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

Symptom Management in Palliative Nursing: Applying the Evolving Science to Daily Practice. 缓和护理中的症状管理：将不断发展的科学应用于日常实践。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-06-01 Epub Date: 2026-04-24 DOI: 10.1097/NJH.0000000000001189

Betty Ferrell, Emma Woo

引用次数: 0

The Foundation of Holistic Care: Nurses' Spiritual Sensitivity Levels and Experiences. 整体护理的基础：护士的精神敏感度水平和经验。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-06-01 Epub Date: 2026-02-16 DOI: 10.1097/NJH.0000000000001220

Banu Cihan Erdoğan, Nevin Doğan

{"title":"The Foundation of Holistic Care: Nurses' Spiritual Sensitivity Levels and Experiences.","authors":"Banu Cihan Erdoğan, Nevin Doğan","doi":"10.1097/NJH.0000000000001220","DOIUrl":"10.1097/NJH.0000000000001220","url":null,"abstract":"This study aimed to explore nurses' spiritual sensitivity and how it shaped their everyday clinical caregiving experiences within a holistic care framework. A mixed-method approach was employed to integrate survey findings from 213 nurses with in-depth clinical narratives obtained from 32 nurses working in different hospital settings in Türkiye. Quantitative data were collected using the Nurse Information Form and the Spiritual Sensitivity Scale for Nurses, while qualitative data were gathered through semistructured individual interviews. Quantitative data were analyzed using statistical package for the social sciences, and qualitative data were evaluated through content analysis. Nurses' spiritual sensitivity levels were found to be generally high, with positive correlations identified between spiritual sensitivity, job satisfaction, and belief in spirituality's role in the healing process. Qualitative findings indicated that nurses recognized patients' spiritual needs by observing their psychological and emotional states, and that supporting religious and spiritual practices contributed not only to patients' recovery but also to nurses' professional satisfaction. Spiritual sensitivity was identified as a fundamental element of patient-centered and holistic nursing care, enhancing both the quality of care and professional satisfaction. These results highlighted the clinical relevance of spiritual sensitivity as an integral component of holistic nursing practice rather than an abstract personal attribute. Health care institutions were encouraged to actively support spiritual sensitivity through clinical guidelines, education, and organizational culture to strengthen holistic patient care.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"e146-e153"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215007","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

Empowering Compassionate Care: Elevating the Role of the Palliative Care Registered Nurse. 授权富有同情心的护理：提升姑息治疗注册护士的作用。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-05-29 DOI: 10.1097/NJH.0000000000001235

Sarah Valinski, Ellen Wild, Abbey Metzger, Susanne Cutshall

引用次数: 0

Increasing Access to Pediatric Palliative Care in a Large Hospital System: Trials and Triumphs From an APRN Initiative. 在大型医院系统中增加儿科姑息治疗的可及性：来自APRN倡议的试验和胜利。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-04-01 Epub Date: 2026-02-20 DOI: 10.1097/NJH.0000000000001212

Faith Kinnear

{"title":"Increasing Access to Pediatric Palliative Care in a Large Hospital System: Trials and Triumphs From an APRN Initiative.","authors":"Faith Kinnear","doi":"10.1097/NJH.0000000000001212","DOIUrl":"10.1097/NJH.0000000000001212","url":null,"abstract":"According to the Pediatric Palliative Care Task Force formed in 2020 and hosted by the National Coalition for Hospice and Palliative Care, children with serious illness should have access to palliative care that meets the population's unique needs. A large children's hospital had expanded to include 2 satellite campuses within a 6-year timeframe. With the expansions and the complex patient population cared for, palliative care expertise was needed at the satellite campuses, both inpatient and outpatient. This was an exciting and daunting task for a pediatric nurse practitioner. Taking care to assess needs, communicate with leadership teams, develop rapport with key stakeholders, and utilize the support staff already in place allowed for successful implementation of pediatric palliative care services at 2 satellite campuses over a 5-year span. Services included inpatient and outpatient patient care; ongoing family bereavement support; compiling staff resources and providing ongoing staff training in primary pediatric palliative care skills. Each satellite campus now has dedicated pediatric palliative care providers. This article outlines how the satellite palliative care programs were developed, the challenges and successes in the process, and the role of the APRN in program development.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":"28 2","pages":"57-61"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357870","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

Spiritual Distress Screening by Nurses to Increase Comprehensive Spiritual Support of Patients. 护士进行精神困扰筛查，增加对患者的全面精神支持。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-04-01 Epub Date: 2025-11-18 DOI: 10.1097/NJH.0000000000001181

Archana Nair, Dorothy Patterson, Bethany Hauver, Chelsey Labadie

{"title":"Spiritual Distress Screening by Nurses to Increase Comprehensive Spiritual Support of Patients.","authors":"Archana Nair, Dorothy Patterson, Bethany Hauver, Chelsey Labadie","doi":"10.1097/NJH.0000000000001181","DOIUrl":"10.1097/NJH.0000000000001181","url":null,"abstract":"This project aimed to address a gap in nurses' awareness of spiritual care and comprehensive spiritual support of patients in a breast oncology clinic at a National Cancer Institute (NCI)-designated Comprehensive Cancer Center through interdisciplinary collaboration with chaplaincy. Measures of nurses' comfort and understanding of spiritual care were assessed at baseline and monthly, utilizing a validated tool. Following education, nurses screened patients during their initial visit to the breast surgical oncology clinic who were experiencing moderate to severe distress for related existential themes of distress using an assessment tool and referred them to chaplaincy or social work based on the screening results. Nurse-initiated chaplain referrals increased significantly during the study period, with the most common distress themes being stress, hopes/fears, and assistance/help. Patient acceptance of referrals averaged 18.7% for chaplaincy and 33.1% for social work. By enhancing nurses' understanding of spiritual care and the role of chaplaincy, the clinic was able to improve the provision of comprehensive spiritual support, contributing to holistic patient care. Due to spirituality being a component of quality of life, this approach is transferable to other clinical settings. Future research could explore the impact of chaplain interventions on patient distress and quality of life for patients and caregivers.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"99-103"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642949","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

Supportive Care Needs of Patients with Hematologic Malignancies and Their Caregivers: A Mixed-Method Study: A Mixed Design Study. 恶性血液病患者及其护理人员的支持性护理需求：一项混合方法研究：一项混合设计研究。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-04-01 Epub Date: 2025-12-12 DOI: 10.1097/NJH.0000000000001186

Gül Dural

{"title":"Supportive Care Needs of Patients with Hematologic Malignancies and Their Caregivers: A Mixed-Method Study: A Mixed Design Study.","authors":"Gül Dural","doi":"10.1097/NJH.0000000000001186","DOIUrl":"10.1097/NJH.0000000000001186","url":null,"abstract":"Hematologic cancer has serious physical and psychological impacts, increasing the supportive care needs of patients and their caregivers. This study aimed to investigate the supportive care needs of patients with hematologic cancer and their caregivers. It was conducted using a convergent parallel design to understand the supportive care needs of these patients and their caregivers. More in-depth explanations were provided through simultaneous qualitative and quantitative data collection processes. At the beginning of the study, qualitative and quantitative data were collected in parallel and analyzed separately, and then the results were integrated. In the quantitative phase of the study, patients had high levels of care needs, whereas their caregivers had moderate levels of care needs. The qualitative phase provided a more detailed examination of supportive care needs. Based on the thematic analysis results, the needs of the patients and their caregivers were grouped under 3 main themes: (1) symptom management needs, (2) psychological needs, and (3) socio-economic needs. This study revealed that the care needs of patients with cancer and their caregivers are substantial, particularly in the areas of symptom management, psychological support, and socio-economic assistance.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E76-E82"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764606","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

Introducing Ethics Rounds: A New Space for the Conversations We're Already Having. 介绍道德回合：我们已经在进行的对话的新空间。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-04-01 Epub Date: 2026-02-20 DOI: 10.1097/NJH.0000000000001198

Sean M Reed, Betty Rolling Ferrell

引用次数: 0

The Ethical Challenge of Negative Compassion: How Excessive Empathy in End-of-Life Care Affects Decision-Making and Patient Autonomy. 消极同情的伦理挑战：临终关怀中的过度同理心如何影响决策和患者自主权。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-04-01 Epub Date: 2025-12-11 DOI: 10.1097/NJH.0000000000001172

Victoria Pérez-Rugosa, Gina Lladó-Jordan, Pablo de Lorena-Quintal, Esther Domínguez-Valdés, Antonia Rodríguez-Rodríguez, Carmen Sarabia-Cobo

{"title":"The Ethical Challenge of Negative Compassion: How Excessive Empathy in End-of-Life Care Affects Decision-Making and Patient Autonomy.","authors":"Victoria Pérez-Rugosa, Gina Lladó-Jordan, Pablo de Lorena-Quintal, Esther Domínguez-Valdés, Antonia Rodríguez-Rodríguez, Carmen Sarabia-Cobo","doi":"10.1097/NJH.0000000000001172","DOIUrl":"10.1097/NJH.0000000000001172","url":null,"abstract":"Negative compassion-excessive empathy that leads to emotional overload-presents a significant ethical challenge in end-of-life care. This qualitative phenomenological study explored how negative compassion affects adherence to advance directives and ethical decision-making among health care professionals in 6 long-term care facilities in Spain and Italy. Through 8 focus groups and 9 in-depth interviews with nurses, auxiliary caregivers, and support staff (n = 105), 3 key themes emerged: decision paralysis and emotional overload, conflicts between personal beliefs and professional responsibilities, and institutional barriers to ethical practice. Findings reveal that excessive emotional involvement can hinder the implementation of patients' documented wishes, potentially compromising patient autonomy and increasing caregiver distress. The study highlights the need for institutional policies that support emotional resilience, structured debriefing, and ethics training. Mindfulness-based interventions may help caregivers regulate emotional responses while maintaining professional integrity. These insights are highly relevant for palliative nursing practice, offering guidance for supporting staff and upholding patient-centered care in end-of-life settings.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E41-E49"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727272","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

HPNA Value Statement: Advance Care Planning. HPNA价值声明：提前护理计划。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-04-01 Epub Date: 2026-02-17 DOI: 10.1097/NJH.0000000000001215

引用次数: 0

Adolescent Coping and Communication Scale (ACCS). 青少年应对与沟通量表。

IF 1.3 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2026-04-01 Epub Date: 2025-10-24 DOI: 10.1097/NJH.0000000000001175

Denice Sheehan, Pam Stephenson, Kristen DeBois, Caitlin Sheehan, William Grayson

{"title":"Adolescent Coping and Communication Scale (ACCS).","authors":"Denice Sheehan, Pam Stephenson, Kristen DeBois, Caitlin Sheehan, William Grayson","doi":"10.1097/NJH.0000000000001175","DOIUrl":"10.1097/NJH.0000000000001175","url":null,"abstract":"This article reports on the item construction of a new screening scale to measure coping and communication among adolescents with a parent enrolled in hospice. The aim of this study was to use cognitive interviewing methodology to determine the validity and reliability of the Adolescent Coping and Communication Scale (ACCS). The young adults in this study identified the need for a consistent point person on the hospice care team to discuss their concerns and provide information and support. The ACCS is a concise 15-question tool using a 5-point Likert scale to monitor the adolescent's coping and communication needs in real time. It can easily be formatted electronically or in paper format and completed in less than 10 minutes. It can be used as a clinical screening tool by health professionals who seek to help adolescents navigate this critical time when their parent is near the end of life. These results can also be used to inform the development of interventions that assist families with strategies tailored to an adolescent's specific needs. Additional research is needed to assess the psychometric properties of scale items. Future research should investigate the use of this tool in other age groups and populations.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":" ","pages":"E50-E67"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379921","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