Article
Multidisciplinary Sciences
Hung-Yu Lin, Chun- Chen, Chu-Yun Lu, Shu-Chuan Lin, Chiung-Yu Huang
Summary: The study assessed the palliative care knowledge, competence, and attitude of nurses in Taiwan, revealing a high correlation between positive attitudes and competence, while negative attitudes showed no significant correlation with competence. The findings suggest the need for continuing education to reduce nurses' negative attitudes and improve the provision of palliative and end-of-life care for patients and families.
Article
Nursing
Fares Alshammari, Jenny Sim, Samuel Lapkin, Gemma Mcerlean
Summary: This study aimed to explore registered nurses' attitudes towards end-of-life care and the barriers and facilitators they encounter. A cross-sectional survey and individual interviews were conducted among 431 registered nurses in Saudi Arabia. Results showed positive attitudes towards caring for dying patients, but negative attitudes towards discussing death with patients and managing emotions. Barriers included lack of communication skills and cultural resistance, while facilitators included support from colleagues and patients' families.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Green & Sustainable Science & Technology
Hartiah Haroen, Ristina Mirwanti, Citra Windani Mambang Sari
Summary: Abstract: This study aimed to assess the knowledge and attitude of nursing students towards palliative care after completing a multi-methods course. A quasi-experimental study was conducted with 165 nursing students in Indonesia. The results showed that after the course, students' knowledge and attitude towards palliative care significantly improved, particularly in pain and symptom management. This suggests that multi-methods teaching is effective in enhancing nursing students' knowledge and positive attitudes towards palliative care.
Article
Pediatrics
Lauren Imai, Megan M. Gray, Brennan J. H. Kim, Allison N. J. Lyle, Amber Bock, Elliott Mark Weiss
Summary: Care for neonates at the end of life is challenging and requires experienced and compassionate clinicians. Existing literature mostly focuses on adult and pediatric end of life care, with limited studies on neonatal care.
FRONTIERS IN PEDIATRICS
(2023)
Article
Health Care Sciences & Services
Erin R. Currie, Joanne Wolfe, Renee Boss, Emily E. Johnston, Christian Paine, Samuel J. Perna, Susan Buckingham, Kathleen M. McKillip, Peng Li, James N. Dionne-Odom, Deborah Ejem, Alexis Morvant, Catherine Nichols, Marie A. Bakitas
Summary: This study aimed to describe PPC patterns and treatment intensity during the last 48 hours of life among NICU patients who received specialized PPC in the Southern U.S. It was found that PPC consultation generally occurred late in NICU hospitalizations, and there were disparities in the intensity of treatment interventions at the end of life. Further research is needed to explore if these care patterns reflect parent preferences and goal concordance.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Article
Pediatrics
Yajing Zhong, Beth Perry Black, Victoria J. Kain, Yang Song
Summary: This study investigated the attitudes of neonatal nurses in mainland China towards palliative care for neonates, and identified facilitators and barriers. The study found that younger and older nurses had more positive attitudes towards palliative care, while middle-aged nurses had less positive attitudes. Nurses considered pain management to be as important as curative treatment, and involved parents in decision-making.
FRONTIERS IN PEDIATRICS
(2022)
Article
Oncology
Mellar P. Davis, Erin A. Vanenkevort, Alexander Elder, Amanda Young, Irina D. Correa Ordonez, Mark J. Wojtowicz, Halle Ellison, Carlos Fernandez, Zankhana Mehta, Bertrand Behm, Glen Digwood, Rajiv Panikkar
Summary: Early palliative care improves patient quality of life and reduces aggressive care at the end of life. Completed advance directives and palliative care consultation initiated at least 90 days prior to death are associated with reduced aggressive care indicators.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Ethics
Ilias Chatziioannidis, Abraham Pouliakis, Marina Cuttini, Theodora Boutsikou, Evangelia Giougi, Voula Volaki, Rozeta Sokou, Theodoros Xanthos, Zoi Iliodromiti, Nicoletta Iacovidou
Summary: This study investigated the attitudes and involvement of neonatal nurses in end-of-life decisions in Greece and explored the relation to their socio-demographic and work-related background data.
Article
Health Care Sciences & Services
Amber R. Comer, Linda S. Williams, Stephanie Bartlett, Lynn D'Cruz, Katlyn Endris, McKenzie Marchand, Isabel Zepeda, Sumeet Toor, Carly Waite, Areeba Jawed, Robert Holloway, Claire J. Creutzfeldt, James E. Slaven, Alexia M. Torke
Summary: This study investigated the utilization of palliative care consultations (PCC) and associated outcomes for patients hospitalized with severe ischemic stroke. The findings reveal that the majority of patients, including those who died in the hospital, did not receive PCC. This highlights missed opportunities to alleviate suffering after severe stroke.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Review
Anesthesiology
M. Tanaka Gutiez, N. Efstathiou, R. Innes, V. Metaxa
Summary: The transition from active, invasive interventions to comfort care for critical care patients often leads to misunderstandings, conflicts, and moral distress. This article aims to address common questions and provide practical guidance, using the best available evidence, to critical care clinicians in the UK. It clarifies the distinctions between withdrawing or withholding treatment and euthanasia, offers suggestions for sedation and analgesia use, and advocates for including family in decision-making when the patient lacks capacity. It also proposes a step-escalation approach for resolving family conflicts and emphasizes the importance of communication skills training in medical and nursing education.
Article
Oncology
Johan A. F. Koekkoek, Pim B. van der Meer, Andrea Pace, Caroline Hertler, Rebecca Harrison, Heather E. Leeper, Deborah A. Forst, Rakesh Jalali, Kathy Oliver, Jennifer Philip, Martin J. B. Taphoorn, Linda Dirven, Tobias Walbert
Summary: This systematic review provides updated insights on palliative care for adults with malignant brain tumors based on the 2017 EANO guidelines. It highlights the importance of early interventions in defining care goals and reducing symptom burden.
Editorial Material
Geriatrics & Gerontology
Nisar Ahmed, Sam H. Ahmedzai, Rowan H. Harwood
Summary: Healthcare for older people aims to maintain independence, minimise suffering, and preserve dignity, even when predicting death is impossible. Thorough medical diagnosis and appropriate treatment can improve health outcomes and quality of life for older individuals.
Article
Oncology
Estela Garcia-Martin, Vicente Escudero-Vilaplana, Barbara Fox, Roberto Collado-Borrell, Belen Marzal-Alfaro, Maria Sanchez-Isac, Maria Luisa Solano-Garzon, Ricardo Gonzalez del Val, Jose Manuel Cano-Gonzalez, Nuria Perez de Lucas, Ana Isabel Bravo-Guillen, Javier Valero-Salinas, Eva Gonzalez-Haba, Maria Sanjurjo, Miguel Martin
Summary: The study found that end-of-life cancer care in the clinical practice of the hospital tended to be aggressive, with a significant proportion of patients receiving anti-cancer treatments close to death. However, the quality of care did not meet the high standards set by the Earle criteria. While more than half of the patients received hospice services before death, in some cases, this care started only shortly before the patients passed away.
SUPPORTIVE CARE IN CANCER
(2021)
Review
Nursing
Fares Alshammari, Jenny Sim, Samuel Lapkin, Moira Stephens
Summary: This study aimed to investigate the knowledge, attitudes, and beliefs of registered nurses in non-specialist palliative care settings towards end-of-life care. The study found that registered nurses demonstrated good knowledge of pain symptoms and management, and positive attitudes towards caring for dying patients and their families. However, there were knowledge deficits in psychosocial and spiritual aspects of end-of-life care, and registered nurses reported negative attitudes towards communication about death.
NURSE EDUCATION IN PRACTICE
(2022)
Article
Gastroenterology & Hepatology
Roberta Jordan, Yousuf ElMokhallalati, Lynsey Corless, Michael Bennett
Summary: Patients with liver disease face difficulties in accessing end-of-life care, with a higher percentage of them dying in hospitals and receiving less specialized palliative care compared to those with malignant liver disease. Caregivers of patients with non-malignant liver disease were less likely to rate the quality of end-of-life care as outstanding/excellent.
LIVER INTERNATIONAL
(2023)
Article
Nursing
Amanda Fox, Carla Thamm, Fiona Crawford-Williams, Ria Joseph, Lynda Cardiff, Debra Thoms, Lisa Nissen, Patsy Yates, Raymond Javan Chan
Summary: This study explores nurses' preferences for educational preparation and support in expanding nursing practice to include prescribing. The survey results indicate that most nurses prefer education delivered through a blended approach by health services and universities, along with support from authorized prescribers and multidisciplinary collaboration. Course accreditation and formal qualification are identified as the major factors influencing nurses' desire to undertake a specific program.
Review
Nursing
Shirley Chambers, Amy Spooner, Christina Parker, Leanne Jack, Linda Schnitker, Elizabeth Beattie, Patsy Yates, Margaret MacAndrew
Summary: This study aimed to identify the clinical indicators of acute deterioration in residents and the factors that influence residential aged care facility staff's ability to identify them. The findings suggest that subtle changes in residents' health status should be recognized and considered in the design of early warning tools for aged care facilities. It is recommended to develop early warning tools sensitive to the unique needs of residents and provide support for aged care facility staff to improve their ability to identify and manage acute deterioration early and avoid hospitalization.
JOURNAL OF NURSING SCHOLARSHIP
(2023)
Article
Health Care Sciences & Services
Joosun Shin, Kord M. Kober, Melisa L. Wong, Patsy Yates, Bruce A. Cooper, Steven M. Paul, Marilyn Hammer, Yvette Conley, Jon D. Levine, Christine Miaskowski
Summary: This study aimed to identify different profiles of shortness of breath in patients receiving chemotherapy, and evaluate their relationship with demographic and clinical characteristics, as well as quality of life outcomes. Four distinct profiles of shortness of breath were identified through surveys completed by 1338 outpatients, with high occurrence rates associated with smoking history, lung disease, lung cancer, and receipt of more cancer treatments. Compared to other profiles, the high occurrence group experienced more severe shortness of breath and poorer physical, psychological, and social functioning.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Article
Nursing
Andy Emmanuel, Victoria J. J. Kain, Elizabeth Forster
Summary: This study aims to determine the impact of an educational intervention on neonatal care and survival rates in Nigeria. The results show that regular training of maternity health workers in evidence-based newborn care can significantly improve newborn survival.
JOURNAL OF PERINATAL & NEONATAL NURSING
(2023)
Article
Pharmacology & Pharmacy
Jennifer A. Ong, Joanna Rego, Tina Ung, Shweta Kumar, Kylie Ash, Bandana Saini, Patsy Yates
Summary: This study aimed to examine the self-perceived knowledge, confidence, and preparedness of undergraduate pharmacy students to provide palliative care. The findings revealed that students were confident in managing symptoms and medication-related issues, but less confident in addressing distress or discussing sensitive matters with patients and their families. Therefore, there is a need for greater exposure and practical experience in palliative care settings.
INTERNATIONAL JOURNAL OF PHARMACY PRACTICE
(2023)
Article
Oncology
Julia D. Downing, Angela Adjetey Appiah, Kylie Ash, Stavroula Chante, Elizabeth Eves, Finn Tysoe, Cathy Glennon, Mei Krishnasamy, Ariesta Milanti, Jane Philips, Joanne Power, Winnie K. W. So, Patsy Yates
Article
Oncology
Stella Bialous, Meinir Krishnasamy, Jane Marsh, Julia D. Downing, Winnie K. W. So, Patsy Yates
Article
Oncology
Porawan Wiwaranukool, Patsy Yates, Raymond J. Chan
Summary: This study evaluated an educational intervention based on the Theory of Planned Behavior to increase oncology nurses' exercise advice behaviors. The intervention resulted in significant improvements in all outcomes, including Theory of Planned Behavior constructs, exercise knowledge, and self-reported exercise prescription behaviors. Attitudes and perceived behavioral control were found to be important factors influencing exercise advice intention and behavior.
SEMINARS IN ONCOLOGY NURSING
(2023)
Article
Health Care Sciences & Services
Elise Button, Sara Baniahmadi, Shirley Chambers, Patsy Yates
Summary: This study explored the current and planned processes and outcome measures for implementing end-of-life care actions in Australian healthcare facilities. The study identified barriers and enablers, and highlighted the need for greater resources, support, and system-level approaches to improve the quality of end-of-life care. The study also revealed gaps and uncertainties in addressing certain actions, emphasizing the importance of targeted interventions in these areas.
AUSTRALIAN HEALTH REVIEW
(2023)
Article
Public, Environmental & Occupational Health
Wei-Hong Liu, Jennifer Fox, Patsy Yates
Summary: The work experiences of prostate cancer survivors in Australia are significantly impacted by treatment, with self-employed and long-term survivors facing greater challenges. Support from family, workplace, and community, as well as self-care, are crucial for enhancing work participation experiences.
Article
Nursing
Lindy Willmott, Rachel Feeney, Katrine Del Villar, Patsy Yates, Ben White
Summary: This article explores the implications of voluntary assisted dying (VAD) legislation for nurses, emphasizing the importance of nurses being familiar with relevant laws to ensure practice consistent with their legal roles, obligations, and protections.
Article
Health Care Sciences & Services
Claudia Virdun, Elise Button, Jane L. Phillips, Patsy Yates, Tim Luckett
Summary: This study provides practical guidance for the selection and implementation of patient reported experience measures (PREMs) to improve care for inpatients with palliative care needs.
PALLIATIVE MEDICINE
(2023)
Article
Health Care Sciences & Services
Rachel Feeney, Lindy Willmott, Penny Neller, Shih-Ning Then, Patsy Yates, Ben White
Summary: The study showed that completion of online training modules on end-of-life law increased Australian health professionals' legal knowledge and self-reported confidence in applying the law in clinical practice. However, participants still had some knowledge gaps after training, indicating that the training should be part of ongoing education on end-of-life law. Future research should examine the long-term outcomes and impacts of the training.
BMC PALLIATIVE CARE
(2023)
Article
Oncology
Joosun Shin, Kord Kober, Patsy Yates, Melisa L. Wong, Bruce A. Cooper, Steven M. Paul, Marilyn Hammer, Yvette Conley, Jon D. Levine, Fay Wright, Christine Miaskowski
Summary: This study examined differences in levels of global, cancer-specific, and cumulative life stress, as well as resilience, among four classes of patients with distinct shortness of breath profiles. It also evaluated differences in the occurrence rates for various stressful life events and the severity of common co-occurring symptoms. The findings showed that the different classes of patients had varying levels of stress, rates of adverse childhood experiences, and scores for depression, anxiety, fatigue, energy, and cognitive function. The study highlights the importance of multimodal interventions in managing shortness of breath in oncology patients.
SEMINARS IN ONCOLOGY NURSING
(2023)
Article
Medicine, General & Internal
Thea van de Mortel, Creina Mitchell, Mary-Ann Shuker, Judith Needham, Victoria Kain, Georgina Sanger, Beth Pierce
Summary: A global shortage of registered nurses underscores the need to retain nursing students and produce competent nurses. However, there is a lack of literature supporting the ongoing evaluation and improvement of nursing curricula. The translation of curriculum plans into actual delivery often relies on academics who may not be adequately prepared for teaching in higher education settings. Additionally, curriculum drift poses a challenge, as incremental changes to courses can undermine the integrity of accredited curricula. To address these issues, the authors propose an evidence-based ProQual Framework that focuses on holistic, collaborative, and systematic approaches to monitoring and enhancing curriculum quality and program delivery.
FRONTIERS IN MEDICINE
(2023)
