scholarly journals Evaluating the specialist palliative care clinical nurse specialist role in an acute hospital setting: a mixed methods sequential explanatory study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Michael Connolly ◽  
Mary Ryder ◽  
Kate Frazer ◽  
Eileen Furlong ◽  
Teresa Plazo Escribano ◽  
...  
Keyword(s):  
Palliative Care ◽  
Phase 1 ◽  
Hospital Setting ◽  
Acute Hospital ◽  
Nurse Specialist ◽  
Phase 2 ◽  
Specialist Palliative Care ◽  
Clinical Nurse ◽  
Acute Hospital Setting

Abstract Background Special palliative care is provided in a range of settings including a patient’s home (their primary place of dwelling), a hospice in-patient unit, or an acute hospital. The aim of the study was to evaluate the role of the specialist in palliative care clinical nurse specialist (SPC CNS) role in an acute hospital setting. Methods This study was conducted using a mixed methods sequential explanatory approach in two phases; phase 1 involved completion of a study questionnaire (n = 121) and phase 2 involved part-taking in a focus group (n = 6) or individual interview (n = 4). Results Phase 1 results indicated that respondents held positive attitudes towards the Specialist Palliative Care Clinical Nurses Specialist (SPC CNS) in relation to clinical care, education and patient advocacy. Phase 2 qualitative findings identified the importance of the role in terms of symptom management, education and support. Conclusions This study provides an evaluation of a SPC CNS role since it was established in an acute hospital setting. The evidence indicates that there is a varied understanding of the role of the SPC CNS. The role was seen as an important one particularly in terms of referrals to and support provided by the SPC CNS, as well as recognition of the importance of the role is providing ongoing education to staff.

scholarly journals Evaluating the Specialist Palliative Care Clinical Nurse Specialist Role in an Acute Hospital Setting: A Mixed Methods Sequential Explanatory Study.

2021 ◽  
Author(s):  
Michael Connolly ◽  
Mary Ryder ◽  
Kate Frazer ◽  
Eileen Furlong ◽  
Teresa Plano Escribano ◽  
...  
Keyword(s):  
Palliative Care ◽  
Phase 1 ◽  
Hospital Setting ◽  
Acute Hospital ◽  
Nurse Specialist ◽  
Phase 2 ◽  
Specialist Palliative Care ◽  
Clinical Nurse ◽  
Acute Hospital Setting

Abstract Background Special palliative care is provided in a range of settings including a patient’s home (their primary place of dwelling), a hospice in-patient unit, or an acute hospital. The aim of the study was to evaluate the role of the specialist in palliative care clinical nurse specialist (SPC CNS) role in an acute hospital setting. Methods This study was conducted using a mixed methods sequential explanatory approach in two phases; phase 1 involved completion of a study questionnaire and phase 2 involved part-taking in a focus group interview. Results Phase 1 results indicated that respondents held positive attitudes towards the Specialist Palliative Care Clinical Nurses Specialist (SPC CNS) in relation to clinical care, education and patient advocacy. Phase 2 qualitative findings identified the importance of the role in terms of symptom management, education and support Conclusions This study provides an evaluation of a SPC CNS role since it was established in an acute hospital setting. The evidence indicates that there is a varied understanding of the role of the SPC CNS. The role was seen as an important one particularly in terms of referrals to and support provided by the SPC CNS, as well as recognition of the importance of the role is providing ongoing education to staff.

Hospital liaison palliative care

2010 ◽  
Author(s):  
Max Watson ◽  
Caroline Lucas ◽  
Andrew Hoy ◽  
Jo Wells
Keyword(s):  
Palliative Care ◽  
Care Pathway ◽  
Hospital Setting ◽  
Acute Hospital ◽  
Specialist Palliative Care ◽  
Care Services ◽  
Hospital Specialist ◽  
Palliative Care Services ◽  
Acute Hospital Setting ◽  
Dying Patient

This chapter covers the need for hospital liaison palliative care services, challenges in an acute hospital setting, aims and evaluation of the hospital specialist palliative care team, things to think about when considering a referral, urgent discharge of a dying patient who wants to die at home, dying in the intensive care unit (ICU), and using the Liverpool Care Pathway (LCP) in the hospital setting.

scholarly journals Strategies to Inform Innovations in Continence Care for People Living with Dementia in the Acute Hospital Setting: A Mixed Methods Narrative Synthesis Review

2020 ◽  
Author(s):  
Deborah Edwards ◽  
Jane Harden ◽  
Aled Jones ◽  
Katie Featherstone
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
English Language ◽  
Phase 1 ◽  
Significant Risk ◽  
Hospital Setting ◽  
Acute Hospital ◽  
Phase 2 ◽  
Care Plans ◽  
Acute Hospital Setting

Abstract Background: People living with dementia are at significant risk of developing urinary and/or faecal incontinence but are also at risk of functional incontinence or being labelled as being incontinent. Despite the growing population of PLWD and importance of continence care little is known about the appropriate management, organisation, and interactional, strategies for PLWD admitted to acute hospitals. This mixed methods narrative systematic review sought to identify successful strategies across all care settings that could then be used to inform innovations in continence care for PLWD in the acute hospital setting.Methods: In phase 1 a scoping search of two electronic databases (MEDLINE and PSYCinfo) and a consultation with stakeholders was undertaken. Findings from were presented to the project steering and two priority areas for phase 2 were identified which were communication and individualised care plans. In phase 2 eight databases and relevant UK government and other organisational websites were searched for English language citations from inception to August 2020. Critical appraisal was conducted using the Mixed Methods Appraisal Tool (MMA Version 11). Thematic synthesis was employed and the strength of synthesised findings for the intervention studies was assessed using the GRADE approach and the and confidence in synthesised qualitative and survey findings was assessed using the CERQual tool. Results: In phase 1, 1348 citations were found and 75 included. In phase 2, 6247 citations were found 14 research studies and 14 policy and guidance documents were included. The quality of studies varied. Material was synthesized in order to identify the facilitators and barriers around developing communication strategies and individualised management plans in response to the continence needs of PLWD.Conclusions: Recognising that PLWD are not always able to communicate their continence needs verbally is important. Incorporating interpersonal and communication skills into the context of continence care within training for those working with this patient group is crucial for continence to be maintained during an acute admission. Continence care in the acute setting should be tailored to the individual and be developed in partnership with staff and caregivers.Systematic review registration: PROSPERO: CRD42018119495

scholarly journals Transitions to palliative care in the acute hospital setting: reflections on a census at Royal Lancaster Infirmary

2011 ◽  
Vol 6 (4) ◽  
pp. 106-109
Author(s):  
Clare Gardiner ◽  
Merryn Gott ◽  
Christine Ingleton ◽  
Mike Bennet
Keyword(s):  
Palliative Care ◽  
Hospital Setting ◽  
Acute Hospital ◽  
Acute Hospital Setting

     

Sign in / Sign up

Export Citation Format

Share Document