International journal of palliative nursing最新文献

{"title":"Only the dead have seen the end of war.","authors":"Dion Smyth","doi":"10.12968/ijpn.2023.29.11.517","DOIUrl":"10.12968/ijpn.2023.29.11.517","url":null,"abstract":"Always Lost is a unique collection of photographs, poems, and prose that recognizes the sacrifices of our American troops in Iraq and Afghanistan. Retired Marine Corps Major Kevin Burns titled the exhibition after an observation by American writer Gertrude Stein: “War is never fatal but always lost. Always lost.” A sacred space in which to contemplate the personal and collective costs of war, Always Lost features the Wall of the Dead, photos and names of nearly 6,000 American service members who have perished in the Middle East since September 11, 2001; the literary work they inspired; Pulitzer Prize-winning combat photos by David Leeson and Cheryl Diaz Meyer (The Dallas Morning News); interviews and portraits of Iraq/Afghanistan student-veterans from Western Nevada College; and the poetry and profile of SPC Noah Pierce, who took his own life after serving two tours in Iraq. Your donation will support the effort to keep the Wall of the Dead current and to send Always Lost throughout the U.S. to colleges, universities, and veterans’ groups who are interested in hosting the exhibit. The exhibition’s national tour began at the University of Wisconsin, Marinette in fall 2010 and is currently scheduled through mid-2013. Always Lost has been invited to Washington D.C. by members of the U.S. Senate.","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"29 11","pages":"517"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471367","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: economic challenges for researchers.","authors":"Joana C Vieira","doi":"10.12968/ijpn.2023.29.11.548","DOIUrl":"10.12968/ijpn.2023.29.11.548","url":null,"abstract":"<p><p>The economic challenges for researchers in palliative care is an emerging and challenging topic. Knowing where, how and how much is spent is fundamental for palliative care (PC) provision to be increasingly efficient and with lower costs. To accomplish this, there are three important factors to consider: early access to PC; specialised PC using standardised procedures and informal and home-based PC. Beyond costs, ethical aspects should always be present when this care is being provided in its different forms, locations and contexts. For those who want to study the economic challenges in PC, they need to comprehend the complexity of them, since they will always come from a careful articulation between ethics, the person´s needs, the cost of the care and who these costs are charged to.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"29 11","pages":"548-552"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471368","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":"Preferred place of death challenges the allocation of health resources in Iran.","authors":"Armin Fereidouni, Maryam Rassouli, Maryam Karami, Maryam Pakseresht, Salman Barasteh","doi":"10.12968/ijpn.2023.29.11.553","DOIUrl":"10.12968/ijpn.2023.29.11.553","url":null,"abstract":"","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"29 11","pages":"553-554"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471369","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 students experiences of end-of-life care.","authors":"Kerry Jones,&nbsp;Jan Draper,&nbsp;Nerys Bolton","doi":"10.12968/ijpn.2023.29.10.466","DOIUrl":"10.12968/ijpn.2023.29.10.466","url":null,"abstract":"<p><strong>Background: </strong>Undergraduate nursing students spend a significant amount of time in clinical placements where they are involved in care at the end of a person's life and care after death. While their role is to provide compassionate care, some students feel wholly unprepared.</p><p><strong>Aims: </strong>The aim of this qualitative study was to explore student nurses' experiences of care in death, dying and post death care, and to explore how students can be better prepared to provide such care.</p><p><strong>Methods: </strong>This is a qualitative descriptive study that is concerned with the subjective reality of participant's experiences.</p><p><strong>Findings: </strong>Six themes were developed from the analysis: first encounters with death and dying; preparedness; mentoring and support received; the caring role; striving to cope; working with families and working through COVID-19.</p><p><strong>Conclusion: </strong>Students described their experience of placements in end-of-life care as challenging, yet were also able to adopt ways to develop as compassionate practitioners.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"29 10","pages":"466-475"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686656","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":"Spiritual care competence, moral distress and job satisfaction among Iranian oncology nurses.","authors":"Arpi Manookian,&nbsp;Javad Nadali,&nbsp;Shahrzad Ghiyasvandian,&nbsp;Kathryn Weaver,&nbsp;Shima Haghani,&nbsp;Anahita Divani","doi":"10.12968/ijpn.2023.29.10.487","DOIUrl":"10.12968/ijpn.2023.29.10.487","url":null,"abstract":"<p><strong>Background: </strong>Nurses have a crucial role in identifying spiritual needs and providing spiritual care to patients living with cancer.</p><p><strong>Aim: </strong>This study evaluated Iranian oncology nurses' spiritual care competence and its relationship with job satisfaction and moral distress.</p><p><strong>Method: </strong>This cross-sectional study was conducted on 280 Iranian oncology nurses in 2020 using four questionnaires: demographic questionnaires, the Spiritual Care Competence Questionnaire (SCCQ), the Minnesota Job Satisfaction Questionnaire (MSQ) and the nurses' Moral Distress Questionnaire (MDS-R).</p><p><strong>Findings: </strong>The mean scores indicated a medium to high Spiritual Care Competence (SCC), mild to moderate moral distress and high job satisfaction. There was a positive correlation between SCC and external job satisfaction (r=184, p<0.05) and a negative correlation between SCC and moral distress (r=-0.356, p<0.05).</p><p><strong>Conclusions: </strong>SCC diminishes with decreasing external job satisfaction and increasing moral distress. To improve the SCC of nurses working with patients living with cancer, it is recommended that nursing managers and policymakers revise the organisational policies to tackle the obstacles and consider the related factors to provide an ethical climate, implement quality spiritual care and increase job satisfaction.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"29 10","pages":"487-497"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686658","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":"When and how to stop palliative antineoplastic treatment and to organise palliative care for patients with incurable cancer.","authors":"Mette Raunkiær,&nbsp;Jahan Shabnam,&nbsp;Kristoffer Marsaa,&nbsp;Geana Paula Kurita,&nbsp;Per Sjøgren,&nbsp;Mai-Britt Guldin","doi":"10.12968/ijpn.2023.29.10.499","DOIUrl":"10.12968/ijpn.2023.29.10.499","url":null,"abstract":"<p><strong>Background: </strong>Improving the organisational aspects of the delivery of palliative care in order to support patients throughout their disease trajectory has received limited attention.</p><p><strong>Aim: </strong>To investigate the opportunities and barriers related to organising palliation for people with terminal cancer and their families.</p><p><strong>Methods: </strong>An explorative interview study was conducted among 31 nurses and three physicians concerning an intervention facilitating a fast transition from treatment at a cancer centre at a university hospital to palliation at home. A thematic analysis was conducted.</p><p><strong>Findings: </strong>This article presents three out of seven themes: 1) improvement in the cessation of antineoplastic treatment in palliation; 2) improvement in organisations delivering palliation; and 3) improvement in multidisciplinary and cross-sectoral collaboration.</p><p><strong>Conclusions: </strong>The results demonstrate the demand for flexible, family-centred and integrated palliation at all levels, from communication and the collaborative relationship between healthcare professionals and families to service sectors.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"29 10","pages":"499-506"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686660","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":"Quality of life assessment of patients undergoing palliative chemotherapy.","authors":"Ana Amélia Belmiro,&nbsp;Dirce Guilhem","doi":"10.12968/ijpn.2023.29.10.476","DOIUrl":"10.12968/ijpn.2023.29.10.476","url":null,"abstract":"<p><strong>Background: </strong>Palliative chemotherapy uses systemic antineoplastic agents to treat an incurable malignancy. The results of cancer treatment need to be measured in terms of what physical and psychological limitations it brings to the patient. Therefore, there is a need to evaluate and establish the impact of the disease and its treatment on the patient's quality of life.</p><p><strong>Objective: </strong>To evaluate the quality of life of cancer patients undergoing palliative antineoplastic chemotherapy.</p><p><strong>Method: </strong>A cross-sectional study with quali-quantitative unfolding. Three research instruments were applied: sociodemographic and clinical data; European Organization for Research and Treatment of Cancer quality of life questionnaire (EORTC QLQ-C30); interview script with predefined open questions.</p><p><strong>Results: </strong>The quality of life of the participants was considered good. Fatigue and financial difficulty were the main factors that interfered in daily activities. Three analytical categories emerged from the content analysis of the interviews: communication between the health team and the patient; patient's perception of their health/disease; concerns vs prospects.</p><p><strong>Conclusion: </strong>The evaluation of quality of life for people who are at the end of life needs to balance technological and therapeutic advances, alongside aspects such as the perspective of these patients and the context of their lives.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"29 10","pages":"476-485"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686657","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 call to advocacy.","authors":"Julia Downing","doi":"10.12968/ijpn.2023.29.10.463","DOIUrl":"10.12968/ijpn.2023.29.10.463","url":null,"abstract":"","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"29 10","pages":"463-464"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686655","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":"Synopses of a selection of recently published research articles of relevance to palliative care.","authors":"Laura Green","doi":"10.12968/ijpn.2023.29.10.508","DOIUrl":"10.12968/ijpn.2023.29.10.508","url":null,"abstract":"","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"29 10","pages":"508-510"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686659","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 effect of implementing the COMFORT communication model on communication skills of nursing students.","authors":"Farzad Reisi Mahdiabadi,&nbsp;Samaneh Mirzaei,&nbsp;Ahmad Entezari,&nbsp;Khadijeh Nasiriani","doi":"10.12968/ijpn.2023.29.9.412","DOIUrl":"https://doi.org/10.12968/ijpn.2023.29.9.412","url":null,"abstract":"<p><strong>Background: </strong>Effective communication as a key component of palliative care requires sufficient knowledge and experience to make nursing interventions successful.</p><p><strong>Aim: </strong>This quasi-experimental study was conducted to determine the effectiveness of the COMFORT communication model as an intervention to improve student nurses' communication skills while they are under clinical training in specialist palliative care inpatient units.</p><p><strong>Methods: </strong>The population sample included 86 student nurses who were randomly assigned into two groups of 40. The intervention group received training on communication skills using the COMFORT communication model. Nine lectures were delivered online or offline; the lectures lasted between 25 to 60 minutes. The control group received the conventional educational programme about communication with patients and families, according to the curriculum of the bachelor's degree in nursing. Data were collected using the Communication Skills Questionnaire and Communication Skills Attitude Scale and analysed using IBM® SPSS® Statistics 22.0.</p><p><strong>Results: </strong>The findings showed that, after the implementation of COMFORT communication model, there was a statistically significant difference in communication skills between the intervention group (122.95±9.36) and the control group (110.1±8.92). There was also a significant difference in attitudes toward communication skills between the intervention group (90.25±8.86) and the control group (90.85±9.15) (P=0.0001). The findings of the study revealed that the COMFORT Communication model created significant statistical differences in the student's attitude, knowledge and communication skills.</p><p><strong>Conclusion: </strong>Novice nurses sometimes struggle with the level of communication skills needed when caring for patients with an end-stage illness. The implementation of the COMFORT communication model significantly improved communication skills and attitudes toward communication. Due to the need to establish effective communication as the core of nursing practice, the implementation of this training programme is recommended for students and qualified nurses, particularly when providing palliative care.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"29 9","pages":"412-420"},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173180","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}