Journal of Palliative Care最新文献

{"title":"Early Impacts of COVID-19 on Select Hospices: Operations, Care Delivery, and Service Utilization.","authors":"Lisa R Shugarman,&nbsp;Lindsay McMillan,&nbsp;Hayley Mitchell,&nbsp;Komal Shah,&nbsp;Ted Kirby,&nbsp;Richard McManus,&nbsp;Katherine Woods,&nbsp;Shannon L Landefeld","doi":"10.1177/08258597221105149","DOIUrl":"https://doi.org/10.1177/08258597221105149","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 public health emergency (PHE) has important implications for health care service delivery. Little is understood about how the PHE impacted community-based hospice providers and service delivery to hospice-eligible beneficiaries. The aim of this study was to describe hospice response to the PHE and correlated impacts on beneficiary receipt of hospice support services delivered to hospice-eligible beneficiaries participating in the Centers for Medicare & Medicaid Services (CMS) Medicare Care Choices Model (MCCM), a national model testing the provision of certain hospice-like supportive services with concurrent usual care among seriously ill, community-residing Medicare beneficiaries that have not elected to receive hospice care.</p><p><strong>Methods: </strong>We employed descriptive analysis using concurrent qualitative and quantitative data sources, consisting of provider surveys, beneficiary-level encounter data submitted by hospices, and Medicare administrative claims describing beneficiary service utilization. The sample included both hospice providers (N = 82) and beneficiaries (N = 2294) voluntarily participating in MCCM.</p><p><strong>Results: </strong>Nearly all participating MCCM hospices adopted operational changes to address their staff and beneficiaries' safety during the COVID-19 PHE. We report changes to service delivery, including declines in total encounters as well as service modality, and the types of services provided.</p><p><strong>Conclusions: </strong>While the analyses reported indicate that seriously ill Medicare beneficiaries participating in MCCM were directly impacted by the PHE, we are still unclear whether changes in the service modality and encounters by provider type and the decline in average service counts per beneficiary are driven more by hospices or by beneficiary decisions to minimize exposure. Future research should attempt to disentangle these factors.</p>","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 3","pages":"268-275"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9168408/pdf/10.1177_08258597221105149.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cocreating Meaning Through Expressive Writing and Reading for Cancer Caregivers.","authors":"Yvonne W Leung,&nbsp;Marta M Maslej,&nbsp;Clara Ho,&nbsp;Shima Razavi,&nbsp;Paul Uy,&nbsp;Mehr-Afarin Hosseini,&nbsp;Jonathan Avery,&nbsp;Gary Rodin,&nbsp;Allan Peterkin","doi":"10.1177/0825859719871538","DOIUrl":"https://doi.org/10.1177/0825859719871538","url":null,"abstract":"<p><strong>Purpose: </strong>Caregivers of patients with cancer cope with socioemotional challenges, which can adversely affect their well-being. We developed an intervention, expressive writing and reading (EWR), to promote emotional processing and social connectedness among caregivers. In a single-arm pilot study, we assessed its feasibility and perceived usefulness.</p><p><strong>Methods: </strong>Caregivers participated in weekly 1.5-hour EWR workshops offered over 20 weeks. After 4 sessions, they completed semistructured interviews, which were analyzed using qualitative descriptive analysis.</p><p><strong>Findings: </strong>Of 65 caregivers approached, 25 were eligible, 18 consented, and 9 (50%) caregivers completed at least 4 workshops and the interview. Their responses revealed 3 themes: \"inner processing,\" \"interpersonal learning,\" and \"enhanced processing and preparedness.\" Perceived benefits of EWR included emotional and cognitive processing (individual and collaborative), learning from the emotions and experiences of other caregivers, and preparing for upcoming challenges.</p><p><strong>Conclusions: </strong>Expressive writing and reading can be a safe and cost-effective supportive intervention for caregivers of patients with cancer.</p>","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 3","pages":"307-315"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0825859719871538","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9772368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"It's Not Just the Seizures\": Brain Tumor Caregivers' Experiences and Educational Needs in Out-of-Hospital Seizure Management.","authors":"Deborah Ejem,&nbsp;Macy Stockdill,&nbsp;Rebecca Edwards,&nbsp;J Nicholas Dionne-Odom,&nbsp;Richard Taylor,&nbsp;Walter Baehr,&nbsp;L Burt Nabors,&nbsp;Marie Bakitas,&nbsp;Paula Warren","doi":"10.1177/08258597231165898","DOIUrl":"https://doi.org/10.1177/08258597231165898","url":null,"abstract":"<p><p><b>Objective:</b> Family caregivers (FCGs) of persons with primary brain tumors (PBTs) report high levels of distress related to concerns about out-of-hospital seizures. This study aims to explore their experiences and needs with seizure management. <b>Methods:</b> Semi-structured interviews were held with 15 FCGs of persons with PBTs, both those who have <i>and</i> those who have not experienced a seizure, to elicit their concerns about out-of-hospital seizure management and related information needs. A qualitative descriptive study using thematic analysis was conducted based on interview data. <b>Results:</b> Three primary themes were identified relative to FCG experiences and needs related to care of PBTs patients, especially seizure management: (1) FCGs' experiences with caring for persons with PBTs; (2) FCGs' educational needs for seizure preparation and resources; and (3) FCGs' desired type of educational resources and information about seizures. Often FCGs were reported being fearful of seizures and nearly all expressed difficulty knowing when to call emergency services. FCGs equally desired written and online resources, and most preferred graphics or videos detailing seizures. Most FCGs thought that seizure-related training should come after rather than at the time of PBTs diagnosis. FCGs of patients who have not experienced seizures were significantly less prepared to manage seizures than those with a prior seizure. <b>Conclusions:</b> Recognizing and managing out-of-hospital seizures can be a difficult and distressing task for FCGs of patients with PBTs and seizure-related resources are needed. Our results suggest that FCGs of care recipients with PBTs need early supportive interventions to provide self-care strategies and problem-solving skills to manage their roles as caregivers. Interventions should include educational components to assist them in understanding the best mechanisms to maintain a safe environment for their care recipients, and those that deepen knowledge about when to contact EMS.</p>","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 3","pages":"316-325"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9792312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception of Nurses' Knowledge about Palliative Care in West Bank/ Palestine: Levels and Influencing Factors.","authors":"Dalia Toqan,&nbsp;Malakeh Z Malak,&nbsp;Ahmad Ayed,&nbsp;Shaher H Hamaideh,&nbsp;Rasmieh Al-Amer","doi":"10.1177/08258597221133958","DOIUrl":"https://doi.org/10.1177/08258597221133958","url":null,"abstract":"<p><p><b>Objective:</b> Healthcare professionals particularly nurses should be professionally prepared with knowledge about the standards of palliative care and their roles in providing palliative care. Nurses' knowledge about palliative care and influencing factors has not been examined adequately in Arab countries including Palestine. Thus, this study aimed to assess the adequacy of knowledge level and influencing factors (socio-demographic) about palliative care among nurses in West Bank/ Palestine. <b>Methods</b>: A descriptive-correlational design was utilized. A cluster random sampling method was applied to select 12 hospitals from the three regions in West Bank. Then, four hospitals were selected from each region using a simple random method. All registered nurses working in critical care units and medical and surgical wards in the selected hospitals were recruited. The sample consists of 424 registered nurses and data were collected using Palliative Care Quiz for Nursing (PCQN). <b>Results</b>: The Findings revealed that nurses' level of knowledge about palliative care was low/inadequate (M = 7.75, SD = 2.96). Knowledge about palliative care was influenced by age (B = -.106; p < 0.05), gender (B = -.223; p < 0.001), and hospital ward (B = -.597; p < 0.001), in which younger nurses, females, and those who work in critical care units reported higher levels of knowledge about palliative care. <b>Conclusions</b>: Findings of this study emphasized the need for developing educational and training courses, seminars, and workshops on palliative care to increase nurses' knowledge in order to enhance the quality of patient care. Also, policymakers should develop national strategic plans and policies regarding palliative care and apply these plans in all hospitals in West Bank/ Palestine.</p>","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 3","pages":"336-344"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9887998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Members' Perceptions of Caregiver-Centered Communication with Hospice Interdisciplinary Teams: Relationship to Caregiver Wellbeing.","authors":"Karla T Washington, George Demiris, Kyle A Pitzer, Carl Tunink, Jacquelyn J Benson, Debra Parker Oliver","doi":"10.1177/08258597221113725","DOIUrl":"10.1177/08258597221113725","url":null,"abstract":"<p><strong>Objective: </strong>Investigators sought to determine how family caregivers' psychological and physical wellbeing influenced their perceptions of communication with hospice providers.</p><p><strong>Methods: </strong>Researchers conducted a secondary analysis of quantitative data generated during two multisite randomized clinical trials of supportive interventions for hospice family caregivers. Caregivers' (N = 525) self-reported anxious symptoms, depressive symptoms, physical quality of life, and perceptions of communication with hospice providers were analyzed via a series of linear models that included demographic and contextual controls.</p><p><strong>Results: </strong>Caregivers' anxious symptoms, depressive symptoms, and physical quality of life were largely unrelated to caregivers' perceptions of their communication with hospice providers when adjusted for demographic and contextual factors.</p><p><strong>Conclusions: </strong>Variation in caregivers' perceptions of their communication with hospice providers was not well explained by caregiver wellbeing. Additional research is needed to understand if and how caregivers' perceptions of communication with hospice providers are related to factors not included in this secondary analysis. Provider-related variables may be particularly important to consider.</p>","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 3","pages":"299-306"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9873832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9840482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Italian McGill Quality of Life Questionnaire-Revised (MQoL-R): Psychometrics in Neurological and Neoplastic Populations.","authors":"Edoardo Nicolò Aiello,&nbsp;Debora Pain,&nbsp;Alice Radici,&nbsp;Elvira Filippelli,&nbsp;Stefania Ruvolo,&nbsp;Francesca Madonia,&nbsp;Annarita Caimi,&nbsp;Cinzia Sguazzin","doi":"10.1177/08258597221123454","DOIUrl":"https://doi.org/10.1177/08258597221123454","url":null,"abstract":"<p><strong>Background: </strong>The McGill Quality of Life Questionnaire-Revised (MQoL-R) is the gold standard for assessing QoL in end-of-life, chronic patients; however, an Italian standardization is lacking.</p><p><strong>Objective: </strong>This study aimed at assessing the psychometric properties of the Italian MQoL-R in patients with chronic neurological/oncological conditions.</p><p><strong>Methods: </strong>177 inpatients with life-threatening, chronic neurological/oncological conditions were consecutively recruited in 8 clinics in Northern/Southern Italy were administered the MQoL-R and the Karnofsky Performance Status (KPS). Factorial structure (Confirmatory Factor Analysis, CFA), reliability (Cronbach's α) and construct validity against the KPS (Pearson's coefficients) were examined.</p><p><strong>Results: </strong>The four-factor model (Physical, Psychological, Existential and Social subscales) was met (comparative fit index = .93; root mean square error of approximation = .07), with all items significantly loading on respective subscales. Internal consistency was good for both the whole scale (Cronbach's α = .83) and subscales (<i>range</i> = .6-.85). The KPS was unrelated to MQoL-R measures, except for the Physical subscale (<i>r</i> = .24).</p><p><strong>Conclusions: </strong>The Italian MQoL-R is a valid and reliable tool to assess QoL in end-of-life, both neoplastic and neurological, chronic inpatients undergoing palliative care, whose adoption is thus encouraged in both clinical practice and research addressed to such populations.</p>","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 3","pages":"295-298"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9775496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Knowledge and Attitude Towards the Palliative Care Among Nurses in Sri Lanka: A Hospital-Based Study.","authors":"Thushan Wijesinghe,&nbsp;Nayana Gunathilaka,&nbsp;Suresh Mendis,&nbsp;Lahiru Udayanga","doi":"10.1177/08258597231153383","DOIUrl":"https://doi.org/10.1177/08258597231153383","url":null,"abstract":"<p><p><b>Objective:</b> Palliative care is an intervention that improves the quality of life of patients. Nurses have a primary role in providing palliative care. Their knowledge and attitudes toward palliative care is important in care delivery. There is minimal information in Sri Lanka to document the knowledge and attitude of palliative care among nurses. Therefore, the present study was conducted to assess the knowledge and attitude of palliative care among nurses in Sri Lanka. <b>Method:</b> A cross-sectional, descriptive study was conducted on 200 selected nurses at Colombo North Teaching Hospital, Sri Lanka fulfilling the inclusion criteria. Socio-demographic information of the study participants was obtained through a self-administered questionnaire. The awareness and attitude levels toward the PC were assessed using the Palliative Care Knowledge Test (PCKT) and Frommelt Attitude Toward Care of the Dying, respectively. <b>Results:</b> More than half of the participants (55%) had an inadequate knowledge level regarding the palliative care (<50% for the PCKT score). Regarding the attitude on the palliative care, the majority stated nursing care to a dying person is a worthwhile experience (92%; n  =  184). Many of them disagreed with avoiding the care of dying patients (strongly disagree: 37%; n  =  74, disagree: 52.5%; n  =  105). Overall, 85.5% of study participants had a positive attitude towards the palliative care. According to binary logistic regression, gender (<i>P</i>  =  .04; <i>OR</i> = 3.57; <i>CI</i>  =  1.03-12.41) and working setup (<i>P</i> < .001) were significantly associated with having a positive attitude. The knowledge level was higher among nurses working in surgical wards (OR = 7.84). Those with >10 years of experience were statistically significant to have a positive attitude (<i>P</i>  =  .02; <i>OR</i> = 1.35; <i>CI</i>  =  1.13-5.50). <b>Conclusion:</b> The nurses had inadequate knowledge of the PC even though they had a positive attitude toward it. Therefore, it is essential to uplift the awareness level among health workers. This warrants the need for palliative care education in the nursing curriculum and continuous professional development.</p>","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 3","pages":"345-354"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9786997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moral Challenges of Nurses and Volunteers in Dutch Palliative Care. A Qualitative Study.","authors":"Geerke van den Bosch,&nbsp;Malene van Schaik,&nbsp;H Roeline Pasman,&nbsp;Rien Janssens,&nbsp;Guy Widdershoven,&nbsp;Suzanne Metselaar","doi":"10.1177/08258597221098129","DOIUrl":"10.1177/08258597221098129","url":null,"abstract":"<p><p><b>Objective:</b> To identify moral challenges experienced by nurses and volunteers in palliative care. <b>Methods:</b> A qualitative hermeneutic research design was used. Interviews with nurses (<i>N</i> = 10) and volunteers (<i>N</i> = 4) working in palliative care, in-home care, and hospice setting. Participants were recruited through maximum variation, a purposive sampling technique. Transcriptions were analyzed using qualitative thematic content analysis and open coding. <b>Results:</b> Two themes were identified, each with three subthemes: theme (A) Moral challenges regarding organizational and professional aspects contained the subthemes (1) dealing with protocols and regulations, (2) different professional perspectives on good care, and (3) limits of professionalism. Theme (B) Moral challenges regarding the patient and their family members contained the subthemes (1) dealing with the patient's wishes, (2) the patient's wish to die, and (3) dealing with family members. <b>Conclusion:</b> Nurses and volunteers working in palliative care are confronted with a wide range of moral challenges. Insight into 'real-world ethical challenges' of healthcare providers is important to provide adequate support to nurses and volunteers working in palliative care.</p>","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 3","pages":"364-371"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10350729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9828758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancer Decedents' Hospital End-of-Life Care Documentation: A Retrospective Review of Patient Records.","authors":"L Russell, R Howard, M Street, C E Johnson, D Berry, E Flemming-Judge, S Brean, L William, J Considine","doi":"10.1177/08258597231170836","DOIUrl":"10.1177/08258597231170836","url":null,"abstract":"Objective: International standards of end-of-life care (EOLC) intend to guide the delivery of safe and high-quality EOLC. Adequately documented care is conducive to higher quality of care, but the extent to which EOLC standards are documented in hospital medical records is unknown. Assessing which EOLC standards are documented in patients' medical records can help identify areas that are performed well and areas where improvements are needed. This study assessed cancer decedents' EOLC documentation in hospital settings. Methods: Medical records of 240 cancer decedents were retrospectively evaluated. Data were collected across six Australian hospitals between 1/01/2019 and 31/12/2019. EOLC documentation related to Advance Care Planning (ACP), resuscitation planning, care of the dying person, and grief and bereavement care was reviewed. Chi-square tests assessed associations between EOLC documentation and patient characteristics, and hospital settings (specialist palliative care unit, sub-acute/rehabilitation care settings, acute care wards, and intensive care units). Results: Decedents' mean age was 75.3 years (SD 11.8), 52.0% (n = 125) were female, and 73.7% lived with other adults or carers. All patients (n = 240; 100%) had documentation for resuscitation planning, 97.6% (n = 235) for Care for the Dying Person, 40.0% for grief and bereavement care (n = 96), and 30.4% (n = 73) for ACP. Patients living with other adults or carers were less likely to have a documented ACP than those living alone or with dependents (OR 0.48; 95% CI 0.26-0.89). EOLC documentation was significantly greater in specialist palliative care settings than that in other hospital settings (P < .001). Conclusion: The process of dying is well documented among inpatients diagnosed with cancer. ACP and grief and bereavement support are not documented enough. Organizational endorsement of a clear practice framework and increased training could improve documentation of these aspects of EOLC.","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":" ","pages":"8258597231170836"},"PeriodicalIF":1.7,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9349825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness-Based Interventions for Professionals Working in End-of-Life Care: A Systematic Review of the Literature.","authors":"Lori Covington,&nbsp;Moitree Banerjee,&nbsp;Antonina Pereira,&nbsp;Marie Price","doi":"10.1177/08258597221100330","DOIUrl":"https://doi.org/10.1177/08258597221100330","url":null,"abstract":"<p><p><b>Objectives:</b> The potential usefulness of mindfulness-based interventions (MBIs) is being investigated for healthcare staff burnout and associated problems, but empirical research on MBI's for end-of-life (EOL) professionals is still in its infancy. The aim of this review is to describe and evaluate the body of evidence-based research on the use of MBIs to support the psychological wellbeing of professional staff in EOL care settings. <b>Methods:</b> A systematic review of the literature was conducted. Database records were extracted from ERIC, PsycInfo, EBSCO, PubMed Central (PMC) and Web of Science, using search terms to locate peer-reviewed studies on professional (not volunteer) staff in dedicated end-of-life settings, administering MBIs not embedded in more general therapeutic modalities (such as ACT or DBT). After removing duplicates, 8701 potential studies were identified: eliminating those that did not fit the eligibility criteria reduced the number of eligible studies to six. <b>Results:</b> A total of six empirical studies were identified and further evaluated. Interventions primarily focussed on reducing burnout symptoms, increasing self-care and self-compassion, and fostering mindfulness. Studies demonstrated very little overlap in treatment, methodology and measures. Only one study was a randomised control trial, which on application of the 3-item Jadad quality scoring, (evidence of randomisation, blinding of researcher to participants' identity and accounts provided of all participants), achieved 1 out of 5 possible points. Furthermore, other concerns were identified as to the study's methodology. <b>Conclusions:</b> Results of this review point to significant gaps in the research on the potential of MBIs to improve the wellbeing of EOL professionals.</p>","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 2","pages":"225-238"},"PeriodicalIF":1.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/70/10.1177_08258597221100330.PMC10026168.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9157692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}