Association News
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - November 1, 2022 Category: Nursing Tags: DEPARTMENTS: Association News Source Type: research

The Call to Write
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - November 1, 2022 Category: Nursing Tags: DEPARTMENTS: From the Editor Source Type: research

Chronic Obstructive Pulmonary Disease and Social Determinants of Health: A Case of Marginalization in Rural Appalachia
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: DEPARTMENTS: NCPD Test Source Type: research

Beyond 9 to 5: Expansion of an Inpatient Specialist Palliative Care Service to 24/7 Onsite Presence
This article describes the expansion of a palliative care consult service in a metropolitan, dedicated cancer hospital to provide 24/7 specialist palliative care including onsite overnight presence by advanced practice registered nurses and to evaluate the impact of this change on nighttime utilization of the consult service. Inpatient management encounters and outpatient calls were compared before and after the expansion. The onsite availability of a palliative care specialist between midnight and 8 am increased from less than 10% of the time in 2019 to 100% of the time in 2021. The number of inpatient overnight calls and...
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: Feature Article Source Type: research

Ethical and Policy Implications of Financial Burden in Family Caregivers
Palliative care nurses are key members of the health care team and provide support to patients and their families navigating chronic and life-limiting illness. Financial burden is an issue inherent to chronic illness, yet has not been fully addressed in family caregivers. The purpose of this article is to (1) provide a case study of a family caregiver navigating chronic illness with her daughter and the associated financial and employment consequences and (2) review the nursing ethical, policy, and practice implications of financial burden for family caregivers. The ethical implications of financial burden in family caregi...
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: Ethics Series Source Type: research

Challenges in Palliative Care Nursing at a University Hospital: A Qualitative Interview Study
We examined the perception of palliative care nurses regarding challenges, coping strategies, resources, and needs when working in a university hospital in Austria. A qualitative descriptive design was applied, using semistructured interviews with 8 female and 2 male nurses. All interviews were recorded as digital audio and transcribed verbatim. We used thematic analysis and MAXQDA. In our analysis, 6 themes emerged: Four themes related to challenges: (a) lack of a supporting structural framework, (b) conflict in interdisciplinary work, (c) conflict with caregivers, and (d) dealing with death in a highly specialized univer...
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: International Series Source Type: research

A Qualitative Exploration of End-of-Life Care Planning With Korean Americans: Awareness, Attitudes, Barriers, and Preferences
This study aimed to explore how Korean American older adults viewed and anticipated engaging in end-of-life (EOL) care planning. An exploratory qualitative research design was adopted for the study, and data were collected through 3 focus group interviews. A total of 30 Korean American older adults 65 years or older participated in the study. A total of 10 themes emerged and were organized into 5 categories: (1) awareness (varying experience in EOL care planning and insufficient understanding about advance directives), (2) attitudes (comfort with talking about EOL and favorable views toward EOL planning), (3) barriers (con...
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: International Series Source Type: research

Factors Influencing Older Adults' End-of-Life Care Preferences
The objective of this study was to explore factors influencing Taiwanese older adults' end-of-life (EOL) care preferences. A cross-sectional questionnaire survey was conducted in 2 geriatric wards of a veterans' hospital. Fifty-five older adults aged 65 years or older were included. Structured questionnaires were used to collect data regarding demographic characteristics, EOL care preferences, stages of change for advance care planning behaviors, and reluctance to burden others. The study revealed that nearly 60% of the participants preferred to let their spouses, adult children, or health care professionals make the decis...
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: International Series Source Type: research

Effectiveness of International Hospice and Palliative Care Training for Health Care Professionals in Countries of the Western Pacific Region
This study aimed to describe an international workforce training program for hospice and palliative care that emphasized spiritual care and evaluate the effectiveness of the training implementation. A quasi-experimental study was conducted with 28 health care professionals from 4 countries in the Western Pacific Region, who attended the international workforce trainings on hospice and palliative care. Data were collected before and after the trainings using a self-reported survey questionnaire. The participants' palliative care knowledge, spiritual well-being, perceived stress, and compassion competency were analyzed to ev...
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: International Series Source Type: research

Attitudes Toward Neonatal Palliative Care Among Turkish Nurses and Physicians: A Comparative Cross-sectional Study
This study demonstrates the importance of parents' active involvement in the palliative care process, the establishment of standard policies and guidelines, and the provision of vocational and in-service education programs to support palliative care. Initiatives to strengthen facilitators and mitigate barriers are needed to optimize the implementation of palliative care in NICUs. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: International Series Source Type: research

Chronic Obstructive Pulmonary Disease and Social Determinants of Health: A Case of Marginalization in Rural Appalachia
This article explores the triple threat of marginalization for patients with chronic obstructive pulmonary disease living in rural Appalachia. By recognizing marginalization and designing initiatives to reduce the impact, hospice and palliative care nurses serve as advocates and leaders to influence systemic change through partnerships with key policymakers and legislators. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: Feature Articles Source Type: research

“I Didn't Want My Baby to Pass, But I Didn't Want Him Suffering Either”: Comparing Bereaved Parents' Narratives With Nursing End-of-Life Assessments in the Pediatric Intensive Care Unit
Little is known about how nursing care at the end of a child's life impacts long-term parental bereavement. We aimed to explain, contextualize, and examine comparisons between quantitative trends in children's end-of-life care and parents' qualitative perceptions. We used a mixed methods design, combining quantitative data from the RESTORE clinical trial with qualitative interviews with bereaved parents. Patients who died during RESTORE were included in quantitative analyses. A subset of their parents was interviewed 7 to 11 years later. The quantitative analyses included 104 children. Eight parents were interviewed; 4 had...
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: Feature Articles Source Type: research

Addressing Cultural Competency and Primary Palliative Care Needs in Community Health Nursing Education
To meet the primary palliative care needs of older adults, especially the underserved and those of color, a qualitative descriptive study was conducted among nursing students (n = 34) in community health nursing whose clinical rotations included independent living facilities for low-income populations. Two themes were identified that influence student nurse confidence and self-efficacy in initiating conversations with seriously ill clients and assessing their primary palliative care needs: (1) emotional assessment skills and cultural competency and (2) an assessment guide to primary palliative care needs that provides stru...
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: Feature Articles Source Type: research

Beyond Turmeric and Yoga: Advance Care Planning and End-of-Life Considerations Among Asian Indian American Hindus
Hinduism is the fourth largest religion in the United States; an understanding of Hindu beliefs and practices will help health care providers deliver culturally sensitive care while discussing advance care planning and end-of-life care for adult patients. For many Westerners, the practice of yoga, Ayurveda, and vegetarianism is used by people striving to live healthfully. However, what might be unfamiliar to Westerners is how for Hindus, these practices reflect their millennia-old spirituality and religiosity. Knowing the Hindu beliefs of atman, Brahman, karma, and moksha will help nurses connect to Hindus' various end-of-...
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: Feature Articles Source Type: research

The Impact of COVID-19 on Family Caregivers of Individuals With End-Stage Heart Failure
Before the COVID-19 pandemic, family caregivers were providing a tremendous amount of care for family members with heart failure with the prevalence of caregiver reliance in heart failure expected to increase in the United States. Social distancing and other restrictions during the COVID-19 pandemic may have added further challenges to caregiving routines. The purpose of this study was to examine the family caregiver perception of the effect of COVID-19 on caregiving routines. To determine caregiver perception of COVID-19's impact, 1 Likert question and 1 open-ended response were asked. Braun and Clark's method guided open...
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: Feature Articles Source Type: research