scholarly journals Management of nursing care in HIV/AIDS from a palliative and hospital perspective

2019 ◽  
Vol 72 (5) ◽  
pp. 1243-1250
Author(s):  
Karen Gisela Moraes Zepeda ◽  
Marcelle Miranda da Silva ◽  
Débora Cristina Leitão dos Santos ◽  
Rafael Barroso Gaspar ◽  
Liana Amorim Corrêa Trotte
Keyword(s):  
Palliative Care ◽  
Nursing Care ◽  
University Hospital ◽  
Exploratory Research ◽  
Professional Qualification ◽  
Hospital Perspective ◽  
Manage Care ◽  
Clinical Complications ◽  
New Research

ABSTRACT Objectives: To understand the meaning attributed by the nurse to the management of nursing care to the person hospitalized due to clinical complications caused by AIDS; to analyze actions related to palliative care; and to construct a theoretical matrix regarding the management of nursing care. Method: Qualitative, exploratory research, guided by the Grounded Theory. Seven nurses and ten nursing technicians were interviewed between May and September 2015, in a university hospital, located in Rio de Janeiro State, Brazil. Results: Five categories that covered the profile of the hospitalized person, palliative care, intervening conditions for care management, the need for professional qualification, and other aspects to better organize and manage care, including conflict management arose. Final considerations: The theoretical matrix values the quality of life, the need to understand the flow of care to avoid readmissions and not adherence to medications, requiring new research in the area, such as implementation.

scholarly journals Comfort needs as perceived by hospitalized elders: an analysis under the light of Kolcaba’s theory

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Sanni Moraes de Oliveira ◽  
Kátia Neyla de Freitas Macêdo Costa ◽  
Kamyla Félix Oliveira dos Santos ◽  
Jacira dos Santos Oliveira ◽  
Maria Auxiliadora Pereira ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Nursing Care ◽  
Daily Life ◽  
Symptom Relief ◽  
The Elderly ◽  
University Hospital ◽  
Daily Life Activities ◽  
Physical Context ◽  
Thematic Units

ABSTRACT Objective: To reveal the Comfort needs as perceived by hospitalized elders, using Kolcaba’s theory. Methods: Descriptive and qualitative study, with 11 elders hospitalized in a university hospital, aiming to identify their needs for Comfort. Results: Discourses were categorized in four thematic units: Physical, Environmental, Sociocultural, and Psychospiritual. In the Physical context, several subcategories were found, namely, Symptom Relief; Daily Life Activities; Hygiene and personal care; Diet; Sleep and rest. In the Environmental context, the Comfort was considered to be superior than in the elders’ home; in the Sociocultural one, family bonds were found to become more distant, triggering feelings of missing one’s family and isolation, in the Psychospiritual context, spirituality and religiosity stood out. Final considerations: The Comfort needs of the hospitalized elders enable one to reflect on nursing care, offering information to improve the quality of assistance and to attend to the real needs of the elderly.

scholarly journals Effect of End-of-Life Nursing Education on the Knowledge and Performance of Nurses in the Intensive Care Unit: A Quasi-Experimental Study

2021 ◽  
Author(s):  
Sima Sadat Ghaemizade Shushtari ◽  
Shahram Molavynejad ◽  
Mohammad Adineh ◽  
Mohsen Savaie ◽  
Asaad Sharhani
Keyword(s):  
Palliative Care ◽  
Nursing Education ◽  
End Of Life ◽  
Nursing Care ◽  
Self Assessment ◽  
Care Education ◽  
Quasi Experimental ◽  
And Performance ◽  
And Control

Abstract Background: End-of-life care education is required for nurses to acquire the clinical competence necessary for the improvement of the quality of end-of-life nursing care. The aim of this study was to determine the effect of nursing care education based on End-of-Life Nursing Education Consortium (ELNEC) on the knowledge and performance of nurses working in the intensive care unit (ICU).Materials and Methods: This quasi-experimental study was conducted with a pretest-posttest design. From among nurses working in the ICU of Golestan and Imam Khomeini hospitals in Ahvaz, Iran, 80 nurses were selected based on the inclusion criteria. They were randomly assigned to the intervention and control groups (40 people in each group) using a table of random numbers. Data were collected using a demographic characteristics form, the ELNEC Knowledge Assessment Test (ELNEC-KAT), ‎and the Program in Palliative Care Education and Practice Questionnaire (German Revised Version; PCEP-GR‎).Results: A significant difference was observed between the study groups in terms of the average knowledge score in all 9 modules including nursing care, pain management and control, disease symptom management, ethical/legal issues, culture, communication with the patient and his/her family, loss and grief, death, and quality of life (QOL) (P < 0.001). Moreover, the average performance score of nurses in the fields of preparation for providing palliative care, self-assessment of ability to communicate with dying patients and their relatives, self-assessment of knowledge and skills in palliative care increased significantly in the intervention group compared to the control group (P < 0.001).Conclusions: End-of-life nursing education is recommended as an effective method for promoting knowledge, attitude, performance, and clinical competence among all nurses involved in end-of-life care.

Does Time for (in)Direct Nursing Care Activities at the End of Life for Patients With or Without Specialized Palliative Care in a University Hospital Differ? A Retrospective Analysis

2020 ◽  
Vol 37 (10) ◽  
pp. 844-852
Author(s):  
Monica C. Fliedner ◽  
Monika Hagemann ◽  
Steffen Eychmüller ◽  
Cynthia King ◽  
Christa Lohrmann ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Nursing Care ◽  
Direct Care ◽  
University Hospital ◽  
Before And After ◽  
Indirect Care ◽  
Specialized Palliative Care ◽  
Eol Care ◽  
Insight Into

Background: Nurses’ end of life (EoL) care focuses on direct (eg, physical) and indirect (e,g, coordination) care. Little is known about how much time nurses actually devote to these activities and if activities change due to support by specialized palliative care (SPC) in hospitalized patients. Aims: (1) Comparing care time for EoL patients receiving SPC to usual palliative care (UPC);(2) Comparing time spent for direct/indirect care in the SPC group before and after SPC. Methods: Retrospective observational study; nursing care time for EoL patients based on tacs® data using nonparametric and parametric tests. The Swiss data method tacs measures (in)direct nursing care time for monitoring and cost analyses. Results: Analysis of tacs® data (UPC, n = 642; SPC, n = 104) during hospitalization before death in 2015. Overall, SPC patients had higher tacs® than UPC patients by 40 direct (95% confidence interval [CI]: 5.7-75, P = .023) and 14 indirect tacs® (95% CI: 6.0-23, P < .001). No difference for tacs® by day, as SPC patients were treated for a longer time (mean number of days 7.2 vs 16, P < .001).Subanalysis for SPC patients showed increased direct care time on the day of and after SPC ( P < .001), whereas indirect care time increased only on the day of SPC. Conclusions: This study gives insight into nurses’ time for (in)direct care activities with/without SPC before death. The higher (in)direct nursing care time in SPC patients compared to UPC may reflect higher complexity. Consensus-based measurements to monitor nurses’ care activities may be helpful for benchmarking or reimbursement analysis.

Quality of nursing care in palliative care

2021 ◽  
Vol 23 (2) ◽  
pp. 3-9
Author(s):  
C.B. Dias Fortes ◽  
I.V. Ostrovskaya
Keyword(s):  
Palliative Care ◽  
Nursing Care ◽  
Quality Of Nursing

scholarly journals The need for palliative care among patients with chronic diseases: a situational diagnosis in a university hospital

2019 ◽  
Vol 22 (5) ◽  
Author(s):  
Maria da Penha Gomes Gouvea
Keyword(s):  
Older Adults ◽  
Palliative Care ◽  
Quantitative Study ◽  
Document Analysis ◽  
University Hospital ◽  
Older Patient ◽  
Quality Of Death ◽  
Performance Scale ◽  
Diagnosis Age

Abstract Objective: To perform a situational diagnosis of a population hospitalized with chronic non-communicable diseases (NCD) who are potentially entitled to palliative care in a university hospital. Method: A quantitative study with document analysis was carried out. The analyzes were categorized by the following variables: baseline diagnosis, age, sex, readmission and PPS (Palliative Performance Scale) score. Results: Over two months of research among 631 hospitalized patients, 198 patients who were potentially entitled to palliative care were identified; 113 (57.1%) of whom were older adults. Cancer was the disease with the highest incidence among the surveyed, with 95 cases, and was more recurrent in the older patient group, with 52 cases (62.1%). Similarly, multiple hospitalizations were more prevalent in the older population, and patients diagnosed with strokes had the longest hospitalizations. Conclusion: The situational diagnosis carried out was relevant as it identified a group of patients, the majority of whom were older, who may be neglected in terms of their right to palliative care and an improved quality of death.

scholarly journals SIGNIFICADO DO PROTOCOLO DE ÚLCERA POR PRESSÃO: QUALIFICANDO A GERÊNCIA DO CUIDADO DO ENFERMEIRO

2017 ◽  
Vol 8 (3) ◽  
Author(s):  
Rhea Sílvia Avila Soares ◽  
Marciane Kessler ◽  
Thaís Dresch Eberhardt ◽  
Suzinara Beartriz Soares De Lima ◽  
Silviamar Camponogara ◽  
...  
Keyword(s):  
Nursing Care ◽  
Pressure Ulcer ◽  
Matrix Theory ◽  
Intensive Therapy ◽  
University Hospital ◽  
Intensive Therapy Unit ◽  
The Matrix ◽  
Terapia Intensiva ◽  
South Of Brazil

Objetivo: compreender o significado do protocolo assistencial de Úlceras por Pressão para enfermeiros no gerenciamento do cuidado de enfermagem. Metodologia: utilizou-se a Teoria da Complexidade como referencial teórico e a Teoria Fundamentada nos Dados como referencial metodológico. A coleta dos dados foi realizada em hospital universitário do Sul do Brasil, no período de julho a setembro de 2014. Foram entrevistados 22 enfermeiros, lotados na Unidade de Terapia Intensiva Adulto, Clínica Médica II e Unidade Cardíaca Intensiva. Resultados: a partir da interconexão das categorias, o fenômeno central desvelado que representa a Matrix Teórica foi: “Significando o protocolo de Úlcera por Pressão como instrumento de qualificação para o cuidado gerencial do enfermeiro”. Conclusão: o gerenciamento do cuidado de enfermagem ao paciente com Úlcera por Pressão, utilizando o protocolo como instrumento gerencial, foi revelado pelos enfermeiros como uma prática que agrega qualidade aos cuidados realizados.Descritores: Enfermagem, Protocolos, Úlcera por Pressão, Gerência.MEANING OF PRESSURE ULCER PROTOCOL: IMPROVING THE NURSING CARE MANAGEMENTObjective: To understand the meaning of the assistance ulcer protocol for care nurses managing the nursing care. Methodology: The Complexity Theory was used as theoretical framework and Grounded Theory as methodological one. The data collection was conducted in university hospital South of Brazil, between july to september of 2014. 22 nurses were interviewed, crowded in the Adult Intensive Therapy Unit, Medical Clinic II and Intensive Cardiac Unit. Results: Based on the interconnection of categories, the main phenomenon found that represents the Matrix Theory was: “Meaning the Pressure Ulcer Protocol as instrument for improvement of the nurse managerial care”. Conclusion: Management of nursing care with patient with pressure ulcer using the protocols as managerial instrument was highlighted for nurses as a practice that improves the quality of care provided.Descriptors: Nursing, Protocols, Pressure Ulcer, Management.SIGNIFICADO DEL PROTOCOLO DE ULCERA POR PRESSIÓN: CALIFICANDO LA GERENCIA DEL CUIDADO PARA EL ENFERMEIROObjetivo: Comprender el significado del protocolo de atención de las úlceras de presión cuidados para las enfermeros en el cuidado gerencial de enfermería. Metodología: El estudio utilizo la teoría de la complexidad como referencial teórico y teoría fundamentada en los datos como referencial metodológico. 22 enfermeros fueron entrevistados en hospital universitario del Sur del Brasil. Resultados: Con base en la interconexión de las categorías, el fenómeno central encontrado fue “Significando el protocolo de ulcera por presión como instrumento de calificación para el cuidado gerencial del enfermero”. Conclusión: El gerenciamiento del cuidado de enfermería al paciente con ulcera por presión por meo de protocolos como instrumento gerencial fue revelado como una práctica que agrega calidad a los cuidados realizados.Descriptores: Enfermería, Protocolos, Úlcera por Presión, Gerencia.

scholarly journals Evulation of nursing care quality in a palliative care clinicBir palyatif bakım kliniğinde hemşirelik bakım kalitesinin değerlendirilmesi

2017 ◽  
Vol 14 (3) ◽  
pp. 2968 ◽  
Author(s):  
Derya Uzelli Yilmaz ◽  
Esra Akın Korhan ◽  
Leyla Khorshid
Keyword(s):  
Palliative Care ◽  
Data Collection ◽  
Nursing Care ◽  
Working Hours ◽  
Care Clinic ◽  
Number Of Patients ◽  
Significant Difference ◽  
One Way Anova ◽  
Quality Of Nursing

Objective: The study is a descriptive and cross-sectional study designed to determine the quality of nursing care and the factors affecting quality of nursing care in a palliative care clinic.Material and method: The population and the sample of the study consisted of nurses (n=16) who were working in a palliative care clinic at a state hospital in the west of the Turkey and patients (n=102) who take care in this clinic between the date between January 2015 and October 2016. The sample size was not calculated and all the nurses and patients who met the study criteria and agreed to participate in the study were reached during the data collection period. Data collection was collected with a questionnaire consisted from Nurse Presentation Form, Patient Presentation Form and Care Behaviors-24 Scale (BDI-24). Student t, Kruskal-Wallis, Mann-Whitney U test and One Way ANOVA test were used in the analysis of the data.Results: The average score of BDI-24 was found as 5.59 ± 0.15 for nurses and 5.10 ± 0.15 for patients. There was no statistically significant difference between the average of BDI-24 total points and subscale scores of nurses according to their gender, education status, working duration in palliative care clinic and weekly working hours. Similarly, there was no statistically significant difference between the BDI-24 total point average and subscale scores of the patients according to the diagnosis, gender, marital status, educational status, occupation, income level and place of residence. Conclusion: The level of perception of nursing care behaviors of palliative care nurses and patients was found to be fairly high. It is proposed to identify and improve institutional deficiencies such as number of nurses, number of patients, workload, working hours, which affect the quality of nursing care.Extended English abstract is in the end of PDF (TURKISH) file. ÖzetAmaç: Araştırma, bir palyatif bakım kliniğinde hemşirelik bakım kalitesini ve bakım kalitesini faktörleri belirlemek amacıyla yapılmış tanımlayıcı ve kesitsel bir çalışmadır.Materyal ve Method: Araştırma Türkiye’nin batısında bir devlet hastanesinin palyatif bakım kliniğinde çalışan hemşireler (n=16) ile Ocak-Ekim 2015 tarihleri arasında palyatif bakım kliniğinde yatan hastalar (n=102) oluşturmuştur. Araştırmada örneklem hesaplamasına gidilmemiş, araştırmanın yürütüldüğü tarihler arasında kriterlere uyan ve araştırmaya katılmayı kabul eden tüm hemşire ve hastalara ulaşılmıştır. Araştırmanın verileri, Hemşire ve Hasta Tanıtım Formu ve Bakım Davranışları-24 Ölçeği (BDÖ-24) kullanılarak toplandı. Verilerin analizinde Student t, Kruskal-Wallis, Mann-Whitney U testi ve One Way ANOVA testi kullanıldı.Bulgular: Hemşirelerinin BDÖ-24 toplam puan ortalaması 5.59±0.15, hastaların 5.10±0.15 olarak bulunmuştur. Hemşirelerin cinsiyet, eğitim durumu, mesleki çalışma süresi, palyatif bakım kliniğinde çalışma süresi ve haftalık çalışma saatlerine göre;  hastaların tanısı, cinsiyeti, medeni durumu, eğitim durumu, mesleği, gelir düzeyi ve yaşadığı yere göre BDÖ-24 toplam puan ortalamaları ve alt boyut puan ortalamaları arasında istatistiksel olarak anlamı bir fark saptanmamıştır. Sonuç: Hemşirelerin ve hastaların hemşirelik bakım davranışlarını algılama düzeyleri oldukça yüksek bulunmuştur. Hemşirelik bakım kalitesini etkileyen hemşire sayısı, hasta sayısı, iş yükü, çalışma saati gibi kurumsal yetersizliklerin belirlenmesi ve iyileştirilmesi önerilmektedir.

scholarly journals Nurses’ roles in palliative care: An Islamic perspective

2021 ◽  
Author(s):  
Edy Suprayitno ◽  
Iwan Setiawan
Keyword(s):  
Palliative Care ◽  
Nursing Care ◽  
Nursing Practice ◽  
Islamic Perspective ◽  
Early Action ◽  
Important Approach ◽  
New Ideas ◽  
Muslim Majority ◽  
Islamic Values

Palliative care is an important approach for nurses to improve the quality of life of patients holistically and mitigate suffering among the patients in critical condition and near to death. This article provides an Islamic perspective about nurses’ roles in palliative care, which can be applied worldwide, especially in Muslim-majority countries. Understanding Islamic beliefs will help nurses provide professional and culturally sensitive nursing care. In its principle, Islam always respects the process of life until death comes. So, the application of Islamic values in palliative care will make the patients accept their ill condition completely, keep being close to Allah SWT (God), and die peacefully. The concepts of illness, death, early action on the dead, and palliative care application in nursing are explained in this article to open up new ideas rather than provide definitive answers. We hope that this perspective will highlight healthcare policymakers the need to integrate Islamic values in nursing practice.

Evaluating the cost-effectiveness of the hospital-based palliative care program at The Johns Hopkins Hospital.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 23-23
Author(s):  
Sarina Isenberg ◽  
David R Holtgrave ◽  
Chunhua Lu ◽  
John P McQuade ◽  
Brian Weir ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Cost Effectiveness ◽  
Cost Effective ◽  
Cost Of Care ◽  
Palliative Care Unit ◽  
Hospital Perspective ◽  
Life Years ◽  
The Cost

23 Background: The objectives of the study were to determine whether a Palliative Care Unit (PCU) provides benefits not just from a cost perspective, but from a patient and caregiver quality of life (QOL) perspective. Methods: (1) Calculate the total costs of the PCU; (2) Leverage a threshold analysis to estimate the Quality-Adjusted Life Years (QALYs) required for the PCU to be cost effective; and (3) Determine whether it is feasible for the program to yield the required number of QALYs. Setting was the Johns Hopkins Health System Palliative Care Unit (PCU) in Baltimore, MD. Analysis was based on patient volume from March 2013-2014. Results: There were 209 palliative patients. The costs for the societal perspective was $2,044,364 and the required number of QALYs to deem it cost effective were 11.36. The net costs for the hospital perspective was $625,777 (gross cost was $993,528; however, the program generated $367,751 in savings for the hospital through treating patients in the PCU as opposed to other functional units), and the required number of QALYs to deem it cost effective were 3.48. To determine whether the program is able to achieve the number of QALYs required, the study team generated aggregated QALYs based on other studies’ evidence for palliative care’s improvement of quality of life for patients and their caregivers. Combining the QALYs generated from the aggregated calculations for patients (0.12) and caregivers (4.60), the program had the potential to yield a total of 4.73 QALYs. Conclusions: This analysis suggests that the PCU is cost effective from the hospital perspective in the sense that the benefits it provides to patients’ and caregivers’ quality of life outweighs the cost of care. Future studies should continue to evaluate palliative care from a cost effectiveness perspective that incorporates a consideration of the quality of life improvements, rather than just cost-reduction.

Sign in / Sign up

Export Citation Format

Share Document