Digital Commons Network^™

Advance Care Planning In A Dementia Specialty Practice, Valerie T. Cotter, Maryam Hasan, Jheesoo Ahn, Chakra Budhathoki, Esther Oh

International Nursing Research Congress (INRC)

Participants attending this session will learn about a project aimed to enhance the rate of advance care planning (ACP) conversations in a dementia specialty practice by increasing physician knowledge, skill and confidence in having ACP conversations and using relevant Medicare codes.

Education/Training In End-Of-Life Care For Certified Nursing Assistants In Long-Term Care, Mansura Malik

Nursing Education Research Conference (NERC)

Education and training in end of life care was provided to CNAs working in a long term care setting. Assessment of pretests and posttests showed significant improvement in knowledge by CNAs attending all sessions of the educational intervention.

Strengthening Nursing Education Through Mobile Technology Integration Thus Promoting Technological Competency And Medication Error Reduction, Laly J. Joseph

Nursing Education Research Conference (NERC)

The purpose of this presentation is to educate nursing faculty to effectively integrate technology into their teaching through mobile technology use thereby promoting technological competency, to provide students with classroom and clinical experiences, to increase evidence-based practice and decrease medication errors by making relevant information available at the point-of-care.

[Excerpt From] Hospice & Palliative Care Handbook (3rd Ed.), Tina M. Marrelli

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Hospice & Palliative Care Handbook(3rd ed.), provided free of charge by the publisher.

About this book: Hospice & Palliative Care Handbook (3rd ed.), offers concise, focused coverage of all aspects of hospice and palliative care for clinicians, managers, and other team members who provide important care while meeting difficult multilevel regulations. Author Tina M. Marrelli, Director of the first U.S. hospice program to attain Joint Commission accreditation for hospice services, helps caregivers meet quality, coverage, and reimbursement requirements in daily practice and documentation. Filled with key topics such as professional standards …

Qualitative Exploration Of Undergraduate Nursing Student Perceptions Of End-Of-Life Care Of Families Of Dying Patients, Penny A. Alt-Gehrman

Biennial Convention (CONV)

Nurses spend the most time with dying patients and their families. Nursing school is an optimal place to provide this information, which is not well-developed. The purpose is to examine nursing students need to feel confident and competent in their ability to provide care to family of dying patients.

Student Characteristics To Assess In End-Of-Life Education Research, Megan E. Pfitzinger Lippe, Patricia A. Carter

Biennial Convention (CONV)

This poster will present the findings of a literature review identifying characteristics of student samples to measure when conducting research in end-of-life nursing education. Gaps in the extant literature will also be discussed.

Nurses And Spiritual Care: A Willingness To Go There, Brandon Michael Varilek, Shannon O'Connell-Persaud, Jessica Lee Stadick, Mary J. Isaacson, Mary Elizabeth Minton

Biennial Convention (CONV)

The purpose of this presentation is to share the qualitative findings specific to a nursing perspective on spiritual care based on a multi-method study conducted to explore nurse comfort with communication regarding palliative and end-of-life care. The study was guided by the COMFORT Communication Model.

Importance Of Palliative Care In End-Stage Liver Disease: A Rising Global Issue, Renee Pozza, Bonita Huiskes, Anna Marie Hefner

International Nursing Research Congress (INRC)

The disease and management of end stage liver disease is a complex issue requiring a multi-disciplinary team approach. Often these individuals seek care from a variety of providers with resulting fragmentation and variable outcomes. This presentation aims to identify applicability from heart failure guidelines for palliative care to ESLD.

Growing The Next Generation Of Nurse Leaders In Palliative Care: An International Case Study, Kathryn A. Pfaff, Linda J. Patrick, Laurie Freeman-Gibb

International Nursing Research Congress (INRC)

This session will report a case study evaluation of an innovative palliative care scholarship program that funds graduate nursing students from Canada and the UK to learn and translate evidence-based practices in palliative care. Positive outcomes for the participating scholars, universities, communities, and hospices are highlighted.

A Program Of Research: Cancer Symptom Management, Susan C. Mcmillan

International Nursing Research Congress (INRC)

Dr. McMillan will review her program of research in cancer symptom management. She will report her early descriptive studies that led to her later funded clinical trials.

Gaps In Palliative Care Provision In Saskatchewan, Canada: Learning From Palliative Care Management, Susan Eva Fowler-Kerry, Louise Racine

International Nursing Research Congress (INRC)

Purpose: This study is part of an ongoing project to develop a working knowledge about the long-standing uneven development and delivery of palliative care in Saskatchewan, Canada; subsequently providing a foundation for continuing study and facilitating practical improvement of palliative care programs.

Methods: The results to be presented are based on the current stage of this project, the analysis of longitudinal survey data which were collected from the management personnel of palliative care in each health region in 1998, 1999 and 2002. The three surveys are composed of both close-ended and open-ended questions, therefore both quantitative and qualitative analysis are …

Health Professionals' Knowledge, Attitudes, Experiences, Confidence, And Behaviors Regarding Advance Directives, Shu-Fen Wu, Hong-Yi Tung, Yu-Hua Lin, Chao-Hsien Lee, Hsiu-Chen Liao, Ching-Yun Ching

International Nursing Research Congress (INRC)

Purpose: Advance directives (ADs) are one of the few means for people to indicate their end-of-life treatment decision preference. The purpose of this study was to determine the ADs compaction knowledge, attitudes, experiences, confidence, and behaviors of health professions.

Methods: This was a descriptive correlational research that targeted 765 subjects (included 43 physicians, 424 nurses, 85 other medical staffs, and 213 administration staffs) working in a regional hospital in southern Taiwan. The structured questionnaires gathered the knowledge, attitudes, experiential survey on advance directives (KAESAD) instrument and basic demographic data with regard to advance directives. Data were analyzed by using SPSS …

Palliative Care And The Nurse's Role, Toby Bressler, Teresa L. Hagan, Jiayun Xu

International Nursing Research Congress (INRC)

Background: Palliative care refers to interdisciplinary patient and family-centered care that optimizes quality of life by anticipating, preventing, and alleviating suffering across the continuum of a patient"s illness. Palliative care is crucial in clinical management and helps patients and families dealing with disease related symptoms and psychological implications. Given their focus on providing patient and family centered healthcare, nurses are often the first to recognize the need for palliative care that is consistent with nursing standards and code of ethics. The nurse"s role as a generalist in palliative care has been growing, and yet has not been fully defined. …

Screening For Palliative Care Patients By Utilizing Clinical Decision Support Within The Electronic Health Record, Tanja Baum, Ruth A. Bush, Caroline Etland, Cynthia D. Connelly

International Nursing Research Congress (INRC)

Purpose: Approximately $1.3 million annually can be saved when 500 palliative care consults are completed within the acute care setting. With 90 million Americans, of whom 20% are Medicare recipients that suffer from chronic medical conditions, 500 consults are not a distant number. The electronic clinical decision support and utilization of triggers to identify individuals who might benefit from palliative care using an algorithm within the electronic health record (EHR) can enable the multidisciplinary team to facilitate palliative care services.

The purpose of this feasibility study was to utilize variables available in the EHR of palliative care patients receiving palliative …

The Closing Composition: End-Of-Life Communication Strategies, Mary J. Isaacson, Mary Elizabeth Minton

International Nursing Research Congress (INRC)

Background: Globally, palliative care at end-of-life (EOL) is indicated for over 19 million adults (Connor & Bermedo, 2014). Palliative and EOL care encompasses physical, psychosocial, and spiritual changes which necessitate ongoing intervention and evaluation (Coyle, 2015). Both the World Health Organization (WHO, 2016) and the International Association for Hospice and Palliative Care (IAHPC, 2016) identify the palliative care team"s interprofessional composition, of which nurses are an integral component. At the center of the interprofessional, palliative care team is the patient; who desires shared decision-making (Alston et al., 2012). Patients and families are best served when health care communication envelopes the …

Gaps In Pain Management In Assisted Living, Pamela G. Wisor

DNP and Student Works

Assisted living (AL) is a growing lifestyle choice option available to the ailing aged in the United States. Increases in chronic disease may predispose this population to acute and chronic pain due to increased longevity with medical advances. The elderly populations in these facilities are frail with multiple chronic illnesses and cognitive and/or functional impairment adding to the difficulty in effective pain management practices. The burden of providing pain management in AL is on the nursing assistant whose education and scope of practice may not include performing pain assessment that impact resident quality of life and outcomes. Continuing education in …

Palliative And Supportive Care In Turkey: Literature Review And Current Status Of Research, Imatullah Akyar

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The aim of this study was to examine the current literature on palliative and supportive care in Turkey, discuss current status and future research areas.

Methods: This study was conducted as a literature review. Literature review focused on palliative and supportive care studies done in Turkey. PubMed and Turkish National databases through Turkish Academic Network and Information Center were searched in 12-16 October 2015 with keywords 'Turkey/Turkish', 'palliative care', 'supportive care'. All hits including palliative and supportive care papers from Turkey written either in English or Turkish were included whereas letters to …

Cultural Relevancy Of Palliative And End-Of-Life Care: Conversations With Indigenous Elders, Mary J. Isaacson

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: Access to palliative and end-of-life (EOL) care is severely limited for South Dakota (SD) Native American/American Indians [NA/AI] (Isaacson et al., 2014), which is of significant concern given their high morbidity and mortality rates (SD Vital Statistics Report, 2012). Palliative care professionals and NA/AI healthcare providers identify funding, infrastructure, and misperceptions specific to the NA/AI population and palliative/EOL care as barriers to access (Isaacson et al., 2014). Addressing these barriers and feasibility concerns must occur by bringing together key individuals and include persons receptive to the voices and concerns of NA/AIs residing …

Creating A Legacy Through Nursing Leadership, Innovation, And Global Connectivity, Shannon K. Lizer, Asako T. Katsumata, Gordana Dermody, Elizabeth M. Carson

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: "Nurse leaders face a crucial need to understand and take initiative in responding to this radically changing world" (McElmurry, Kim, & Al Gasseer, 2000). It is often a challenge for nurse leaders to develop a diverse world view without interacting with nurse leaders in a global context (Nichols, Shaffer, & Porter, 2011). Objectives: The Global Nursing Initiative aims: a) to make contributions to the advancement of nursing leadership, clinical practice, and nursing education in Japan; b) to establish an international collaboration between Saint Anthony College of Nursing (SACN) and Japanese higher education …

A Retrospective Study Exploring Nursing Sensitive Interventions For Patients On A Skilled Nursing Unit In A Rural Midwest Hospital, Carol-Ann Moseley

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose and Research Questions: The purpose of this study was to assess the impact of nursing interventions on a skilled nursing unit (SNU) when a change in patient health status was identified. Patient characteristics were correlated with specific variables such as Rothman Index (RI) scores and 30-day readmission status. Nurses could then implement specific individualized interventions to improve patient outcomes. The study questions were: a) What are the characteristics of our SNU patients? and b) Can use of the RI discharge score alert the nurse to the need for increased interventions to lower …

Exploring Symptom Clusters In Individuals Undergoing Surgery For Pancreatic Cancer, Sherry A. Burrell, Suzanne C. Smeltzer, Theresa Pluth Yeo

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: The aims of this primary nested, longitudinal, exploratory study were to explore self-reported symptom profiles to identify the presence of and changes in symptom clusters (SCs) and factors that influence the severity of the SCs in individuals with stage II pancreatic cancer (PC) before and at three, six, and nine months after surgery alone or in combination with adjuvant chemotherapy or chemoradiation therapy.

Methods: This primary nested, longitudinal, exploratory study was conducted within an ongoing single center, prospective, randomized, double-blind, placebo-controlled clinical trial of ethanol celiac plexis neurolysis versus placebo for pain …

Knowing About And Caring For Persons Receiving Hospice Care: The Lived Experiences Of Nurses Working In Hospice Agencies, Rita W. Ferguson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Knowing and caring by hospice nurses has received minimum research. By illuminating hospice nurses' experiences, end-of-life quality of care may be improved and nursing education enriched. Failure by nurses to utilize all ways of knowing in the provision of nursing care can lead to practice limitation. Caring, a value of nursing implies a relationship of knowing the patient. The purpose of this descriptive phenomenological qualitative study was to explore the lived experiences of nurses working in hospice agencies regarding their knowing about and caring for persons receiving hospice care.

Methods: The phenomenological …

Trait Negative Affectivity: A Predictor Of Burnout And Secondary Traumatic Stress In Nurses In Wa, Desley G. Hegney, Karen Francis, Samar Aoun, David Hemsworth, Vicki Drury, Mark Craigie

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: The aim was to ascertain the relationship between the constructs of trait negative affectivity (TNA), depression, state anxiety, stress, compassion fatigue and compassion satisfaction.

Methods: In 2013 an on-line self-report study was conducted. The survey contained demographic information and the Professional Quality of Life Scale (ProQOL), the DASS21 and the Spielberger Trait Anxiety Scale. The study included all nurses employed part or full time in an acute tertiary hospital in Perth.

Results: 299 of 1292 nurses provided useable data. Approximately 12% of nurses had stress levels in the moderate, severe to extreme …

Exploring Of Action Reflection Teaching To Nursing Students' Spiritual Status And Reflection In The Course Of Spiritual Nursing For Elders, Ya Lie Ku, Jen-Kuei Ko, Pi-Yu Lee

International Nursing Research Congress (INRC)

Session presented on Wednesday, July 24, 2013:

Purpose: The purpose of this study was to explore action reflection teaching to nursing students' spiritual status and reflection in the course of spiritual nursing for elders.

Methods: The first period was preparation period for the researcher and two faculties in the long-term care for the elders and three two- years nursing students to construct the process of life-review and reminiscence activities for the elders. The second period was conducting period for the researcher to inspire nursing students reflecting and experiencing the meaning of each unit in the course of spiritual nursing for …

Assessment And Management Of Pain, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This guideline provides evidence-based recommendations for nurses and other members of the interprofessional team who are assessing and managing people with the presence, or risk of, any type of pain.

Reiki: A Complementary, Biofield Therapy For Management Of Postoperative Pain, Robin Toms

Biennial Convention (CONV)

There is increasing interest in complementary and alternative therapies that do not rely on expensive, invasive technology, and are holistic in focus. Such therapies could improve pain management in the poorest of countries globally. Research has shown the benefits of combining conventional, Western, pain management with CAM (Olson, 2003; Gillespie, 2007; Olson, 2003; Vitale, 2006 ;). Reiki, a complementary therapy, is a form of energy therapy in which the focus of the practitioner, with or without light touch, is believed to access universal energy sources that can assist in balancing the biofield and strengthening the body's ability to heal itself …

End Of Life Care During The Last Days And Hours, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

The purpose of this best practice guideline is to provide evidence-based recommendations for Registered Nurses and Registered Practical Nurses on best nursing practices for end-of-life care during the last days and hours of life. The guideline does not replace consultation with palliative care specialists, who can support nurses to provide quality end-of-life care. The guideline is intended to be a resource to nurses who may not be experts in this practice area. It is acknowledged that individual competencies vary between nurses and across categories of nursing professionals. The inclusion of recommendations on clinical, education, organization and policy topics makes this …