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Effectiveness of a traditional training method in increasing long-term end-of-life care perception and clinical competency among oncology nurses - a pilot clinical trial

OMIDI, Khaled ; DEHGHAN, Mahlagha ; SHAHRBABAKI, Parvin Mangolian
Asia-Pacific journal of oncology nursing, 09/2020, vol.7, n°3, p. 287-294

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Assessment of knowledge and attitude towards palliative care and associated factors among nurses working in selected Tigray hospitals, northern Ethiopia - a cross-sectional study

ZERU, Teklay ; BERIHU, Hagos ; GERENSEA, Hadgu ; TEKLAY, Girmay ; TEKLU, Tewolde ; GEBREHIWOT, Haftom ; WUBAYU, Tewolde
The pan African medical journal, 2020, vol.35, n°121, 12 p.

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Improving palliative care conversations through targeted education and mentorship

BURGUNDER-ZDRAVKOVSKI, Lorraine ; GUZMAN, Yuri ; CREECH, Constance ; PRICE, Deborah ; FILTER, Marilyn
JOURNAL OF HOSPICE AND PALLIATIVE NURSING, 08/2020, vol.22, n°4, p. 319-326

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The design and impact of an interprofessional education event among pharmacy and nursing students in palliative care—RnRx

HOULE, Sherilyn K. D. ; LILLIE, Elaine ; RICHARD, Cynthia L. ; SLIVECKA, Jenn ; MILLER, Andrea
JOURNAL OF HOSPICE AND PALLIATIVE NURSING, 08/2020, vol.22, n°4, p. 292-297

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The impact of organizational factors on nurses' knowledge, perceptions, and behaviors around advance care planning

SINGH-CARLSON, Savitri ; REYNOLDS, Grace L. ; WU, Stacey
JOURNAL OF HOSPICE AND PALLIATIVE NURSING, 08/2020, vol.22, n°4, p. 283-291

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Nurse educators establish and evaluate community coalition to promote statewide advance care planning through RE-AIM

KUPERSHMIDT, Sabina ; FISCHBACH, Cheryl ; HEGGE, Helene ; ABOUSAMRA, Haifa ; PENISTEN, Linda ; DIETER, Carla
JOURNAL OF HOSPICE AND PALLIATIVE NURSING, 08/2020, vol.22, n°4, p. 305-311

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Where would acute care nurses prefer to receive end-of-life care? - a cross-sectional survey

SHEPHERD, Jan ; WALLER, Amy ; SANSON-FISHER, Rob ; CLARK, Katherine ; BALL, Jean
International journal of nursing studies, 09/2020, vol.109, Pagination inconnue

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Thème : Soins.

COMMUNICATION ; PHASE TERMINALE ; AUSTRALIE ; INFIRMIERE ; SERVICE SOIN AIGU

Background: Hospital-based nurses can offer a unique perspective about factors that can contribute to a good end-of-life experience, including the location in which end-of-life care is delivered.
Objectives: To examine in a sample of hospital-based nurses, the location in which they personally would most and least prefer to be cared for at the end of life, and the reasons for these preferences.
Design: Questionnaire-based, cross-sectional study.
Setting and participants: 170 registered and enrolled nurses employed in acute care wards of three metropolitan hospitals in Australia between April 2016 and February 2017.
Results: Nurses would most prefer to be cared for at home (53%) or in a hospice/palliative care unit (41%) at the end-of-life. Being in a familiar environment and feeling like dying is a more normal process were the main reasons reported for choosing these settings. The main reasons given by nurses for choosing a hospice/palliative care unit were that being cared for at home may place a burden on family/friends and hinder appropriate symptom management. Nurses would least prefer being cared for in an emergency department (49%) due to a perceived lack of privacy and adverse impact on the family; and residential aged care facilities (25%) due to perceived suboptimal symptom management and reduced likelihood of wishes being respected.
Conclusion: Nurses in this study value familiarity of environment and normalising the dying process. The majority do not wish to burden their family and friends at the end of their lives. Important next steps in providing services that meet the needs of people facing the end of their lives include understanding how nurses' personal views may influence decision-making conversations with patients and families about location of care at the end-of-life, as well as determining the capacity of available services to meet patient and family needs.

Origine : ScienceDirect

Impact of do-not-resuscitate orders on nursing clinical decision making

ENGELS, Rebecca ; GRAZIANI, Casey ; HIGGINS, Ixavier ; THOMPSON, Jessica ; KAPLOW, Roberta ; VETTESE, Theresa E. ; MASSART, Annie
Southern medical journal, 07/2020, vol.113, n°7, p. 330-336

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Thème : Soins.

TESTAMENT VIE ; INFIRMIERE ; PRISE DECISION ; IMPACT

OBJECTIVES: Code status specifies the action that healthcare providers should take in the event of cardiac arrest. Studies have shown, however, that patients with do-not-resuscitate/do-not-intubate (DNR/DNI) orders have worse outcomes and do not consistently receive the standard of care. Several studies have demonstrated that physicians behave differently toward patients with DNR/DNI orders, but little research exists into whether DNR/DNI status affects the practice of other members of the care team. Our objective was to determine whether code status affects decision making by nursing staff.
METHODS: This was an anonymous, self-administered survey of nurses between April 2018 and March 2019 using SurveyMonkey. The survey contained four previously published clinical vignettes followed by a series of questions regarding specific interventions tailored to reflect nursing escalation of care. Our focus was two local hospitals: one large academic quaternary-referral center and one large community hospital. Registered nurses on medical-surgical units identified based on available unit-specific e-mail listservs from both hospitals were the participants. Nurses in higher-acuity units were excluded.
RESULTS: Nurses are significantly less likely to call rapid response or a physician when a patient undergoes certain changes in clinical status if the patient is labeled as DNR/DNI rather than full code. For all of the vignettes, respondents were less likely to say they would call rapid response or a physician for patients with a DNR/DNI status who developed tachycardia (P < 0.001). Nurses also were less likely to escalate care for patients with DNR/DNI status who developed tachypnea or mental status changes. Nurses were equally likely to call a physician for the development of abdominal pain or new hypotension (P > 0.05). Nurses with >3 years of experience were less likely to escalate care throughout the vignettes (odds ratio <1).
CONCLUSIONS: This study is the first to demonstrate that code status affects decision making by nursing staff. It highlights the limitations that code status designations create with regard to patient care. By acknowledging that patients with DNR/DNI orders receive different care, we can create systems in which patients are treated equally, regardless of their code status.

Origine : PubMed

Nurses' decision-making about cancer patients' end-of-life skin care in Wales - an exploratory mixed-method vignette study protocol

SAMURIWO, Ray ; LOVELL-SMITH, Candida ; ANSTEY, Sally ; JOB, Claire ; HOPKINSON, Jane
BMJ Open, 05/07/2020, vol.10, n°7, 8 p.

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Nurses' refusals of patient involvement in their own palliative care

GLASDAM, Stinne ; JACOBSEN, Charlotte Bredahl ; BOELSBJERG, Hanne Bess
Nursing ethics, 06/07/2020, 13 p.

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Strengthening the spiritual domain in palliative care through a listening consultation service by spiritual caregivers in Dutch PaTz-groups - an evaluation study

KLOP, Hanna T. ; KOPER, Ian ; SCHWEITZER, Bart P. M. ; JONGEN, Esli ; ONWUTEAKA-PHILIPSEN, Bregje D.
BMC palliative care, 06/2020, vol.19, n°1, 10 p.

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Usability of the surprise question by nurses to identify 12-month mortality in hospitalized older patients - a prospective cohort study

FLIERMAN, Isabelle ; VAN RIJN, Marjon ; WILLEMS, Dick L. ; BUURMAN, Bianca M.
International journal of nursing studies, 09/2020, vol.109, Pagination inconnue

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Family behaviors as unchanging obstacles in end-of-life care - 16-year comparative data

BECKSTRAND, Renea L. ; JENKINS, Jasmine B. ; LUTHY, Karlen E. ; MACINTOSH, Janelle L. B.
American journal of critical care, 07/2020, vol.29, n°4, p. e81-e91

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Mentoring initiative to retain community-based registered nurses in palliative care

JOHNSTON, Siobhan ; HENEGHAN, Paula ; DANIELS, Pauline
British journal of community nursing, 07/2020, vol.25, n°7, p. 335-339

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Telling their story - a qualitative descriptive study of the lived experience of expatriate palliative care nurses in the United Arab Emirates

OAKLEY, Suzanne ; GREALISH, Laurie ; COYNE, Elisabeth
European journal of oncology nursing, 26/06/2020, Pagination inconnue

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Perceptions of nurses towards oral health in palliative care - a qualitative study

KONG, Ariana C. ; GEORGE, Ajesh ; VILLAROSA, Amy R. ; AGAR, Meera ; HARLUM, Janeane ; WILTSHIRE, Jennifer ; SRINIVAS, Ravi ; PARKER, Deborah
Collegian, 02/06/2020, Pagination inconnue

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Turkish adaptation of the Frommelt attitude toward care of the dying scale

AKBOLAT, Mahmut ; UNAL, Özgün ; KARAKAYA, Bilge Günes
OMEGA JOURNAL OF DEATH AND DYING, 09/06/2020, Pagination inconnue

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The crucial role of nurses and social workers in initiating end-of-life communication to reduce overtreatment in the midst of the Covid-19 pandemic

RAFTERY, Chris ; LEWIS, Ebony ; CARDONA, Magnolia
Gerontology, 09/06/2020, p. 1-4

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Death self-efficacy, attitudes toward death and burnout among oncology nurses - a multicenter cross-sectional study

ZHENG, Ruishuang ; GUO, Qiaohong ; DONG, Fengqi ; GAO, Li
Cancer nursing, 03/06/2020, Pagination inconnue

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Aims, actions and advance care planning by district nurses providing palliative care - an ethnographic observational study

WALSHE, Catherine
British journal of community nursing, 02/06/2020, vol.25, n°6, p. 276-286

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