Journal of Hospice & Palliative Nursing最新文献

{"title":"Honoring Palliative Care Nurses in India.","authors":"Betty Ferrell, Jody Chrastek","doi":"10.1097/NJH.0000000000001257","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001257","url":null,"abstract":"","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":"28 5","pages":"203-204"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914482","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":"Deprescribing in Hospice and Palliative Care: A Rapid Review of Clinical Tools, Nursing Practice Considerations, and Nursing Policy Implications.","authors":"JoAnn Wilson, Andrea Koplin, Tracy K Fasolino","doi":"10.1097/NJH.0000000000001254","DOIUrl":"10.1097/NJH.0000000000001254","url":null,"abstract":"<p><p>Adults with serious illnesses and limited life expectancy often continue medications with little meaningful benefit, contributing to polypharmacy, adverse drug events, patient distress, and caregiver burden. In hospice and palliative care, deprescribing is a systematic, patient-centered process used when medication-related harms outweigh potential benefits. This rapid review examined contemporary evidence on deprescribing practices for adults with serious illnesses, with emphasis on medication burden, deprescribing patterns, current tools and frameworks, and the nursing role in leading, coordinating, and communicating deprescribing decisions in hospice and palliative care. Systematic searches of PubMed, CINAHL, and Scopus were conducted for studies published from January 2020 through December 2025. Of 494 records identified, 37 studies met the inclusion criteria, including qualitative and observational studies, pharmacist-led interventions, systematic reviews, and evaluations of frameworks such as STOPPFrail and OncPal. Evidence indicates that long-term preventive medications near the end-of-life, including statins, antihypertensives, hypoglycemics, antithrombotic agents, and vitamins, often provide limited short-term benefit while increasing the risk of side effects and treatment burden. Despite this, deprescribing remains inconsistent and frequently reactive rather than proactive. Nurses play a central role in medication reconciliation, identifying potentially inappropriate medications, facilitating shared decision-making, and monitoring patient response after medication withdrawal. Deprescribing is an essential component of high-quality hospice and palliative nursing care. When implemented through structured, patient-centered, nurse-led approaches, deprescribing can reduce harm, align treatment with patient goals, and improve comfort and quality of life. Additional research is needed to strengthen communication strategies, operational models, and nursing education related to deprescribing.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E210-E216"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609944","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":"Using Case Studies to Bridge the Undergraduate Nursing Education Gap in Palliative and Hospice Care.","authors":"Katherine Adams, Lisa Cross","doi":"10.1097/NJH.0000000000001228","DOIUrl":"10.1097/NJH.0000000000001228","url":null,"abstract":"<p><p>Undergraduate nursing students struggle with understanding pharmacological pain management, especially in palliative care. New nurses indicate needing more experience with pain management and ethical dilemmas surrounding pain management. Despite increased focus on palliative care, nurses struggle when they enter the workforce. Historically, skills acquisition occurs during orientation; however, increased patients presenting with complex conditions require more support than orientation permits. Misconceptions in practice roles challenge new nurses in feeling comfortable delivering quality palliative care. This project aimed to develop real-life case scenarios aligned with palliative competencies for use in undergraduate courses. Literature was reviewed for current information, guiding the development of case studies set in 4 different care locations-long-term care, community, medical-surgical, and emergency department. Cases were mapped to align with palliative competencies and the essentials; this ensures ease of implementation over coursework, promoting confidence and competence in palliative interventions. Traditionally, palliative and hospice content is delivered with community courses, possibly limiting student competency across settings. These case studies present an opportunity for formative student assessment in pharmacological and other palliative management over 4 settings. Facilitation requires reflective techniques, and nurse faculty may need support in guiding discussions. Future research on the implementation of the case studies is warranted.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E243-E253"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681070","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":"Culturally Tailored Palliative Care Communication for Pancreatic Cancer Patients and Their Caregivers: A Bilingual Community Health Worker Intervention.","authors":"Nishita Matangi, Maud Joachim-Célestin, Lizbeth Rivas, Susanne B Montgomery, Nikhil Ravi Thiruvengadam","doi":"10.1097/NJH.0000000000001244","DOIUrl":"10.1097/NJH.0000000000001244","url":null,"abstract":"<p><p>Pancreatic cancer patients in linguistically diverse communities face significant barriers to timely palliative care engagement, compounded by limited health literacy and cultural communication gaps. California's Inland Empire, home to a large Hispanic population, exemplifies this challenge. Investigators developed and evaluated a bilingual, community health worker (CHW)-delivered palliative care intervention for pancreatic cancer patients and caregivers using a community-centered approach. Educational videos and handouts were created incorporating physician expertise, CHW cultural knowledge, and plain-language health literacy principles, covering diagnosis, treatment, and end-of-life care. Bilingual CHWs delivered navigation and education through home visits, video calls, and telephone contact. Three in-depth case studies, representative of the broader participant group, were analyzed. Findings illustrate how culturally tailored communication delivered across multiple formats and reinforced by trusted CHWs facilitated progressive palliative care engagement despite initial resistance, complex family dynamics, and social challenges, including homelessness. Observed outcomes included increased advance directive completion and greater acceptance of palliative care consultations. This pilot demonstrates that bilingual, culturally adapted educational resources paired with CHW support can reduce communication barriers and support patients and caregivers in navigating a serious diagnosis. The approach shows promise for improving timely palliative care engagement and warrants larger-scale evaluation.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E254-E259"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018955","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":"Building Excellence: The Journey to American Heart Association Certification.","authors":"Donna M Fahey","doi":"10.1097/NJH.0000000000001229","DOIUrl":"10.1097/NJH.0000000000001229","url":null,"abstract":"<p><p>Heart failure patients often arrive at hospice with advanced symptoms, variable care plans, and limited coordination across settings. To address this, Samaritan Healthcare and Hospice pursued the American Heart Association Palliative/Hospice-Heart Failure Certification. The initiative required a full system redesign focused on standardizing education, documentation, care coordination, and performance measurements. This article outlines the challenges encountered, including low compliance rates and documentation barriers, and describes the process used to achieve certification in October 2025. Key strategies included forming an interprofessional Advanced Illness Management Committee, implementing new triage and clinical tools, launching performance improvement plans, and fostering a culture of collaborative learning. The resulting care model now serves as a framework for additional serious illness pathways and offers a replicable approach for hospice and palliative care programs seeking to strengthen cardiac care delivery.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"223-229"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516983","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":"Facilitators and Barriers to the Provision of End-of-Life Care Among Critical Care Nurses in Adult Intensive Care Units: An Integrative Review.","authors":"Meaghan Boulger, Ellen McCarthy, Corrine Y Jurgens, Christopher S Lee","doi":"10.1097/NJH.0000000000001243","DOIUrl":"10.1097/NJH.0000000000001243","url":null,"abstract":"<p><p>Despite the high occurrence of end-of-life (EOL) care in adult intensive care units, the role of the critical care nurse is underutilized. Understanding factors that influence critical care nurses' abilities to provide EOL care is essential to improving patient care at the EOL. This study aimed to synthesize research evidence on facilitators and barriers influencing the provision of EOL care among critical care nurses in adult intensive care units. A structured integrative review, guided by Whittemore and Knafl methodology, was conducted. In July 2025, keywords, synonyms, and Medical Subject Headings were used to search the Cumulative Index to Nursing and Allied Health Literature, PubMed, PsycInfo, and Web of Science databases. Of 786 records screened, 15 studies published between 2016 and 2024 met eligibility criteria. Data were extracted using a standardized template, quality appraisal was performed, and findings were analyzed using the constant comparison method. Four themes emerged: family dynamics, interdisciplinary collaboration, the role of critical care nurses, and systems and environment. Providing EOL care is a meaningful yet complex responsibility that requires clinical expertise, time, and effective communication. Environmental and cultural barriers, along with limited protocols and education, impede critical care nurses' ability to ensure a comfortable death.</p><p><strong>Registration: </strong>PROSPERO (CRD42024520607).</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E225-E233"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280020","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":"Deprescribing in Hospice and Palliative Care A Rapid Review of Clinical Tools, Nursing Practice Considerations, and Nursing Policy Implications.","authors":"","doi":"10.1097/NJH.0000000000001260","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001260","url":null,"abstract":"","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":"28 5","pages":"E266"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914469","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":"Dyspnea in Children with Serious Illness.","authors":"Nadine Lusney, Camara van Breemen","doi":"10.1097/NJH.0000000000001250","DOIUrl":"10.1097/NJH.0000000000001250","url":null,"abstract":"<p><p>Dyspnea is a common and distressing symptom in children living with serious illnesses, particularly near the end of life, and requires thoughtful, family-centered assessment and management. A stepwise nursing approach to pediatric dyspnea is explored, which includes clinical assessment, identification of potentially reversible causes, and shared decision-making grounded in the child's symptoms, goals of care, and family context. Using a case study of a child with metastatic osteosarcoma, practical strategies are highlighted for symptom management, including nonpharmacologic interventions, communication, anticipatory guidance, and pharmacologic treatment. It is paramount to balance evidence-based practice with value-based care to reduce suffering, support function and comfort, and respond adaptively to changing needs across the illness trajectory.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":"28 5","pages":"214-216"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914494","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":"Oral Abstract Podium Presentation.","authors":"","doi":"10.1097/NJH.0000000000001242","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001242","url":null,"abstract":"","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":"28 5","pages":"E260-E265"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914440","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 Influence of Individual-Based and Community-Based Learning on Self-Compassionate Attitudes and Behaviors.","authors":"Angela Snyder, Deborah Grassman, Felicia Rapozo","doi":"10.1097/NJH.0000000000001219","DOIUrl":"10.1097/NJH.0000000000001219","url":null,"abstract":"<p><p>This study focused on 3 aspects of a virtual learning program on self-compassion: (1) changes in attitude and behavior at 3 time points: course initiation, course completion, and 6 weeks postcompletion, (2) differences between 2 formats: individual learning versus community learning, and (3) impact of 6 self-help tools. Eighty-eight randomly assigned participants were assigned to either an individual-learning group (ILG) or a community-learning group (CLG). Identical course information and materials were used in both groups; the difference was that the individual group privately watched the weekly video and had access to online interaction with each other, while the CLG watched the weekly video collectively on zoom followed by a live small-group interactive discussion. The results indicate that the course significantly improved attitude scores; the improvements occurred immediately at the completion of the course and were not temporary. Behavior scores also improved in both groups; however, participants within the CLG showed more behavioral improvement than participants in the ILG. Interestingly, the CLG rated the small-group interactive discussion as the most impactful tool, while the ILG rated the online interactive chat as the least impactful tool. These findings have relevance to both personal growth and well-being, as well as professional growth and employee wellness.</p>","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E234-E242"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801807","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}