International journal of palliative nursing最新文献

{"title":"Mindfulness-based and educational interventions for family caregivers of patients with cancer: a pilot study on self-compassion and quality of sleep.","authors":"Laila Al-Daken, Mohammad Al Qadire, Muayyad M Ahmad","doi":"10.12968/ijpn.2025.0004","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0004","url":null,"abstract":"<p><strong>Background: </strong>Family caregivers of patients with cancer often experience physical, emotional and mental challenges. However, there is limited research on the impact of caregiving on family caregiver's sleep. This study evaluated the effectiveness of brief mindfulness-based interventions and educational interventions in improving mindfulness, self-compassion and sleep quality in family caregivers in Jordan.</p><p><strong>Methods: </strong>A quasi-experimental study was conducted with 48 family caregivers assigned to either the mindfulness-based interventions (25) or the educational intervention (23) group. Mindful Attention Awareness Scale, Self-Compassion Scale-Short Form and Pittsburgh Sleep Quality Index were used post-interventions to assess outcomes.</p><p><strong>Results: </strong>The mindfulness group demonstrated significant improvements in mindfulness, self-compassion and sleep quality, with medium to large effect sizes (Cohen's d=0.36-2.01, <i>P</i><.001). The educational group showed significantly smaller improvement than those in the mindfulness group, with no significant improvement in quality of sleep.</p><p><strong>Conclusions: </strong>Brief mindfulness-based interventions are effective in enhancing mindfulness, self-compassion and sleep quality among family caregivers, surpassing the benefits of educational interventions. These findings suggest that mindfulness-based interventions should be incorporated into caregiving support programmes to improve the wellbeing and outcomes of family caregivers.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 6","pages":"297-305"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the impact of prostate cancer prevention and detection initiatives.","authors":"Roison Andro Narvaez, Rodessa Bongay, Ian Charles Federez, Erika B Chan, Dorina Magno, Joyce Celine Samarita, Marilane Ferrer, Ralph Antonio Peco, Laurence Anne Sumpay, Neil Bryant Sangilan","doi":"10.12968/ijpn.2025.0032","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0032","url":null,"abstract":"<p><strong>Background: </strong>Prostate cancer is the most common male malignancy, yet prevention and early detection efforts show inconsistent uptake worldwide.</p><p><strong>Aim: </strong>To identify which strategies and contextual factors enhance, or hinder, the effectiveness of prostate cancer prevention and screening.</p><p><strong>Methods: </strong>An integrative review yielded 19 peer-reviewed studies. Quality was appraised using Critical Appraisal Skills Programme; data were thematically synthesised.</p><p><strong>Results: </strong>Five themes surfaced. (1) Cultural attitudes-fear of digital rectal examination reduces participation, but tailored messaging can overcome this resistance. (2) Chemoprevention-finasteride and dutasteride cut incidence of prostrate cancer by ≈25 %, however, there are side effects which must be managed. (3) Biomarkers-the prostate-specific antigen test is the most widely used screening test, but the prostate cancer antigen 3 test is more accurate but increases costs. (4) Access models-mobile units, mass screening and theory-based education triple to six-fold prostate-specific antigen uptake in under-served groups, showing that low-barrier delivery can offset stigma. (5) Lifestyle-low-fat diets and micronutrients offer modest protection against prostate cancer, while obesity raises high-grade risk, highlighting synergy between behavioural and clinical interventions.</p><p><strong>Conclusion: </strong>Integrating accurate diagnostics, culturally sensitive education, low-barrier outreach and lifestyle counselling offers the strongest pathway to equitable, sustainable prostate cancer control. Future studies should evaluate cost effectiveness and long-term adherence in diverse settings.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 6","pages":"288-296"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing outcome 'dignified life closure' in patients under palliative care.","authors":"Anthony Moreira Gomes, Jaqueline Galdino Albuquerque Perrelli, José Anchieta de Brito, Karla Alexsandra de Albuquerque, Natália Ramos Costa Pessoa, Cecília Maria Farias de Queiroz Frazão","doi":"10.12968/ijpn.2025.0012","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0012","url":null,"abstract":"<p><strong>Aim: </strong>To analyse indicators of the nursing outcomes classification 'dignified life closure' for patients receiving end-of-life care.</p><p><strong>Method: </strong>A cross-sectional, quantitative study with 52 patients using an instrument with 25 indicators for the nursing outcome. Data were analysed using descriptive and inferential statistics, with a p-value of 0.05.</p><p><strong>Results: </strong>Most participants were women with religious beliefs, with an average age of 60.65, and cancer as the primary diagnosis. Statistically significant associations were found between the primary diagnosis and indicators such as 'maintains a sense of control over remaining time' (<i>P</i>=0.034) and 'expresses preparedness for death' (<i>P</i>=0.032). Correlations were also observed between religion and 'expresses hope' (<i>P</i>=0.025), age and 'completes significant goals' (<i>P</i>=0.021), and duration of palliative care and 'maintains physical independence' (<i>P</i>=0.033).</p><p><strong>Conclusion: </strong>Nurses should focus on educational activities to improve the quality of life for palliative care patients.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 6","pages":"276-286"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence and palliative care.","authors":"Laura Glenny","doi":"10.12968/ijpn.2026.0074","DOIUrl":"https://doi.org/10.12968/ijpn.2026.0074","url":null,"abstract":"","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 6","pages":"267-268"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of comfort theory in the intensive care unit.","authors":"Ferhat Koç, Yurdanur Dikmen","doi":"10.12968/ijpn.2025.0014","DOIUrl":"10.12968/ijpn.2025.0014","url":null,"abstract":"<p><strong>Background: </strong>A well-functioning intensive care unit should support the patient's recovery by promoting their participation in treatment and care. Enhancing patient comfort in the intensive care unit can maximise the quality of nursing care and shorten the recovery period.</p><p><strong>Aim: </strong>To evaluate the effects of nursing interventions based on comfort theory on comfort levels and perceived environmental stressors of patients in the intensive care unit.</p><p><strong>Methods: </strong>A randomised controlled trial was conducted between 15 October 2019 and 15 February 2020, including 50 intensive care unit patients divided into intervention (<i>n</i>=25) and control (<i>n</i>=25) groups. The intervention group received structured nursing care plans designed according to comfort theory, while the control group received standard intensive care unit care. Data collection tools included the Patient Identification Form, General Comfort Scale and Intensive Care Unit Environmental Stressor Scale. Data analysis used parametric tests to assess differences between groups.</p><p><strong>Results: </strong>The intervention group had a significantly higher comfort level (General Comfort Scale score: 142±28±10.84) compared to the control group (General Comfort Scale score: 111.36±13.34). Additionally, the Intensive Care Unit Environmental Stressor Scale scores, which indicate perceived stressors, were lower in the intervention group (86.25±14.38) compared to the control group (111.80±14.25), suggesting that structured nursing care significantly reduced environmental stress.</p><p><strong>Conclusions: </strong>Findings demonstrated that nursing interventions structured according to comfort theory improved patient comfort levels and reduced environmental stressors in intensive care unit patients. The study highlights the importance of patient-centered nursing care and technology-assisted interventions in enhancing patient wellbeing in critical care settings. Further research is recommended to explore the long-term benefits of these interventions in diverse intensive care unit populations.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 5","pages":"213-223"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palliative care as a human right: family caregivers' perceptions and experiences of access and quality at Ho Teaching Hospital.","authors":"Sulleh Gbande, Godknows Etay Blebu","doi":"10.12968/ijpn.2025.0087","DOIUrl":"10.12968/ijpn.2025.0087","url":null,"abstract":"<p><strong>Background: </strong>Palliative care is a fundamental component of universal health coverage and is internationally recognised as a human right. However, the perceptions and experiences of family caregivers in Ghana regarding access to and the quality of palliative care as a human right are still not well understood.</p><p><strong>Aims: </strong>The study explored family caregivers' perceptions and experiences regarding access to and quality of palliative care as a human right at Ho Teaching Hospital.</p><p><strong>Methods: </strong>A qualitative descriptive design was used, and 10 family caregivers aged 18 years old and older were purposively selected. In-depth face-to-face interviews were conducted. The data were analysed using conventional content analysis.</p><p><strong>Findings: </strong>The study revealed that family caregivers often perceived palliative care as an unfamiliar concept, and it was not widely recognised as a human right. Many described accessing care during the end of life as a favour rather than an entitlement, highlighting perceived inequities in service provision. Caregivers reported significant financial and emotional strain, compounded by long waiting times, staff shortages and occasional challenges in obtaining essential medications.</p><p><strong>Conclusions: </strong>Though palliative care is declared as a human right, significant challenges persist in knowing and accessing these services. Addressing awareness, equity and system-level barriers is vital for improving palliative care delivery.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 5","pages":"241-248"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Masterclasses for palliative care nurses in Eastern Europe.","authors":"Nicoleta Mitrea, Camelia Ancuta, Ginette G Ferszt, Flavia Hurducas, Julie V Steller, Patricia White, Susan DeSanto-Madeya","doi":"10.12968/ijpn.2025.0076","DOIUrl":"10.12968/ijpn.2025.0076","url":null,"abstract":"<p><strong>Background: </strong>Nurses are in an ideal position to provide both primary and specialised palliative care, as well as collaborate with the interdisciplinary healthcare team to optimise quality of life and reduce pain and other distressing symptoms for people living with serious illness and their families.</p><p><strong>Methods: </strong>This article describes the planning, implementation and evaluation of three (2021, 2023, 2025) virtual 3 day, 4 hours/day International Palliative Nursing Masterclasses (IPNMs). A group of advanced practice and PhD nurses from Romania and the US collaborated to design a curriculum and programme, identify potential participants, speakers and technical needs and develop a method for programme evaluation.</p><p><strong>Findings: </strong>Nurses (<i>n</i>=145 of 172 professionals) from 19 countries participated in the three IPNMs. Survey responses indicated participants gained new knowledge and skills, and felt more confident in their palliative care practice. They appreciated opportunities for networking and sharing experiences, the virtual format and the use of case studies to apply concepts.</p><p><strong>Conclusions: </strong>The findings of this ongoing successful programme highlight the benefits of these types of collaborations across cultures.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 5","pages":"224-231"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Euthanasia in India.","authors":"Kusum Kumari","doi":"10.12968/ijpn.2026.0052","DOIUrl":"https://doi.org/10.12968/ijpn.2026.0052","url":null,"abstract":"","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 5","pages":"211-212"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review of artificial intelligence applications in oncology nursing surveillance and patient monitoring.","authors":"Cliff Richard T Mabasa, Mary Grace N Israel, Dennis B Brosola, Marijane V Anacito, Mila C Herrera, Minerva A Macavinta, Razzel Louise T Gatdula, Hector Alvin G Orbeta, Roison Andro Narvaez, Marilane Ferrer","doi":"10.12968/ijpn.2025.0121","DOIUrl":"10.12968/ijpn.2025.0121","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence is emerging as a valuable tool in oncology nursing surveillance by supporting early detection of patient deterioration, real-time monitoring and timely nursing interventions. Despite growing interest, evidence remains fragmented and implementation issues are not yet well established.</p><p><strong>Aim: </strong>This study systematically reviewed empirical evidence on artificial intelligence applications in oncology nursing surveillance, identified key barriers and facilitators to implementation and evaluated implications for patient safety, continuity of care and nursing quality.</p><p><strong>Methods: </strong>A systematic literature review was conducted in accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Peer-reviewed studies published in English from 2015 to early 2024 were screened using predefined eligibility criteria. Of 447 records identified, 105 studies met the inclusion criteria and were included in the qualitative synthesis.</p><p><strong>Findings: </strong>The included studies showed that artificial intelligence was used across several areas of oncology nursing surveillance, including risk prediction, early warning systems, tumor detection, radiomics, symptom monitoring and patient-reported outcomes. Common artificial intelligence approaches included machine learning, deep learning, natural language processing and explainable AI. Findings suggest that these tools may improve accuracy in clinical decision support, strengthen early identification of complications and enhance monitoring efficiency. However, key barriers persisted, including data heterogeneity, small and retrospective datasets, limited external validation, workflow integration difficulties, high costs and privacy concerns.</p><p><strong>Conclusion: </strong>Artificial intelligence-enabled surveillance shows promise, but broader adoption requires validation, integration and nursing-led co-design.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 5","pages":"249-262"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between support needs and preparedness among family caregivers in palliative home care.","authors":"Cecilia Bauman, Kristofer Årestedt, Viktoria Wallin, Per Fürst, Peter Hudson, Ulrika Kreicbergs, Anette Alvariza","doi":"10.12968/ijpn.2025.0102","DOIUrl":"10.12968/ijpn.2025.0102","url":null,"abstract":"<p><strong>Background: </strong>Family caregivers take on substantial caregiving responsibilities and report unmet support needs of their own when caring for a person with life-threatening illness.</p><p><strong>Aim: </strong>To explore self-rated support needs and their association with preparedness for caregiving among family caregivers in specialised palliative home care.</p><p><strong>Methods: </strong>Family caregivers of patients with life-threatening illness were recruited. Family caregivers completed questionnaires at baseline and 4 weeks later, including the Preparedness for Caregiving Scale and the Carer Support Needs Assessment Tool. Descriptive statistics and linear regression analyses were performed.</p><p><strong>Results: </strong>Family caregivers' (<i>n</i>=153) support needs varied over time across several domains. Unmet needs were associated with lower baseline preparedness for caregiving, but a greater improvement in preparedness over time. When needs were met, family caregivers showed a significant improvement in their sense of preparedness.</p><p><strong>Conclusions: </strong>Support needs and preparedness for caregiving are closely related. Addressing support needs is important to enhance preparedness.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 5","pages":"232-240"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}