Journal of Hospice & Palliative Nursing最新文献_第8页

Substance Use Disorder, Opioid Use Disorder, and Symptom Management in Palliative Care: A Rapid Review of Evidence. 姑息关怀中的药物使用障碍、阿片类药物使用障碍和症状管理：证据快速回顾

IF 1.2 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI: 10.1097/NJH.0000000000001058

Jennifer Huggins, Jennifer Ashley, Tracy Fasolino

{"title":"Substance Use Disorder, Opioid Use Disorder, and Symptom Management in Palliative Care: A Rapid Review of Evidence.","authors":"Jennifer Huggins, Jennifer Ashley, Tracy Fasolino","doi":"10.1097/NJH.0000000000001058","DOIUrl":"10.1097/NJH.0000000000001058","url":null,"abstract":"Substance use disorder (SUD) affects more than 1 in 6 Americans older than 12 years and has become an increasingly relevant topic in palliative care. Lack of clear guidelines and fragmented care results in patient safety concerns and poor outcomes. This rapid review aims to present the current literature on opioid contracts/agreements, prescription drug monitoring database access, opioid risk assessment tools, and urine drug screening in the palliative care setting. Through a systematic process, we identified 19 articles published between 2018 and 2023 that pertained to substance use disorder and palliative care. Current risk mitigation strategies include prescription drug monitoring, opioid use agreements, risk assessment tools, urine drug screening, and the use of buprenorphine to manage pain. Prescription drug monitoring programs are state-based electronic databases that track controlled substances, and there are numerous risk assessment tools. Urine drug screening involves the use of both immunoassay and confirmatory chromatography to determine the presence or absence of either the prescribed controlled substance or unexpected findings including illicit drugs or prescription-controlled substances that are not prescribed to the patient. The goal of mitigating risk and reducing harm while providing expert symptom management is the challenge that palliative care transdisciplinary teams face as they continue to care for patients with substance use disorder. This review points to the need for further research on how to incorporate these harm-reducing strategies into clinical practice.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"249-256"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984041","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

Ethical Dilemmas and Coping Experiences of Nurses Caring for Patients With Hematologic Cancer: A Phenomenological Study. 护理血液肿瘤患者的护士的伦理困境与应对经验：现象学研究。

IF 1.2 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2024-10-01 Epub Date: 2024-08-01 DOI: 10.1097/NJH.0000000000001053

Sevda Uzun

{"title":"Ethical Dilemmas and Coping Experiences of Nurses Caring for Patients With Hematologic Cancer: A Phenomenological Study.","authors":"Sevda Uzun","doi":"10.1097/NJH.0000000000001053","DOIUrl":"10.1097/NJH.0000000000001053","url":null,"abstract":"The study aimed to evaluate the ethical dilemmas faced by nurses who provide care to patients with hematologic cancer and determine their coping mechanisms using a phenomenological approach. This qualitative study was conducted with 35 nurses employed in clinics specializing in hematologic cancer patient care, living in diverse regions of Turkey, using semistructured, in-depth interviews through the WhatsApp mobile application. The snowball sampling technique was utilized to identify participants, and interviews continued until data saturation was achieved. All interviews were recorded and subsequently transcribed. Data analysis was conducted using Colaizzi's phenomenological analysis method, with the study adhering to the COREQ (Consolidated Criteria for Reporting Qualitative Research) checklist for reporting. In the analysis of the data, 2 categories (ethical dilemma situations and coping experiences) and 6 subthemes (treatment, care, professional values and beliefs, emotions, struggling with emotional burdens, and psychosocial approach) emerged. According to the results, nurses responsible for hematologic cancer patients struggle with ethical dilemmas in healthcare delivery and face challenges in effectively addressing them, which could potentially impact the quality of healthcare provided by nurses.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E163-E169"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876751","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

Advance Care Planning: Perspectives of People Living in Prison. 预先护理规划：狱中生活者的观点。

IF 1.2 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2024-08-01 Epub Date: 2024-04-26 DOI: 10.1097/NJH.0000000000001031

Erin Kitt-Lewis, Nanda Zheng, Susan J Loeb

{"title":"Advance Care Planning: Perspectives of People Living in Prison.","authors":"Erin Kitt-Lewis, Nanda Zheng, Susan J Loeb","doi":"10.1097/NJH.0000000000001031","DOIUrl":"10.1097/NJH.0000000000001031","url":null,"abstract":"A person-centered approach to advance care planning is recognized as a fundamental need, yet its routine implementation remains a challenge across disparate settings, such as prisons. The purpose of this study was to gain the perspectives of people who are incarcerated about advance care planning. Four focus groups were conducted with people living in 1 men's and 1 women's state prison (n = 26). Handwritten field notes were taken, transcribed, deidentified, and verified before the completion of independent thematic analysis by 2 experienced qualitative researchers. Key themes regarding advance care planning were identified: components of advance care planning, initiation and continuation of advance care planning, barriers to implementing advance care planning, and facilitators to implementing advance care planning. Participants noted several key components related to the name, structure, and content of advance care planning programs. Insights about who should initiate the conversation, when to continue the conversation, and how to deliver education about advance care planning were obtained. Findings contribute to identifying best practices for infusing advance care planning into prisons. Best practices will inform the development of a toolkit of contextually relevant, person-centered approaches to advance care planning that are tailored to meet the unique needs of people who are incarcerated.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E115-E123"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855977","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}

引用次数: 0

Pilot Testing Educational Videos for Black Caregivers Receiving Home Hospice Care. 针对接受居家安宁疗护的黑人护理人员的教育视频试点测试。

IF 1.2 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2024-08-01 Epub Date: 2024-05-31 DOI: 10.1097/NJH.0000000000001038

Taeyoung Park, Brittney Parillon, Dulce M Cruz-Oliver, Danetta H Sloan, M Cary Reid, Sara Czaja, Ronald Adelman, Ritchell Dignam, Veerawat Phongtankuel

{"title":"Pilot Testing Educational Videos for Black Caregivers Receiving Home Hospice Care.","authors":"Taeyoung Park, Brittney Parillon, Dulce M Cruz-Oliver, Danetta H Sloan, M Cary Reid, Sara Czaja, Ronald Adelman, Ritchell Dignam, Veerawat Phongtankuel","doi":"10.1097/NJH.0000000000001038","DOIUrl":"10.1097/NJH.0000000000001038","url":null,"abstract":"Black caregivers face distinct challenges in symptom management when providing end-of-life care. Educational interventions may improve caregiver preparedness and competency by providing information on symptom management. This study pilot tested 4 culturally tailored caregiver educational videos about symptom management for Black caregivers receiving home hospice care at a large, urban, nonprofit hospice organization to determine feasibility and acceptability, along with their potential impact on caregiver outcomes. All participants (N = 10) agreed to watch the 4 videos and found the videos to be helpful; 90% (n = 9) shared that they would recommend them to other Black caregivers receiving home hospice care. Total preparedness scores increased from a mean score of 23.5 preintervention to 28.3 postintervention. Caregiver competency scores increased from 13.8 at preintervention to 14.3 at postintervention. Caregivers' comfort and knowledge scores increased from preintervention to postintervention for all 7 end-of-life topics presented in the 4 videos. This study found that it was feasible and acceptable to show Black caregivers culturally tailored educational videos related to issues regarding symptom management. Many found the videos to be helpful and the topics to be relatable. There were trends toward improvement in preparedness and competency. Future studies examining efficacy are needed to determine the impact of this intervention.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"224-230"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263200","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}

引用次数: 0

Role of Hospice and Palliative Nurses in Advancing Research and Scholarship. 安宁疗护和姑息治疗护士在推动研究和学术方面的作用。

IF 1.2 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2024-08-01 DOI: 10.1097/NJH.0000000000001046

引用次数: 0

Clinical Recommendations for Improving Palliative Nursing Care for Patients With a Left Ventricular Assist Device. 改善左心室辅助装置患者姑息护理的临床建议。

IF 1.2 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2024-08-01 Epub Date: 2024-06-08 DOI: 10.1097/NJH.0000000000001039

Pierce K DiMauro

引用次数: 0

Community-Based Palliative Care: An APRN-Led Embedded Model for Advanced Lung Disease. 社区姑息关怀：以全科护士为主导的晚期肺病嵌入式模式。

IF 1.2 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2024-08-01 Epub Date: 2024-06-15 DOI: 10.1097/NJH.0000000000001041

Tracy Fasolino, Wayne Hollinger, Ahmad Boota, Cindy M Steeves

{"title":"Community-Based Palliative Care: An APRN-Led Embedded Model for Advanced Lung Disease.","authors":"Tracy Fasolino, Wayne Hollinger, Ahmad Boota, Cindy M Steeves","doi":"10.1097/NJH.0000000000001041","DOIUrl":"10.1097/NJH.0000000000001041","url":null,"abstract":"Community-based palliative care (CBPC) models address the growing needs of patients and caregivers with chronic and serious illnesses. From pediatrics to geriatrics, individuals prefer to receive care within their local community and at home. Delivering care at the community level and within the home improves health outcomes, reduces disparities, and supports local economic activity. Various models of CBPC have developed through partnerships with existing services, such as home health agencies, but ongoing challenges and barriers exist for further expansion of specialty palliative care. Advanced practice registered nurses increasingly manage chronic and serious illnesses and are essential for all health care teams, particularly for CBPC. As trusted providers within the community, advanced practice registered nurses create lasting relationships that allow for meaningful exchanges with patients and caregivers. This article reviewed the concept and features of CBPC offered within the United States and describes an advanced practice registered nurse-led embedded palliative care program for advanced lung disease.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"188-194"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421843","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

A Nurse Practitioner-Driven Palliative and Supportive Care Service in Nursing Homes: Evaluation of a Quality Improvement Project. 护理院中由执业护士驱动的姑息治疗和支持性护理服务：质量改进项目评估。

IF 1.2 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2024-08-01 Epub Date: 2024-03-25 DOI: 10.1097/NJH.0000000000001028

Joan G Carpenter, Julianne Murthi, Molly Langford, Ruth Palan Lopez

{"title":"A Nurse Practitioner-Driven Palliative and Supportive Care Service in Nursing Homes: Evaluation of a Quality Improvement Project.","authors":"Joan G Carpenter, Julianne Murthi, Molly Langford, Ruth Palan Lopez","doi":"10.1097/NJH.0000000000001028","DOIUrl":"10.1097/NJH.0000000000001028","url":null,"abstract":"This article describes a quality improvement project implemented by a national postacute long-term care organization aimed at enhancing the provision of palliative care to nursing home residents. The project focused on improving advance care planning, end-of-life care, symptom management, and care of people living with serious illness. Both generalist and specialist palliative care training were provided to nurse practitioners in addition to implementing a system to identify residents most likely to benefit from a palliative approach to care. To evaluate the nurse practitioner experiences of the program, survey data were collected from nurse practitioners (N = 7) involved in the project at 5 months after implementation. Nurse practitioners reported the program was well received by nursing home staff, families, and residents. Most nurse practitioners felt more confident managing residents' symptoms and complex care needs; however, some reported needing additional resources for palliative care delivery. Most common symptoms that were managed included pain, delirium, and dyspnea; most common diagnoses cared for were dementia and chronic organ failure (eg, cardiac, lung, renal, and neurological diseases). In the next steps, the project will be expanded throughout the organization, and person- and family-centered outcomes will be evaluated.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"205-211"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11233246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289687","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}

引用次数: 0

Instituting a Palliative Care Trigger in a Surgical Intensive Care Unit (SICU): Survey Results of SICU Team Members. 在外科重症监护病房（SICU）设立姑息关怀触发点：SICU 团队成员调查结果。

IF 1.2 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2024-08-01 Epub Date: 2024-04-15 DOI: 10.1097/NJH.0000000000001026

Michelle A McKay, Shawn Mangan, Eleanor Fitzpatrick, Holden Caplan, Gillian Love, Joshua A Marks, John Liantonio

{"title":"Instituting a Palliative Care Trigger in a Surgical Intensive Care Unit (SICU): Survey Results of SICU Team Members.","authors":"Michelle A McKay, Shawn Mangan, Eleanor Fitzpatrick, Holden Caplan, Gillian Love, Joshua A Marks, John Liantonio","doi":"10.1097/NJH.0000000000001026","DOIUrl":"10.1097/NJH.0000000000001026","url":null,"abstract":"Increasing palliative care presence in the intensive care unit (ICU) improves symptom management, increases goals-of-care discussion, and reduces unnecessary procedures in ICU patients. An interdisciplinary study team developed a palliative care trigger program in a 17-bed surgical ICU (SICU). Surgical ICU patients who met 3 triggers (ICU length of stay > 10 days, repeat ICU admission, and metastatic cancer) automatically received a palliative care consult. The purpose of the current study was to survey SICU health care professionals before and after the institution of the palliative care trigger program. Overall, the palliative care trigger program was viewed positively by interdisciplinary team members with increased team communication and decreased resistance for the inclusion of palliative care in the SICU plan of care. The palliative care trigger program was successfully developed and implemented in a SICU and was accepted by the interdisciplinary team members caring for SICU patients. Team member feedback is being used to expand the palliative care trigger program to improve care for SICU patients.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E107-E114"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861667","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

Nurses' knowledge, Practice, and Associated Factors Towards Adult Palliative Care: A Cross-sectional Study. 护士对成人姑息治疗的认识、实践及相关因素：横断面研究。

IF 1.2 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2024-08-01 Epub Date: 2024-05-03 DOI: 10.1097/NJH.0000000000001035

Ayele Agena, Bizuayehu Atinafu Ataro, Eshetu Elfios Endrias, Belete Birhan, Yacob Abriham Borie, Gezahegn Bekele, Ezedin Molla, Tinbete Samuel, Tomas Yeheyis, Ayantu Melesse, Debora Banga

{"title":"Nurses' knowledge, Practice, and Associated Factors Towards Adult Palliative Care: A Cross-sectional Study.","authors":"Ayele Agena, Bizuayehu Atinafu Ataro, Eshetu Elfios Endrias, Belete Birhan, Yacob Abriham Borie, Gezahegn Bekele, Ezedin Molla, Tinbete Samuel, Tomas Yeheyis, Ayantu Melesse, Debora Banga","doi":"10.1097/NJH.0000000000001035","DOIUrl":"10.1097/NJH.0000000000001035","url":null,"abstract":"The demand for palliative care is increasing rapidly, but inadequate knowledge and practice remain a significant issue. This study aimed to assess nurses' knowledge, practice, and associated factors toward adult palliative care. A cross-sectional study was conducted including 277 randomly selected nurses from May through September 2021. The data related to knowledge were gathered using the Palliative Care Quiz for Nursing, and an observational checklist to assess the practice was used. EpiData and SPSS software were used for data entry and analysis, respectively. Descriptive statistics and bivariable and multivariable analyses were also applied. Depending on the value of the adjusted odds ratio with a 95% confidence level, statistical significance was declared at a P value of .05. Findings showed that 43.2% and 47% of nurses had good knowledge and practice in palliative care, respectively. The odds of trained nurses having good knowledge were 9.65 times higher than those who did not. There were 2.7 times more odds of practicing palliative care among nurses with good knowledge than those with poor knowledge. Overall, over half of the nurses have poor knowledge and practice in palliative care. To enhance their knowledge and practice, formal palliative care education and training will be beneficial.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E124-E134"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877879","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