scholarly journals Fostering Resilience over Multiple Losses for Nursing Staff in the Palliative Care Unit: Whole Person Approach – Part 2

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Yukie Kurihara ◽  
Minako Munesada ◽  
Satoe Takahashi ◽  
Keiko Tanaka
Keyword(s):  
Palliative Care ◽  
Nursing Staff ◽  
Self Efficacy ◽  
Sense Of Self ◽  
Death And Dying ◽  
Body Awareness ◽  
Palliative Care Unit ◽  
Support Program ◽  
Base Line ◽  
Whole Person

Objectives: “Bereavement overload” due to multiple losses is one of the stressors for the nursing staff working at Palliative Care Unit (PCU), which may be especially tough to those with less exposure to it. A support program was developed for the nursing staff of newly-opened PCU (April 2011) in order to foster resilience and wellness despite multiple losses. We conducted a study to evaluate the effectiveness of the support program with “whole person approach” – consisting of 3 modules: 1) lecture on grief and bereavement (mind), 2) experiential workshop on body awareness and relaxation (body/spirit), and 3) group discussion (mind/spirit), for the increased sense of self-efficacy, awareness of their inner healing power, and fostering mutual understanding and support.Methods: 20 nurses were randomly assigned to two groups for the action research project. Data included participant observation, individual and focus group interviews with one of the investigators. The support program package was offered from October to December 2012 (A) and from January to March 2013 (B) respectively, using wait-list control method. Self-efficacy scale was used at the base line, at the completion of package A, and at the completion of package B. Participants also answered brief survey after each module, followed by semi-structured interview.Results: The participants’ overall responses were positive, with comments like “becoming more aware of my own grief process” (module 1), “was amazed by the power of awareness and simple touch” (module 2), “inspired by learning others’ perspectives on death and dying” (module 3). Shared learning and reflection as well as “learning something tangible” seem to be important components of the program.Conclusions: The support program was positively received and contributed to the nursing staff’s increased sense of self-efficacy and resilience over “bereavement overload.” Continued program development is in progress based on the feedback.

scholarly journals Fostering Resilience over Multiple-losses for Nursing Staff in the Palliative Care Unit: Whole Person Approach – Part 1

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Minako Munesada ◽  
Yukie Kurihara ◽  
Satoe Takahashi ◽  
Keiko Tanaka
Keyword(s):  
Palliative Care ◽  
Nursing Staff ◽  
Self Efficacy ◽  
Sense Of Self ◽  
Intervention Group ◽  
Palliative Care Unit ◽  
Support Program ◽  
Control Group ◽  
Base Line ◽  
Whole Person

Objectives: “Bereavement overload” due to multiple losses is one of the stressors for the nursing staff working at Palliative Care Unit (PCU), which may be especially tough to those with less exposure to such situation. A support program was developed for the nursing staff of newly-opened PCU (April 2011) in order to foster resilience and wellness despite multiple losses. We conducted a study to evaluate the effectiveness of the support program with “whole person approach” – consisting of 3 modules; 1) lecture on grief and bereavement (mind), 2) experiential workshop on body awareness and relaxation (body/spirit), and 3) group discussion (mind/spirit), for the increased sense of self-efficacy, awareness of their inner healing power, and fostering mutual understanding and support.Methods: 20 nurses were randomly assigned to two groups for the action research project. Data included participant observation, individual and focus group interviews with one of the investigators. The support program package was offered from October to December 2012 (A) and from January to March 2013 (B) respectively, using wait-list control method. Self-efficacy scale was used at the base line, at the completion of package A, and at the completion of package B. Participants also answered brief survey after each module, followed by semi-structured interview.Results: The self-efficacy score initially showed decline of both groups (intervention/control) , reflecting the “tough two months” with the highest number of the total deaths as well as deaths within 5 days post admission. However, intervention group showed more gradual decline comparing to the control group, plus higher elevation 3 months later, which may indicate some effect of the program.Conclusions: The support program was positively received and contributed to the nursing staff’s increased sense of self-efficacy and resilience over “bereavement overload.” Continued program development is in progress based on the feedback.

Sexual dysfunction: discussing patient sexuality and intimacy in palliative care

2015 ◽  
Author(s):  
Amanda Hordern
Keyword(s):  
Palliative Care ◽  
Sexual Dysfunction ◽  
Health Professionals ◽  
Sense Of Self ◽  
Death And Dying ◽  
Terminally Ill ◽  
Sexual Relationships ◽  
Chronic Illnesses ◽  
Natural Ageing ◽  
The Impact

Experiencing a life-limiting illness has the potential to radically transform every aspect of a person’s life, including how they feel about themselves, their body, and their sense of self within intimate and sexual relationships. For many terminally ill people, intimate and sexual moments are a vital aspect of their life, providing a sense of connectedness and assisting the person to explore and find meaning to living, death, and dying. Few health professionals view patients in their care as sexual beings and if they do, they struggle to know what and how to raise the topic of sexuality and intimacy within their clinical roles. This chapter defines patient sexuality and intimacy in the context of palliative care, explores the impact of natural ageing and treatment for cancer and chronic illnesses, and provides an introduction to opening communication and providing practical strategies to support the patient through intimate and sexual changes.

Assessing Palliative Care Educational Needs of Physicians and Nurses: Results of a Survey

1996 ◽  
Vol 12 (2) ◽  
pp. 20-22 ◽  
Author(s):  
Bethan Samaroo
Keyword(s):  
Palliative Care ◽  
Family Support ◽  
Communication Skills ◽  
Nursing Staff ◽  
Ethical Issues ◽  
Death And Dying ◽  
Educational Needs ◽  
Pain Symptom ◽  
Patient Pain

The Greater Victoria Hospital Society (GVHS) Palliative Care Committee surveyed medical and nursing staff from four hospitals and The Victoria Hospice Society in February, 1993. The purpose of the survey was to identify physicians’ and nurses’ perceived educational needs related to death and dying. Programs that focus on the dying process; patient pain, symptom, and comfort control; and patient and family support were identified as necessary to meet the educational needs of physicians and nurses in providing quality palliative care. Physicians and nurses identified communication skills as being paramount. Communications concerning ethical issues were highlighted as the most difficult to cope with.

On the palliative care unit.

2016 ◽  
Vol 34 (2) ◽  
pp. 179-179
Author(s):  
Peter A. Selwyn
Keyword(s):  
Palliative Care ◽  
Palliative Care Unit

Palliative Care Self-Efficacy Scale

2011 ◽  
Author(s):  
Jane Phillips ◽  
Yenna Salamonson ◽  
Patricia M. Davidson
Keyword(s):  
Palliative Care ◽  
Self Efficacy

scholarly journals Impact of legalization of Medical Assistance in Dying on the Use of Palliative Sedation in a Tertiary Care Hospital: A Retrospective Chart Review

2021 ◽  
pp. 104990912110304
Author(s):  
Amy Nolen ◽  
Rawaa Olwi ◽  
Selby Debbie
Keyword(s):  
Palliative Care ◽  
Acute Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Palliative Sedation ◽  
Palliative Care Unit ◽  
Care Hospital ◽  
Medical Assistance ◽  
Medical Assistance In Dying ◽  
Before And After

Background: Patients approaching end of life may experience intractable symptoms managed with palliative sedation. The legalization of Medical Assistance in Dying (MAiD) in Canada in 2016 offers a new option for relief of intolerable suffering, and there is limited evidence examining how the use of palliative sedation has evolved with the introduction of MAiD. Objectives: To compare rates of palliative sedation at a tertiary care hospital before and after the legalization of MAiD. Methods: This study is a retrospective chart analysis of all deaths of patients followed by the palliative care consult team in acute care, or admitted to the palliative care unit. We compared the use of palliative sedation during 1-year periods before and after the legalization of MAiD, and screened charts for MAiD requests during the second time period. Results: 4.7% (n = 25) of patients who died in the palliative care unit pre-legalization of MAiD received palliative sedation compared to 14.6% (n = 82) post-MAiD, with no change in acute care. Post-MAiD, 4.1% of deaths were medically-assisted deaths in the palliative care unit (n = 23) and acute care (n = 14). For patients who requested MAiD but instead received palliative sedation, the primary reason was loss of decisional capacity to consent for MAiD. Conclusion: We believe that the mainstream presence of MAiD has resulted in an increased recognition of MAiD and palliative sedation as distinct entities, and rates of palliative sedation increased post-MAiD due to greater awareness about patient choice and increased comfort with end-of-life options.

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