Journal of Hospice & Palliative Nursing最新文献_第9页

2024 HPNA Fellow in Palliative Care Nursing Application Update. 2024年HPNA缓和护理应用更新研究员。

IF 1.8 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2023-08-01 DOI: 10.1097/NJH.0000000000000959

引用次数: 0

Impediments to Signing Advance Directives in Nursing Home Residents: A Qualitative Study. 疗养院住客签署预先指示的障碍:一项质性研究。

IF 1.8 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2023-08-01 DOI: 10.1097/NJH.0000000000000955

Hsin-Tzu Sophie Lee, Chia-Ling Yang, Wen-Yu Hu

引用次数: 0

Predictors of Advance Care Planning Engagement Among Muslim Americans. 穆斯林美国人提前护理计划参与的预测因素。

IF 1.8 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2023-08-01 DOI: 10.1097/NJH.0000000000000842

Ghaith Ahmad Bani Melhem, Debra C Wallace, Judith A Adams, Ratchneewan Ross, S Sudha

{"title":"Predictors of Advance Care Planning Engagement Among Muslim Americans.","authors":"Ghaith Ahmad Bani Melhem, Debra C Wallace, Judith A Adams, Ratchneewan Ross, S Sudha","doi":"10.1097/NJH.0000000000000842","DOIUrl":"https://doi.org/10.1097/NJH.0000000000000842","url":null,"abstract":"Advance care planning (ACP) enables people to discuss their physical, psychological, social, and spiritual needs before nearing death. Most literature examining the determinants of ACP engagement is limited and does not include minority faith communities in the United States, including Muslim communities. The purpose of this cross-sectional correlational study was to examine ACP engagement determinants among Muslims in the United States. Using the Social Ecological Model, we conceptualized the determinants of ACP engagement into intrapersonal, interpersonal, and community factors. The study self-administered questionnaires were distributed using convenience and snowball techniques. Multiple linear regression was used to predict ACP engagement. The total sample was 148 Muslim adults. The age range was 18 to 79 years. Among all tested factors, being Asian American, knowing a deceased person who had received aggressive or minimal medical treatments near death, being born in the United States, having knowledge and awareness about ACP, and being accepting of the American culture were the determinants of ACP engagement. Engagement in ACP is a multifactorial behavior. Several intrapersonal and interpersonal factors, but none of the community factors, were associated with ACP engagement among Muslim adults. Future ACP interventions targeted toward Muslim Americans should be planned with an understanding of the multifactorial nature of ACP engagement.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10398304","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

Development and Effectiveness of an End-of-Life Care Program for Faculty in the Critical Care Field: A Randomized Controlled Trial. 为重症监护领域的教师开发临终关怀课程及其效果：随机对照试验

IF 1.8 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2023-08-01 Epub Date: 2023-05-19 DOI: 10.1097/NJH.0000000000000951

Yoko Tamura, Chika Nishiyama, Sayaka Takenouchi, Ryuhei Sato, Kosuke Kiyohara, Kazuko Nin

引用次数: 0

Palliative Care Needs of Families of Adults With Advanced Cancer. 晚期癌症成人家庭的姑息治疗需求。

IF 1.8 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2023-08-01 DOI: 10.1097/NJH.0000000000000954

Carolina Rojas-Garcia, Lina María Vargas-Escobar, Mónica Giraldo-Castro

{"title":"Palliative Care Needs of Families of Adults With Advanced Cancer.","authors":"Carolina Rojas-Garcia, Lina María Vargas-Escobar, Mónica Giraldo-Castro","doi":"10.1097/NJH.0000000000000954","DOIUrl":"https://doi.org/10.1097/NJH.0000000000000954","url":null,"abstract":"Diagnosis and treatment of a terminal illness can significantly impact patients and their families, as well as their functionality and daily routines. This study aimed to understand the palliative care needs of a group of families with an adult relative with advanced cancer receiving palliative care. A qualitative approach was used to conduct a content analysis. Fourteen semistructured interviews were carried out with family members in Cundinamarca (Colombia) between March and April 2022. The information was analyzed by coding and categorizing the emerging themes using NVivo. Three main categories emerged: the diagnosis' harsh surprise, the family's coping with the disease, and the palliative care needs of families. Identifying the resources available to families to care for relatives with advanced cancer can facilitate the work of palliative care teams. It is necessary to prevent the family from giving up on caring, which can result from exhaustion due to various causes. Families who have an adult relative with advanced cancer in palliative care face significant challenges. Their situation involves accepting the diagnosis, changing family routines, dealing with the disease and the health care system, and coping with circumstances that create needs of different kinds.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10399842","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

Advancing Trauma-Informed Care Education for Hospice and Palliative Staff: Development and Evaluation of Educational Videos. 推进针对安宁疗护与姑息治疗工作人员的创伤知情护理教育：教育视频的开发与评估。

IF 1.2 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2023-08-01 DOI: 10.1097/NJH.0000000000000804

Kelly A O'Malley, Anna G Etchin, Elizabeth J Auguste, Anica Pless Kaiser, Lynn Korsun, Rachel E Weiskittle, Hannah M Bashian, Zachary S Sager, Jennifer Moye

{"title":"Advancing Trauma-Informed Care Education for Hospice and Palliative Staff: Development and Evaluation of Educational Videos.","authors":"Kelly A O'Malley, Anna G Etchin, Elizabeth J Auguste, Anica Pless Kaiser, Lynn Korsun, Rachel E Weiskittle, Hannah M Bashian, Zachary S Sager, Jennifer Moye","doi":"10.1097/NJH.0000000000000804","DOIUrl":"10.1097/NJH.0000000000000804","url":null,"abstract":"Nurses play an essential role in managing mental health conditions, such as posttraumatic stress disorder (PTSD), especially in rural areas where access to mental health care is limited. Posttraumatic stress disorder may emerge at the end of life and complicate health care and is a particular concern for aging Vietnam veterans. We describe the development of 3 videos that illustrate how to recognize PTSD, respond to trauma disclosures, and manage PTSD in cognitive impairment during an in-home hospice nurse visit. Through problem identification and needs assessment, we identified 6 goals and 28 specific content objectives presented through cinematic action with flashbacks or voice-over narration with graphics. Videos were evaluated through a survey (N = 155) and analysis of \"chat\" responses (N = 186) to targeted questions during a webinar presentation to clinicians (N = 345). Approximately 75% rated videos as \"very much\" relevant to needs, having helped learn something new, and realistic. Analysis of chat responses showed videos conveyed most content objectives (92%). In addition, participants stated videos were helpful in demonstrating nursing skills of listening, responding, and displaying empathy, as well as showing case presentations involving cognitive impairment and the patient experience. Participants expressed a desire for longer videos/more information including a wider range of PTSD presentations and comorbidities.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9002316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10041316","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

Factors Associated With Mode of Separation for People With Palliative Diagnoses With Preference for Home Death Receiving Care From a Nurse-Led End of Life (Palliative Extended and Care at Home) Program. 姑息性诊断患者倾向于接受护士主导的临终关怀(姑息性延长和家庭护理)计划的家庭死亡与分离模式相关的因素。

IF 1.8 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2023-08-01 DOI: 10.1097/NJH.0000000000000841

Meera R Agar, Wei Xuan, Jessica Lee, Greg Barclay, Alan Oloffs, Kim Jobburn, Janeane Harlum, Nutan Maurya, Josephine Sau Fan Chow

{"title":"Factors Associated With Mode of Separation for People With Palliative Diagnoses With Preference for Home Death Receiving Care From a Nurse-Led End of Life (Palliative Extended and Care at Home) Program.","authors":"Meera R Agar, Wei Xuan, Jessica Lee, Greg Barclay, Alan Oloffs, Kim Jobburn, Janeane Harlum, Nutan Maurya, Josephine Sau Fan Chow","doi":"10.1097/NJH.0000000000000841","DOIUrl":"https://doi.org/10.1097/NJH.0000000000000841","url":null,"abstract":"Palliative Extended and Care at Home (PEACH) is a rapid response nurse-led package of care mobilized for palliative care patients who have an expressed preference to die at home. This study aimed to identify the demographic and clinical predictors of home death for patients receiving the package. Deidentified data were used from administrative and clinical information systems. Univariate and multivariate analyses were conducted to assess association of sociodemographic factors with mode of separation. Furthermore, 1754 clients received the PEACH package during the study period. Mode of separation was home death (75.7%), hospital/palliative care unit admission (13.5%), and alive/discharged from the PEACH Program (10.8%). Of participants with clear preference to die at home, 79% met their wish. Multivariate analysis demonstrated cancer diagnosis, patients who wished to be admitted when death was imminent, and patients with undecided preference for location of death were associated with an increased likelihood of being admitted to the hospital. Compared with those with spousal caregivers, those cared for by their child/grandchild and other nonspouse caregivers were significantly associated with a decreased likelihood of being admitted to the hospital/palliative care unit. Our results show that opportunities to tailor home care based on referral characteristics to meet patient preference to die at home, at individual, system, and policy levels, exist.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10035032","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

Suffering 2.0. 2.0。

IF 1.8 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2023-08-01 DOI: 10.1097/NJH.0000000000000960

引用次数: 0

Predictors of Advance Care Planning Engagement Among Muslim Americans. 穆斯林美国人提前护理计划参与的预测因素。

IF 1.8 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2023-08-01 DOI: 10.1097/NJH.0000000000000966

引用次数: 0

Nursing Home Resident, Family, and Staff Perspectives on Achieving Comfort at End of Life: A Qualitative Study. 疗养院居民、家庭和工作人员在生命结束时实现舒适的观点:一项定性研究。

IF 1.8 4区医学

Journal of Hospice & Palliative Nursing Pub Date : 2023-08-01 DOI: 10.1097/NJH.0000000000000953

Ruth M Tappen, Janet Sopcheck

{"title":"Nursing Home Resident, Family, and Staff Perspectives on Achieving Comfort at End of Life: A Qualitative Study.","authors":"Ruth M Tappen, Janet Sopcheck","doi":"10.1097/NJH.0000000000000953","DOIUrl":"https://doi.org/10.1097/NJH.0000000000000953","url":null,"abstract":"Increasing numbers of US older adults die in long-term care facilities. This qualitative study explored nursing home resident, family member, and staff perspectives and preferences regarding end-of-life care for the resident. From 67 potential participants referred by staff, 47 were found eligible and consented, including 16 residents, 10 family members, and 20 staff. A semistructured questionnaire guided the interview process and included questions such as what matters most at the end of life and whether participants would opt for any of the 8 aggressive treatments proposed for a resident at the end of life. Data were analyzed using descriptive and pattern coding for thematic interpretation. The 3 themes that emerged were centrality of comfort, what matters most at the end of life, and promoting comfort. All participant groups overwhelmingly endorsed comfort as a priority. Some participants would accept aggressive treatment to alleviate suffering and promote comfort. Residents were concerned about the well-being of their families, whereas family members emphasized the importance of their presence and that their dying relatives were not suffering. Staff sometimes filled this role on their behalf. Ancillary staff emphasized bathing, dressing, and grooming the resident to preserve the resident's dignity. The results support comfort as a priority for care at the end of life and the need for more discussion to increase mutual agreement on goals of care and what promotes comfort for the resident and family.","PeriodicalId":54807,"journal":{"name":"Journal of Hospice & Palliative Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10041413","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