Journal of Hospice & Palliative Nursing最新文献_第5页

Poured Out and Given: The Lived Experience of Self-Care Among Hospice Nurses in Rural Appalachia. 倾注与给予：阿巴拉契亚乡村安宁疗护护士自我照护的生活经验。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-08-01 Epub Date: 2025-12-05 DOI: 10.1097/NJH.0000000000001196

Amanda Camden, Sandra P Thomas, Lisa C Lindley, Lisa Davenport, Ali Winters

{"title":"Poured Out and Given: The Lived Experience of Self-Care Among Hospice Nurses in Rural Appalachia.","authors":"Amanda Camden, Sandra P Thomas, Lisa C Lindley, Lisa Davenport, Ali Winters","doi":"10.1097/NJH.0000000000001196","DOIUrl":"10.1097/NJH.0000000000001196","url":null,"abstract":"Hospice nurses encounter profound challenges that make self-care both essential and deeply complex. This study explored the lived experience of self-care among hospice nurses using an existential-phenomenological approach. Hospice nursing, characterized by its focus on comfort care and end-of-life support, presents unique emotional, physical, and ethical challenges that often lead to burnout and compassion fatigue. Phenomenological analysis revealed 4 central themes: Threads of Trust: Weaving Meaningful Connections; A Full Heart, an Empty Cup; When Caring Hurts: The Emotional Cost of Hospice Nursing (with 2 subthemes-The Cost of Grief and The Stigma and Misunderstood Nature of Hospice Work); and The System Forgot the Caregiver. Participants highlighted the emotional strain of hospice work. The participants shared their lived experiences, emphasizing the emotional demands of their work, sparse self-care practices, and a lack of organizational support. The findings suggest that practicing self-care must be augmented by other actions such as systemic changes, caseload limits, leadership training, and structured emotional support systems. This study highlights the urgent need for health care systems to prioritize hospice nurses' well-being and help sustain compassionate nursing care.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"187-193"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710154","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}

引用次数: 0

Examining the Comfort and Knowledge of Nurse-Driven Palliative Care Screenings on Admission to the Neuro ICU. 检查舒适度和知识护士驱动姑息治疗筛查入院神经ICU。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-16 DOI: 10.1097/NJH.0000000000001211

Danielle K McCamey, Rita D'Aoust, Michael Pottash, Diana Baptiste, Carol Taylor

{"title":"Examining the Comfort and Knowledge of Nurse-Driven Palliative Care Screenings on Admission to the Neuro ICU.","authors":"Danielle K McCamey, Rita D'Aoust, Michael Pottash, Diana Baptiste, Carol Taylor","doi":"10.1097/NJH.0000000000001211","DOIUrl":"10.1097/NJH.0000000000001211","url":null,"abstract":"Neurocritical intensive care unit (ICU) patients are not routinely screened for palliative care (PC) consultations. Unmet PC needs can delay establishing goals of care, increase the length of stay, and decrease patient and family satisfaction. Nurses can best advocate for appropriate PC referrals when given adequate resources and tools. Nurse-driven screening results in more appropriate PC recommendations. The project was a descriptive pre/post evidence-based practice intervention design. An electronic survey on comfort and knowledge of PC was distributed to neurocritical ICU nurses before and after an educational intervention regarding the definition of PC and the use of the Center to Advance PC's ICU screening tool. Nurses' comfort when assessing for PC consults increased from 62.5% to 91.7%, and for requesting consults from a physician, from 58.4% to 75%. Nurses' knowledge of PC being compatible with aggressive treatment increased from 41.7% to 95.8%. Nurses recommended PC in 66.7% of patients based on 3 or more screening criteria selected. The screening tool highlighted that more than 62% of patients in the neurocritical ICU had a PC need on admission. Implementing a screening tool and educational intervention can increase nurses' comfort and knowledge in recommending PC consults. The screening tool effectively identified patients with PC needs, empowering nurses to advocate for appropriate PC referrals.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E186-E194"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266491","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}

引用次数: 0

Targeted Morphine Administration Training to Enhance Nurses' Knowledge and Self-Efficacy for End of Life Dyspnea. 针对性吗啡给药培训提高护士临终呼吸困难知识和自我效能感。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-16 DOI: 10.1097/NJH.0000000000001222

Cortney E Maffett, Felicia Carter-Slocum, Sherry L Seibenhener

{"title":"Targeted Morphine Administration Training to Enhance Nurses' Knowledge and Self-Efficacy for End of Life Dyspnea.","authors":"Cortney E Maffett, Felicia Carter-Slocum, Sherry L Seibenhener","doi":"10.1097/NJH.0000000000001222","DOIUrl":"10.1097/NJH.0000000000001222","url":null,"abstract":"Dyspnea is a prevalent and distressing symptom at the end of life (EOL), affecting up to 90% of dying patients and causing significant suffering for patients and families. Morphine sulfate remains the standard pharmacological treatment for refractory EOL dyspnea, effectively modulating central respiratory drive and alleviating breathlessness perception, distinct from its use in chronic stable breathlessness, where recent evidence shows limited benefit and potential harms. Many nurses, however, lack adequate knowledge and confidence in administering morphine appropriately due to misconceptions about addiction, respiratory depression, and hastening death. This quasi-experimental study evaluated a brief online training module on morphine administration for EOL dyspnea among registered nurses. Of 69 enrollees, 34 provided complete pre- and post-intervention data. Paired t tests revealed significant improvements in knowledge and self-efficacy. These findings highlight the value of targeted, scalable education in addressing knowledge gaps, enhancing nurse confidence, and supporting evidence-based EOL symptom management.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E195-E201"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266970","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}

引用次数: 0

Death Anxiety, Spiritual Care Perceptions, and Attitudes Toward Caring for the Dying Among Palliative Care Nurses. 临终关怀护士的死亡焦虑、精神关怀认知与临终关怀态度。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-08-01 Epub Date: 2025-12-05 DOI: 10.1097/NJH.0000000000001200

Emel Emine Kayikci, Cemile Savci, Ayse Cil Akinci, Berna Dincer

{"title":"Death Anxiety, Spiritual Care Perceptions, and Attitudes Toward Caring for the Dying Among Palliative Care Nurses.","authors":"Emel Emine Kayikci, Cemile Savci, Ayse Cil Akinci, Berna Dincer","doi":"10.1097/NJH.0000000000001200","DOIUrl":"10.1097/NJH.0000000000001200","url":null,"abstract":"Death is universal, and nurses are at the forefront of providing holistic care to dying patients. Understanding the factors that influence nurses' attitudes toward caring for the dying is essential, as these attitudes directly affect the quality of end-of-life care. The aim of this study was to examine the associations between death anxiety, spiritual care perceptions, and attitudes toward caring for the dying among palliative care nurses. This cross-sectional study was conducted in the palliative care clinics of 5 public hospitals in Turkey between May and November 2023. Data were collected using a participant information form, the Thorson-Powell Death Anxiety Scale, the Spirituality and Spiritual Care Rating Scale, and the Frommelt Attitude Toward Care of the Dying Scale. Participants demonstrated moderate levels of death anxiety, high levels of spiritual care perceptions, and positive attitudes toward caring for the dying. Spiritual care perceptions (β = 0.525), educational level (β = 0.245), end-of-life care training (β = 0.216), and experiences of patient death (β = -0.231) were significant predictors of attitudes toward caring for the dying ( R ² = 0.609, P < .001). This study highlights the critical role of spiritual care perceptions, both independently and in combination with educational level and end-of-life care training, in fostering positive attitudes toward caring for the dying.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E155-E161"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709936","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}

引用次数: 0

Primary Care Nurses' Experiences With Using the Acute Basic Palliation Concept: A Qualitative Study. 初级保健护士使用急性基本姑息概念的经验：一项质性研究。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-08-01 Epub Date: 2025-12-09 DOI: 10.1097/NJH.0000000000001201

Amanda Agnes Østervig Buus, Sisse Heiden Laursen, Anne Lund Krarup, Dorte Buchwald, Mike Bundgaard Astorp, Dorte Melgaard

{"title":"Primary Care Nurses' Experiences With Using the Acute Basic Palliation Concept: A Qualitative Study.","authors":"Amanda Agnes Østervig Buus, Sisse Heiden Laursen, Anne Lund Krarup, Dorte Buchwald, Mike Bundgaard Astorp, Dorte Melgaard","doi":"10.1097/NJH.0000000000001201","DOIUrl":"10.1097/NJH.0000000000001201","url":null,"abstract":"Many acutely hospitalized patients wish to spend their final days at home, but primary care nurses often face barriers such as unclear discharge planning, limited medication access, and inadequate communication across care sectors, compromising continuity of care. To address these challenges, the Acute Basic Palliation Concept was developed to enable patients to return home safely and strengthen nurses' ability to provide quality terminal care in home settings. This study explored nurses' experiences with using the concept and its influence on home-based terminal care. Fifteen semi-structured interviews were conducted with nurses who had applied the concept, which included a discharge checklist, a medical supply package, nursing guidelines, a medication decision tool, and informational materials for patients and relatives. Data were analyzed inductively using thematic analysis. Three key themes were identified: Streamlining Workflows , enabling nurses to focus on patient-centered care; Effective and Timely Symptom Relief , supporting prompt symptom management; and Enhanced Communication and Information Flow , improving collaboration across care sectors and reducing stress for patients and relatives. Findings suggest the concept may support nurses in delivering more coordinated, person-centered terminal care at home by proactively addressing common barriers. However, further education in palliative symptom management may be needed to optimize its use.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E162-E168"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710135","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}

引用次数: 0

Pruritus, Fever, and Sweats at the End of Life: Nursing Assessment and Management Considerations. 生命末期的瘙痒、发热和出汗：护理评估和管理考虑。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-05 DOI: 10.1097/NJH.0000000000001240

Angel Smothers, Amanda Kitzmiller, Diana Niland

引用次数: 0

Impact of Time on Patients' Lived Perinatal Loss Experience. 时间对患者围产期丧失经历的影响。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-25 DOI: 10.1097/NJH.0000000000001199

Carol Dean Tuten, Georgina Lucas, Michelle Page, Brooke Murray, Lucy Easler

{"title":"Impact of Time on Patients' Lived Perinatal Loss Experience.","authors":"Carol Dean Tuten, Georgina Lucas, Michelle Page, Brooke Murray, Lucy Easler","doi":"10.1097/NJH.0000000000001199","DOIUrl":"10.1097/NJH.0000000000001199","url":null,"abstract":"Miscarriages and intrauterine fetal demises may have a negative impact on bereaved parents, with reports of grief, guilt, and a sense of isolation. Utilizing Bowlby's Caregiving Theory as a framework, this study examined the impact of time spent with the baby on the patient's lived perinatal loss experience, a phenomenon with limited investigation. Using a descriptive phenomenological approach, data were gathered retrospectively through interviews with mothers from 2 inpatient facilities at 3 and 6 weeks postpartum. Four major themes were identified: a sense of hopefulness, lack of support (follow-up care) from nursing/health care providers, importance of time with baby, and the need as parents to protect, nurture, and socialize (honor) their baby. Five additional minor themes identified and unique to individual facilities included a perceived lack of anticipatory guidance, need for communication in the moment, importance of mementoes, personhood related to baby, and the perception of abandoning baby at the time of discharge. All but one of the participants spoke about the significance of time with their baby. Most parents have the need to parent even in death, and health care professionals greatly impact whether mothers are given the opportunity to parent while in the hospital.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":"28 4","pages":"194-199"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148334536","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}

引用次数: 0

Integrating Swanson's Caring Theory into End-of-Life Nursing for Terminal Tongue Cancer: A Case Report. 将斯旺森的关怀理论融入舌癌末期的临终护理：1例报告。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-08-01 Epub Date: 2026-01-13 DOI: 10.1097/NJH.0000000000001210

Nai-Ping Yen, Grow-Min Hau, Yi-Lan Liu, Nai-Ching Chen

{"title":"Integrating Swanson's Caring Theory into End-of-Life Nursing for Terminal Tongue Cancer: A Case Report.","authors":"Nai-Ping Yen, Grow-Min Hau, Yi-Lan Liu, Nai-Ching Chen","doi":"10.1097/NJH.0000000000001210","DOIUrl":"10.1097/NJH.0000000000001210","url":null,"abstract":"Patients with terminal tongue cancer often experience severe physical pain, oral mucosal breakdown, and psychological distress that significantly diminishes quality of life. This case report describes the care of a 47-year-old man with recurrent terminal tongue cancer, demonstrating how Swanson's Caring Theory guided holistic and empathetic end-of-life nursing practice. Over a 16-day hospice admission in September 2020, assessment was based on Gordon's functional health patterns and interventions aligned with Swanson's 5 caring processes. Key issues included excruciating tumor pain (rated 10/10), a malodorous, bleeding oral wound, and anticipatory grief. Integrative strategies, including morphine titration, lidocaine mouthwash, aromatherapy, and life-review therapy, reduced the pain to 2/10, improved the wound odor, and helped the patient find emotional acceptance. Guided by Swanson's framework, the nursing team established trust, involved the caregiver, and supported the patient's spiritual needs. In conclusion, applying Swanson's Caring Theory enabled individualized, compassionate, multidimensional care, demonstrating the value of theory-based integrative approaches in improving the quality of dying for patients with terminal oral cancer.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E169-E177"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068910","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}

引用次数: 0

Interventions to Promote Hope in People with Advanced Illness: Rapid Review. 促进晚期疾病患者希望的干预措施：快速回顾。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-08-01 Epub Date: 2026-05-29 DOI: 10.1097/NJH.0000000000001237

Carmen Molina Robles, Miren Idoia Pardavila-Belio, Beatriz Villalón-Fornés, Ana Carvajal Valcárcel

{"title":"Interventions to Promote Hope in People with Advanced Illness: Rapid Review.","authors":"Carmen Molina Robles, Miren Idoia Pardavila-Belio, Beatriz Villalón-Fornés, Ana Carvajal Valcárcel","doi":"10.1097/NJH.0000000000001237","DOIUrl":"10.1097/NJH.0000000000001237","url":null,"abstract":"Hope is a central element of well-being in people with advanced illness, shaping how individuals cope, sustain meaning, and remain engaged with care despite a limited prognosis. However, evidence on how to promote hope remains fragmented, limiting its integration into palliative care practice. The aim of this rapid review was to identify and synthesize the available evidence on interventions aimed at promoting hope in people with advanced illness, with particular attention to their components and reported effectiveness. The review was conducted following Cochrane recommendations for rapid reviews and included studies published between 2020 and 2025. A total of 12 studies with diverse methodological designs were included. Interventions based on Snyder's Hope Theory showed consistent improvements in hope, although effects on other outcomes were less clear. In addition, approaches not explicitly designed to target hope-such as psycho-spiritual interventions, communication strategies, and early palliative care-also appeared to support its development. Across studies, improvements in hope were reported more consistently than changes in anxiety, symptoms, or quality of life, suggesting that hope may be particularly responsive to these interventions. The findings indicate that hope is a dynamic and clinically modifiable construct, shaped not only by structured interventions but also by the relational dimension of care, reinforcing the central role of nursing.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"162-171"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058348","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}

引用次数: 0

Reducing Hospitalization in Adult Hospice Patients by Leveraging End‑of‑Life Conversations: A Quality Improvement Project. 通过利用临终对话减少成年临终关怀患者住院：一个质量改进项目。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-07-23 DOI: 10.1097/NJH.0000000000001233

Maryam Gaibi, Ritchell Dignam, Mary Lou Affronti

{"title":"Reducing Hospitalization in Adult Hospice Patients by Leveraging End‑of‑Life Conversations: A Quality Improvement Project.","authors":"Maryam Gaibi, Ritchell Dignam, Mary Lou Affronti","doi":"10.1097/NJH.0000000000001233","DOIUrl":"https://doi.org/10.1097/NJH.0000000000001233","url":null,"abstract":"The purpose of this quality improvement project was to implement advance care planning during end-of-life (EOL) discussions with patients in hospice and to determine the effects on reducing hospitalizations. Aims included (1) increasing the frequency of EOL conversations as part of advance care planning from 18.5% to 40%. (2) Decreasing the percentage of Bronx and Manhattan hospice live discharges due to hospitalization from 11% to 9% within 3 months. A structured EOL conversation model for hospice admissions, combining admission-day discussions with follow-ups within 7 days was implemented to enhance documentation (compliance) and care planning while supporting sustainability through staff training and interdisciplinary collaboration. Data were collected using electronic medical record integrated workflows and analyzed using a binomial test to determine compliance and hospital transfers. Of 24 hospice discharges, only 1 patient was transferred to noncontracted inpatient facility, resulting in a hospitalization rate of 4.25% (P < .001), which represents a 61.8% reduction from the baseline rate of 11%. The implementation of a 2-touchpoint EOL conversation model demonstrated improvement in hospitalization.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609940","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}

引用次数: 0