group had a higher mean of stress in every measurement period. There were significant differences among groups across the time periods (Wilks' lambda =0.269, F=7.081, p<0.01).</p><p><strong>Conclusion: </strong>Use of the BMT programme resulted in a significant reduction in patient stress. This confirms that the BMT programme plays an important role in helping patients living with cancer that experience high volumes of stress.</p>","PeriodicalId":47415,"journal":{"name":"International Journal of Palliative Nursing","volume":"28 10","pages":"453-463"},"PeriodicalIF":1.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40577923","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}
{"title":"Public health palliative care: a 'new' message for palliative care nursing.","authors":"Philip Larkin","doi":"10.12968/ijpn.2022.28.10.451","DOIUrl":"https://doi.org/10.12968/ijpn.2022.28.10.451","url":null,"abstract":"","PeriodicalId":47415,"journal":{"name":"International Journal of Palliative Nursing","volume":"28 10","pages":"451-452"},"PeriodicalIF":1.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40577920","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}
{"title":"Equality, diversity and inclusion: a focus on LGBTQ+ people.","authors":"Brian Nyatanga","doi":"10.12968/ijpn.2022.28.9.399","DOIUrl":"https://doi.org/10.12968/ijpn.2022.28.9.399","url":null,"abstract":"","PeriodicalId":47415,"journal":{"name":"International Journal of Palliative Nursing","volume":"28 9","pages":"399-400"},"PeriodicalIF":1.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33479728","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}
Heidi Mason, Deborah M Price, April Bigelow, Karen Harden
{"title":"Multi-level classroom learning prepares nurses for future collaboration in palliative care: an educational initiative.","authors":"Heidi Mason, Deborah M Price, April Bigelow, Karen Harden","doi":"10.12968/ijpn.2022.28.9.401","DOIUrl":"https://doi.org/10.12968/ijpn.2022.28.9.401","url":null,"abstract":"<p><strong>Background: </strong>Palliative care (PC) education should be an important part of both the graduate and undergraduate nursing curriculum. Nursing's philosophy of holistic care, which aims to improve the quality of life of patients and families, aligns with the primary objective of PC, positioning nurses to take the lead in expanding and improving PC delivery to all patients with a life-threatening diagnosis. The best way to facilitate this level of care is when staff nurses and advanced practice nurses work collaboratively.</p><p><strong>Aim: </strong>To establish a new standard for nursing education that emphasises intradisciplinary care.</p><p><strong>Methods: </strong>To fill the gap in PC education for nursing students, a dedicated elective PC class was developed for undergraduate and graduate students at a large midwestern University in the United States.</p><p><strong>Findings: </strong>Through an interactive approach to learning, both groups were able to experience and more fully understand how they would work collaboratively with each other to provide high-quality PC.</p><p><strong>Conclusions: </strong>Intradisciplinary PC education is an opportunity for students to learn the precepts of PC in an environment that will mirror their post-graduation practice environment.</p>","PeriodicalId":47415,"journal":{"name":"International Journal of Palliative Nursing","volume":"28 9","pages":"401-405"},"PeriodicalIF":1.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33479731","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}
Carolyn Maze, Carolyn Wilkinson, Kelli Stajduhar, Helena Daudt, Shelley Tysick
{"title":"Perceptions of bereaved family members of nursing care on an inpatient hospice palliative care unit.","authors":"Carolyn Maze, Carolyn Wilkinson, Kelli Stajduhar, Helena Daudt, Shelley Tysick","doi":"10.12968/ijpn.2022.28.9.406","DOIUrl":"https://doi.org/10.12968/ijpn.2022.28.9.406","url":null,"abstract":"<p><strong>Background: </strong>Understanding family members' (FMs) perceptions of the care provided by nurses is crucial to facilitating positive outcomes for FMs.</p><p><strong>Aims: </strong>To better understand how bereaved FMs perceive the care nurses provide in an inpatient hospice palliative care unit.</p><p><strong>Methods: </strong>An exploratory study was conducted, with an interpretive description methodology. It was guided by the question: 'How do bereaved FMs perceive nursing care in our unit, and how does this influence their bereavement experiences?' A total of 10 FMs-or close friends-who had a significant other die on a palliative care unit were interviewed.</p><p><strong>Findings: </strong>Findings support the belief that positive relationships and interactions with nurses impact families' perceptions of end of life. Nurses create a therapeutic environment, building a sense of ease and meaning for patients and families.</p><p><strong>Conclusion: </strong>Participation of nurses in rituals and patient-honouring practices after death may help families to cope and create positive memories during their grieving process.</p>","PeriodicalId":47415,"journal":{"name":"International Journal of Palliative Nursing","volume":"28 9","pages":"406-418"},"PeriodicalIF":1.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33479157","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}