Journal of Hospice and Palliative Nursing This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

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

Elisabeth Kübler-Ross and the 5 Stages Model in a Sampling of Recent North American Nursing Textbooks
We describe why that is so and suggest some ways in which better guidance could be delivered. It is particularly timely to undertake this examination since 2019 is the 50th anniversary of the publication of On Death and Dying, the well-known book in which Dr Kübler-Ross first published her theory and descriptions of the work that led to it. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - January 3, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Transforming a Face-to-Face Legacy Intervention to a Web-Based Legacy Intervention for Children With Advanced Cancer
Research is needed to examine new and innovative web-based intervention delivery methods that are feasible, cost-effective, and acceptable to children and their families to increase access to palliative care services in the home and community. Our previous work included the development of a legacy intervention using face-to-face digital storytelling for children with cancer that showed feasibility and strong promise to improve child outcomes. However, face-to-face intervention delivery techniques limited our recruitment, thus decreasing sample size and potential access to broader populations. Here we present the systematic...
Source: Journal of Hospice and Palliative Nursing - January 3, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Communication Interventions to Improve Goal-Concordant Care of Seriously Ill Patients: An Integrative Review
Effective communication between clinicians and seriously ill patients and their families about a patient's goals of care is essential to patient-centered, goal-concordant, end-of-life care. Effective goals-of-care communication between clinicians and patients is associated with improved patient and family outcomes, increased clinician satisfaction, and decreased health care costs. Unfortunately, clinicians often face barriers in goals-of-care communication and collaboration, including a lack of education, time constraints, and no standardized protocols. Without clear goals-of-care communication, patients may not be able to...
Source: Journal of Hospice and Palliative Nursing - January 3, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Using Cards to Facilitate Conversations About Wishes and Priorities of Patients in Palliative Care
The objective was to explore the experiences of patients in palliative care in using statement cards to talk about their wishes and priorities. Forty-six cards with statements of wishes and priorities were developed and tested for feasibility with 40 participants, who chose the 10 most important cards and shared their thoughts about the statements and conversation. Data from individual interviews and field notes were analyzed using content analysis. One category describes practical aspects of using the cards including the relevance of the content and the process of sorting the cards. The second category describes the signi...
Source: Journal of Hospice and Palliative Nursing - January 3, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Case Management for Southwestern Hospice Organization: Process Improvement Plan
Studies have shown that registered nurses are inadequately prepared to care for patients requiring hospice and palliative care. Reasons include inadequate curriculum, along with a lack of structured education related to hospice/palliative care and symptom management, which includes inadequate education on delivering home-based hospice/palliative case management. Challenges at the Southwestern Hospice Organization are consistent with industry standards, evidenced by a high level of afterhours triage phone calls related to ineffective case management setup and delivery upon patient admission to hospice service. Many of these...
Source: Journal of Hospice and Palliative Nursing - January 3, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Excellence in Postlicensure Interprofessional Palliative Care Education: Consensus Through a Delphi Survey
An increasing number of palliative care educational programs strive to meet the workforce need for palliative care clinicians. This growth necessitates development of robust quality standards. The purpose of this Delphi consensus process was to describe high-quality postlicensure interprofessional palliative care education programs. The steering committee, composed of 6 faculty with experience implementing interprofessional palliative care educational programs, developed initial characteristics, definitions, and subcategories, which were refined through a series of 3 iterative Delphi surveys and a public presentation at a ...
Source: Journal of Hospice and Palliative Nursing - January 3, 2020 Category: Nursing Tags: Feature Articles Source Type: research