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” offered...
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 of evide...
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