Guidance for Safe and Appropriate Use of Antibiotics in Hospice Using a Collaborative Decision Support Tool
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: DEPARTMENTS: CE Tests Source Type: research

Communication and Cultural Sensitivity for Families and Children With Life-Limiting Diseases: An Informed Decision-Making Ethical Case in Community-Based Palliative Care
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: DEPARTMENTS: CE Tests Source Type: research

Apoyo con Cariño: A Qualitative Analysis of a Palliative Care-Focused Lay Patient Navigation Intervention for Hispanics With Advanced Cancer
A lay patient navigator model involving a culturally tailored intervention to improve palliative care outcomes for Hispanics with advanced cancer was tested across 3 urban and 5 rural cancer centers in Colorado. Five home visits were delivered over 3 months to 112 patients assigned to the randomized controlled trial's intervention arm. Grounded in core Hispanic values, visits addressed palliative care domains (advance care planning, pain/symptom management, and hospice utilization). To describe the content of patient navigator visits with patients/family caregivers, research team members analyzed 4 patient navigators' fiel...
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: Feature Articles Source Type: research

The Use of a Palliative Care Screening Tool to Improve Referrals to Palliative Care Services in Community-Based Hospitals: A Quality Improvement Initiative
This study utilized Plan-Do-Study-Act cycles through a quality improvement approach to develop and test the Palliative Care Screening Tool and aimed to screen 100% of patients within 24 hours who were admitted to selected units by February 2017. The intervention was implemented in 3 different units, each within community hospitals. Patients 18 years or older were screened if they were admitted to one of the selected units for the project, regardless of their diagnosis, age, or comorbidities. The percentage of newly admitted patients who were screened and the total number of palliative care consults were assessed as outcome...
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Improving Palliative Care Conversations Through Targeted Education and Mentorship
In this study, nurses improved communication efficacy by learning to utilize advance care planning–specific interview strategies inclusive of scripting and cued language when initiating PC conversations. The preintervention/postintervention confidence levels of nurses in initiating early PC conversations significantly increased to improve the delivery of PC to patients. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Characteristics of Decedents in Home Settings Using Medicare Place of Hospice Service Codes
Very little is known about the characteristics of the Medicare beneficiaries receiving hospice at home, defined using the Medicare Healthcare Common Procedure Coding System codes, as a traditional home, an assisted living facility, or a nursing home. A secondary analysis of 2015 Medicare data using regression to describe the characteristics of decedents (n = 675 782) in hospice residing in a traditional home, an assisted living facility, and a nursing home was completed. Results suggest that the proportion of Medicare decedents in hospice with more than 180 lifetime days in hospice was highest among those who resided in an...
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Nurse Educators Establish and Evaluate Community Coalition to Promote Statewide Advance Care Planning Through RE-AIM
The purpose of this quality improvement project was to evaluate a statewide initiative promoting Advance Care Planning (ACP) to educate and support multidisciplinary ACP educators and provide tools to start ACP conversations in a predominantly rural state of the Upper Midwest. Individual objectives were to (1) motivate people of different professions and backgrounds to support the vision and (2) implement a system to educate and maintain a pipeline of ACP educators in appropriate methodologies to enable ACP in distant communities. The Advance Care Planning: Quality Conversations coalition was formed in 2015 to improve heal...
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Care of the Spirit: Effects of an Interdisciplinary Undergraduate End-of-Life Course on Knowledge, Competence, and Response Empathy
The purpose of this pilot was to identify the effects of a 4-credit interdisciplinary undergraduate course focused on communication strategies to enhance spiritual care at the end of life. The course provided students with opportunities to enhance their ability to communicate empathically with individuals facing the end of life. Evidence-based content focused on ways to live each day with hope and gratitude, strengthen relationships, create a legacy, and find meaning and purpose in life and death. Narayanasamy's (1999) Actioning Spirituality and Spiritual Care Education and Training in Nursing model guided project developm...
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: Feature Articles Source Type: research

The Design and Impact of an Interprofessional Education Event Among Pharmacy and Nursing Students in Palliative Care—RnRx
This article describes an IPE event between pharmacy and nursing students and assesses its impact on IPE competencies. Second-year nursing students and third-year pharmacy students participated in an evening-long event, focused on a married couple who each require palliative care—one for end-of-life planning and one for chronic disease progression. The impact of the event was assessed using the Interprofessional Collaborative Competency Attainment Scale (ICCAS) and qualitative feedback. Two hundred nine (96.7%) completed the ICCAS, and 16 of the 20 statements of the ICCAS showed large positive effect sizes (Cohen d &...
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: Feature Articles Source Type: research

The Impact of Organizational Factors on Nurses' Knowledge, Perceptions, and Behaviors Around Advance Care Planning
The objective of this study was to understand the organizational context of nurses' use of advance care plans (ACPs). We use a modified version of Bandera's social cognitive theory model to understand relationships between organizational constructs such as experience with ACPs and satisfaction with organizational support and oncology nurses' knowledge, behaviors, and perceptions around ACPs. The sample included practicing registered nurses with a major focus in oncology who were members of the Oncology Nursing Society in the United States, and nurses at medical hospital or community care settings were included. Institution...
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Guidance for Safe and Appropriate Use of Antibiotics in Hospice Using a Collaborative Decision Support Tool
Infections often impact care of hospice patients; however, limited guidance exists for end-of-life infection management. Regardless of patient prognosis, appropriate antibiotic use is necessary for maintaining quality of life. Antibiotics may be associated with serious adverse events, posing safety risks to patients that should be factored into the appropriateness determination. Fluoroquinolone antibiotics are prescribed frequently in hospice. There are 8 fluoroquinolone drug safety warnings regarding risk for serious adverse events communicated by the US Food and Drug Administration. A retrospective chart review at a hosp...
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Communication and Cultural Sensitivity for Families and Children With Life-Limiting Diseases: An Informed Decision-Making Ethical Case in Community-Based Palliative Care
The health care decisions of families of children who have life-limiting genetic diseases are impacted by multiple factors including religious and ethical values, education and knowledge, emotional trauma, availability of support, and accessibility of care. Palliative care nurses must practice the highest standards by delivering nonbiased, nonjudgmental support to patients and families; however, nurses may experience moral distress if their personal values conflict with a family's decisions and needs. This case focuses on a family receiving community-based palliative care for a child with a genetic life-limiting disease. T...
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: Ethics Series Source Type: research

Recommendations to Leverage the Palliative Nursing Role During COVID-19 and Future Public Health Crises
With the daily number of confirmed COVID-19 cases and associated deaths rising exponentially, social fabrics on a global scale are being worn by panic, uncertainty, fear, and other consequences of the health care crisis. Comprising more than half of the global health care workforce and the highest proportion of direct patient care time than any other health professional, nurses are at the forefront of this crisis. Throughout the evolving COVID-19 pandemic, palliative nurses will increasingly exercise their expertise in symptom management, ethics, communication, and end-of-life care, among other crucial skills. The literatu...
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: Special Article: COVID-19 Source Type: research

Association News
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: DEPARTMENTS: Association News Source Type: research

Florence Nightingale and Anderson Cooper
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - July 30, 2020 Category: Nursing Tags: DEPARTMENTS: From the Editor Source Type: research

Mediation Effects of Compassion Satisfaction and Compassion Fatigue in the Relationships Between Resilience and Anxiety or Depression Among Hospice Volunteers
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: DEPARTMENTS: CE Tests Source Type: research

The Relationship of Perceptions of Hospice and Palliative Care With Emotional Intelligence and Cognitive Empathy in Nursing Students
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: DEPARTMENTS: CE Tests Source Type: research

Medically Administered Nutrition and Hydration
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: DEPARTMENTS: HPNA Position Statement Source Type: research

Mediation Effects of Compassion Satisfaction and Compassion Fatigue in the Relationships Between Resilience and Anxiety or Depression Among Hospice Volunteers
Hospice volunteers are a high-risk group for anxiety and depression owing to their frequent exposure to patients at the end of life and their subsequent deaths. Resilience is known to be a powerful factor that affects the occurrence of anxiety and depression; however, research on this subject is scarce. We investigated the relationship of resilience with anxiety or depression in hospice volunteers. A total of 145 volunteers were included in the analysis. Participants completed self-reported scales, including the Korean version of the Connor-Davidson Resilience Scale, the State-Trait Anxiety Inventory, Patient Health Questi...
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: Global Exemplar Series Source Type: research

Pediatric Concurrent Hospice Care: A Scoping Review and Directions for Future Nursing Research
In 2010, forgoing curative therapies were removed as a hospice eligibility criterion for children through section 2302 of the Patient Protection and Affordable Care Act called Concurrent Care for Children. Given that concurrent care is a federally mandated option for children and their families, no review of the science has been conducted. The purpose of this study was to systematically collect the evidence on concurrent hospice care, critically appraise the evidence, and identify areas for future nursing research. Of the 186 articles identified for review, 14 met the inclusion and exclusion criteria. Studies in this revie...
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: Feature Articles Source Type: research

The COMFORT Communication Model: A Nursing Resource to Advance Health Literacy in Organizations
The COMFORT Model has recently been revised based on feedback from bedside nurses working in palliative care and oncology and includes the following components: Connect, Options, Making Meaning, Family Caregiver, Openings, Relating, and Team. Based on clinical and nonclinical research in hospital, hospice, palliative care, and interdisciplinary education settings, the authors present the updated COMFORT Model. Originally introduced in 2012 to support the work of the nurse, the model is not a linear guide, an algorithm, a protocol, or a rubric for sequential implementation by nurses, but rather a set of communication princi...
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Allied Health Care Providers Participating in Medical Assistance in Dying: Perceptions of Support
This study explored the experience of pharmacists, social workers, and nurses who participated in Medical Assistance in Dying (MAiD) in a tertiary care Canadian hospital. Consenting staff participated in qualitative semistructured interviews, which were then analyzed for thematic content. This article reports on the broad theme of “support” from the perspective of the 3 professions, focusing on the diversity in perceptions of support, how MAiD was discussed within health care teams, feelings of gratuitous or excessive gestures of support, ambivalence over debriefs, and the importance of informal support. While ...
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: Feature Articles Source Type: research

The Relationship of Perceptions of Hospice and Palliative Care With Emotional Intelligence and Cognitive Empathy in Nursing Students
This study aimed to identify the relationships of perception of hospice and palliative care with emotional intelligence and cognitive empathy in nursing students. The participants were 458 nursing students. Data were collected using structured questionnaires and analyzed with Pearson correlation coefficients, independent-samples t test, and binary logistic regression. Perception of hospice and palliative care was significantly and positively correlated with emotional intelligence (r = 0.224, P (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: Feature Articles Source Type: research

From Palliative Care Developed During Simulation, to Performance in Clinical Practice—Descriptions From Nursing Students
It is an international consensus that health care workers should be well trained to promote care for seriously ill and dying patients. Nursing students have reported that they feel inadequately prepared for palliative care. Simulation exercises have been described as increasing knowledge, skills, and competence, and participants have reported that they are more confident and prepared for palliative care with this learning approach than without. So far, there has not been much reported on how simulation contributes to learning in clinical practice. Therefore, this study explored whether learning outcomes from palliative car...
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Confidence and Competence in Palliative Care: A Comparison of Traditional and Nontraditional Transfer Nursing Students' Lived Learning Experiences
Nurses spend more time with seriously and terminally ill patients across the continuum of care than other health professionals, yet nursing students lack adequate palliative care education and experience when they transition to practice. In response to the American Association of Colleges of Nursing CARES competencies for enhanced preparation in palliative care, the End-of-Life Nursing Education Consortium developed modules for undergraduate programs. Nursing students' life experiences and their prior involvement with death and dying situations shape their potential achievement of end-of-life learning outcomes. The purpose...
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Families' Decision Making at End of Life in Rural Appalachia
Caring for persons at the end of life has dramatically changed in the last 20 years. Improved chronic illness management and aggressive life-sustaining measures for once-fatal illnesses have significantly increased longevity. People with life-limiting illnesses and their families are asked to make complex and difficult decisions about end-of-life, palliative, and hospice care. The purpose of this study was to discover and describe the culture care expressions, patterns, and practices influencing rural Appalachian families making decisions at the end of life. The qualitative, ethnonursing research method was used to analyze...
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Meaningful Messages From Grief Workshop Participants: A Constructivist Grounded Theory Study
Although there is an increased need for delivery of bereavement care, many health care providers in acute care hospital settings feel inadequately prepared to deliver quality grief support, have lack of time, and have inexperience in provision of bereavement care. As a result, although families would like health care providers to offer bereavement support, they are inadequately trained and susceptible to burnout, resulting in families not having their needs met. The purpose of this qualitative study was to uncover the social process occurring in a bereavement education workshop titled “How to Care, What to Say”...
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: Feature Articles Source Type: research

The Evaluation of a Palliative Care Advanced Practice Nursing Externship
A growing population of persons with a serious illness will place higher demands on health care professionals to provide the palliative care needed. A Palliative Care Advanced Practice Registered Nurse (APRN) Externship was developed and implemented as a novel way to increase access to palliative care with the potential to be replicated in multiple locations. Two APRN cohorts with a total of 10 APRNs participated in a 1-week educational program, including both classroom and clinical experiences, in 1 such site. The effectiveness of the program was evaluated by participants through an electronic survey and debriefings. Acti...
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Association News
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: DEPARTMENTS: Association News Source Type: research

From the Editor
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - May 1, 2020 Category: Nursing Tags: DEPARTMENTS: From the Editor Source Type: research

Assessing Undergraduate Nursing Students' Attitudes Toward the Dying in an End-of-Life Simulation Using an ACE.S Unfolding Case Study
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: DEPARTMENTS: CE Tests Source Type: research

Hyperactive Terminal Delirium in Hospice Patients: A Retrospective Cohort Study
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: DEPARTMENTS: CE Tests Source Type: research

Poster Abstracts From the 2019 Hospice & Palliative Nurses Association Clinical Practice Forum: Transforming Palliative Care Through Professional and Clinical Leadership
The Hospice and Palliative Nurses Association’s desired aim of our 13th Annual Clinical Practice Forum was to advance the field of hospice and palliative nursing, thus meeting the shared goal of improving quality of life for patients and families facing serious or life-threatening conditions. The abstracts presented here assist in advancing our conference’s aim and reflect the latest scientific research, quality improvement projects, and works in progress from hospice and palliative clinicians. The abstracts are intended to provide learners with a framework to improve patient outcomes through the dissemination ...
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: DEPARTMENTS: Poster Abstracts Source Type: research

Factors Associated With Life Discussions Among Friends and Family in Japanese Depopulated Areas
In conclusion, health habits or attitudes for care such as preference and desire for care among community-dwelling adults were associated with engaging in the discussions. It was proposed that local governments should motivate individuals to consider end-of-life experiences from a first-person perspective for creating advance care planning directives, and nurses could facilitate the discussion when death is imminent. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: Global Exemplar Series Source Type: research

The Role of the Palliative Care Registered Nurse in the Nursing Facility Setting
There is a growing recognition of significant, unmet palliative care needs in nursing facilities, yet limitations in the workforce limit access to palliative care services. Attention to palliation is particularly important when there are efforts to reduce hospitalizations to help ensure there are no unintended harms associated with treating residents in place. A specialized palliative care registered nurse (PCRN) role was developed as part of the OPTIMISTIC (Optimizing Patient Transfers, Impacting Medical quality, and Improving Symptoms: Transforming Institutional Care) program, a federally funded project to reduce potenti...
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: Feature Articles Source Type: research

The Lived Experiences of Family Caregivers of Persons Dying in Home Hospice: Support, Advocacy, and Information Urgently Needed
Death in America is changing from hospital to home, which demands complex skills by family caregivers. However, information from family members about the challenges of providing home hospice care until death is scant. To understand the challenges a family caregiver confronts when he/she decides to deliver hospice care and during the actual delivery of the hospice care, we used descriptive phenomenology methods to document the experience of 18 family caregivers as they delivered home hospice care. We learned the decision to begin home hospice was made by a physician, followed frequently by family resistance and refusal to a...
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Nurses' Perceptions of the Palliative Care Needs of Neonates With Multiple Congenital Anomalies
This study was conducted to determine neonatal intensive care unit (NICU) nurses' opinions about the palliative care needs of neonates with multiple congenital anomalies. The study sample consisted of the 20 nurses who agreed to participate in the study and worked in the NICU between November and December 2017. A one-to-one interview method was utilized using a semistructured interview form. Written consent was obtained from participants and reconfirmed verbally prior to data collection. In the study, most of the nurses stated that the therapeutic medical treatment should not be started for dying neonates with multiple con...
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Systematic Review on the Influencing Factors of Nurses' and Nursing Students' Attitudes Toward Hospice and Palliative Care
Identifying the degree of attitudes has a critical effect on the application of hospice and palliative care. However, studies on hospice and palliative care attitudes highlight only statistically significant outcomes and do not propose comprehensive conclusions or generalizations about attitudes. Therefore, we conducted a systematic review to synthesize and appraise articles that analyzed nurses' attitudes regarding palliative care services. After compiling, the finally selected 13 articles indicated that influencing factors on nurses' attitudes were experience in caring for the dying, career or education level, knowledge ...
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Assessing Undergraduate Nursing Students' Attitudes Toward the Dying in an End-of-Life Simulation Using an ACE.S Unfolding Case Study
Caring for the dying patient can be stressful for nursing students. The purpose of this study was to describe a multimodal educational intervention designed to improve nursing students' attitude toward care of the dying patient and the family. Sophomore nursing students participated in an interactive end-of-life (EOL) lecture and simulation. A quasi-experimental, pretest/posttest design with a convenience sample was used for this study. Frommelt Attitudes Toward Care of the Dying version A was used to measure attitudes toward care of the dying patient before and after educational intervention. In addition, students were gi...
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Palliative Cancer Care Stress and Coping Among Clinical Nurses Who Experience End-of-Life Care
The increasing number of cancer patients and prolonged periods of illness have led to an increase in nurses' stress and various other problems. This research aimed to identify the stress resulting from caring for cancer patients and the methods for coping with stress among cancer care nurses. The research subjects were 180 clinical nurses caring for cancer patients in a hospital in Korea. Stress caused by excessive workloads, inappropriate compensation, and interpersonal conflicts with physicians was high. There was a difference in stress according to age. Coping strategies differed according to religion, education, occupa...
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Underneath the White Coat: Risk and Protective Factors for Palliative Care Providers in Their Daily Work
This article aims to elaborate a theoretical framework explaining the risk and protective factors for palliative care providers in their daily practice. Nineteen providers (16 nurses, 3 physicians) working in a palliative care unit of a clinical-research institute in Northern Italy were interviewed. A Grounded Theory qualitative approach guided the data collection and analysis. From the interviews, 28 codes, subsequently organized into 11 interconnected categories, emerged. They described both stressors (emotion management regarding death/dying, conflicts, communication and relationship with patients/caregivers, discrepanc...
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Acute Care Nurses' Experiences of Basic Palliative Care
As the population of chronically ill, older adults increases, there is a growing need for palliative care. The Institute of Medicine recommends that health care providers have a basic competency in palliative care. However, the definition of basic palliative care in practice and providers' understanding of basic palliative care lack clarity. The purpose of this study was to describe nurses' perceptions of basic palliative care in the acute care setting. This was accomplished by conducting focus group and individual interviews. The major themes of helping families navigate chronic illness and empowering families and subthem...
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Hyperactive Terminal Delirium in Hospice Patients: A Retrospective Cohort Study
Terminal delirium is a common occurrence in patients at the end of life, and its presence is widely accepted as a poor prognostic indicator. The hyperactive subtype is characterized by psychomotor agitation that is distressing to patients, caregivers, and providers. The purpose of this study was to determine whether physical, psychosocial, or spiritual data collected at hospice admission are associated with development of hyperactive terminal delirium. In this retrospective cohort study, 154 patients were assigned to one of two cohorts depending on whether or not they had signs of hyperactive terminal delirium. Hospice adm...
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: Symptom Management Series Source Type: research

Association News
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: DEPARTMENTS: Association News Source Type: research

From the Editor
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - February 28, 2020 Category: Nursing Tags: DEPARTMENTS: From the Editor Source Type: research

Routine Depression Screenings for Advanced Cancer Patients: Reducing Disparities, Identifying Depression, and Improving Quality of Life
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - January 3, 2020 Category: Nursing Tags: DEPARTMENTS: CE Tests Source Type: research

On Best Interests: A Case for Clinical Ethics Consultation
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - January 3, 2020 Category: Nursing Tags: DEPARTMENTS: CE Tests Source Type: research

A Multimodality Approach to Learning: Educating Nursing Students in Palliative Care
Palliative care education at the undergraduate and graduate level is necessary to improve the competency and confidence of nurses and ultimately improve the care of patients with a chronic illness. Unfortunately, the curriculum in nursing education programs lacks palliative care content, resulting in a lack of preparation and confidence among nursing students. The purpose of this study is to examine the effect of educating nursing students utilizing an interactive, multimodality palliative care class that focuses on palliative and end-of-life care. The Palliative Care Quiz for Nurses and Frommelt Attitude Toward Care of th...
Source: Journal of Hospice and Palliative Nursing - January 3, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Divergent Perspectives on the Use of the Edmonton Symptom Assessment System (Revised) in Palliative Care
The objective was to understand clinicians' perspectives on the use of the ESAS-r in palliative care in hospitals and at home. Qualitative focus groups (n = 14 with 46 clinicians) and interviews (n = 24) elicited views regarding use of the ESAS-r in palliative practice. Interpretive description was used as a general approach to this qualitative analysis focused on understanding clinicians' views. Palliative clinicians presented multiple perspectives of the ESAS-r pertaining to their (1) underlying values, (2) disparate purposes, and (3) incommensurate responses toward use in daily practice. Benefits and challenges supporte...
Source: Journal of Hospice and Palliative Nursing - January 3, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Their Last Breath: Death and Dying in a Hmong American Community
Hmong Americans have typically been unwilling to use biomedical palliative care for end-of-life needs. This has resulted in confusion and frustration for Hmong patients, families, and nurses. Hmongs' end-of-life care choices for family members usually involve in-home caregiving provided by the family using a combination of biomedicine and traditional healing methods. Health care decisions are made for the patient by the family and community in this familistic culture. A qualitative approach was used to explore the beliefs that ultimately determine end-of-life care goals and strategies for Hmong patients. Semistructured int...
Source: Journal of Hospice and Palliative Nursing - January 3, 2020 Category: Nursing Tags: Feature Articles Source Type: research