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Full-Text Articles in Medicine and Health Sciences
Creating A Pain Management Clinical Practice Guideline For Hospice Patients, Tiffany Ann Bowland
Creating A Pain Management Clinical Practice Guideline For Hospice Patients, Tiffany Ann Bowland
Walden Dissertations and Doctoral Studies
Current evidence-based research shows that pain in hospice patients is a growing problem. A gap in practice was identified as the current clinical practice guideline (CPG) in a hospice center in South Carolina was outdated and not being employed. A literature review revealed that updated CPGs provide better outcomes in pain management for end-of-life care. The project answered the practice-focused question: In the context of hospice, what are current evidence-based strategies for managing pain. The Stettler model and Kolcaba’s comfort theory guided the development of the CPG. Three nurse case managers and two physicians participated in the creation of CPG. …
Effect Of Professional Exclusion Among Respiratory Therapists In The Icu, Tiffany Lubken
Effect Of Professional Exclusion Among Respiratory Therapists In The Icu, Tiffany Lubken
Walden Dissertations and Doctoral Studies
This study was conducted to test how social exclusion, experienced through a culture of healthcare hierarchy, influenced the feelings/attitudes of respiratory therapists (RTs) who are excluded from discussions of end-of-life (EOL) care. Data analysis was conducted using a multivariate analysis of variance to address the research questions. A quantitative nonexperimental survey research design incorporating four evidence-based surveys was used. There was no significance found between professional exclusion from EOL care discussions and the abilities of RTs to collaborate with intensive care unit (ICU) team members within the shared decision-making model as it relates to providing care in the ICU. There …