Article
Geriatrics & Gerontology
Melissa W. Wachterman, Dawn Smith, Joan G. Carpenter, Hillary L. Griffin, Joshua Thorpe, Shelli L. Feder, Jillian Hoelter, Mary Ersek, Scott Shreve, Ann Kutney-Lee
Summary: This study compared the quality of end-of-life care for Veterans receiving hospice in VA community living centers (CLCs) and VA-contracted community nursing homes (CNHs). The findings revealed inadequacies in multiple aspects of end-of-life care and highlighted the urgent need for policy and practice interventions to improve this care.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Geriatrics & Gerontology
Andrew B. Cohen, Ling Han, John R. O'Leary, Terri R. Fried
Summary: A study on veterans aged 65 and older who passed away between 2011 to 2013 found that patients with professional guardians did not receive higher intensity end-of-life treatment compared to those without guardians. The results showed no significant differences in various treatment measures among nursing home residents with dementia, whether or not they were represented by a professional guardian.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Psychiatry
Madeleine L. Juhrmann, Aljon San Martin, Allison Jaure, Christopher J. Polous, Josephine M. Clayton
Summary: Palliative approaches to care can benefit people living with dementia in care homes, and the generalist aged care workforce is well positioned to provide this care with training and support. This study aimed to explore the perspectives of staff in residential aged care on end-of-life care for people with dementia. Five key themes emerged, including person-centered care, articulating goals, collective action, staff education, and family involvement.
FRONTIERS IN PSYCHIATRY
(2023)
Article
Nursing
Emma Lundin, Tove E. Godskesen
Summary: Nurses caring for people with advanced dementia and pain at the end of life face challenges in communication, relationships, and organization, including difficulties in communication and pain assessment, differentiating pain from anxiety, weighing the benefits and risks of morphine administration, and building good relationships with healthcare personnel and the persons' relatives. Good pain management is facilitated by communication, relationships, nursing experience, and familiarity with the patients.
Article
Health Care Sciences & Services
Soo-Jung Chang
Summary: This study aimed to describe the experiences and perceptions of registered nurses in South Korean nursing homes regarding end-of-life care for older residents. The study found that nurses faced challenges and issues, including legal and institutional limitations, when providing end-of-life care. The study suggests that strengthening the foundation of the end-of-life care system and providing skills training are necessary for effective care.
Article
Nursing
Hyejin Kim, Jeonghyun Cho, JungSuk Lee
Summary: There is a significant disparity in end-of-life care practices in nursing homes in South Korea, which is associated with bed size and registered-nurse staffing. The importance of reforming nursing home-related regulations and policies is highlighted.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2022)
Article
Geriatrics & Gerontology
Michelle Vu, Florentina E. Sileanu, Sherrie L. Aspinall, Joshua D. Niznik, Sydney P. Springer, Maria K. Mor, Xinhua Zhao, Mary Ersek, Joseph T. Hanlon, Walid F. Gellad, Loren J. Schleiden, Joshua M. Thorpe, Carolyn T. Thorpe
Summary: The study examined the incidence and factors associated with deprescribing of antihypertensives in older nursing home residents with limited life expectancy and/or advanced dementia. It found that deprescribing was related to the level of overtreatment and markers of poor prognosis, while cardiovascular risk factors and admission source were associated with decreased likelihood of deprescribing. Comparative effectiveness and safety studies are needed to guide clinical decisions around deprescribing and hypertension management.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Public, Environmental & Occupational Health
Therese McDonnell, Emma Nicholson, Gerard Bury, Claire Collins, Ciara Conlon, Kevin Denny, Michael O'Callaghan, Eilish McAuliffe
Summary: This study assesses the impact of free general practitioner (GP) care on children's attendance rates in Ireland. The results show that after the policy was introduced, the daytime GP attendance rate for children under six increased by 20%-21% and there was an increase in the number of patients attending regularly. The attendance rate for out-of-hours (OOH) GP also showed a similar increase. These findings are consistent with international studies on financially accessible healthcare. Possible contributors to this increased demand include prior unmet need, additional assessments for children under six, parental response to free services, and rerouting of access to the emergency department through GP.
SOCIAL SCIENCE & MEDICINE
(2022)
Article
Health Care Sciences & Services
Emilio Mota-Romero, Ana Alejandra Esteban-Burgos, Daniel Puente-Fernandez, Maria Paz Garcia-Caro, Cesar Hueso-Montoro, Raquel Mercedes Herrero-Hahn, Rafael Montoya-Juarez
Summary: This study developed an end-of-life care program for nursing homes in Spain based on previous models yet adapted to the specific context and the needs of staff. Through self-efficacy and attitudes assessment, Delphi consensus technique for selecting objectives, and focus group sessions for designing interventions, the NUHELP program was created to improve the quality of end-of-life care in nursing homes.
BMC PALLIATIVE CARE
(2021)
Article
Geriatrics & Gerontology
Pauliina Hackman, Marja Hult, Arja Haggman-Laitila
Summary: This study aimed to describe unfinished nursing care activities in nursing homes. The results showed that an average of 7.3 nursing care activities out of 20 were unfinished. Female gender, age, and the amount of professional experience were found to increase the likelihood of unfinished nursing care. The study highlighted the importance of addressing unfinished nursing care in nursing homes and the role of nursing home leaders in reducing and preventing it.
Article
Health Care Sciences & Services
Emilio Mota-Romero, Olga Rodriguez-Landero, Rocio Moya-Dieguez, Glaucione Marisol Cano-Garzon, Rafael Montoya-Juarez, Daniel Puente-Fernandez
Summary: This study aims to describe the provision of information and end-of-life preferences to nursing home residents and their families. The results show that residents, especially those with dementia, are provided with limited information about their health state. Most advance care interventions are not explored, except for hospital transfer and serotherapy. The decisions regarding palliative sedation and blood transfusion are lower among residents with dementia.
Article
Nursing
Beate Andre, Frode F. Jacobsen, Gorill Haugan
Summary: This study explores leadership in Norwegian nursing homes, comparing those with and without the implementation of the JoLNH strategy. The findings suggest that the implementation of JoLNH may lead to increased motivation among staff and better control of changes and implementation processes, as well as a more trustful relationship between employees and leaders.
Article
Geriatrics & Gerontology
Zeibeda Sattar, Lesley Young-Murphy, Lynn Craig, Alison Steven, Gemma Wilson-Menzfeld
Summary: This study compares the implementation of two models (GP-led vs FN-led) in care homes in the UK. It found that the implementation of the FN-led model underwent unexpected changes due to recruitment issues, resulting in unintended consequences. This highlights the need for careful consideration of information dissemination and the influence of existing ways of working when promoting new roles in care homes.
Article
Health Care Sciences & Services
Bettina Gruene, Sophie Meesters, Claudia Bausewein, Eva Schildmann
Summary: This qualitative interview study explored the challenges of using sedatives and sedation at the end of life in hospitals and nursing homes from the perspectives of nurses and physicians. The main challenge identified was determining the appropriate timing and dose of sedation, while other challenges such as disagreements regarding indication or legal uncertainties were strongly associated with this major challenge. Strategies and supportive measures mentioned by participants included education and training, joint decision-making within the team, and regular discussions with patients and their families.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Review
Nursing
Brid McCarthy, Fiona Timmins, Jessica Eustace-Cook, Michael Connolly
Summary: Informal caregivers play a crucial role in providing end-of-life care at home, but their experiences of transitioning are often overlooked. This scoping review aims to explore and understand the experiences of informal caregivers during the transition process, with the potential to contribute valuable insights to the literature.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Nursing
Pauline Brown, Roger Newham, Alistair Hewison
JOURNAL OF CLINICAL NURSING
(2020)
Review
Ethics
Roger Newham, Alistair Hewison, Jacqueline Graves, Anunpreet Boyal
Summary: The identification of human rights issues in nursing has gained attention, with concerns raised about legal implications and responsibilities. Education plays a crucial role in promoting human rights awareness and practice.
Article
Nursing
Karen L. Shaw, Lydia Baldwin, Gemma Heath
Summary: The study found that parents play roles beyond the usual in transitional care for their children, requiring more time, stress, and relentless work to protect them from risks and uncertainties. However, these protective strategies may also hinder adolescent development and have negative impacts on family functioning.
JOURNAL OF CHILD HEALTH CARE
(2021)
Article
Ethics
Roger Newham, Alistair Hewison
Summary: The behavior of nurse managers and health service managers has been scrutinized and criticized due to high-profile organizational failures in healthcare. Responses to these failures often rely on the use of codes of conduct to ensure ethical management practices. Codes of conduct can help support nurse managers in making practical decisions and emphasize both principles and personal character. The Covid-19 pandemic has created a unique testing ground for the practical and ethical judgement of nurse managers, with some suggesting that it could be a turning point in demonstrating excellent practice beyond traditional managerialism.
Article
Health Care Sciences & Services
Felicity Hasson, Joanne Jordan, Laurie McKibben, Lisa Graham-Wisener, Anne Finucane, Kathy Armour, Shazia Zafar, Alistair Hewison, Kevin Brazil, W. George Kernohan
Summary: This study investigated the contribution of palliative day care services to patient care, revealing key themes such as variations of care, unclear referrals, and an uncertain future. The importance of demonstrating services' effectiveness and value for money was highlighted.
BMC PALLIATIVE CARE
(2021)
Article
Health Policy & Services
Alistair Hewison, Emma Hodges, Sundaravadivel Balasubramanian, Tina Swani
Summary: This study reports how the palliative and end of life care community in one region of England collaborated to create a new model for integrated care. The co-production approach involved 73 members and resulted in a viable model for service delivery. The potential for large-scale transformation in palliative and end of life care services is limited by complexity and the need to address numerous practical issues.
JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT
(2021)
Article
Health Policy & Services
Jacqueline Graves, Amunpreet Boyal, Tracey Shields, Roger Newham, Alistair Hewison, Louise Terry
Summary: This study aimed to evaluate the impact of human rights education on staff in palliative settings. Findings showed increased levels of self-reported knowledge and confidence post-training. Implementing human rights in the workplace is complex, with difficulties maintaining knowledge and keeping up with legislative changes being cited as barriers.
INTERNATIONAL JOURNAL OF HUMAN RIGHTS IN HEALTH CARE
(2021)
Article
Health Care Sciences & Services
Beck Taylor, Alistair Hewison, Fiona Cross-Sudworth, Kevin Morrell
Summary: The study found that large system transformation requires objectives and timescales to be realistic, flexible, responsive to feedback, and account for context. The drivers of large system transformation appear to be interdependent and synergistic. Transformation is likely to be more challenging in recently established systems where the basis of authority is not yet clearly established.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Social Work
Jason Schaub, Alistair Hewison, Simon Haworth, Robin Miller
Summary: This article discusses leadership in social work and the lack thereof in the field. Compared to healthcare, there is less knowledge and application of leadership in social work. The article introduces the model of compassionate leadership and explores its potential usefulness in the social work knowledge base.
BRITISH JOURNAL OF SOCIAL WORK
(2022)
Article
Health Care Sciences & Services
Gareth Myring, Paul Mark Mitchell, W. George Kernohan, Sonja McIlfatrick, Sarah Cudmore, Anne M. Finucane, Lisa Graham-Wisener, Alistair Hewison, Louise Jones, Joanne Jordan, Laurie McKibben, Deborah H. L. Muldrew, Shazia Zafar, Joanna Coast
Summary: This study assessed the construct validity and responsiveness of the ICECAP-SCM in hospice settings. The results showed correlations between ICECAP-SCM and other outcome measures, as well as the sensitivity of the ICECAP-SCM score to changes over time.
BMC PALLIATIVE CARE
(2022)
Article
Health Care Sciences & Services
Henry Nwankwo, Joanna Coast, Alistair Hewison, Philip Kinghorn, Shyam Madathil, Cara Bailey
Summary: This study demonstrates the feasibility of using the ICECAP-SCM with patients experiencing end-stage organ failure in a hospital setting. The measures were found to be acceptable and easy to complete, with low error rates. There were some variations in responses among patients with different end-stage conditions.
PALLIATIVE MEDICINE
(2022)
Article
Management
Hasan Fehmi Dirik, Seyda Seren Intepeler, Alistair Hewison
Summary: The aim of this study was to adapt and validate the Safety Climate Survey for use in Turkish healthcare context. The Turkish version of the survey was found to be a valid, reliable, and practical tool for measuring safety climate among healthcare professionals, providing essential data for improving patient safety.
JOURNAL OF NURSING MANAGEMENT
(2023)
Article
Nursing
Vivian Afoko, Alistair Hewison, Susan Neilson, Roger Newham
Summary: This study aims to investigate how moral distress is experienced by nurses working in neonatal intensive care and paediatric wards in Northern Ghana, and to determine the support measures offered by nurse managers. The results showed that nurses in Northern Ghana experience morally distressing situations due to various causes, and these situations have a significant impact on them. Nurses employ coping mechanisms to deal with moral distress and provide recommendations to reduce its incidence. However, nurse managers lack adequate support measures to assist nurses who experience moral distress, and they also experience moral distress themselves.
JOURNAL OF RESEARCH IN NURSING
(2022)
Review
Nursing
Asma Al Yahyaei, Alistair Hewison, Nikolaos Efstathiou, Debbie Carrick-Sen
Summary: The aim of this study was to examine the factors influencing nurses' intention to stay and the role of the work environment in enhancing nurses' intention to stay in acute healthcare. The results suggest that various working environment variables are significantly associated with nurses' intention to stay.
JOURNAL OF RESEARCH IN NURSING
(2022)
Article
Social Work
Louise Isham, Caroline Bradbury-Jones, Alistair Hewison
Summary: This article discusses the hidden issue of ‘carer harm’ in family caregiving, where older adults may behave harmfully towards their caregivers. The study finds that this is a serious and under-acknowledged problem, with practitioners facing practical and ethical challenges when working with affected families. The role of social workers and the support they need to address the intersection of care, harm, and intimacy in later life is also explored.
BRITISH JOURNAL OF SOCIAL WORK
(2021)
Article
Nursing
Bettina Voelzer, Monira El Genedy-Kalyoncu, Alexandra Fastner, Tsenka Tomova-Simitchieva, Konrad Neumann, Kathrin Hillmann, Ulrike Blume-Peytavi, Elisabeth Hahnel, Janna Sill, Katrin Balzer, Jan Kottner
Summary: The study aimed to evaluate the effects of implementing a skincare and prevention package on older nursing home residents. The results indicate that tailored and evidence-based nursing routines can improve skin health and safety in residential long-term care, but there was no significant impact on the skin barrier function.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2024)
Review
Nursing
Han Fu, Dongjiang Hou, Ran Xu, Qian You, Hang Li, Qing Yang, Hao Wang, Jing Gao, Dingxi Bai
Summary: This study systematically reviewed published studies on risk prediction models for DVT in patients with acute stroke and found a high risk of bias. Future studies should focus on developing new models with larger samples, rigorous study designs, and multicenter external validation.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2024)
Article
Nursing
Laura Peutere, Jaana Pentti, Annina Ropponen, Mika Kivimaki, Mikko Harmae, Oxana Krutova, Jenni Ervasti, Aki Koskinen, Marianna Virtanen
Summary: Nurse understaffing and limited nursing work experience are associated with patient mortality during hospital stays, especially among patients with comorbidities. The use of administrative data to monitor and improve nurses' working conditions is crucial for reducing in-hospital mortality.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2024)
Review
Nursing
Yuanyuan Zhang, Lining Wang, Wenbi Wu, Shi Zhang, Min Zhang, Wenjing She, Qianqian Cheng, Nana Chen, Pengxia Fan, Yuxin Du, Haiyan Song, Xianyu Hu, Jiajie Zhang, Caiyan Ding
Summary: This meta-analysis identifies comorbid factors and behavioral factors that are significantly associated with inadequate bowel preparation in older adults undergoing colonoscopy.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2024)
Article
Nursing
Long Huang, Bing-yue Zhao, Xiao-ting Li, Shui-xiu Huang, Ting-ting Chen, Xiao Cheng, Si-jia Li, Hao Li, Rong -fang Hu
Summary: This study investigated the impact of a family-focused online parenting support intervention on parents' well-being and preterm infants' outcomes. The intervention showed significant improvements in parents' sense of competence, caregiving ability, depression, and social support. However, there were no significant differences in preterm infants' weight and length, or in family functioning.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2024)
