4.5 Article

Feeling Heard and Understood in the Hospital Environment: Benchmarking Communication Quality Among Patients With Advanced Cancer Before and After Palliative Care Consultation

期刊

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
卷 56, 期 2, 页码 239-244

出版社

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jpainsymman.2018.04.013

关键词

Palliative care; quality measure; heard and understood; communication

资金

  1. American Cancer Society [RSG CSM124655]

向作者/读者索取更多资源

Context. Maximizing value in palliative care requires continued development and standardization of communication quality indicators. Objectives. To describe the basic epidemiology of a newly adopted patient-centered communication quality indicator for hospitalized palliative care patients with advanced cancer. Methods. Cross-sectional analysis of 207 advanced cancer patients who received palliative care consultation at two medical centers in the U.S. Participants completed the Heard & Understood quality indicator immediately before and the day after the initial palliative care consultation: Over the past two days [24 hours'' for the post-consultation version], how much have you felt heard and understood by the doctors, nurses, and hospital staff? dcompletely/quite a bit/moderately/slightly/not at all. We categorized completely as indicating ideal quality. Results. Approximately one-third indicated ideal Heard & Understood quality before palliative care consultation. Age, financial security, emotional distress, preferences for comfort-longevity tradeoffs at the end of life, and prognosis expectations were associated with preconsultation quality. Among those with less-than-ideal quality at baseline, 56% rated feeling more Heard & Understood the day after palliative care consultation. The greatest prepost improvement was among people who had unformed end-of-life treatment preferences or who reported having no idea about their prognosis at baseline. Conclusion. Most patients felt incompletely heard and understood at the time of referral to palliative care consultation, and more than half of the patients improved after consultation. Feeling heard and understood is an important quality indicator sensitive to interventions to improve care and key variations in the patient experience. (C) 2018 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Urology & Nephrology

Matters of Life and Death: Why Do Older Patients Choose Conservative Management?

Fahad Saeed, Hugh Adams, Ronald M. Epstein

AMERICAN JOURNAL OF NEPHROLOGY (2020)

Review Health Care Sciences & Services

Conceptualizing and Counting Discretionary Utilization in the Final 100 Days of Life: A Scoping Review

Paul R. Duberstein, Michael Chen, Michael Hoerger, Ronald M. Epstein, Laura M. Perry, Sule Yilmaz, Fahad Saeed, Supriya G. Mohile, Sally A. Norton

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2020)

Article Urology & Nephrology

Dialysis Regret: Prevalence and Correlates

Fahad Saeed, Susan A. Ladwig, Ronald M. Epstein, Rebeca D. Monk, Paul R. Duberstein

CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY (2020)

Article Urology & Nephrology

Family Members? Understanding of the End-of-Life Wishes of People Undergoing Maintenance Dialysis

Fahad Saeed, Catherine R. Butler, Carlyn Clark, Kristen O'Loughlin, Ruth A. Engelberg, Paul L. Hebert, Danielle C. Lavallee, Elizabeth K. Vig, Manjula Kurella Tamura, J. Randall Curtis, Ann M. O'Hare

Summary: The study found that the majority of family members of patients undergoing maintenance dialysis had discussed end-of-life care preferences with the patients, but fewer had discussed stopping dialysis or hospice care. Family members had a fair understanding of patients' preferences regarding cardiopulmonary resuscitation, but lacked detailed understanding of their perspectives on other aspects of end-of-life care.

CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY (2021)

Article Health Care Sciences & Services

Completion of Patient-Reported Outcome Questionnaires Among Older Adults with Advanced Cancer

Marie A. Flannery, Supriya Mohile, Eva Culakova, Sally Norton, Charles Kamen, J. Nicholas Dionne-Odom, Grace DiGiovanni, Lorraine Griggs, Thomas Bradley, Judith O. Hopkins, Jane Jijun Liu, Kah Poh Loh

Summary: This study found that over a quarter of older adults with advanced cancer received assistance in completing patient-reported outcomes. The majority of those who received assistance were identified at the beginning of the study, and the prevalence of assistance decreased over time.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2022)

Article Oncology

The shared uncertainty experience of older adults with advanced cancer and their caregivers

Yingzi Zhang, Supriya Mohile, Eva Culakova, Sally Norton, Kah Poh Loh, Sindhuja Kadambi, Lee Kehoe, Valerie Aarne Grossman, Victor G. Vogel, Brian L. Burnette, Thomas P. Bradley, Marie Flannery

Summary: This study examines the uncertainty trajectory and its interdependent relationship between older adults with advanced cancer and their caregivers. The findings suggest that patient and caregiver uncertainty levels affect each other, highlighting the importance of addressing uncertainty in interventions for older patients with advanced cancer and caregivers.

PSYCHO-ONCOLOGY (2022)

Editorial Material Urology & Nephrology

Enabling Patient Choice: The ?Deciding Not to Decide? Option for Older Adults Facing Dialysis Decisions

Fahad Saeed, Alvin H. Moss, Paul R. Duberstein, Kevin A. Fiscella

JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY (2022)

Article Oncology

Protocol paper: Multi-site, cluster-randomized clinical trial for optimizing functional outcomes of older cancer survivors after chemotherapy

S. Yilmaz, M. C. Janelsins, M. Flannery, E. Culakova, M. Wells, P. -j. Lin, K. P. Loh, R. Epstein, C. Kamen, A. S. Kleckner, S. A. Norton, S. Plumb, S. Alberti, K. Doyle, M. Porto, M. Weber, N. Dukelow, A. Magnuson, L. A. Kehoe, G. Nightingale, M. Jensen-Battaglia, K. M. Mustian, S. G. Mohile

Summary: The study aims to evaluate the effectiveness of the GEMS intervention in improving functional outcomes for older cancer survivors.

JOURNAL OF GERIATRIC ONCOLOGY (2022)

Article Health Care Sciences & Services

Racial Disparities in Health Beliefs and Advance Care Planning Among Patients Receiving Maintenance Dialysis

Fahad Saeed, Susan Ladwig, Rebecca Jane Allen, Nwamaka D. Eneanya, Manjula Kurella Tamura, Kevin A. Fiscella

Summary: This study investigated racial disparities in prognostic discussions, beliefs about future health, and completion of advance care planning (ACP)-related documents among Black and White patients receiving maintenance dialysis. The results showed that there were differences in health expectations and completion of ACP-related documents between Black and White patients. Therefore, systemic efforts are needed to investigate differences in health beliefs and address racial disparities in the completion of ACP-related documents.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2023)

Article Public, Environmental & Occupational Health

The TRIBE model: How socioemotional processes fuel end-of-life treatment in the United States

Paul R. Duberstein, Michael Hoerger, Sally A. Norton, Supriya Mohile, Britt Dahlberg, Erica Goldblatt Hyatt, Ronald M. Epstein, Marsha N. Wittink

Summary: Prior interventions have failed to reduce harmful treatments and procedures at the end-of-life. A new model called the Trans-theoretical Model of Irrational Biomedical Exuberance (TRIBE) integrates Terror Management Theory and Socioemotional Selectivity Theory to explain the influence of social and emotional factors on healthcare utilization. TRIBE highlights the need for psychological innovation in interventions, health policy, and research on healthcare utilization.

SOCIAL SCIENCE & MEDICINE (2023)

Article Oncology

Patient-centered communication tool for older patients with acute myeloid leukemia, their caregivers, and oncologists: A single-arm pilot study

Marissa LoCastro, Chandrika Sanapala, Ying Wang, Marielle Jensen-Battaglia, Marsha Wittink, Sally Norton, Heidi D. Klepin, Daniel R. Richardson, Jason H. Mendler, Jane Liesveld, Eric Huselton, Kristen O'Dwyer, Ashley-Marie Cortes, Chrystina Rodriguez, William Dale, Kah Poh Loh

Summary: This study assessed the feasibility and usefulness of a patient-centered communication tool (UR-GOAL tool) for treatment decision making between older patients with AML, their caregivers, and oncologists. The results showed that the UR-GOAL tool helped patients understand their diagnosis and treatment options, improve communication with oncologists, and make more informed decisions.

CANCER MEDICINE (2023)

Letter Health Care Sciences & Services

Addressing Racial Injustice, Developing Cultural Humility, and Fostering Rapport-Building Communication Skills to Improve Disparities in End-of-Life Planning

Fahad Saeed, Amaka Eneanya, Rebecca J. Allen, Manjula K. Tamura, Kevin A. Fiscella

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2023)

Article Urology & Nephrology

Prevalence and Correlates of Preference-Concordant Care Among Hospitalized People Receiving Maintenance Dialysis

Basil S. S. Kazi, Paul R. R. Duberstein, Benzi M. M. Kluger, Ronald M. M. Epstein, Kevin A. A. Fiscella, Zain S. S. Kazi, Spencer K. K. Dahl, Rebecca J. J. Allen, Fahad Saeed

Summary: This study investigated the prevalence and correlates of preference-concordant care among hospitalized people receiving dialysis. The results showed that a substantial proportion of the sample reported not receiving preference-concordant care. Efforts to improve symptom management and enhance patient engagement in dialysis decision-making may improve patients' perceptions of receiving preference-concordant care.

KIDNEY360 (2023)

Article Urology & Nephrology

Frequency and Severity of Moral Distress in Nephrology Fellows: A National Survey

Fahad Saeed, Paul R. Duberstein, Ronald M. Epstein, Valerie J. Lang, Scott E. Liebman

Summary: The survey found that a significant majority of nephrology trainees experienced moderate to severe moral distress, mainly related to providing futile treatment to hopelessly ill patients.

AMERICAN JOURNAL OF NEPHROLOGY (2021)

Meeting Abstract Nursing

Family Member Contributions in Palliative Care Consultations among Patients with Advanced Cancer

Nathalie Dougoud, Sally Norton, Marie Flannery, Timothy Quill

NURSING RESEARCH (2019)

暂无数据