Journal of Hospice & Palliative Nursing最新文献

{"title":"The Role of Palliative and Hospice Care in Organ, Tissue, and Eye Donation for Transplantation.","authors":"","doi":"10.1097/NJH.0000000000001284","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001284","url":null,"abstract":"","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149289933","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":"HPNA Value Statement: Spiritual, Religious, and Existential Care.","authors":"","doi":"10.1097/NJH.0000000000001283","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001283","url":null,"abstract":"","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149289973","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":"A Bridge to Comfort: Nurses Driving Early Palliative Consults in the Intensive Care Unit.","authors":"Lisa Blumer, Lauren Boniello","doi":"10.1097/NJH.0000000000001276","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001276","url":null,"abstract":"<p><p>This project established a protocol that enabled all intensive care unit (ICU) patients to receive a palliative care (PC) screening. Those who met criteria received timely access to PC in the ICU setting. Delayed access to PC can result in untreated symptoms, lack of understanding of care preferences, unwanted invasive procedures, and underutilization of hospice care. A Plan-Do-Study-Act framework was utilized to establish this protocol. The multidisciplinary team sought to increase PC consults in the ICU by 30% using a nurse-driven standardized screening tool. The PC Referral Criteria established by the Center to Advance Palliative Care were used as a framework to establish the workflow/protocol. The outcome measures were the number of patients screened for PC on admission to the ICU, the number of PCs placed in the ICU, the number of code blues, and ICU staff satisfaction. PC consults increased by 163% (471) in 2024 and 143% (435) in 2025 as compared with 2023 (179). In 2023, there were 33 code blues in the ICU, and these decreased by 21% (26) in 2024 and 12% (29) in 2025. ICU staff (87%) felt that the PC screening process had a positive impact on staff and their practice.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240531","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":"Acute Delirium Management in Hospice and Palliative Care.","authors":"Shih-Yin Lin, Donna E McCabe","doi":"10.1097/NJH.0000000000001261","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001261","url":null,"abstract":"<p><p>Acute delirium is a serious neurocognitive disorder that is highly prevalent among individuals receiving hospice and palliative care. Delirium causes significant distress for patients, families, and healthcare providers while contributing to prolonged hospitalization, increased healthcare utilization and costs, a greater likelihood of institutionalization, shorter survival, and higher mortality. It is characterized by acute disturbances in attention and awareness that often fluctuate throughout the day and may present as hypoactive, hyperactive, or mixed psychomotor subtypes. Delirium can be challenging to identify because of its overlapping features with other neurocognitive disorders, such as dementia. Routine screening using validated assessment tools is essential for early identification and treatment. Effective prevention and management of delirium require a multifaceted, interprofessional approach that addresses modifiable risk factors, as well as the underlying acute medical causes. Hospice and palliative care nurses play a central role in implementing evidence-based nonpharmacological interventions and engaging family care partners to reduce symptom burden and improve outcomes through goal-concordant, supportive strategies, including early mobility, hydration, sleep-wake regulation, and careful pharmacological stewardship.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186116","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":"The Impact of Neuropalliative Care on Caregivers of Individuals with Motor Neuron Disorders or Atypical Parkinsonism.","authors":"Antonella Mossa, Susan Price, Olimpia Paun, Chuka Emezue","doi":"10.1097/NJH.0000000000001263","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001263","url":null,"abstract":"<p><p>Neurodegenerative disorders, including motor neuron disease (MND) and atypical parkinsonism (AP), progress rapidly and place substantial physical, emotional, and financial strain on family caregivers who often provide complex care with limited support. Neuropalliative care (NPC) offers interdisciplinary, noncurative services aimed at improving quality of life (QoL), yet it is underutilized and often misunderstood. Employing Ferrans and Powers QoL Model, this study used an exploratory descriptive qualitative design to examine the experiences of 10 family caregivers of individuals with MND and AP receiving NPC at a specialized clinic. Thematically analyzed semi-structured interviews produced 4 themes that were identified: (1) caregiver QoL, (2) caregiver burden, (3) support, and (4) system barriers. Caregivers described significant emotional and physical strain, loss of personal time, and financial pressures. Clinic services such as anticipatory guidance, interdisciplinary support, and resource navigation were valued; however, many caregivers were unaware they were receiving NPC. Caregivers of individuals with MND reported broader access to resources than those supporting individuals with AP, who experienced more systemic barriers. Findings emphasize the need for earlier NPC integration; increasing awareness of services provided, improving caregiver education, and ensuring equitable access. These steps are necessary for enhancing caregiver well-being and optimizing care outcomes in this population.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170877","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":"Increasing Palliative Care Consultation Through a Nurse-Driven Screening Protocol on a Medical-Surgical Unit.","authors":"Marjorie Cooke","doi":"10.1097/NJH.0000000000001273","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001273","url":null,"abstract":"<p><p>Palliative care consultation frequently occurs late in hospitalization despite known benefits for symptom management and care planning. Nurses often recognize unmet needs but may hesitate to initiate referral because of uncertainty, misconceptions, and reliance on physician direction. Lack of standardized identification processes contributes to inconsistent and potentially inequitable access to palliative services. This quality improvement project evaluated whether a nurse-driven screening tool combined with targeted education increased palliative care consultation rates and nursing knowledge on a medical-surgical unit. A plan-do-study-act framework was implemented on a 31-bed adult medical-surgical unit where 20 nurses participated in education and used the screening tool during admission and transfer assessments. Consultation rates increased from 3 referrals in 8 weeks before implementation to 8 referrals in 8 weeks after implementation, and all referrals were determined appropriate by the palliative care team. Nursing knowledge scores improved substantially following education. These findings suggest that structured nurse-driven screening can strengthen nursing advocacy, support earlier identification of unmet palliative needs, and promote more consistent access to palliative care consultation in acute care settings.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139329","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":"Training Nursing Students in Communication and Spiritual Assessment.","authors":"Alice Butzlaff, Nancy Dudley, Stefanie Erdman, Cornelia Finkbeiner","doi":"10.1097/NJH.0000000000001274","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001274","url":null,"abstract":"<p><p>Nursing students require communication and spiritual assessment skills in the curriculum to provide whole-person palliative care to patients. This study used the communication style of motivational interviewing with the Faith, Importance, Community, Address care spiritual history tool to improve student confidence (N = 30) in connecting with others. Three qualitative themes demonstrated the potential for student growth: (1) active listening and nonjudgment allows people to open up, (2) the unknown territory of spirituality using Faith, Importance, Community, Address care as a guide, and (3) building confidence through practice. Recommendations support a dedicated palliative care course embedded in nursing curriculum to address the concepts of communication and spirituality.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139259","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":"Challenges Faced by Patients With Pancreatic Cancer and Their Caregivers: A Qualitative Research Study.","authors":"Arman Bahmani, Jessica Stern, Maud Joachim-Célestin, Lizbeth Rivas, Nishita Matangi, Kendrick Che, Paul Leonor, Andrew Chang, Emmanuel Eguia, Gina Mohr, Joel Brothers, Susanne B Montgomery, Nikhil R Thiruvengadam","doi":"10.1097/NJH.0000000000001272","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001272","url":null,"abstract":"<p><p>Patients with advanced pancreatic ductal adenocarcinoma (PDAC) and their families encounter challenges that extend beyond disease management, encompassing informational gaps, cultural barriers, and unmet psychosocial needs. Despite interest in improved quality of life (QoL) for cancer patients, few studies have examined the perspectives of PDAC patients and their caregivers on what constitutes effective, compassionate care, especially following the COVID-19 global pandemic, a period characterized by delayed screening and treatments and an overburdened health care system. The purpose of this study was to explore factors associated with perceived QoL among patients diagnosed with PDAC living in Southern California and their caregivers. This exploratory qualitative study was conducted in 2024 to 2025 using theming and content analysis. Semistructured interviews with 21 adults, including patients diagnosed with PDAC and family caregivers, explored their experiences with diagnosis and treatment. Interviews were audio-recorded, transcribed, and analyzed. Constant comparative analysis to identify major themes and subthemes was used, and inductively derived codes were matched to components of the ARC (Adversity, Restoration, Compatibility) conceptual framework. The analysis yielded four major themes: (1) Patient experience and medical journey characterized by delays, family support and spiritual insights; (2) Health care navigation and barriers included delays, financial strain, and challenging interactions with health care personnel; (3) End-of-life conversations and palliative care were often misunderstood; (4) Suggestions for health care providers emphasized the need for a holistic approach and practical resources. The resulting themes fit well into an adaptation of the ARC framework. Patients of Latino background living in Southern California with advanced PDAC desire holistic, culturally responsive, patient-centered care delivered with clarity and compassion. Using the suggested conceptual model, providers may improve patient experiences and QoL.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129439","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":"ADVANCING ROLE-SPECIFIC COMPETENCY IN HOSPICE AND PALLIATIVE NURSING: DEVELOPMENT OF THE HOSPICE AND PALLIATIVE NURSES ASSOCIATION (HPNA) HOMES RESOURCES.","authors":"","doi":"10.1097/NJH.0000000000001253","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001253","url":null,"abstract":"","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":"28 5","pages":"205-207"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914474","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":"The Role of Advance Care Planning in Hospital Transfer From Aged Care Facilities at the End-of-Life: A Scoping Review.","authors":"Pauline Catherine Gillan, Maryanne Podham, Melissa Hanson, Christina Parker","doi":"10.1097/NJH.0000000000001217","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001217","url":null,"abstract":"<p><p>Approximately 70% of aged care residents are transferred to a hospital during the last few months of life. Many factors contribute to hospital transfer at the end-of-life; however, little is known about the role of advance care planning on hospital transfer decision-making. A scoping review using Arksey and O'Malley's framework and the Joanna Briggs Institute Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews was conducted to reveal the available research on hospital transfers of aged care residents at the end-of-life and the role of advance care planning. Seven databases were searched. One hundred and ninety-seven potential papers were identified from screening. After applying the population concept context inclusion and exclusion criteria, 23 research papers were identified; most were quantitative (n = 15), n = 7 were qualitative, and 1 was mixed methods. Studies were from 9 different countries and published between 2004 and 2024. Advance care plans or advance care directives that included instructions to not resuscitate or not hospitalize resulted in fewer hospital transfers than those that did not. Reasons for hospital transfer were classified as age, acuity, vulnerability, and family-related. Of concern were reports of hospital transfers against resident's wishes as documented on advance care plans and advance care directives.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":"28 5","pages":"E217-E224"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914450","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}