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A History Of Pain: Ensuring The Utilization Of Palliative And Hospice Care For African-Americans, Melissa G. Walker

Student Works

No abstract provided.

Urban And Rural Alaskan Physicians’ Knowledge, Attitudes, And Behaviors Regarding Palliative Care, Mary Bernadette Cavalier

Walden Dissertations and Doctoral Studies

Palliative care provides multidisciplinary treatment of the physical, psychological, social, and spiritual needs of patients and families with serious illnesses. Alaska has the highest per capita rates of serious illnesses in the United States, but many Alaskans lack access to palliative care. Using Engel’s biopsychosocial model of care, Saunders’ total pain theory, and Bandura’s theory of self-efficacy, the purpose of this study was to assess the role of physicians regarding palliative care access in Alaska. This quantitative multivariable regression analysis examined the relationship between 133 Alaskan physicians’ knowledge and attitudes (independent variables) and their behaviors (dependent variable) regarding palliative care; …

Evidence-Based End-Of-Life Care Education For Intensive Care Nurses, Kimberly Ann Hare

Walden Dissertations and Doctoral Studies

Most nurses have limited education on end-of-life care (EoLC), which can affect their ability to provide care to meet the needs of the dying patient. Nurses in a critical care unit in a hospital in the Southeastern United States lacked education on EoLC for their patients. The purpose of this study was to develop a project guided by Kolcaba’s theory on caring. The staff education project addressed the attitudes and knowledge of 36 nurses before and after an educational presentation on EoLC. Data were analyzed descriptively. Results indicated that 56% of the staff nurses had never received prior education on …

Top Ten Tips Palliative Care Clinicians Should Know About Amyotrophic Lateral Sclerosis, Elyse A. Everett, Elizabeth Pedowitz, Samuel Maiser, Joss Cohen, Jessica Besbris, Ambereen K. Mehta, Luqi Chi, Christopher A. Jones

Open Access Publications

No abstract provided.

Clinically Significant Depressive Symptoms Are Prevalent In People With Extremely Short Prognoses - A Systematic Review, Wei Lee, Marley Pulbrook, Caitlin Sheehan, Slavica Kochovska, Sungwon Chang, Annmarie Hosie, Elizabeth Lobb, Deborah Parker, Brian Draper, Meera R. Agar, David Currow

Nursing Papers and Journal Articles

Context: Currently, systematic evidence of prevalence of clinically significant depressive symptoms in people with extremely short prognoses is not available to inform its global burden, assessment, and management.

Objectives: To determine the prevalence of clinically significant depressive symptoms in people with advanced life-limiting illnesses and extremely short prognoses (range of days to weeks).

Methods: A systematic review and meta-analysis (random effects model) were performed (PROSPERO: CRD42019125119). MEDLINE, Embase, PsycINFO, CINAHL, and CareSearch were searched for studies (1994-2019). Data were screened for prevalence of clinically significant depressive symptoms (assessed using validated depression-specific screening tools or diagnostic criteria) of adults with advanced …

Nursing And Midwifery Links [December 2019 Issue], Secretariat At Johns Hopkins University School Of Nursing Global Network Of Who Collaborating Centers For Nursing And Midwifery

Nursing and Midwifery Links (LINKS)

In this edition of the Links Magazine, we highlight the current issues, research, innovations, and perspectives of these institutions around palliative care. We recognize the importance of this human right and the role nurses and midwives have in advancing care for those in need of palliative health services. As is made evident in this publication, there are important areas where timely, evidence-based, and strategic efforts are needed to ensure that individuals are effectively cared for across the lifespan and varying levels of health and wellness. By promoting awareness and collaboration around this global health priority, we can ensure a healthier …

Central Coast Vna Palliative Care Volunteer Program, Jacquelyn Taueetia

Capstone Projects and Master's Theses

The Central Coast VNA Visiting Nurse Association provides the highest quality health care to patients through physicians, hospice medical directors, nurses, medical social workers, spiritual care counselors, and volunteers. VNA currently does not have a volunteer program specifically for palliative care patients for their Palliative Care Team. Palliative care is specialized medical care for people living with a serious illness. The goal is to improve quality of life for both the patient and family by addressing physical, emotional, social, and spiritual needs (VNA, 2019). 94.9% of patients are referred to VNA because they need support for the patient and family …

Hospital-Based Palliative Care Programs: Perspectives Regarding Conceptualization And Accreditation, Karen L. Walker

Nursing Theses and Dissertations

Palliative care has been shown to improve symptoms and increase quality of life in people with a life-limiting illness. Despite growth in hospital-based palliative care programs throughout the United States, only 91 hospitals have obtained The Joint Commission’s Advanced Palliative Certification. The purpose of this descriptive study was to identify how programs that do not have The Joint Commission’s Advanced Palliative Care Certification defined and conceptualized palliative care. An additional focus was to identify the barriers these programs perceived or experienced that prevented them from obtaining the advanced palliative care certification. This research program began with an evolutionary concept analysis …

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.

Factors Related To 30-Day Readmission Among Hispanics With Type 2 Diabetes, Athena Mohebbi

Dissertations

Background: Medicare spends $17 billion yearly on 30-day readmissions. Hispanic adults have a higher prevalence of diabetes (12.6%) compared to non-Hispanic whites (9.4%). Those with a diagnosis of diabetes have the 17% higher rate (14-23%) for 30-day readmission. Little research has been conducted on Hispanics with diabetes relative to 30-day readmissions. Aims: Among Hispanics with type 2 diabetes: 1) measure the incidence of 30-day readmission by sociodemographic, behavioral and clinical factors;2) identify independent factors associated with 30-day readmission among Hispanic adults with type 2 diabetes accounting for potential covariates; 3) compare the ability of the Hispanic Diabetic Study Model plus …

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.

Associations Among Knowledge, Attitudes, And Practices Toward Palliative Care Consultation Service In Healthcare Staffs: A Cross-Sectional Study, Li-Chun Huang, Ho-Jui Tung, Pei-Chao Lin

Health Policy & Community Health: Faculty Publications

Background

The palliative care consultation service (PCCS) of the National Health Insurance payments has been promoted in Taiwan since 2011, although few studies have been conducted on healthcare staffs’ knowledge, attitudes, and practices regarding PCCS in Taiwan; consequently, the main objective of this study was to explore any correlations regarding the above by cross-sectional design using convenience sampling.

Methods

A total of 210 healthcare staff members were enrolled from a regional hospital from June 1, 2018, to September 30, 2018. Questionnaire items on the Palliative Care Consultation Service Inventory (KAP-PCCSI) were used to measure healthcare staff’s knowledge, attitudes, and practices …

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.

The Effectiveness Of A Robotic Seal On Compassion Satisfaction In Acute Care Nurses: A Mixed Methods Approach, Jo S. Henson

Nursing Theses and Dissertations

Problem: Nurses face a variety of stressors that can result in decreased levels of compassion satisfaction. The purpose of this study was to investigate the efficacy of a computerized interactive social assist robot (PARO) to decrease stressors and increase compassion levels of acute care nurses in an inpatient setting.

Theory: The Professional Quality of Life Model posits that low Compassion Satisfaction, Burnout, and Secondary Traumatic Stress leads to Compassion Fatigue.

Hypotheses: It was hypothesized that interaction with a social assist robot with artificial intelligence will result in decreasing levels of stress therefore increasing levels of compassion satisfaction in nurses working …

Brian S. Carter Oral History.

Pediatric Palliative Care Oral History Project

Dr. Brian Carter begins the interview describing his early career journey exploring the intersectionality of bioethics and neonatology. Dr. Carter viewed some of the early practices of intensivists to "resuscitate people until they die" as exceptionally "egregious," which prompted him to feel "an obligation. . . to make inroads [to neonatal and pediatric palliative care] via the route of ethics: making better choices, trying to discern [the] right action." Dr. Carter then describes the evolution of early practices in neonatology that were visibly distressing to babies, and how the work of him and his peers around children experiencing pain began …

Cultural Aspects Of End Of Life Advance Care Planning For African Americans: An Ethnonursing Study, John Collins

Electronic Theses and Dissertations

Introduction: Advance directive completion rates among the general population are low. Studies report even lower completion rates among African Americans are impacted by demographic variables, cultural distinctives related to patient autonomy, mistrust of the healthcare system, low health literacy, strong spiritual beliefs, desire for aggressive interventions, importance of family-communal decision making, and presence of comorbidities. End of Life (EOL) advance care planning (ACP) promotes patient and family centered care. The purpose of this study was to identify culturally based meanings, expressions, and traditions of EOL ACP and decision making among African Americans, to better understand and provide culturally congruent nursing …

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.

Balfour Mount Oral History.

Pediatric Palliative Care Oral History Project

Dr. Balfour Mount begins the interview by describing a pivotal moment when he heard Dr. Elisabeth Kubler-Ross lecture at McGill University's Royal Victoria Hospital. Dr. Mount had not previously heard of Kubler-Ross's work and was impressed to learn about the unmet needs of the dying. When Dr. Mount conducted a similar study at the RVH, he found the same deficiencies in care and carried out a two year pilot project aimed at addressing these needs through the creation of an in-patient ward, a consultation service, a home care program, an outpatient clinic, and a bereavement follow-up service.

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.