Journal of hospice and palliative care最新文献_第5页

Factors Affecting Psychological Burnout in Nurses Caring for Terminal Cancer Patients. 影响癌症晚期护理人员心理倦怠的因素

Journal of hospice and palliative care Pub Date : 2022-12-01 DOI: 10.14475/jhpc.2022.25.4.159

Na-Ri Seo, Hyun-E Yeom

{"title":"Factors Affecting Psychological Burnout in Nurses Caring for Terminal Cancer Patients.","authors":"Na-Ri Seo, Hyun-E Yeom","doi":"10.14475/jhpc.2022.25.4.159","DOIUrl":"https://doi.org/10.14475/jhpc.2022.25.4.159","url":null,"abstract":"Purpose: This study aimed to investigate the impacts of end-of-life care competency and ethical dilemmas on psychological burnout in nurses who care for terminal cancer patients.Methods: A cross-sectional study of 160 nurses who cared for terminal cancer patients was conducted. The participants were recruited from the hospice-palliative care wards, hematology or oncology wards, or intensive care units of three general hospitals in a single metropolitan area. Data were collected using a self-administered survey to assess end-of-life care competency, ethical dilemmas, psychological burnout, and general sociodemographic characteristics. Data were analyzed using descriptive statistics, the independent t-test, analysis of variance, Pearson correlation coefficients, and hierarchical linear regression analysis using SPSS for Windows (version 26.0).Results: Psychological burnout was significantly correlated with end-of-life care competency (r=-0.23, P=0.003) but not with ethical dilemmas. The results of the hierarchical linear regression analysis indicated that end-of-life care competency (β=-0.280, P=0.010) and ethical dilemmas (β=0.275, P=0.037) were significant predictors of psychological burnout, after adjusting for age, religious status, clinical experience, and unit type.Conclusion: The current study's findings demonstrate that end-of-life care competency and ethical dilemmas are crucial factors that affect psychological burnout in nurses who care for terminal cancer patients. Substantive education programs must be developed to improve nurses' competencies in end-of-life care and ethical dilemmas to decrease psychological burnout.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"25 4","pages":"159-168"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/36/92/jhpc-25-4-159.PMC10179995.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10177850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influence of Spirituality and Job Satisfaction on the Compassion Competence of Hospice Nurses. 灵性和工作满意度对安宁疗护护士同情能力的影响。

Journal of hospice and palliative care Pub Date : 2022-12-01 DOI: 10.14475/jhpc.2022.25.4.169

Su-Jeong Lee, Hyun-E Yeom

{"title":"Influence of Spirituality and Job Satisfaction on the Compassion Competence of Hospice Nurses.","authors":"Su-Jeong Lee, Hyun-E Yeom","doi":"10.14475/jhpc.2022.25.4.169","DOIUrl":"https://doi.org/10.14475/jhpc.2022.25.4.169","url":null,"abstract":"Purpose: The aim of this study was to examine the influence of spirituality and job satisfaction on the compassion competence of hospice nurses.Methods: This was a cross-sectional study of 118 hospice nurses from 16 hospitals in Daejeon, Chungcheong Province, and Jeolla Province. A self-administered survey was conducted using a structured questionnaire including the Spirituality Scale, Index of Work Satisfaction, the Compassion Competence Scale for Nurses, and general socio-demographic information. The data were analyzed using descriptive statistics, the t-test, Pearson correlation coefficients, and hierarchical linear regression analysis using SPSS for Windows version 26.0.Results: Compassion competence was correlated with spirituality (r=0.66, P<0.001) and job satisfaction (r=0.52, P<0.001), and spirituality was correlated with job satisfaction (r=0.44, P<0.001). Spirituality (β=0.513, P<0.001) and job satisfaction (β=0.273, P<0.001) were significant factors affecting the compassion competence of hospice nurses, after adjusting for the sociodemographic and work-related covariates. The step-by-step results from hierarchical linear regression analysis also indicated that spirituality had a stronger impact than job satisfaction on compassion competence.Conclusion: Our findings demonstrate the importance of spirituality, which plays a role in guiding the compassion competence of hospice nurses. It is necessary to support the spirituality and job satisfaction of hospice nurses, which could facilitate their compassion competence and thereby contribute to improving the quality of hospice and palliative care.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"25 4","pages":"169-177"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/e2/jhpc-25-4-169.PMC10179992.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10171073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge, Experience, and Attitudes of Nurses at Long-Term Care Hospitals regarding Advance Directives. 长期护理医院护士对预先指示的知识、经验和态度。

Journal of hospice and palliative care Pub Date : 2022-12-01 DOI: 10.14475/jhpc.2022.25.4.139

Go Eun Park, Nae Young Lee

{"title":"Knowledge, Experience, and Attitudes of Nurses at Long-Term Care Hospitals regarding Advance Directives.","authors":"Go Eun Park, Nae Young Lee","doi":"10.14475/jhpc.2022.25.4.139","DOIUrl":"https://doi.org/10.14475/jhpc.2022.25.4.139","url":null,"abstract":"Purpose: The purpose of this study was to promote awareness of the need for advance directives (ADs) and to provide baseline data for the development of a nurse training program about ADs.Methods: Nurses at eight long-term care hospitals in Busan and South Gyeongsang Province (N=143) were recruited using the random sampling method from December 2018 to January 2019. Data were obtained using a structured self-reported questionnaire to assess their knowledge, experience, and attitudes regarding ADs. Data were analyzed in SPSS 22.0 using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson's correlation coefficient, and stepwise multiple regression analysis.Results: The mean scores were 7.79±1.39 points for knowledge, 1.92±2.00 points for experience, and 2.80±0.24 points for attitudes regarding ADs. Knowledge and experience (r=0.32, P<0.001) had a positive correlation with knowledge and attitudes (r=0.17, P=0.39).Conclusion: According to the results, nurses generally had a high level of knowledge regarding ADs, which resulted in a positive attitude toward ADs. However, they had little experience with ADs. Therefore, nurses' must develop both direct and indirect experience with ADs using a practical training program to strengthen their clinical competency regarding ADs.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"25 4","pages":"139-149"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/01/jhpc-25-4-139.PMC10179997.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10171071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of COVID-19 on the End-of-Life Care of Cancer Patients Who Died in a Korean Tertiary Hospital: A Retrospective Study. COVID-19对韩国三级医院死亡癌症患者临终关怀的影响:一项回顾性研究

Journal of hospice and palliative care Pub Date : 2022-12-01 DOI: 10.14475/jhpc.2022.25.4.150

Jeongmi Shin, Yejin Kim, Shin Hye Yoo, Jin-Ah Sim, Bhumsuk Keam

{"title":"Impact of COVID-19 on the End-of-Life Care of Cancer Patients Who Died in a Korean Tertiary Hospital: A Retrospective Study.","authors":"Jeongmi Shin, Yejin Kim, Shin Hye Yoo, Jin-Ah Sim, Bhumsuk Keam","doi":"10.14475/jhpc.2022.25.4.150","DOIUrl":"10.14475/jhpc.2022.25.4.150","url":null,"abstract":"Purpose: Social distancing and strict visitor restrictions at hospitals have been national policies since the onset of the coronavirus disease 2019 (COVID-19) pandemic. This has challenged the concept of a good death in comfort with the opportunity to say goodbye. Little is known about how these measures have influenced end-of-life (EOL) care among cancer patients who die in acute care hospitals. This study examined changes in the EOL care of cancer patients during the COVID-19 pandemic.Methods: We retrospectively analyzed 1,456 adult cancer patients who died in 2019 (n=752) and 2020 (n=704) at a tertiary hospital. Data on EOL care-symptom control and comfort care in an imminently dying state, preparation for death, place of death, and aggressive care in the last month-were reviewed.Results: The 1,456 patients had a median age of 67 years, and 62.5% were men. Patients who died in 2020 were more likely to experience agitation or delirium before death (17.2% vs. 10.9%), to use inotropes/vasopressors near death (59.2% vs. 52.3%), and to receive cardiopulmonary resuscitation in their last months (16.3% vs. 12.5%) than those who died in 2019. Additionally, the number of deaths in the emergency room doubled in 2020 compared to 2019 (from 7.1% to 14.1%).Conclusion: This study suggests that EOL care for cancer patients who died in a tertiary hospital deteriorated during the COVID-19 pandemic. The implementation of medical care at the EOL and the preferred place of death should be discussed carefully in advance for high-quality EOL care.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"25 4","pages":"150-158"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/38/e2/jhpc-25-4-150.PMC10179996.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current Status and Future Directions of Research on Palliative Sedation. 姑息镇静研究的现状和未来方向。

Journal of hospice and palliative care Pub Date : 2022-12-01 DOI: 10.14475/jhpc.2022.25.4.193

In Cheol Hwang

引用次数: 0

Basic Human Needs in the Elderly Receiving Palliative Care: A Scoping Review. 接受姑息关怀的老年人的基本人类需求：范围界定综述》。

Journal of hospice and palliative care Pub Date : 2022-12-01 DOI: 10.14475/jhpc.2022.25.4.178

Thaciane Alves Mota, Manuela Bastos Alves, Ailton de Oliveira Dantas, Erica Brandão de Moraes, Anderson Reis de Sousa, Rudval Souza da Silva

{"title":"Basic Human Needs in the Elderly Receiving Palliative Care: A Scoping Review.","authors":"Thaciane Alves Mota, Manuela Bastos Alves, Ailton de Oliveira Dantas, Erica Brandão de Moraes, Anderson Reis de Sousa, Rudval Souza da Silva","doi":"10.14475/jhpc.2022.25.4.178","DOIUrl":"10.14475/jhpc.2022.25.4.178","url":null,"abstract":"Purpose: This scoping review identified scientific evidence on basic human needs (BHNs) in the elderly receiving palliative care.Methods: Systematic searches were conducted using six electronic databases (PubMed, CINAHL, Scopus, Lilacs, IBECS, and Web of Science). The initial search resulted in 1,227 articles, of which 104 were identified as potentially relevant. Fifty-three articles that met the inclusion criteria were identified and included in the final analysis.Results: Using the three hierarchical dimensions of the BHN model, 17 needs were organised, with five in the psychobiological dimension, 10 in the psychosocial dimension, and two in the psychospiritual dimension. These needs reflect the importance of care with dignity and relief from suffering for the elderly in palliative care.Conclusion: Recognising impaired BHNs in elderly people receiving palliative care will contribute to better care plans for the elderly, considering the multiple bio-psycho-social-spiritual dimensions of BHNs. This review points to a predominance of psychosocial needs.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"25 4","pages":"178-192"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/92/jhpc-25-4-178.PMC10179993.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beliefs and Attitudes toward Physician-assisted Suicide among Korean Adults. 韩国成年人对医生协助自杀的信念和态度。

Journal of hospice and palliative care Pub Date : 2022-12-01 DOI: 10.14475/jhpc.2022.25.4.198

In Cheol Hwang, Jung Hun Kang, Won-Chul Kim, Jeanno Park, Hyun Sook Kim, DaeKyun Kim, Kyung Hee Lee

{"title":"Beliefs and Attitudes toward Physician-assisted Suicide among Korean Adults.","authors":"In Cheol Hwang, Jung Hun Kang, Won-Chul Kim, Jeanno Park, Hyun Sook Kim, DaeKyun Kim, Kyung Hee Lee","doi":"10.14475/jhpc.2022.25.4.198","DOIUrl":"10.14475/jhpc.2022.25.4.198","url":null,"abstract":"Purpose: To grasp public opinion accurately, we conducted an opinion poll on beliefs and attitudes toward physician-assisted suicide (PAS).Methods: A randomized telephone survey ensuring a representative sample was conducted, 1,007 participants aged 18 years or older (response rate, 9.5%).Results: The main results are as follows i) 61.1% of participants thought that the current social support system for terminally ill patients and their families is insufficient; ii) 60% of participants did not recognize the term \"hospice and palliative care\"; iii) 81.7% of participants would not like to receive life-sustaining treatment if there is no possibility of recovery; iv) 58.4% of participants would like to receive hospice and palliative care if they are diagnosed with a terminal illness; v) the priorities for dignified dying were preparing a support system to reduce the burden of care (28.6%), economic support including reduction of medical expenses (26.7%), expansion of hospice and palliative care services (25.4%), and legalization of PAS (13.6%); and vi) 58.3% of participants agreed that the expansion of hospice and palliative care should precede the legalization of PAS.Conclusion: Koreans currently want other efforts, including expansion of hospice and palliative care services, instead of the legalization of PAS.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"25 4","pages":"198-203"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ed/ef/jhpc-25-4-198.PMC10179991.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10177848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Volunteer Experiences of Pediatric Palliative Care among University Students: A Phenomenological Approach. 大学生儿童姑息治疗志愿者经验:现象学研究。

Journal of hospice and palliative care Pub Date : 2022-09-01 DOI: 10.14475/jhpc.2022.25.3.121

Yi Ji Moon

{"title":"Volunteer Experiences of Pediatric Palliative Care among University Students: A Phenomenological Approach.","authors":"Yi Ji Moon","doi":"10.14475/jhpc.2022.25.3.121","DOIUrl":"https://doi.org/10.14475/jhpc.2022.25.3.121","url":null,"abstract":"Purpose: This phenomenological analysis was conducted to explore the experiences of college student volunteers in the field of pediatric palliative care.Methods: In-depth interviews were conducted with nine study participants who had experience volunteering with children receiving pediatric palliative care. The study analysis was conducted using the Colaizzi method, a rigorous qualitative research method, to develop \"intra-group\" comparisons among the study participants.Results: Through an analysis of the data, 51 themes, 18 theme clusters, and five main categories were derived. The results confirmed that the experience of university student volunteers in pediatric palliative care can be summarized as \"awareness of the role of a volunteer,\" \"difficulties encountered while volunteering,\" \"efforts to overcome the difficulties of volunteer work,\" \"personal reflection,\" and \"awareness of life and death.\"Conclusion: The results of this study can be used as a practical guide for the effective management of volunteers in the pediatric palliative care setting.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"25 3","pages":"121-132"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c1/ce/jhpc-25-3-121.PMC10179987.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10550737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Providing End-of-Life Care in the Community: What Are the Challenges in Malaysia? 在社区提供临终关怀:马来西亚面临的挑战是什么?

Journal of hospice and palliative care Pub Date : 2022-09-01 DOI: 10.14475/jhpc.2022.25.3.133

Yoke Yeng Leong, Ednin Hamzah, Sylvia McCarthy, Zee Nee Lim

引用次数: 0

Factors Affecting Nurses' Performance of Cancer Pain Management in a Tertiary Hospital. 某三级医院护士肿瘤疼痛管理绩效的影响因素分析

Journal of hospice and palliative care Pub Date : 2022-09-01 DOI: 10.14475/jhpc.2022.25.3.

Minhwa Kang, Minjeong Seo

{"title":"Factors Affecting Nurses' Performance of Cancer Pain Management in a Tertiary Hospital.","authors":"Minhwa Kang, Minjeong Seo","doi":"10.14475/jhpc.2022.25.3.","DOIUrl":"https://doi.org/10.14475/jhpc.2022.25.3.","url":null,"abstract":"Purpose: More than 60% of patients with advanced cancer experience pain, and uncontrolled pain reduces the quality of life. Nurses are the closest healthcare providers to the patient and are suitable for managing cancer pain using pharmacological and non-pharmacological interventions. This study aimed to identify factors affecting the performance of cancer pain management among nurses.Methods: This study was conducted among 155 participating nurses working at a tertiary hospital who had experience with cancer pain management. Data collection was performed between October 18, 2021 and October 25, 2021. Data analysis was conducted using descriptive statistics, the independent-sample t-test, one-way analysis of variance, and hierarchical regression analysis.Results: There were 110 subjects (71.0%) who had no experience of cancer pain management education. The results of regression analysis indicated that barriers included medical staff, patients, and the hospital system for cancer pain management (β=0.28, P<0.001). The performance of cancer pain management was also affected by experience of cancer pain management training (β=0.22, P=0.007), and cancer pain management knowledge (β=0.21, P=0.006). The explanatory power of the variable was 16.6%.Conclusion: It is crucial to assess system-related obstacles, as well as patients and medical staff, in order to improve nurses' cancer pain management performance. A systematic approach incorporating multidisciplinary interventions from interprofessional teams is required for effective pain management. Furthermore, pain management education is required both for cancer ward nurses and nurses in other wards.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"25 3","pages":"99-109"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/83/jhpc-25-3-99.PMC10179990.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10236758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0