Palliative Nursing Commons^™

Advance Care Planning In Metastatic Lung Cancer Patients: A Quality Improvement Initiative, Khanh H. Thai

Student Theses

Background: Advance care planning (ACP) is essential in achieving goal-concordant care for patients with metastatic lung cancer (MLC), yet it remains underutilized.

Local problem: Despite its benefits, ACP has been inconsistently integrated into outpatient oncology settings, and a baseline evaluation at the project site revealed that only 11% of patients with MLC had ACP documented in the outpatient care clinic.

Methods: This Quality Improvement initiative implemented a formal, Nurse Practitioner (NP)-led intervention into routine oncology care. Using a quasi-experimental nonrandomized design, 13 eligible patients diagnosed with MLC without prior ACP documentation were enrolled in a four-week study. These participants were …

Health-Illness Transition Experiences Among Patients With Pancreatic Cancer, Jessica Goldberg

Dissertations, Theses, and Capstone Projects

Pancreatic cancer is one of the most commonly diagnosed cancers and is associated with a poor prognosis measured in terms of months and with significant palliative care needs, including psychological distress. Self-management describes a patient’s ability to manage the sequelae of serious illness, which can have an impact on quality of life and psychological health. One of the fundamental self-management skills is the management of transitions. A transition is a change in life situation or status that causes a shift in a patient’s identity, role, behavior, or interpersonal relationships. Patients with cancer experience multiple, often overlapping transitions that can influence …

Assisting Nursing Students In Their Development Of Empathy: A Guide To Fostering Requisite Skills For The Art Of Empathetic Communication, Susan Mee

Open Educational Resources

This 7-week lesson plan is designed for use in clinical nursing courses. It is designed specifically for use by Nursing faculty teaching in the absence of state required patient facing clinical opportunity due to COVID restrictions. The lesson plan describes pedagogical techniques and provides video and education OER resources designed to help support the development of empathetic communication skills over 7 weeks. Refection and video debriefing techniques will be employed. Role play will culminate in the group presentation project of a brief video modeling effective therapeutic empathetic communication.