Digital Commons Network^™

Rompiendo Fronteras: Addressing Language Barriers In Hispanic Palliative Cancer Care, Carla Mcnulty, Catherine Finlayson

International Nursing Research Congress (INRC)

Background: Cancer is the leading cause of death among Hispanic people, accounting for 20% of deaths (American Cancer Society, 2023). In 2024, the American Cancer Society predicted that 195,300 Hispanics would be diagnosed with cancer in the United States, and 50,400 (25%) would die from their disease, leaving approximately 144,900 (75%) living with cancer. As the Hispanic population rises in the United States, one can predict that cancer diagnoses will also increase. This is likely to result in a higher number of cancer-related deaths, as well as more individuals living with cancer. Consequently, there will be an increased demand for …

Factors Influencing Pediatric Palliative Care Utilization: A 12-Year Retrospective Study In Taiwan, Tzu-Ying Yang, Wei-Wen Wu, Frank Leigh Lu, Shao-Yi Cheng, Tsung-Hsien Yu, Kristin Berg

International Nursing Research Congress (INRC)

Background and objective: Pediatric palliative care (PPC) improves the quality of life for children with life-limiting conditions and their families by addressing physical, psychological, and spiritual needs. Despite increasing recognition of its benefits, PPC remains underutilized, particularly in Asian contexts where early integration and service accessibility are still limited. This study aimed to examine trends and factors influencing PPC utilization among deceased children in a tertiary children’s hospital in Taiwan from 2012 to 2023, to provide evidence on predictors for more equitable access to PPC.

Methods: A retrospective study was conducted using medical records of children aged 1–18 years who …

Culturally Diverse End-Of-Life Simulation And Perceptions In Undergraduate Nursing Students, Jodi Kay Olson, Mary Pesch, Julie Keller-Dornbusch

Biennial Convention (CONV)

End-of-life (EOL) patient care is a challenging reality that nearly all nurses will face during their careers. Preparing nursing students for these situations can alleviate anxieties related to patient death (Venkatasalu et al., 2015). Simulation-based learning is an effective approach for teaching complex scenarios like EOL care (Cannity et al., 2021), with numerous studies highlighting improved confidence and competence in students who participate in EOL simulations (Gillan et al., 2014; Tamaki et al., 2019; Venkatasalu et al., 2015; Lewis et al., 2016; Jablonski et al., 2020). However, the lack of cross-cultural variations in death and dying highlights the need for …

Integration Of Infection Management In Physician Orders For Life-Sustaining Treatment (Polst), Aluem Tark

Leadership Connection

Physician Orders for Life-Sustaining Treatment (POLST) is an advanced care planning tool which aims to facilitate End-of-Life communication between a dying patient and medical providers. Our research team examined the status of POLST program implementation across U.S. and identified state-level variations in how infection management is captured in POLST forms.

Impact Of Hemoglobin A1c Screening Program Among Medicare Patients, Mary Jo Quinn, Susan Schaffer

Leadership Connection

In 2016, HouseCalls began conducting point-of-care hemoglobin A1c screening as part of an annual preventative home visit program for patients covered under one Medicare Advantage health plan. This retrospective study (n = 34,348) evaluated the impact of this intervention on the following year's body mass index and hemoglobin A1c.

Examining Dnar Status In Pediatric Palliative Surgical Patients: An Application Of A Decision Analysis Tool, Margaret H. Hartig

Leadership Connection

Pediatric palliative care (PPC) involves a multidisciplinary approach for the improved quality of life of children with life-limiting conditions. Many PPC patients present for palliative surgery, which involves procedures that manage symptoms but include risks that could result in catastrophic perioperative events. Determining a patient's and family's wishes regarding do-not-attempt-resuscitation (DNAR) order status can be a difficult topic to broach for providers who encounter these patients for the first time during the preoperative evaluation. A decision analysis tool may help in determining the need for preoperative DNAR communication.

End Of Life In African American Older Adults: An Integrative Literature Review, Karen O. Moss, Karen M. Rose

Leadership Connection

Session presented on Friday, September 26, 2014:

End-of-life care in the United States is described as deficient and fragmented. Minority populations engage in end-of-life planning less frequently than Caucasians. African Americans represent the second largest minority group in the United States with its older adult population projected to increase by 114% by 2030. The Patient-Self Determination Act of 1990 requires Medicare and Medicaid funded healthcare organizations to empower patients to refuse or accept medical care and execute advance directives. The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) confirmed substantial shortcomings of healthcare for seriously …

Does Voluntary Euthanasia Fulfill Or Contradict A Physicians’ Oath To “Do No Harm”, Sarah Margaret Carr

Academic Festival

Voluntary Euthanasia, or VE, is a practice which has been medically, and ethically, debated for decades. VE is a medical procedure in which a physician, with the explicit and informed consent of the patient, administers a lethal agent for the purpose of relieving a patients intolerable and incurable suffering (Euthanasia, 2022). The availability of this practice as an option for terminally diagnosed patients, to allow them to choose to die on their own terms, has been debated for its ethicality. Through my research, I strove to answer the question of whether VE fulfills, or contradicts, a physician’s oath to “do …

Black Issues Conference 2021 Schedule, Bowling Green State University

Black Issues Conference (2019-2021)

No abstract provided.

Caregiver Comfort With Tele-Hospice, Patricia L. Cameron

International Nursing Research Congress (INRC)

Tele-hospice is changing the provision of on-demand hospice and palliative care. A retrospective, descriptive study was completed examining comfort and emotional support that caregivers of community-based hospice patients derived from using electronic tablets. 667 survey responses were obtained. Data analysis included Pearson product moment correlations and Wilcoxon signed ranks tests.

Prevalence And Acceptance Of Methadone Recommendations In Hospice And Palliative Care, Aishwarya Kulkarni

Graduate Student Research Symposium

Background:Clinical pharmacists play an important role in the care of patients in hospice/palliative care, particularly for the treatment of pain. Methadone, a long-active opioid, is particularly useful in this population, but may be underutilized. The objective of the study was to evaluate the prevalence ofpharmacist recommendations and subsequent physician acceptance for the use of methadonefor painin newly admitted hospice/palliative care patients. Methods: The study was conductedfrom October-December 2019in coordination with a locally-based pharmacy services organization which works with hospice/palliative care providers. A selectedgroup of pharmacists at the organization identified patients reviewed as new admissions as part of their usual clinical …

Conversations Had At Trying Times (Chatt): Development & Testing Of An Advance Care Planning Simulation, Amisha Parekh De Campos

Biennial Convention (CONV)

This presentation will describe a simulation study in advance care planning called Conversations Had at Trying Times (CHATT). This two-phase study consists of simulation development, through standardized guidelines, and simulation testing among registered nurses. The simulation outcomes focus on empowering RNs to have patient-centered conversations in a safe environment.

Nurse And Patient Spiritual Care Perspectives Compared: A Cross-National Collaboration, Pamela H. Cone, Tove Giske

Biennial Convention (CONV)

Findings from a two-phased mixed-method 2014 study done in Norway on nurse and patient perspectives about spiritual care were compared for commonalities and differences. Nurses and patients have similar comfort levels with many deeply personal questions, but some surprises reveal opposing views. Nurses need a better understanding of patient perspectives.

Creating Opportunities For Research Collaboration, Megan E. Pfitzinger Lippe, Polly M. Mazanec, Andra Davis

Biennial Convention (CONV)

This presentation will describe how nurse educators and researchers from across the country collaborated to explore implementation and outcomes of incorporating the End of Life Nursing Education Consortium Undergraduate (ELNEC-UG) online modules into their respective programs.

Efficacy Of A Collaborative, Spiritual Care Educational Intervention To Enhance Nurses' Spiritual Care Attitudes, Cheryl A. Westlake, Jane Pfeiffer

Biennial Convention (CONV)

Patients' spiritual needs can be addressed by nurses; however, spiritual-care provision barriers include nurses' spiritual-care attitudes. The abstract describes the efficacy of a hospital nurse researcher/university faculty member-provided two-hour/spiritual-care intervention using values clarification/spiritual timeline exercises, and content regarding spirituality/spiritual needs/spiritual-care interventions with case study application to enhance nurses' spiritual-care attitudes.

A European, Collaborative Standard For Spiritual Care Competences For Undergraduate Nursing/Midwifery Education, Tove Giske, Wilfred Mcsherry, Pamela H. Cone

Biennial Convention (CONV)

Participants will learn about the process and products of European co-production of four spiritual care competences for nursing education, a matrix explaining key factors in spiritual care education to enhance spiritual care competencies and examples of educational tools.

Threading Elnec Undergraduate Modules Across Existing Nursing Courses, Andra Davis, Megan E. Pfitzinger Lippe, Casey Shillam

Biennial Convention (CONV)

This presentation will discuss diverse approaches at three universities to incorporate ELNEC-Undergraduate (ELNEC-UG) modules across multiple courses throughout a program of study. These exemplars reflect innovative approaches to integrate the new palliative care prelicensure education without creating major curricular changes.

Integrating Elnec Undergraduate Into A Singular Nursing Course, Nanci Mcleskey, Toni L. Glover, Megan E. Pfitzinger Lippe

Biennial Convention (CONV)

This presentation will discuss innovative approaches utilized by faculty at two universities to integrate End of Life Nursing Education Consortium Undergraduate online modules into nursing curricula as independent palliative care courses.

Barriers And Facilitators To Elnec Undergraduate Integration Into Nursing Curricula, Megan E. Pfitzinger Lippe, Andra Davis, Nanci Mcleskey, Toni L. Glover, Casey Shillam, Polly M. Mazanec

Biennial Convention (CONV)

This presentation will explore challenges to ELNEC Undergraduate module integration experienced by educators across the country. Successful strategies and solutions to overcoming barriers will be presented.

Assessment Of Community Health By Neighborhood And Church Collaboration, Jane Pfeiffer, Cheryl A. Westlake

Biennial Convention (CONV)

Using Ryan's (2009) Integrated Theory of Health Behavior Change, this collaboratively conducted (neighborhood/church/university ) community-based participatory action research assessed San Bernardino, California residents' individual physical/mental/social/spiritual health and their relationships as perceptions of community health. Findings support the need for nursing and faith-based institutions to collaborate in support of community health.

The Direct Impact Of A Nurse Residency Program And Palliative Care And Research Fellowships, Rita M. Linus, Barbara A. Wadsworth

Biennial Convention (CONV)

A review of the structure and outcomes of a formalized Nurse Residency Program, Palliative Care and Nursing Research Fellowships will be shared while aligning each program with the organization's mission and strategic plan.

Applying Predictive Analytics At The Bedside To Reduce Mortality And Facilitate Transitions Of Care, Christine A. Sullivan, Janice E. Marlett

Biennial Convention (CONV)

Recognizing early changes in a patient's condition is essential to saving lives. This large urban facility successfully reduced mortality, increased situational awareness, and supported appropriate transitions of care. Utilizing a validated predictive analytics tool, nurses and providers identify patient decline earlier and intervene to reduce cardiac arrest outside the ICU.

Nurse's Comfort In Palliative Care: A National Survey, Amisha Parekh De Campos, Kyounghae Kim

Biennial Convention (CONV)

A cross-sectional survey of nurses in the United States showed comfort in caring for palliative and hospice care patients required at least five years of experience. Even after five years, opportunity existed to increase comfort levels. Training registered nurses in advance care planning should be a priority in patient care.

Effects Of Advance Care Planning Intervention On End-Of-Life Decision Making, Minju Kim, Jieun Lee

International Nursing Research Congress (INRC)

The purpose of this study was to systematically review reports of published randomized controlled trials to ascertain the effectiveness of an advance care planning intervention.

Case Study Of The Long Term Care 2.0 Barriers On The Hospice Share Care Patient's, Pei-Yu Lee

International Nursing Research Congress (INRC)

In southern Taiwan, terminal patients have a high level of disability, while family caregivers are under pressure, but those with lower rates of use. This study expects to understand the barriers to the use of LTC 2.0 resources after discharge from the terminal patient.

Baccalaureate Nursing Students' Attitudes Toward Caring For Dying Patients And Their Families, Dianne N. Richoux

International Nursing Research Congress (INRC)

Learn the results of a research study comparing the attitudes of Level I, Level II and Level III baccalaureate nursing students towards caring for dying patients and their families.

342 Infant/Child Nicu/Picu Deaths: Subsequent Health And Functioning Of Parents, Grandparents, And Surviving Siblings, Joanne M. Youngblut

International Nursing Research Congress (INRC)

Overview of physical/mental health and functioning of 377 parents, 104 grandparents, and 132 siblings during the first year following 342 infant/child NICU/PICU deaths; what parents and siblings wished they had/had not done around infant/child death; NICU/PICU providers" actions parents found helpful/not helpful; and school-aged children"s/teens" responses to sibling death.

Experience Of Using The Concept Of Companionship To Care For Patients With Terminal Lung Cancer, Jia-Min Chen, Chi-Hui Chuang

International Nursing Research Congress (INRC)

This paper explores Experience of using the concept of companionship to care for patients with terminal lung cancer, holistic health care was provided so that the patient no longer had fear while facing the end of life and was able to end his life journey with calm and dignity.

Nursing And Radiography Student Collaboration: Increasing Patient Satisfaction On A Dedicated Education Unit, Nancy N. Reese

International Nursing Research Congress (INRC)

Patient satisfaction rates on two Dedicated Education Units (DEUs) have been low related to explanation of diagnostic procedures. A collaborative initiative of unit staff, faculty, radiography technology and nursing students provides education to patients on procedures. Outcomes include increased patient satisfaction, improved interdisciplinary communication and confidence in patient teaching.

Learning About Rurality: From Classroom To Community, Ruth T. Mielke, Sue Robertson

International Nursing Research Congress (INRC)

The didactic and experiential curricular modifications used to help prepare students and faculty for a rural traineeship are described. Specifically, the use of a holistic community assessment tool in a rural community is demonstrated. Analysis of student reflections on the assessment activity are included.