An Exploratory Study on Death Anxiety and Its Impact on Community Palliative Nurses in Singapore
This study explored death anxiety and its impact on community palliative nurses in Singapore and was conducted at a community hospital in Singapore from January to June 2018. Purposive sampling was used to recruit 16 nurses of different job grades for the face-to-face interviews, which were transcribed verbatim and analyzed using the data analytical approach of Miles et al. Four overarching themes were generated: (1) intrinsic factors influencing death anxiety, (2) extrinsic factors influencing death anxiety, (3) emotional struggles and coping, and (4) need for death education and psychological support. Gaps in palliative ...
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Facing the Inevitable: Preparing Nurses to Deliver End-of-Life Care
The objective of this project was to determine the feasibility and potential benefits of an education initiative in which the principles of EOL care were taught to senior-level nursing students and practicing nurses. To assess feasibility, data regarding recruitment rates, retention rates, and implementation issues were collected. Workshop effectiveness was evaluated through use of the End-of-Life Nursing Education Consortium–Knowledge Assessment Test survey, which evaluates knowledge levels regarding EOL care principles. A mixed-effects linear model was used to test for changes from the preworkshop to postworkshop score...
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Delivering Hospice Care During the COVID-19 Pandemic: Meeting Nursing Home Residents' Needs
This article answers the following questions: (1) How did residents receiving hospice care have their needs met during the COVID-19 pandemic? (2) What areas of nursing home care need to be improved through governmental policy and restructuring? This article also summarized the lessons learned as a result of the COVID-19 pandemic and provided practical implications for nursing, specific to changes in hospice care deliveries for nursing home residents. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Respiratory Nurses Have Positive Attitudes But Lack Confidence in Advance Care Planning for Chronic Obstructive Pulmonary Disease: Online Survey
This study explored knowledge, attitudes, and practice regarding ACP for patients with COPD among Australian and New Zealand respiratory nurses. A cross-sectional online survey tested knowledge about ACP and canvassed attitudes about current practice. Data were analyzed using descriptive statistics and content analysis of text data. The 112 participating respiratory nurses had substantial knowledge and positive attitudes regarding ACP in COPD; however, they lacked confidence and clarity regarding their role. Despite advances in end-of-life care provision for chronic disease, well-established barriers remained (inadequate t...
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Advance Care Planning Among Chinese Americans Through a Web-Based Culturally Tailored Education Program
This study explored Chinese Americans' knowledge and attitudes about ACP following completion of a web-based culturally tailored health education program. Ninety-six individuals completed the study between October 1 and December 31, 2020. Prestudy-poststudy outcomes measured included the Advance Directive Knowledge Survey and Advance Directive Attitude Scale administered before and after completion of the education program. Each measure has 9 questions and 16 questions, respectively. Participants' Advance Directive Knowledge Survey scores (pre: mean, 6.04 [SD, 2.28]; post: mean, 8.75 [SD, 0.53]; P (Source: Journal of Hospi...
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: Feature Articles Source Type: research

An End-of-Life Communication Performance Rubric: Reliability Assessment
Nurse educators still struggle with teaching and assessing end-of-life communication skills. Many resources are available to assist in teaching end-of-life communication, but few tools exist to assess performance learning outcomes. Behavior evaluation tools must be user-friendly and provide beneficial student feedback. Quality end-of-life patient care and nursing job satisfaction depend on skillful communication. The purpose of this study was to evaluate the reliability of an end-of-life communication clinical simulation evaluation performance rubric. Moderate interrater consistency and agreement were found between 3 evalu...
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: Feature Articles Source Type: research

Suffering and Attitudes Toward Death of Patients With Heart Failure in Japan: A Grounded Theory Approach
This study aimed to identify the suffering and attitudes toward death of patients with early- and intermediate-stage HF. Our qualitative research process was guided with a grounded theory approach and consolidated criteria for reporting qualitative research. Participants were selected through theoretical sampling. Data were collected through semistructured interviews, participant observations, and medical records examination. The study included 10 patients. Analysis of the data revealed the core category of “evaluating whether HF hinders the current and future self.” From this core category, 6 categories of causal cond...
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: Global Exemplar Series Source Type: research

Treatment of Dyspnea in Advanced Disease and at the End of Life
We present the evidence from the strongest recommendations for practice to the weakest recommendations and include practical considerations for clinical nurses. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: Symptom Management Series Source Type: research

Using the Nurse Coaching Process to Support Bereaved Staff During the COVID-19 Crisis
This article shares a timely resource for health systems and nursing administration that leverages the nurse coaching process to support bereaved staff in a safe and therapeutic environment. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: Special Article: COVID-19 Source Type: research

HPNA September/October 2021 Association News
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: DEPARTMENTS: Association News Source Type: research

A Challenge
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - September 11, 2021 Category: Nursing Tags: DEPARTMENTS: From the Editor Source Type: research

Music Therapy and Nursing Cotreatment in Integrative Hospice and Palliative Care
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - July 9, 2021 Category: Nursing Tags: DEPARTMENTS: NCPD Tests Source Type: research

Caring for an Unconscious Transgender Patient at the End of Life: Ethical Considerations and Implications
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - July 9, 2021 Category: Nursing Tags: DEPARTMENTS: NCPD Tests Source Type: research

Interprofessional Healthcare Students' Attitudes, Skills, and Knowledge After Comprehensive Pain Assessment Training in Verbal and Nonverbal Patients
A comprehensive pain assessment is the first step in safe, effective pain management. Few studies have explored variations of strategies and measures for multidimensional pain assessment education in both verbal and nonverbal patients. In this retrospective cohort study, interprofessional health care students enrolled in a palliative care curriculum completed a pain assessment training, which taught the PQRSTA (“palliating factors, precipitating factors, previous treatments, quality, region, radiation, severity, temporal factors and associated symptoms”) mnemonic as a strategy for assessing pain in verbal patients and ...
Source: Journal of Hospice and Palliative Nursing - July 9, 2021 Category: Nursing Tags: Symptom Management Series Source Type: research

The Acceptability and Effect of a Communication-Based Advance Care Planning Program for Older Adults
This study was a preliminary study that assessed the acceptability of a communication-based advance care planning (ACP) intervention for older adults to improve decision making for treatment at the end of life. Twenty dyads were recruited, including patients who were older than 65 years and registered in a home health care center of a teaching hospital in South Korea and their surrogates. The intervention is a patient-centered ACP program with surrogates and a structured and guided discussion by home health care nurses as the trained interventionists. The acceptability of the intervention was assessed by a mixed method inc...
Source: Journal of Hospice and Palliative Nursing - July 9, 2021 Category: Nursing Tags: Global Exemplar Series Source Type: research