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.

Palliative and End-of-Life Care Self-perceived Educational Needs of Physicians and Nurses in Rwanda
Palliative care access is an urgent and ethical imperative to effectively manage the increasing burden of serious health-related suffering worldwide. Understanding the palliative care educational needs of health care professionals is critical to support evidence-based clinical practice in Rwanda and other low- and middle-income countries. A cross-sectional study was conducted at 5 hospitals in Kigali, Rwanda, to assess the palliative/end-of-life educational needs of nurses and physicians. The End-of-Life Professional Caregiver Survey and a demographic form were used to collect data. Descriptive analyses and independent t t...
Source: Journal of Hospice and Palliative Nursing - November 1, 2021 Category: Nursing Tags: Feature Articles Source Type: research

“We Want to Sign It, But We Can't Do It”: Results From a Qualitative Pilot Study of Experiences Related to Advance Directives Among Families of Older Residents in a Long-term Care Facility
This study aimed to clarify the experiences of family members of older adult residents regarding the signing of an advance directive in the context of a Chinese culture. Twenty family members of older residents in a long-term care facility participated in face-to-face interviews, and the researchers conducted a thematic analysis of observation field notes and interview transcripts. A content analysis of the interviews revealed 4 themes concerning the refusal to sign advance directives: resident decision, group decision, not entitled to decide, and random decision. Health providers may serve as mediators and pass on the res...
Source: Journal of Hospice and Palliative Nursing - November 1, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Resilience Training for Nurses: A Meta-analysis
Nurses frequently face stressful situations during work, which makes resilience an essential quality of their personality to cope with professional stress and to prevent burnout. Resilience can be improved by training and practice. To analyze the effect of resilience training in nurses, studies reporting the changes in resilience before and after resilience training were identified by conducting the literature search in electronic databases. Meta-analyses of standardized mean differences (SMDs) between postintervention and preintervention scores of resilience and other related variables were performed. Thirteen studies (57...
Source: Journal of Hospice and Palliative Nursing - November 1, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Assistance of a Palliative Care Certified Nurse in the Alleviation of Refractory Cancer Pain by Switching Opioids to Oral Methadone in a Japanese Outpatient Setting
Although methadone has the potential to improve the management of cancer pain, it has some serious problems, such as respiratory depression and QT interval prolongation. Therefore, patients who are prescribed methadone must be educated, monitored, and supported by specialized medical staff, especially in the outpatient setting. We assessed the effectiveness of support from the palliative care certified nurse who used the checklists in opioid switching to oral methadone for patients with refractory pain. Through the multidisciplinary palliative care team at our hospital, 15 outpatients with cancer pain were prescribed oral ...
Source: Journal of Hospice and Palliative Nursing - November 1, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Post–Intensive Care Syndrome in Covid-19 Patients Discharged From the Intensive Care Unit
In this study, 84 Covid-19 patients discharged from the ICU were selected by census method based on inclusion and exclusion criteria. After completing the demographic information, the Healthy Aging Brain Care Monitor Self Report Tool was used to assess post–intensive care syndrome. Sixty-nine percent of participants experienced different degrees of post–intensive care syndrome, and its mean score was 8.86 ± 12.50; the most common disorder was related to the physical dimension. Among individual social variables, age and duration after discharge were able to predict 12.3% and 8.4% of the variance of post–intensive car...
Source: Journal of Hospice and Palliative Nursing - November 1, 2021 Category: Nursing Tags: Symptom Management Series Source Type: research

Creation of a Nursing Intervention Model to Support Decision Making by Elderly Advanced Cancer Patients and Their Families About the Place of Death, and Evaluation of the Model's Appropriateness and Clinical Applicability
The objective of this research was to evaluate the appropriateness and clinical applicability of a nursing intervention model we developed to support decision making by elderly advanced cancer patients and their families about the place of death. We created the Nursing Intervention Model using the framework of the nursing intervention model reported by McEvoy and Egan (1979). Our survey was performed on 5 physicians and 9 nurses engaged in decision making about the place of terminal care and death for cancer patients. Focus group interviews were conducted to determine the appropriateness of the model. A content analysis te...
Source: Journal of Hospice and Palliative Nursing - November 1, 2021 Category: Nursing Tags: Ethics Series Source Type: research

Difficulties and Practices in Palliative Nursing for Cancer Patients in Vietnam
A massive demand for palliative care has developed in Vietnam because of the burden of cancer, with more than 70% of patients diagnosed in the terminal stage. Despite the recommended guidelines, palliative nursing in Vietnam has focused mainly on pain management and the treatment of complications. Research is needed to explore the reality of nursing practice and difficulties in palliative nursing. A cross-sectional study was conducted at 6 hospitals in 2 central cities of Vietnam by using the Palliative Care Difficulties Scale and the Palliative Care Self-Reported Practices Scale. All 143 registered nurses reported difficu...
Source: Journal of Hospice and Palliative Nursing - November 1, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Advance Directives for Adolescents and Young Adults Living with Neuromuscular Disease: An Integrative Review of the Literature: Erratum
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - November 1, 2021 Category: Nursing Tags: DEPARTMENTS: Erratum Source Type: research

From Development to Implementation: The Effectiveness of a High-Fidelity Simulation for Advance Care Planning for Undergraduate Nursing Students
This study describes the development and implementation of a high-fidelity simulation as the teaching strategy to enhance undergraduate nursing students' satisfaction, self-confidence, knowledge and learning, collaboration, and communication in providing advance care planning to a terminally ill patient. This original simulation was created using the Healthcare Simulation Standards of Best Practice to incorporate the CARES: Competencies And Recommendations for Educating Undergraduate Nursing Students Preparing Nurses to Care for the Seriously Ill and their Families into the nursing curriculum. A descriptive, quantitative s...
Source: Journal of Hospice and Palliative Nursing - November 1, 2021 Category: Nursing Tags: Feature Articles Source Type: research

HPNA November/December 2021 Association News
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - November 1, 2021 Category: Nursing Tags: DEPARTMENTS: Association News Source Type: research

2021: A Reflection on Service
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - November 1, 2021 Category: Nursing Tags: DEPARTMENTS: From the Editor Source Type: research

Treatment of Dyspnea in Advanced Disease and at the End of Life
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: DEPARTMENTS: NCPD Test Source Type: research

Advance Directives for Adolescents and Young Adults Living With Neuromuscular Disease: An Integrative Review of the Literature
The use of advance directives is an important component in helping individuals living with chronic and/or life-threatening illnesses establish goals of care and make decisions regarding care at the end of life. Advance care planning may help achieve enhanced health outcomes, yet it is not routinely offered to adolescents/young adults living with neuromuscular disease. An integrative review of the literature was conducted to examine the evidence related to the use of advance directives with adolescents/young adults living with neuromuscular disease and to identify reasons why they are not being used and how this can be impr...
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Social Model Hospice Home: A Concept Analysis
The term social model hospice first appeared late in the 20th century as a label for a complementary model to medical hospice care. Two decades later, the term is inconsistently defined and used by scholars, health care providers, public consumers, and those within the movement. The purpose of this review is to trace the development of the concept and confirm an evolving definition based on Rodgers' evolutionary method. Database and hand searching was done for the years 1975 to 2020, resulting in 25 publications for analysis. Unique antecedents include presence of a resource crisis, unmet needs falling outside the scope of...
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Development of a Palliative Telehealth Pilot to Meet the Needs of the Nursing Home Population
Many older adults will spend their final days in a skilled nursing facility because of multiple complex conditions. Patients with unclear goals of care are at higher risk of rehospitalization and burdensome care at end of life. Palliative care has been shown to improve outcomes for this patient population; however, access is limited because of the small number of boarded specialists nationwide. Telehealth offers the ability to expand the reach of palliative care to both underserved geographies and community settings. This quality improvement pilot project details the development and implementation of a telehealth palliativ...
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: Feature Articles Source Type: research