Learning About Listening
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 10, 2022 Category: Nursing Tags: DEPARTMENTS: From the Editor Source Type: research

Ethical Challenges When Caring for African American Older Adults Requesting to Withdraw From Dialysis
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: DEPARTMENTS: NCPD Test Source Type: research

A Narrative Review of Pediatric Respite Care Initiatives in the United States
Families of children receiving palliative care depict lack of respite services as a top unmet need. Although the benefits of access to respite services are notable, little is known on a state-by-state basis about respite provision or funding. The study objective was to conduct a national evaluation of pediatric respite care programs to identify and describe how states provide and fund respite care for children. The study approach adhered to the Scale for the Assessment of Narrative Review Articles quality standards using multiple data sources including engagement with the existing literature, content analyses of public-fac...
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: Feature Articles Source Type: research

Testing a Pediatric Palliative Care Education Workplace Intervention
Pediatric palliative care is aimed at pain and symptom management, reducing hospitalization, promoting psychosocial care, and improving quality of life for children with serious illness. As a professional caregiver, nurses play an essential role in the provision of appropriate pediatric palliative care in clinical care settings. The purpose of this quality improvement study was to improve pediatric nurses' awareness and perceptions of palliative care. A 1-group pretest-posttest design was used in the study. A 20-minute education video was used as an intervention to enhance nurses' awareness and perception about pediatric p...
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: Feature Articles Source Type: research

Development of an End-of-Life Nursing Care Protocol for Intensive Care Units: Delphi Survey Method
This study attempted to develop a standardized end-of-life nursing protocol for use in intensive care units. A draft of the end-of-life nursing care protocol was developed after a literature review. A Delphi survey was carried out twice with 30 experts, and the content validity ratio of the items was investigated. The draft end-of-life nursing care protocol was divided into 3 separate stages with 24 items: 8 initial end-of-life care assessment items, 5 ongoing end-of-life care items, and 11 post–end-of-life care items. The content validity ratios of the first and second rounds were 0.33 or greater in each category, demon...
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: International Series Source Type: research

Palliative Care for Patients With Heart Failure: An Integrative Review
Palliative care should be integrated into routine disease management for all patients with serious illness, regardless of settings or prognosis. The purposes of this integrative review were to identify the features of randomized controlled trials for adult patients with heart failure and to provide basic references for the development of future trials. Using Whittemore and Knafl's integrative literature review method, comprehensive searches of the PubMed, Cochrane Library, CINAHL, EMBASE, and Korean databases were conducted, integrating keywords about heart failure and palliative care interventions. Quality appraisal was a...
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: International Series Source Type: research

“God Hey, Now I’ve Been Through Something”: Moral Resilience of Coordinators in Voluntary Palliative Terminal Care
In conclusion, the relational narrative strategies used by coordinators to deal with these challenges, in combination with personal and organizational conditions, foster moral resilience. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: International Series Source Type: research

Strategies to Understand What Matters to Advanced Cancer Patients in Advance Care Planning: A Qualitative Study Using the Lifeline Interview Method
This study aims to explore whether and how patients from an East Asian culture and with advanced cancer express their values and priorities when nurses utilize the lifeline interview method to enable patients to reflect on their life trajectories and if it can bridge advance care planning discussions. Data obtained from individual, semistructured interviews of 11 patients with advanced lung cancer were analyzed using qualitative content analysis. Seven main themes were identified: (1) treatment and essential elements to maintaining everyday life, (2) beliefs regarding and support for being “myself”, (3) emotional ups a...
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: Global Exemplar Series Source Type: research

Nurse Practitioners' Self-Efficacy and Behavior in Supporting Self-Management of Patients With a Progressive, Life-Threatening Illness and Their Relatives: A Nationwide, Cross-Sectional Online Survey
This study aimed at investigating nurse practitioners' self-efficacy and behavior in supporting self-management of patients with a progressive, life-threatening illness and their relatives. We adapted an existing validated instrument for this purpose, amongst other things by adding a seventh subscale “attention for relatives,” and administered it in a nationwide, cross-sectional online survey among Dutch nurse practitioners. We analyzed associations between self-reported self-efficacy and behavior using Pearson correlations and paired sample t tests. Associations between self-efficacy and behavior with nurse practition...
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: Global Exemplar Series Source Type: research

Exploring Hospice Nurses' Viewpoints on End-of-Life Practices and Assisted Dying: A Thematic Analysis
This qualitative study explores the viewpoints of hospice nurses about end-of-life issues and proposed legislation that would allow assisted dying/euthanasia to be performed in New Zealand. The study uses data that were obtained from in-depth interviews with 15 experienced Palliative Care Nurses who were all working at various hospices around New Zealand. A thematic analysis process was used to develop a thematic framework, and the results indicated that there were at least 3 main themes supported by a number of related subthemes. These main themes were as follows: (a) personal values converge with professional ones when h...
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: International Series Source Type: research

The Acceptability and Feasibility of Routine Use of Validated Cancer Symptom Assessment Instruments Among Patients and Nurses in the Oncology Ward at Princess Marina Hospital, in Gaborone, Botswana
This cross-sectional study evaluated the acceptability and feasibility of oncology nurses using validated cancer symptom assessment instruments to assess symptom burden. A consecutive sample of cancer patients and oncology ward nurses at a hospital in Gaborone, Botswana, was used. Patients' symptom burden was assessed using the Memorial Symptom Assessment Scale–Short Form and the Visual Analog Scale-Pain, and patient- and nurse-acceptability data were assessed using the Client Satisfaction Questionnaire and the Intervention Rating Profile. Rates of participation, assessment length of time, and rates of completed Memorial...
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: International Series Source Type: research

“What Matters Most” to Older Adults With Cancer: Advance Care Planning
This article shares an interprofessional team approach to improving processes for ACP as a component of “what matters most” to older adults with cancer. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: Feature Article Source Type: research

Affordable Housing Specialists' Perceptions of Advance Care Planning Among Low-Income Older Adult Residents: A Qualitative Study
This preliminary qualitative study aimed to explore affordable housing specialists' perceptions of challenges and patterns of advance care planning behaviors among low-income older residents in affordable housing. Advance care planning rates among such residents are disproportionally lower than higher-income older adults. Individual telephone interviews were conducted with affordable housing specialists in a major urban area in the Southeastern United States (N = 5). Using thematic content analysis, 2 independent coders synthesized the 2 coding sets into a single codebook that was iteratively and individually reapplied to ...
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: Feature Article Source Type: research

Case Study of an African American Woman With Heart Failure: Ethical and Palliative Care Considerations
This article presents a fictitious case study focused on an African American woman, Ms T, with heart failure who has been given 6 months to live. Racial inequities are presented surrounding Ms T's inadequate access to necessary health care resources and in receiving delayed communication about palliative and advanced care services. The case study also highlights ethical principles of concern, the role of an interdisciplinary team approach for patients with heart failure, and the advocacy role of nurses. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: Ethics Series Source Type: research

Promoting Health Equity: Palliative Nurses on the Frontlines
In May 2021, the National Academies of Sciences, Engineering, and Medicine released the Future of Nursing 2020-2030—Charting a Path to Health Equity. The report provides an in-depth analysis of the history and evidence of structural racism, the role of social determinants of health, and the role of nurses improving health equity in times of conventional care, disasters and crises, and public health emergencies. Palliative nurses are integral to impacting health equity for individuals with serious illness. Three strategies can help palliative nurses provide more equitable palliative care: 1) develop a more culturally sens...
Source: Journal of Hospice and Palliative Nursing - July 4, 2022 Category: Nursing Tags: Feature Article Source Type: research