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Ethical Implications of COVID-19: Palliative Care, Public Health, and Long-Term Care Facilities
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: DEPARTMENTS: NCPD Tests Source Type: research

Poster Abstracts From the 14th Annual Hospice and Palliative Nurses Association Clinical Practice Forum 2020
The Hospice and Palliative Nurses Association’s 14th Annual Clinical Practice Forum was designed by hospice and palliative nurses for the hospice and palliative nursing community to support a collaborative educational offering focusing on how nurses lead and transform care for individuals and their families who are facing serious illness. The 2020 abstracts presented here assist in advancing our conference aim and reflect the latest scientific research, quality improvement projects and works in progress from hospice and palliative clinicians. These abstracts are intended to provide learners with a framework to improve pa...
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: DEPARTMENTS: Poster Abstracts Source Type: research

Respiratory Distress Observation Scale Italian Version: Cultural-Linguistic Validation and Psychometric Properties
Dyspnea can be assessed using self-rating scales but, as death approaches, self-reporting becomes difficult. The validated Respiratory Distress Observation Scale measures dyspnea distress. The aim of this study was to develop the Italian version of the Respiratory Distress Observation Scale and to examine its psychometric properties. This was a cross-sectional study, analyzing cultural and linguistic validation, content validity, and psychometric properties. Eighty-nine palliative care subjects were enrolled to validate the Italian version of the Respiratory Distress Observation Scale. Patients had an average age of 74.5 (...
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Preference and Influencing Factors of Advance Care Planning for Chinese Elderly Patients With Chronic Diseases: A Mixed-Methods Approach
This study aimed to investigate acceptance and influencing factors of advance care planning for community-dwelling elderly patients with chronic diseases in the Republic of China. Using a convergent parallel mixed-methods design, 471 elderly Chinese nationals older than 60 years with chronic diseases were recruited using convenience sampling. Quantitative data collection used Chinese versions of the Elderly Death Attitude Scale, Modified Barthel Index Rating Scale, and the Advance Care Planning Acceptance Questionnaire, followed by 14 patients drawn from the quantitative phase. Interviews were thematically analyzed. The re...
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Palliative Care Nurse Perceptions of Nonpharmacological Sleep-Promoting Interventions
This study describes nurses' perceptions of 36 nonpharmacological sleep-promoting interventions as well as facilitators and barriers to implementing nonpharmacological interventions. A descriptive survey design was used to collect data via an online, anonymous survey from nurses throughout the United States that included demographic items and open-ended questions (barriers and facilitators). The 108 respondents were nurses working in either a hospital (33.3%) or home care/outpatient (54.6%) setting. Among 36 interventions presented, a mean (SD) total score of feasible interventions per respondent was 27.1 (6.5). There were...
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: Feature Articles Source Type: research

A Phenomenological Study: Student Nurses' Perceptions of Care of the Dying in a Hospice-Based Facility
Despite emerging evidence of increased death education in nursing curricula, research suggests the graduate nurse is unprepared to effectively communicate and manage the array of symptoms experienced by the dying patient. This qualitative phenomenological research study's intent was to explore the impact of clinical experience in a community-based free-standing hospice facility as an effective pedagogical strategy for preparing student nurses to care for patients and families at the end of life (EOL). The researchers used descriptive phenomenology rooted in Husserl's philosophy. The qualitative data source included semistr...
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Anxiety in Hospice Inpatients With Advanced Cancer, From the Perspective of Their Informal Caregivers: A Qualitative Study
Anxiety is a common symptom in patients with advanced cancer. Early recognition of anxiety is difficult, especially when the physical condition of patients declines and patients are not able to verbally express about their concerns. Under these circumstances, informal caregivers may be a valuable source of information. The aim of this study was to explore anxiety in hospice inpatients with advanced cancer from the perspective of their informal caregivers. Fourteen informal caregivers were interviewed; 64% were women and the median age was 55 years. Informal caregivers assessed patients' anxiety as moderate to severe and id...
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Self-compassion In Hospice and Palliative Care: A Systematic Integrative Review
Those involved with hospice and palliative care, including nurses, will inevitably experience or be exposed to suffering. Self-compassion represents a personal resource and support for self-care, ensuring that needs are not neglected particularly during times of suffering. However, the empirical evidence for self-compassion in hospice and palliative care is yet to be reviewed systematically. To synthesize the evidence on self-compassion in hospice and palliative care patients, their relatives, and health care professionals, we conducted a systematic integrative review using the Preferred Reporting Items for Systematic Revi...
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Pride and Uncertainty: A Qualitative Study of Danish Nursing Staff in Temporary COVID-19 Wards
This study aimed to describe the reflections and experiences of the nursing staff attending supervision sessions. The palliative unit offered supervision from April 2020. A total of 9 supervision sessions were held as part of this study, and 57 nursing staff members participated in the sessions. The supervision was available to employees until the first COVID wave subsided in June 2020. During each session, supervisors took field notes and wrote field memos. The topics raised by the nursing staff during the supervision sessions ranged between pride and uncertainty. Nursing staff in COVID-19 wards were at risk of feeling an...
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: Special COVID Articles Source Type: research

Anxiety Due to COVID-19 in Different Palliative Care Settings in Germany
Epidemics exert significant psychological impact. We conducted a survey in different palliative care settings focusing on anxiety caused by coronavirus disease 2019 (COVID-19). A questionnaire was given from April 1 through May 8, 2020, to 154 patients in 3 distinct populations: (1) hospice patients, (2) patients under ambulatory palliative care, (3) as controls, patients visiting a general practitioner (GP) practice. Items captured were age, anxiety caused by COVID-19 on a visual analog scale from 0 to 10, influence on everyday life, insomnia, and appetite loss. Palliative care patients were older than GP visitors (median...
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: Special COVID Articles Source Type: research

Field Notes From the Frontline of a COVID-19 Outbreak: Dyspnea Management for Hospitalized Patients at End-of-Life
Northern New Jersey was inside one of the worst initial coronavirus disease 2019 pandemic epicenters in the United States. At the peak of the pandemic surge in mid-April 2020, New Jersey saw 8045 hospitalized patients with severe coronavirus disease 2019 symptoms, of which 2002 were in intensive care unit beds (86.3% of statewide capacity), including 1705 requiring mechanical ventilation. Because of the severity of pulmonary dysfunction/hypoxia, the unprecedented numbers of critically ill patients, the national opioid shortage, and transmission prevention measures for standard palliative care treatment protocols in place f...
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: Symptom Management Series Source Type: research

Ethical Implications of COVID-19: Palliative Care, Public Health, and Long-Term Care Facilities
We present and explore a case study at an assisted living facility addressing the ethical issues in balancing the management of the community versus the resident's right to autonomy and self-determination. A team of palliative care experts was brought into assisted living facilities to manage patients, care for well residents, and provide input in advance care planning and symptom management. The principles of self-determination and autonomy, stewardship, and distributive justice were explored. The use of nursing skills in triage and assessment, principles in public health, and the 8 domains of palliative care provided a c...
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: Ethics Series Source Type: research

Is There an Ethical Mandate to Practice Without Proper Personal Protective Equipment?
This article seeks to help the individual nurse (a) understand the ethical dilemma and the tensions that it brings, (b) look to the literature for guidance, and (c) understand how individuals can apply these ethical principles. After careful analysis, the recommendation is for the individual nurse to make a thorough assessment of their personal situation. This will include consideration for their family, community, financial responsibilities, legal protections, organizational policies, and personal health risk. Finally, this article serves as a call to organizations and professional leaders to increase their support of fro...
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: Ethics Series Source Type: research

Association News
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: DEPARTMENTS: Association News Source Type: research

Transitions
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - March 3, 2021 Category: Nursing Tags: DEPARTMENTS: From the Editor Source Type: research