scholarly journals A qualitative study on oncology nurses’ experiences of providing palliative care in the acute care setting

2016 ◽  
Vol 26 (1) ◽  
pp. 17-25 ◽  
Author(s):  
Pei Fen Chuah ◽  
Mei Ling Lim ◽  
Seow Ling Choo ◽  
Guan Yi Woo ◽  
Hiu Kwan To ◽  
...  
Keyword(s):  
Palliative Care ◽  
Acute Care ◽  
Care Setting ◽  
Organizational Factors ◽  
Oncology Nurses ◽  
Acute Care Setting ◽  
Oncology Care ◽  
Group Interviews ◽  
Barriers And Challenges ◽  
Nurses Perceptions

Background: With the renewed emphasis on palliative care in Singapore, coupled with a dearth of studies on provision of palliative care in acute services, it is timely to explore the experiences, barriers and challenges faced by oncology nurses in the acute care setting. Aim: This study aimed to explore nurses’ experiences of providing palliative care in the acute oncology care unit. Method: An exploratory descriptive research methodology was adopted. Focus group interviews, involving a total of 24 nurses, were conducted. Interviews were audio-taped and transcribed verbatim. Data was analyzed using an inductive content analysis approach. Results: Five key themes emerged from the analysis: (1) nurses’ perceptions of palliative care; (2) multiple roles of nurses in palliative care; (3) emotional burden of providing palliative care; (4) misconceptions of palliative care; (5) challenges in providing palliative care. Conclusion: The provision of palliative care in the acute care setting remained challenging. This is partly due to the attitudes of patients, families and healthcare workers, as well as organizational factors such as lack of training. Nurses play an important role in giving and facilitating palliative care for patients in the hospitals. Future studies can explore interventions to help overcome the challenges that are impeding nurses from providing high-quality palliative care in the acute care setting.

scholarly journals Barriers to effective use of palliative care services in the acute care setting with emphasis on terminal noncancer diseases

2019 ◽  
Vol 25 (2) ◽  
pp. 203
Author(s):  
Randol Kennedy ◽  
Nabilah Abdullah ◽  
Rhajarshi Bhadra ◽  
NanaOsei Bonsu ◽  
Mojtaba Fayezizadeh ◽  
...  
Keyword(s):  
Palliative Care ◽  
Acute Care ◽  
Care Setting ◽  
Acute Care Setting ◽  
Care Services ◽  
Palliative Care Services ◽  
Effective Use

Building a Transdisciplinary Approach to Palliative Care in an Acute Care Setting

2013 ◽  
Vol 67 (1-2) ◽  
pp. 43-51 ◽  
Author(s):  
Donnelle Daly ◽  
Stephen Chavez Matzel
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Acute Care ◽  
Care Setting ◽  
Care Service ◽  
Palliative Care Service ◽  
Assessment Tools ◽  
Community Resources ◽  
Acute Care Setting ◽  
Transdisciplinary Approach

A transdisciplinary team is an essential component of palliative and end-of-life care. This article will demonstrate how to develop a transdisciplinary approach to palliative care, incorporating nursing, social work, spiritual care, and pharmacy in an acute care setting. Objectives included: identifying transdisciplinary roles contributing to care in the acute care setting; defining the palliative care model and mission; identifying patient/ family and institutional needs; and developing palliative care tools. Methods included a needs assessment and the development of assessment tools, an education program, community resources, and a patient satisfaction survey. After 1 year of implementation, the transdisciplinary palliative care team consisted of seven palliative care physicians, two social workers, two chaplains, a pharmacist, and End-of-Life Nursing Consortium (ELNEC) trained nurses. Palomar Health now has a palliative care service with a consistent process for transdisciplinary communication and intervention for adult critical care patients with advanced, chronic illness.

scholarly journals Determining Palliative Care Penetration Rates in the Acute Care Setting

2018 ◽  
Vol 55 (2) ◽  
pp. 226-235 ◽  
Author(s):  
Heidi Gruhler ◽  
April Krutka ◽  
Hannah Luetke-Stahlman ◽  
Emmie Gardner
Keyword(s):  
Palliative Care ◽  
Acute Care ◽  
Care Setting ◽  
Acute Care Setting

Palliative and Hospice Care: Educational Needs of Inpatient Registered Nurses

2016 ◽  
Vol 22 (2) ◽  
pp. 114-120 ◽  
Author(s):  
Jennifer L. Ashley ◽  
Tracy K. Fasolino
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Acute Care ◽  
Formal Education ◽  
Care Setting ◽  
Hospice Care ◽  
Acute Care Setting ◽  
Life Threatening ◽  
Hospice And Palliative Care

Hospice and palliative care aim to improve the quality of life for patients and families impacted by chronic, serious, and life-threatening illnesses. Patients and families benefit from earlier integration of palliative care and seamless transitions to hospice care. Nurses are an integral part of the care team, and their understanding of these services is critical. However, many nurses do not receive formal education in hospice and palliative care. This leads to lack of skills that nurses need to provide and discuss hospice and palliative care across care settings. Nurses in an acute care setting of a large health system were invited to participate in a survey, Attitudes Towards Care at the End-of-Life. The results of this survey revealed that nurses believe that patients and families need to be communicated with honestly regarding their disease, but nurses lack the knowledge of how to facilitate these discussions. Another key finding is that nurses feel less confident with non-pharmacologic interventions to relieve patients’ suffering. Education is urgently needed in these areas.

Palliative Care in the Acute Care Setting

2017 ◽  
Vol 117 (9) ◽  
pp. 64-67 ◽  
Author(s):  
Jennifer L. Goldsborough ◽  
Marianne Matzo
Keyword(s):  
Palliative Care ◽  
Acute Care ◽  
Care Setting ◽  
Acute Care Setting
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