subject:(palliative treatment)

Cape Peninsula University of Technology

1. Fourie, Linda. Pain control in palliative care : a South African nursing perspective .

Degree: 2008, Cape Peninsula University of Technology

URL: http://etd.cput.ac.za/handle/20.500.11838/2264

► In South Africa the need for palliative care for the terminally ill is exacerbated by the upsurge of the HIV/AIDS epidemic resulting in more patients… (more)

Subjects/Keywords: Palliative treatment; Pain – Treatment; Nursing – South Africa; AIDS (Disease) – Palliative treatment

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APA (6^th Edition):

Fourie, L. (2008). Pain control in palliative care : a South African nursing perspective . (Thesis). Cape Peninsula University of Technology. Retrieved from http://etd.cput.ac.za/handle/20.500.11838/2264

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Fourie, Linda. “Pain control in palliative care : a South African nursing perspective .” 2008. Thesis, Cape Peninsula University of Technology. Accessed March 03, 2021. http://etd.cput.ac.za/handle/20.500.11838/2264.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Fourie, Linda. “Pain control in palliative care : a South African nursing perspective .” 2008. Web. 03 Mar 2021.

Vancouver:

Fourie L. Pain control in palliative care : a South African nursing perspective . [Internet] [Thesis]. Cape Peninsula University of Technology; 2008. [cited 2021 Mar 03]. Available from: http://etd.cput.ac.za/handle/20.500.11838/2264.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Fourie L. Pain control in palliative care : a South African nursing perspective . [Thesis]. Cape Peninsula University of Technology; 2008. Available from: http://etd.cput.ac.za/handle/20.500.11838/2264

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Rutgers University

2. Hanson, Christopher S. The Institute of Medicine's 2001 report on palliative cancer care as an instrument of innovation in palliative oncology.

Degree: PhD, Planning and Public Policy, 2007, Rutgers University

URL: http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.16072

►

This dissertation assesses the effectiveness of the 2001 Institute of Medicine (IOM) report on palliative cancer care at inducing innovations in cancer research and practice… (more)

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This dissertation assesses the effectiveness of the 2001 Institute of Medicine (IOM) report on palliative cancer care at inducing innovations in cancer research and practice among key organizational stakeholders in the health care system, including those concerned with cancer research and the provision of health care. The IOM report on cancer palliation was written by the National Cancer Policy Board, a diverse group consisting of prominent scientists, health care providers, third party payors, social scientists, patient advocates and others who have an interest in the development of cancer research, practice, and financing. Between 1997 and 2005 the Board published reports on cancer prevention, control, diagnosis, treatment, and palliation, until it was reorganized as the National Cancer Policy Forum. The authors of the 2001 IOM report on cancer palliation found that patients who are dying of cancer usually face an enormous burden of physical discomfort, lost functionality, and psychological stress, as well as a strong possibility of economic hardship. The authors made ten recommendations, summarized into five program areas that address the need to improve research, practice, and reimbursement for palliative, supportive, and end-of-life care, and to improve the quality of educational materials oriented toward the patients with advanced cancer and their loved ones. Taken together these recommendations represent a complex organizational innovation, which the Board sought to induce by publishing the report. This dissertation presents a case study of induced diffusion of innovation, by policy entrepreneurship within an epistemic community. The analysis includes review of documents, content analysis of relevant parts of the National Cancer Institute research program from 1998 – 2005 and professional journals from 1994 – 2004, and semi-structured interviews with key informants. The findings show that although the report's recommendations were sound its impact was limited by entrenched cultures at NCI and among professional groups.

Advisors/Committee Members: Hanson, Christopher S. (author), Schneider, Dona (chair), Greenberg, Michael (internal member), Cantor, Joel (internal member), West, Bernadette (outside member).

Subjects/Keywords: Cancer – Palliative treatment; Palliative treatment

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Hanson, C. S. (2007). The Institute of Medicine's 2001 report on palliative cancer care as an instrument of innovation in palliative oncology. (Doctoral Dissertation). Rutgers University. Retrieved from http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.16072

Chicago Manual of Style (16^th Edition):

Hanson, Christopher S. “The Institute of Medicine's 2001 report on palliative cancer care as an instrument of innovation in palliative oncology.” 2007. Doctoral Dissertation, Rutgers University. Accessed March 03, 2021. http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.16072.

MLA Handbook (7^th Edition):

Hanson, Christopher S. “The Institute of Medicine's 2001 report on palliative cancer care as an instrument of innovation in palliative oncology.” 2007. Web. 03 Mar 2021.

Vancouver:

Hanson CS. The Institute of Medicine's 2001 report on palliative cancer care as an instrument of innovation in palliative oncology. [Internet] [Doctoral dissertation]. Rutgers University; 2007. [cited 2021 Mar 03]. Available from: http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.16072.

Council of Science Editors:

Hanson CS. The Institute of Medicine's 2001 report on palliative cancer care as an instrument of innovation in palliative oncology. [Doctoral Dissertation]. Rutgers University; 2007. Available from: http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.16072

University of North Texas

3. Munene, Grace N. An Assessment of a Hospice and Palliative Care Partnership Program.

Degree: 2014, University of North Texas

URL: https://digital.library.unt.edu/ark:/67531/metadc699969/

► This project attempts to describe how a hospice and palliative care partnership program works. Through the assessment of one such program, the researcher sought to… (more)

Subjects/Keywords: Hospice; palliative care; partnership; Hospice care.; Palliative treatment.; Health services administration.

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APA (6^th Edition):

Munene, G. N. (2014). An Assessment of a Hospice and Palliative Care Partnership Program. (Thesis). University of North Texas. Retrieved from https://digital.library.unt.edu/ark:/67531/metadc699969/

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Munene, Grace N. “An Assessment of a Hospice and Palliative Care Partnership Program.” 2014. Thesis, University of North Texas. Accessed March 03, 2021. https://digital.library.unt.edu/ark:/67531/metadc699969/.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Munene, Grace N. “An Assessment of a Hospice and Palliative Care Partnership Program.” 2014. Web. 03 Mar 2021.

Vancouver:

Munene GN. An Assessment of a Hospice and Palliative Care Partnership Program. [Internet] [Thesis]. University of North Texas; 2014. [cited 2021 Mar 03]. Available from: https://digital.library.unt.edu/ark:/67531/metadc699969/.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Munene GN. An Assessment of a Hospice and Palliative Care Partnership Program. [Thesis]. University of North Texas; 2014. Available from: https://digital.library.unt.edu/ark:/67531/metadc699969/

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Drexel University

4. Bethoux, Ambre Nina. Dance/Movement Therapy at End of Life: A Clinical Method to Enhance Quality of Life for Pediatric Palliative Care Patients and Their Families.

Degree: 2018, Drexel University

URL: https://idea.library.drexel.edu/islandora/object/idea%3A8029

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The purpose of this study is to develop and implement a dance/movement therapy clinical method to address challenges for palliative care and end of life… (more)

Subjects/Keywords: Dance therapy; Palliative treatment; Pediatrics; Death

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APA (6^th Edition):

Bethoux, A. N. (2018). Dance/Movement Therapy at End of Life: A Clinical Method to Enhance Quality of Life for Pediatric Palliative Care Patients and Their Families. (Thesis). Drexel University. Retrieved from https://idea.library.drexel.edu/islandora/object/idea%3A8029

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Bethoux, Ambre Nina. “Dance/Movement Therapy at End of Life: A Clinical Method to Enhance Quality of Life for Pediatric Palliative Care Patients and Their Families.” 2018. Thesis, Drexel University. Accessed March 03, 2021. https://idea.library.drexel.edu/islandora/object/idea%3A8029.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Bethoux, Ambre Nina. “Dance/Movement Therapy at End of Life: A Clinical Method to Enhance Quality of Life for Pediatric Palliative Care Patients and Their Families.” 2018. Web. 03 Mar 2021.

Vancouver:

Bethoux AN. Dance/Movement Therapy at End of Life: A Clinical Method to Enhance Quality of Life for Pediatric Palliative Care Patients and Their Families. [Internet] [Thesis]. Drexel University; 2018. [cited 2021 Mar 03]. Available from: https://idea.library.drexel.edu/islandora/object/idea%3A8029.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Bethoux AN. Dance/Movement Therapy at End of Life: A Clinical Method to Enhance Quality of Life for Pediatric Palliative Care Patients and Their Families. [Thesis]. Drexel University; 2018. Available from: https://idea.library.drexel.edu/islandora/object/idea%3A8029

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Cape Peninsula University of Technology

5. Garanganga, Eunice. Palliative care needs of children suffering from AIDS, Zimbabwe .

Degree: 2009, Cape Peninsula University of Technology

URL: http://etd.cput.ac.za/handle/20.500.11838/2267

► By the end of 2007 an estimated 22 million people in sub-Saharan Africa were living with HIV/AIDS. Of these, 1.8 million (33%) were children under… (more)

Subjects/Keywords: AIDS (Disease) – Palliative treatment; HIV infections – Palliative treatment; AIDS (Disease) in children – Zimbabwe

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Garanganga, E. (2009). Palliative care needs of children suffering from AIDS, Zimbabwe . (Thesis). Cape Peninsula University of Technology. Retrieved from http://etd.cput.ac.za/handle/20.500.11838/2267

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Garanganga, Eunice. “Palliative care needs of children suffering from AIDS, Zimbabwe .” 2009. Thesis, Cape Peninsula University of Technology. Accessed March 03, 2021. http://etd.cput.ac.za/handle/20.500.11838/2267.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Garanganga, Eunice. “Palliative care needs of children suffering from AIDS, Zimbabwe .” 2009. Web. 03 Mar 2021.

Vancouver:

Garanganga E. Palliative care needs of children suffering from AIDS, Zimbabwe . [Internet] [Thesis]. Cape Peninsula University of Technology; 2009. [cited 2021 Mar 03]. Available from: http://etd.cput.ac.za/handle/20.500.11838/2267.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Garanganga E. Palliative care needs of children suffering from AIDS, Zimbabwe . [Thesis]. Cape Peninsula University of Technology; 2009. Available from: http://etd.cput.ac.za/handle/20.500.11838/2267

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Stirling

6. Hill, Hazel Catherine. Psychosocial support within the everyday work of hospice ward nurses: an observational study.

Degree: PhD, 2016, University of Stirling

URL: http://hdl.handle.net/1893/24356

► Abstract Psychosocial support is said to be an inherent component of nursing care and a major focus of palliative care. Literature exists which outlines perceptions… (more)

▼ Abstract Psychosocial support is said to be an inherent component of nursing care and a major focus of palliative care. Literature exists which outlines perceptions of the psychosocial needs of patients and how psychosocial support should be provided. However, there is a lack of empirical evidence on how psychosocial support is operationalised in practice. This study provides a valuable and substantial new contribution to the evidence on the psychosocial needs expressed by patients in a hospice ward and how nurses immediately respond to these needs within their everyday practice. A study gathering data via observations with matched interviews of patients and nurses, organisational, documentary, and demographic variables, was conducted over an eight month period. Thirty-eight nurses (registered and auxiliary) and 47 patients were included in a maximum variation sampling strategy. Data was analysed using constant comparative qualitative techniques. Patients expressed a wide variety of psychosocial needs, often only signalling them whilst receiving care for other reasons. Considering these needs in relation to Maslow’s (1943) hierarchy of needs suggests that in-patients more commonly express prerequisites to physiological care and ‘lower level’ safety needs rather than the more thoroughly researched and espoused ‘higher’ level psychosocial needs. The nurses reacted to these psychosocial needs with a range of responses which indicated a diminishing level of immediate support: ‘dealing’, ‘deferring’, ‘diverting’ and ‘ducking’. The majority of the nurses were observed using each of these responses at some point during data collection. A variety of the responses were used for each type and context of psychosocial need. These responses were influenced by the ward’s workplace culture. This study demonstrates a requirement for more thorough consideration of the true psychosocial needs of patients, which appear to vary dependent on the context of care. Consideration should be v given to workplace culture and its influence over psychosocial support, with nurses being supported to expand their response repertoire so that patients’ psychosocial needs are acknowledged more. Increasing nurses’ knowledge of the reality of psychosocial support through education and research will encourage formalisation of the place of psychosocial support in the planning, documentation and provision of care. This study shows that ward nurses can offer psychosocial support as an inherent component of their everyday work. Findings derived from this research indicate that developing an understanding of how patients express psychosocial needs in practice, through a consideration of Maslow’s (1943) hierarchy of needs, may increase recognition and support of psychosocial needs and enable nurses to respond more comprehensively.

Subjects/Keywords: Nursing; Psychosocial; Palliative; Hospice; Observation; Hospice nursing; Nursing Hospice care; Nurse and patient; Palliative treatment Psychological aspects; Palliative treatment Social aspects

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Hill, H. C. (2016). Psychosocial support within the everyday work of hospice ward nurses: an observational study. (Doctoral Dissertation). University of Stirling. Retrieved from http://hdl.handle.net/1893/24356

Chicago Manual of Style (16^th Edition):

Hill, Hazel Catherine. “Psychosocial support within the everyday work of hospice ward nurses: an observational study.” 2016. Doctoral Dissertation, University of Stirling. Accessed March 03, 2021. http://hdl.handle.net/1893/24356.

MLA Handbook (7^th Edition):

Hill, Hazel Catherine. “Psychosocial support within the everyday work of hospice ward nurses: an observational study.” 2016. Web. 03 Mar 2021.

Vancouver:

Hill HC. Psychosocial support within the everyday work of hospice ward nurses: an observational study. [Internet] [Doctoral dissertation]. University of Stirling; 2016. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/1893/24356.

Council of Science Editors:

Hill HC. Psychosocial support within the everyday work of hospice ward nurses: an observational study. [Doctoral Dissertation]. University of Stirling; 2016. Available from: http://hdl.handle.net/1893/24356

University of Wisconsin – Oshkosh

7. Kabat, Ann M. Effect of modified home palliative care on heart failure patients' hospital readmission rates.

Degree: MS, Nursing-Family Nurse Practitioner, 2011, University of Wisconsin – Oshkosh

URL: http://digital.library.wisc.edu/1793/54074

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A Clinical Paper submitted in partial fulfillment of the requirements for the degree of Master of Science in Nursing-Family Nurse Practitioner

Heart failure (HF) is… (more)

▼

A Clinical Paper submitted in partial fulfillment of the requirements for the degree of Master of Science in Nursing-Family Nurse Practitioner

Heart failure (HF) is the most common cause of hospital admissions among Medicare recipients, and readmission rates are disproportionately higher than in other chronic conditions. Over 20% of HF patients are readmitted within 30 days of discharge from the hospital. Various types of palliative care delivery programs have demonstrated positive outcomes for HF patients by decreasing emergency department visits, hospital days, physician visits, and medical costs. However, it appears that more frequent home visits early after hospital discharge may be the best combination to decrease hospital readmissions. Furthermore, research investigating the effect of an advanced practice nurse (APN) led home palliative care program on hospital readmissions in persons with HF is lacking. The purpose of this retrospective comparison study was to evaluate the difference in hospital readmissions between HF patients enrolled in a non-modified home palliative care program and a modified home palliative care program. Nonmodified palliative care is a service provided in the home by an APN that focuses on physical, emotional, social, and spiritual support. Services included with non-modified palliative care program include a 24-hour nurse phone line and monthly visits from the APN, as requested by the patient or primary care provider. Advanced practice nurse visits include evaluation, assessment, planning, care delivery, follow-up, monitoring, and reassessment, along with patient and family education. In addition to the services already described, modified home palliative care includes three APN home visits within the first month post-hospitalization and scheduled monthly visits thereafter. Neuman's Systems Theory provided the organizing framework. The sample consisted of 102 patients from one Midwest home palliative care agency. Data were collected through a retrospective chart review over two time periods; time one occurred during a non-modified home palliative care program, and time two occurred during a modified home palliative care program. Descriptive statistics were used to describe the sample, and group differences were evaluated using dependent test. The sample was predominantly female (73.5%), with a mean age of 82 years (SD = 4.69). Most resided within an assisted-living environment (66%), with the remainder living in a home or apartment. Nearly all subjects (98%) were Medicare recipients. The modified palliative care group demonstrated a significantly lower readmission rate (3.2%; m = 0.03; SD = 0.18) compared to the non-modified palliative care group (25%; m = 0.25; SD = 0.44) at p <0.05. The modified, APN led palliative care program, utilizing more frequent home visits after a hospitalization, significantly reduced hospital readmission rates in this sample. Lack of randomization and control over extraneous variables does not allow for causal inference…

Advisors/Committee Members: Udlis, Kim.

Subjects/Keywords: Heart failure - Treatment; Hospitals - Admission and discharge; Palliative treatment

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Kabat, A. M. (2011). Effect of modified home palliative care on heart failure patients' hospital readmission rates. (Masters Thesis). University of Wisconsin – Oshkosh. Retrieved from http://digital.library.wisc.edu/1793/54074

Chicago Manual of Style (16^th Edition):

Kabat, Ann M. “Effect of modified home palliative care on heart failure patients' hospital readmission rates.” 2011. Masters Thesis, University of Wisconsin – Oshkosh. Accessed March 03, 2021. http://digital.library.wisc.edu/1793/54074.

MLA Handbook (7^th Edition):

Kabat, Ann M. “Effect of modified home palliative care on heart failure patients' hospital readmission rates.” 2011. Web. 03 Mar 2021.

Vancouver:

Kabat AM. Effect of modified home palliative care on heart failure patients' hospital readmission rates. [Internet] [Masters thesis]. University of Wisconsin – Oshkosh; 2011. [cited 2021 Mar 03]. Available from: http://digital.library.wisc.edu/1793/54074.

Council of Science Editors:

Kabat AM. Effect of modified home palliative care on heart failure patients' hospital readmission rates. [Masters Thesis]. University of Wisconsin – Oshkosh; 2011. Available from: http://digital.library.wisc.edu/1793/54074

Michigan State University

8. Wiers, Susan Gayle. Palliative care pain management guidelines for nurse practitioners.

Degree: 2002, Michigan State University

URL: http://etd.lib.msu.edu/islandora/object/etd:8723

Subjects/Keywords: Palliative treatment; Pain – Treatment

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Wiers, S. G. (2002). Palliative care pain management guidelines for nurse practitioners. (Thesis). Michigan State University. Retrieved from http://etd.lib.msu.edu/islandora/object/etd:8723

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Wiers, Susan Gayle. “Palliative care pain management guidelines for nurse practitioners.” 2002. Thesis, Michigan State University. Accessed March 03, 2021. http://etd.lib.msu.edu/islandora/object/etd:8723.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Wiers, Susan Gayle. “Palliative care pain management guidelines for nurse practitioners.” 2002. Web. 03 Mar 2021.

Vancouver:

Wiers SG. Palliative care pain management guidelines for nurse practitioners. [Internet] [Thesis]. Michigan State University; 2002. [cited 2021 Mar 03]. Available from: http://etd.lib.msu.edu/islandora/object/etd:8723.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Wiers SG. Palliative care pain management guidelines for nurse practitioners. [Thesis]. Michigan State University; 2002. Available from: http://etd.lib.msu.edu/islandora/object/etd:8723

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Stirling

9. Carolan, Clare. The experience of emotional distress and help-seeking for distress in families living with advanced cancer and receiving palliative care : a multi-perspective case study approach.

Degree: PhD, 2018, University of Stirling

URL: http://hdl.handle.net/1893/28047

► The emotional impact of serious illness in families is recognised. To enhance well-being in families living we must understand how distress is experienced within families;… (more)

▼ The emotional impact of serious illness in families is recognised. To enhance well-being in families living we must understand how distress is experienced within families; from this, evidenced-based systemic distress interventions can be derived. However, the success of systemic intervention programmes is reliant on whether families will seek help (or not) for distress. This PhD by publication explores emotional distress and help-seeking in families living with advanced cancer. Papers one and two used systematic review techniques. Paper one evidenced distress as a systemic construct and proposes the tiered model of distress to convey current understandings. Paper two offers the attaining normality model to convey why some people seek help for distress to achieve a new normality whereas some choose not to seek help to maintain normality. Together, these papers evidence gaps in systemic understandings of distress and help-seeking; from this an exploratory cross-sectional multiple case study of families was proposed. Papers three and four provided methodological underpinning to this research through the development of the DESCARTE model: The Design of Case Study Research in Healthcare (paper three) used in the case study design; paper four reflects on multi-perspective interviewing methods used. Distress and help-seeking are conceived as systemic relational phenomena, occurring within the family system and arising from relational interaction with healthcare. Distress is conveyed through four themes: interdependent distress, living in uncertainty, unnecessary distress and oscillatory distress; from this, possible systemic intervention designs are offered (paper five). Non-help-seeking for distress was the predominant response in families. The mutuality model of help-seeking is proposed to synthesise current understandings (paper six). Families describe how healthcare interactions cause unnecessary distress and shapes families’ help-seeking behaviours. Findings indicate significant gaps between the rhetoric of palliative care policy and families’ experience. To improve families’ wellbeing, relational care must be embedded in policy and practice.

Subjects/Keywords: 362.19699; Cancer; Palliative care; Distress; Help-seeking; Families; Cancer – Distress (Psychology); Cancer – Palliative treatment

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APA (6^th Edition):

Carolan, C. (2018). The experience of emotional distress and help-seeking for distress in families living with advanced cancer and receiving palliative care : a multi-perspective case study approach. (Doctoral Dissertation). University of Stirling. Retrieved from http://hdl.handle.net/1893/28047

Chicago Manual of Style (16^th Edition):

Carolan, Clare. “The experience of emotional distress and help-seeking for distress in families living with advanced cancer and receiving palliative care : a multi-perspective case study approach.” 2018. Doctoral Dissertation, University of Stirling. Accessed March 03, 2021. http://hdl.handle.net/1893/28047.

MLA Handbook (7^th Edition):

Carolan, Clare. “The experience of emotional distress and help-seeking for distress in families living with advanced cancer and receiving palliative care : a multi-perspective case study approach.” 2018. Web. 03 Mar 2021.

Vancouver:

Carolan C. The experience of emotional distress and help-seeking for distress in families living with advanced cancer and receiving palliative care : a multi-perspective case study approach. [Internet] [Doctoral dissertation]. University of Stirling; 2018. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/1893/28047.

Council of Science Editors:

Carolan C. The experience of emotional distress and help-seeking for distress in families living with advanced cancer and receiving palliative care : a multi-perspective case study approach. [Doctoral Dissertation]. University of Stirling; 2018. Available from: http://hdl.handle.net/1893/28047

University of Stirling

10. Reid, Noreen. An action research study to investigate the strategies that can be used by health care professionals, during video consultations with palliative care patients, to enhance the therapeutic alliance.

Degree: Doctor of Nursing, 2017, University of Stirling

URL: http://hdl.handle.net/1893/27690

► Background: The use of telemedicine was gaining momentum. Although the strength of the therapeutic alliance (TA) correlated with treatment outcomes, there was no research exploring… (more)

▼ Background: The use of telemedicine was gaining momentum. Although the strength of the therapeutic alliance (TA) correlated with treatment outcomes, there was no research exploring the skills, attitudes and behaviours that enhanced the TA during Skype consultations in palliative care. Aims: This study identified the skills, attitudes and behaviours that affected the TA between palliative care patients and health care professionals during Skype consultations and identified strategies that enhanced the TA. Study Design: Two cycles of action research engaged the participants in self-reflective inquiry and encouraged the identification of strategies that enhanced the TA and the Skype experience. Participants: Six health professionals and nine patients were recruited from a Hospice out patient service in one Health Authority in England. Data Collection: Data from the audio-recorded consultation were managed quantitatively and the TA was measured using the Working Alliance Inventory (S). Qualitative data were collected from participant interviews and focus groups attended by the professionals. Data Analysis: The analysis ran in parallel with the data collection, started after the first consultation and all sources of data were cross-referenced. Thematic analysis was used to sequentially code the qualitative data to help identify, examine and record patterns within the data set. Findings: The findings suggested that it was possible to establish and a positive therapeutic alliance between health professionals and palliative care patients when using Skype. There was a shift in perception for those health professionals who had reservations about their ability to establish a therapeutic alliance (TA) via a computer link. It was demonstrated that advanced communication skills were transferrable between face to face and video consultations. No additional communication skills training was needed to enable a strong TA when using Skype. Including some social talk, working with the patient’s as opposed to the professional’s agenda and actively offering solutions improved the Skype experience for the patients. The strategies that health professionals promoted to enhance the TA included using Skype with appropriately selected patients to complement the existing Service. Mandatory training in the effective use of Skype was recommended even for those health professionals who used Skype socially. Clarification to address the challenge of clinical governance was recommended. In keeping with an action research design the change impacted on both the health professionals own practice and the Organisation’s approach to telemedicine. The potential for using action research to engage nurses and doctors in critical self-reflective inquiry and to empower them to be change facilitators was demonstrated. Conclusion: Although a small sample size, this study identified strategies that enhanced the TA during Skype consultations. The findings were significant because they added to the current body of knowledge about using Skype to facilitate…

Subjects/Keywords: palliative care; therapeutic alliance; Palliative treatment; Therapeutic alliance; Telecommunication in medicine; Virtual reality therapy

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APA (6^th Edition):

Reid, N. (2017). An action research study to investigate the strategies that can be used by health care professionals, during video consultations with palliative care patients, to enhance the therapeutic alliance. (Doctoral Dissertation). University of Stirling. Retrieved from http://hdl.handle.net/1893/27690

Chicago Manual of Style (16^th Edition):

Reid, Noreen. “An action research study to investigate the strategies that can be used by health care professionals, during video consultations with palliative care patients, to enhance the therapeutic alliance.” 2017. Doctoral Dissertation, University of Stirling. Accessed March 03, 2021. http://hdl.handle.net/1893/27690.

MLA Handbook (7^th Edition):

Reid, Noreen. “An action research study to investigate the strategies that can be used by health care professionals, during video consultations with palliative care patients, to enhance the therapeutic alliance.” 2017. Web. 03 Mar 2021.

Vancouver:

Reid N. An action research study to investigate the strategies that can be used by health care professionals, during video consultations with palliative care patients, to enhance the therapeutic alliance. [Internet] [Doctoral dissertation]. University of Stirling; 2017. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/1893/27690.

Council of Science Editors:

Reid N. An action research study to investigate the strategies that can be used by health care professionals, during video consultations with palliative care patients, to enhance the therapeutic alliance. [Doctoral Dissertation]. University of Stirling; 2017. Available from: http://hdl.handle.net/1893/27690

Loma Linda University

11. Siler, Shaunna. Clinicians’ Perspectives on Adopting a Lung Cancer Palliative Care Intervention.

Degree: PhD, Nursing, 2017, Loma Linda University

URL: https://scholarsrepository.llu.edu/etd/480

► Despite the significant progress in implementing palliative care interventions for cancer patients, few intervention studies seek healthcare clinicians’ input prior to implementation. The purpose… (more)

▼ Despite the significant progress in implementing palliative care interventions for cancer patients, few intervention studies seek healthcare clinicians’ input prior to implementation. The purpose of this research was then to explore palliative care and oncology clinicians’ (e.g., physicians, nurses, social workers, and chaplains) perspectives on current challenges and useful practices in meeting the quality of life needs of lung cancer patients and family caregivers, and to increase the likelihood of the adoption of a palliative care intervention based on understanding current trends in palliative care delivery at three outpatient oncology sites. The conceptual framework used for this study was the RE-AIM Model: Reach, efficacy, adoption, implementation, and maintenance of intervention research to successfully translate and sustain evidence-based practice. This was a multi-site qualitative study using focus group and key informant interviews with oncology and palliative care clinicians. Focus groups and individual phone interviews were conducted with 19 clinicians, who addressed useful practices and challenges in the following areas: (a) early palliative care; (b) interdisciplinary care planning; (c) symptom management; (d) addressing psychological and social needs; and (e) providing culturally respectful care, including spiritual care. In preparation for the intervention, specific education needs and organizational challenges were revealed through focus group and individual interviews with clinicians. These challenges included timing and staffing constraints, the need for clinician education on palliative care services to increase organizational buy-in and referrals, and support and education in providing spiritual support for patients and family caregivers. These findings highlight an important, often overlooked, step in the translation of palliative care intervention studies and may inform education and training in the areas of palliative care and spiritual care for lung cancer patients. Further, these findings pattern the adoption component of the Re-AIM Model for intervention studies in eliciting organizational support prior to implementation. Advisors/Committee Members: Mamier, Iris, Ferrell, Betty, Winslow, Betty W..

Subjects/Keywords: Medicine and Health Sciences; Nursing; Oncology; Palliative Care; Palliative treatment; Nursing; Lung Neoplasms; Oncology; Lung Cancer; Palliative Care; Oncology Clinicians

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APA (6^th Edition):

Siler, S. (2017). Clinicians’ Perspectives on Adopting a Lung Cancer Palliative Care Intervention. (Doctoral Dissertation). Loma Linda University. Retrieved from https://scholarsrepository.llu.edu/etd/480

Chicago Manual of Style (16^th Edition):

Siler, Shaunna. “Clinicians’ Perspectives on Adopting a Lung Cancer Palliative Care Intervention.” 2017. Doctoral Dissertation, Loma Linda University. Accessed March 03, 2021. https://scholarsrepository.llu.edu/etd/480.

MLA Handbook (7^th Edition):

Siler, Shaunna. “Clinicians’ Perspectives on Adopting a Lung Cancer Palliative Care Intervention.” 2017. Web. 03 Mar 2021.

Vancouver:

Siler S. Clinicians’ Perspectives on Adopting a Lung Cancer Palliative Care Intervention. [Internet] [Doctoral dissertation]. Loma Linda University; 2017. [cited 2021 Mar 03]. Available from: https://scholarsrepository.llu.edu/etd/480.

Council of Science Editors:

Siler S. Clinicians’ Perspectives on Adopting a Lung Cancer Palliative Care Intervention. [Doctoral Dissertation]. Loma Linda University; 2017. Available from: https://scholarsrepository.llu.edu/etd/480

12. Cohen, Jerold. Earlier Palliative Care Referrals for Nephrology Patients.

Degree: DNP, Nursing, 2020, University of San Francisco

URL: https://repository.usfca.edu/dnp/227

► Palliative care prevents and relieves suffering through the early identification and treatment of pain and other symptoms, which can be physical, psychosocial, or spiritual… (more)

▼ Palliative care prevents and relieves suffering through the early identification and treatment of pain and other symptoms, which can be physical, psychosocial, or spiritual (World Health Organization, 2018). It is usually considered a service provided to oncology patients and has positively impacted their treatment. However, it is not as common for many other diseases where the patient would benefit from palliative care involvement. Presently, if palliative care is offered to nephrology patients, it is after they have started dialysis and are having second thoughts whether to continue this treatment plan as it has either become less effective or is interfering with the patient’s quality of life. It has been demonstrated that elderly patients with co-morbidities might only derive limited survival benefits from dialysis Stopping the dialysis usually leads to imminent death, while those on conservative treatment may live up to an additional 23.4 months (Seccareccia & Downar, 2012). Although Scherer et al. (2018), developed an integrated nephrology and palliative care program, others have been slow to adopt this type of care. The focus of this project was to determine by offering palliative care to patients at earlier stages of Chronic Kidney Disease (CKD), would they accept the intervention and think about what they would like as their goals of care? The patient panel of one nephrologist from a large urban medical center in the San Francisco Bay Area was used, and those patients who were at CKD stages 3B or 4 were selected for the project. Those patients on the list who already were on dialysis were on the hospital’s palliative care registry or life care planning registry or had previously had a palliative or life care planning consult were eliminated. This left 26 patients who were contacted, 14 patients made appointments, ten had consults, and four did not keep their appointment. After the consultation, four of the patients stated they were interested in conservative treatment. The youngest of these was 57, and the oldest was 82. All these patients had low Tangri scores, which predicted that they had time before reaching end stage renal disease (ESRD), the point at which they would need dialysis. The project demonstrates that with a palliative care consultation early in the disease process the patient can make informed decisions about their goals of care without being in a crisis state. By explaining to the patient that this is normal care that is ordered by their physician, more patients were willing to accept the consultation, and not think they were being handed a death sentence. These patients received palliative care early enough in their illness, so they had time to decide on their own goals of care and have the opportunity to receive ongoing support as their disease progresses. The National Kidney Foundation (NKF) promotes the use of early palliative care for patients with kidney disease, but the medical community is not always willing to accept conservative treatment as they… Advisors/Committee Members: Sara Horton-Deutch, Jim D'Alfonso.

Subjects/Keywords: Earlier palliative care; palliative care and nephrology; dialysis; conservative chronic kidney disease treatment; positive impact of palliative care; Nephrology; Nursing; Palliative Care

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APA (6^th Edition):

Cohen, J. (2020). Earlier Palliative Care Referrals for Nephrology Patients. (Thesis). University of San Francisco. Retrieved from https://repository.usfca.edu/dnp/227

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Cohen, Jerold. “Earlier Palliative Care Referrals for Nephrology Patients.” 2020. Thesis, University of San Francisco. Accessed March 03, 2021. https://repository.usfca.edu/dnp/227.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Cohen, Jerold. “Earlier Palliative Care Referrals for Nephrology Patients.” 2020. Web. 03 Mar 2021.

Vancouver:

Cohen J. Earlier Palliative Care Referrals for Nephrology Patients. [Internet] [Thesis]. University of San Francisco; 2020. [cited 2021 Mar 03]. Available from: https://repository.usfca.edu/dnp/227.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Cohen J. Earlier Palliative Care Referrals for Nephrology Patients. [Thesis]. University of San Francisco; 2020. Available from: https://repository.usfca.edu/dnp/227

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Alberta

13. Jacknicke, Catherine A. Personal-professional connections in palliative care occupational therapy.

Degree: MS, Department of Occupational Therapy, 1998, University of Alberta

URL: https://era.library.ualberta.ca/files/cj82kb01v

Subjects/Keywords: Palliative treatment.; Occupational therapists.

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APA (6^th Edition):

Jacknicke, C. A. (1998). Personal-professional connections in palliative care occupational therapy. (Masters Thesis). University of Alberta. Retrieved from https://era.library.ualberta.ca/files/cj82kb01v

Chicago Manual of Style (16^th Edition):

Jacknicke, Catherine A. “Personal-professional connections in palliative care occupational therapy.” 1998. Masters Thesis, University of Alberta. Accessed March 03, 2021. https://era.library.ualberta.ca/files/cj82kb01v.

MLA Handbook (7^th Edition):

Jacknicke, Catherine A. “Personal-professional connections in palliative care occupational therapy.” 1998. Web. 03 Mar 2021.

Vancouver:

Jacknicke CA. Personal-professional connections in palliative care occupational therapy. [Internet] [Masters thesis]. University of Alberta; 1998. [cited 2021 Mar 03]. Available from: https://era.library.ualberta.ca/files/cj82kb01v.

Council of Science Editors:

Jacknicke CA. Personal-professional connections in palliative care occupational therapy. [Masters Thesis]. University of Alberta; 1998. Available from: https://era.library.ualberta.ca/files/cj82kb01v

Universiteit Utrecht

14. Hoeven, L.M.A. van der. Comparison of Robenacoxib and carprofen in palliative management of cancer pain.

Degree: 2014, Universiteit Utrecht

URL: http://dspace.library.uu.nl:8080/handle/1874/297059

► When dogs with cancer are no longer (or not at all) treated for their illness, a palliative treatment should be given to increase the wellbeing… (more)

Subjects/Keywords: dogs; palliative treatment; cancer; Robenacoxib; carprofen; pain; NSAID

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APA (6^th Edition):

Hoeven, L. M. A. v. d. (2014). Comparison of Robenacoxib and carprofen in palliative management of cancer pain. (Masters Thesis). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/297059

Chicago Manual of Style (16^th Edition):

Hoeven, L M A van der. “Comparison of Robenacoxib and carprofen in palliative management of cancer pain.” 2014. Masters Thesis, Universiteit Utrecht. Accessed March 03, 2021. http://dspace.library.uu.nl:8080/handle/1874/297059.

MLA Handbook (7^th Edition):

Hoeven, L M A van der. “Comparison of Robenacoxib and carprofen in palliative management of cancer pain.” 2014. Web. 03 Mar 2021.

Vancouver:

Hoeven LMAvd. Comparison of Robenacoxib and carprofen in palliative management of cancer pain. [Internet] [Masters thesis]. Universiteit Utrecht; 2014. [cited 2021 Mar 03]. Available from: http://dspace.library.uu.nl:8080/handle/1874/297059.

Council of Science Editors:

Hoeven LMAvd. Comparison of Robenacoxib and carprofen in palliative management of cancer pain. [Masters Thesis]. Universiteit Utrecht; 2014. Available from: http://dspace.library.uu.nl:8080/handle/1874/297059

Boston University

15. Caputo, Michael. Efficacy of non-medicinal approaches in treating side effects associated with cancer treatment.

Degree: MS, Medical Sciences, 2014, Boston University

URL: http://hdl.handle.net/2144/15310

► In the United States, the golden standard of treatment for patients afflicted with cancer is adjuvant chemotherapy treatment. Chemotherapy treatment has proven efficacy in eradicating… (more)

Subjects/Keywords: Oncology; Exercise; Music; Spirituality; Chemotherapy treatment; Palliative care

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APA (6^th Edition):

Caputo, M. (2014). Efficacy of non-medicinal approaches in treating side effects associated with cancer treatment. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/15310

Chicago Manual of Style (16^th Edition):

Caputo, Michael. “Efficacy of non-medicinal approaches in treating side effects associated with cancer treatment.” 2014. Masters Thesis, Boston University. Accessed March 03, 2021. http://hdl.handle.net/2144/15310.

MLA Handbook (7^th Edition):

Caputo, Michael. “Efficacy of non-medicinal approaches in treating side effects associated with cancer treatment.” 2014. Web. 03 Mar 2021.

Vancouver:

Caputo M. Efficacy of non-medicinal approaches in treating side effects associated with cancer treatment. [Internet] [Masters thesis]. Boston University; 2014. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/2144/15310.

Council of Science Editors:

Caputo M. Efficacy of non-medicinal approaches in treating side effects associated with cancer treatment. [Masters Thesis]. Boston University; 2014. Available from: http://hdl.handle.net/2144/15310

University of the Western Cape

16. Chauhan, Jyoti. The experiences of primary caregivers providing palliative care to women living with advanced breast cancer .

Degree: 2006, University of the Western Cape

URL: http://hdl.handle.net/11394/2039

► The aim of this explorative study was to understand the experiences and challenges of primary caregivers providing palliative care to women with advanced breast cancer.… (more)

Subjects/Keywords: Palliative treatment; Terminal care; Caregivers

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APA (6^th Edition):

Chauhan, J. (2006). The experiences of primary caregivers providing palliative care to women living with advanced breast cancer . (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/2039

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Chauhan, Jyoti. “The experiences of primary caregivers providing palliative care to women living with advanced breast cancer .” 2006. Thesis, University of the Western Cape. Accessed March 03, 2021. http://hdl.handle.net/11394/2039.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Chauhan, Jyoti. “The experiences of primary caregivers providing palliative care to women living with advanced breast cancer .” 2006. Web. 03 Mar 2021.

Vancouver:

Chauhan J. The experiences of primary caregivers providing palliative care to women living with advanced breast cancer . [Internet] [Thesis]. University of the Western Cape; 2006. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/11394/2039.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Chauhan J. The experiences of primary caregivers providing palliative care to women living with advanced breast cancer . [Thesis]. University of the Western Cape; 2006. Available from: http://hdl.handle.net/11394/2039

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Tasmania

17. Young, Rachel Susan. Aspects of drug use in schizophrenia, cardiac surgery and palliative care.

Degree: 1995, University of Tasmania

URL: https://eprints.utas.edu.au/21959/1/whole_YoungRachelSusan1997_thesis.pdf

► The research in this thesis involved four studies of the variability in plasma concentrations and effects of a selection of drugs used in schizophrenia, cardiac… (more)

▼ The research in this thesis involved four studies of the variability in plasma concentrations and effects of a selection of drugs used in schizophrenia, cardiac surgery and palliative care. 1. Fluphenazine study Steady-state pre-dose plasma concentrations of fluphenazine were measured using a gas chromatography I mass spectrometry assay in 24 patients with schizophrenia who were receiving continuous treatment with depot intramuscular fluphenazine decanoate. Clinical response was measured using the Andreasen Scale for positive and negative symptoms. Poorer clinical control was related to higher log transformed plasma concentrations of fluphenazine and higher fluphenazine decanoate dosage. The log transformed plasma concentrations of fluphenazine and the fluphenazine decanoate dosages were weakly related. These results indicated the useful role that plasma level monitoring can fulfill in identifying patients who are therapy-resistant despite optimal or high plasma levels. 2. CPB study This study examined the effect of cardiopulmonary bypass (CPB) surgery on the total and unbound plasma concentrations of fentanyl and the total plasma concentrations of alcuronium in sixteen patients. Due to the large number of factors which may affect pharmacokinetics during CPB, the results were difficult to deal with mathematically. Despite marked declines in the plasma concentrations of both drugs on initiation of CPB, suitable plasma concentrations for anaesthesia were maintained throughout the procedure. 3. Subcutaneous fentanyl This study investigated the steady-state total and unbound plasma concentrations of fentanyl during continuous subcutaneous administration in 20 palliative care patients. Infusion rates and both total and unbound plasma concentrations of fentanyl were correlated. Even with standardisation for dosage, there was an 8-fold variation in total plasma concentrations and a 3.5-fold variation in unbound plasma concentrations of fentanyl. There was considerable inter-patient variability in the pharmacokinetics of fentanyl with subcutaneous infusion in the palliative care setting, which necessitated careful titration of dosage according to individual clinical response. 4. Nebulised morphine trial The final study involved a trial of nebulised morphine for dyspnoea in eleven palliative care patients. Due to patient attrition and the resulting small sample size, a significant improvement in respiratory function and assessment of dyspnoea could not be found overall. Individual patients, however, reported an improvement in their symptoms. More studies with increased numbers are needed to statistically prove the benefit of nebulised morphine over saline alone for the relief of dyspnoea.

Subjects/Keywords: Schizophrenia; Heart; Palliative treatment; Pharmacokinetics

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APA (6^th Edition):

Young, R. S. (1995). Aspects of drug use in schizophrenia, cardiac surgery and palliative care. (Thesis). University of Tasmania. Retrieved from https://eprints.utas.edu.au/21959/1/whole_YoungRachelSusan1997_thesis.pdf

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Young, Rachel Susan. “Aspects of drug use in schizophrenia, cardiac surgery and palliative care.” 1995. Thesis, University of Tasmania. Accessed March 03, 2021. https://eprints.utas.edu.au/21959/1/whole_YoungRachelSusan1997_thesis.pdf.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Young, Rachel Susan. “Aspects of drug use in schizophrenia, cardiac surgery and palliative care.” 1995. Web. 03 Mar 2021.

Vancouver:

Young RS. Aspects of drug use in schizophrenia, cardiac surgery and palliative care. [Internet] [Thesis]. University of Tasmania; 1995. [cited 2021 Mar 03]. Available from: https://eprints.utas.edu.au/21959/1/whole_YoungRachelSusan1997_thesis.pdf.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Young RS. Aspects of drug use in schizophrenia, cardiac surgery and palliative care. [Thesis]. University of Tasmania; 1995. Available from: https://eprints.utas.edu.au/21959/1/whole_YoungRachelSusan1997_thesis.pdf

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Montana State University

18. McKinley, Whitney Barnekoff. Impact of complementary relaxation therapy education for palliative care nurses.

Degree: Doctor of Nursing Practice, College of Nursing, 2018, Montana State University

URL: https://scholarworks.montana.edu/xmlui/handle/1/14569

► Background: CAM interventions can improve symptom management in end of life care. Nursing knowledge and routine integration of CAM in the impatient setting is lacking… (more)

▼ Background: CAM interventions can improve symptom management in end of life care. Nursing knowledge and routine integration of CAM in the impatient setting is lacking in palliative care. Education regarding CAM therapies for health providers could help ameliorate this problem. Purpose: The purpose of this project was to enhance nursing knowledge and comfort with relaxation therapy, and to evaluate of how this knowledge enhancement could impact palliative care patient outcomes. Setting/participants: Setting was an inpatient Oncology unit. This project had two populations; registered nurses (n=13) with primary employment on the oncology unit and palliative care patients (n= 20) with end stage pulmonary disease or pulmonary malignancy. Methods: This quasi-experimental pilot project utilizing before and after comparisons of nursing education and patient symptoms. Three phases were implemented. Phase one included a CAM Health Beliefs Questionnaire distributed to nursing staff. This was followed by an educational intervention for nursing staff regarding relaxation therapy that included instructions on the use of the Emwave Heartmath Biofeedback technology. An instrument (Relaxation Therapy Competency), intended to measure change in nursing knowledge, was developed and utilized in a pre-test/post?test format. Once competence was established, nurses implemented the relaxation therapy for palliative pulmonary patients. Subjective and objective measures were gathered before and after relaxation therapy was initiated on enrolled participants. Data collected included inpatient implementation utilizing Emwave Heartmath Biofeedback technology, pain, anxiety and breathlessness ratings (utilizing Likert scales), and vital sign measurements. Results: Knowledge was improved by an average of 35% for nursing participants through enhancing knowledge with an education session. A reduction in breathlessness, pain, and anxiety resulted for nearly all patient participants utilizing a singular biofeedback session. Physiological coherence achieved through relaxation therapy integration was expressed through significant improvement in blood pressure, respiratory rate, heart rate, and pulse oximetry for the patient population as a whole. Conclusion: The results of this pilot project show that symptom management can be improved for palliative care patients. Nursing knowledge regarding relaxation therapies was greatly improved, and nursing attitudes were positive overall. This safe, effective therapy has the potential to impact palliative care patients' symptom management and their end of life care. Advisors/Committee Members: Chairperson, Graduate Committee: Alice Running (advisor).

Subjects/Keywords: Relaxation.; Therapeutics.; Palliative treatment.; Nursing.; Education.; Alternative medicine.

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APA (6^th Edition):

McKinley, W. B. (2018). Impact of complementary relaxation therapy education for palliative care nurses. (Doctoral Dissertation). Montana State University. Retrieved from https://scholarworks.montana.edu/xmlui/handle/1/14569

Chicago Manual of Style (16^th Edition):

McKinley, Whitney Barnekoff. “Impact of complementary relaxation therapy education for palliative care nurses.” 2018. Doctoral Dissertation, Montana State University. Accessed March 03, 2021. https://scholarworks.montana.edu/xmlui/handle/1/14569.

MLA Handbook (7^th Edition):

McKinley, Whitney Barnekoff. “Impact of complementary relaxation therapy education for palliative care nurses.” 2018. Web. 03 Mar 2021.

Vancouver:

McKinley WB. Impact of complementary relaxation therapy education for palliative care nurses. [Internet] [Doctoral dissertation]. Montana State University; 2018. [cited 2021 Mar 03]. Available from: https://scholarworks.montana.edu/xmlui/handle/1/14569.

Council of Science Editors:

McKinley WB. Impact of complementary relaxation therapy education for palliative care nurses. [Doctoral Dissertation]. Montana State University; 2018. Available from: https://scholarworks.montana.edu/xmlui/handle/1/14569

Montana State University

19. Hayter, Chelsi Rae. Acute care nurses' self-reported competence in palliative care.

Degree: M Nursing, College of Nursing, 2016, Montana State University

URL: https://scholarworks.montana.edu/xmlui/handle/1/9830

► Palliative care is a health care specialty that can provide patients and their families relief from burdensome symptoms and improve quality of life when faced… (more)

Subjects/Keywords: Palliative treatment.; Nurses Attitudes.; Clinical competence.; Intensive care nursing.

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APA (6^th Edition):

Hayter, C. R. (2016). Acute care nurses' self-reported competence in palliative care. (Thesis). Montana State University. Retrieved from https://scholarworks.montana.edu/xmlui/handle/1/9830

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Hayter, Chelsi Rae. “Acute care nurses' self-reported competence in palliative care.” 2016. Thesis, Montana State University. Accessed March 03, 2021. https://scholarworks.montana.edu/xmlui/handle/1/9830.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Hayter, Chelsi Rae. “Acute care nurses' self-reported competence in palliative care.” 2016. Web. 03 Mar 2021.

Vancouver:

Hayter CR. Acute care nurses' self-reported competence in palliative care. [Internet] [Thesis]. Montana State University; 2016. [cited 2021 Mar 03]. Available from: https://scholarworks.montana.edu/xmlui/handle/1/9830.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Hayter CR. Acute care nurses' self-reported competence in palliative care. [Thesis]. Montana State University; 2016. Available from: https://scholarworks.montana.edu/xmlui/handle/1/9830

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Melbourne

20. O'CALLAGHAN, CLARE. Music therapy's relevance in a cancer hospital researched through a constructivist lens.

Degree: 2001, University of Melbourne

URL: http://hdl.handle.net/11343/39309

► A constructivist research paradigm informed an investigation of the relevance of music therapy (MT) in a cancer hospital, that is, (a) what did MT do(?)… (more)

Subjects/Keywords: music therapy; palliative treatment; cancer

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APA (6^th Edition):

O'CALLAGHAN, C. (2001). Music therapy's relevance in a cancer hospital researched through a constructivist lens. (Doctoral Dissertation). University of Melbourne. Retrieved from http://hdl.handle.net/11343/39309

Chicago Manual of Style (16^th Edition):

O'CALLAGHAN, CLARE. “Music therapy's relevance in a cancer hospital researched through a constructivist lens.” 2001. Doctoral Dissertation, University of Melbourne. Accessed March 03, 2021. http://hdl.handle.net/11343/39309.

MLA Handbook (7^th Edition):

O'CALLAGHAN, CLARE. “Music therapy's relevance in a cancer hospital researched through a constructivist lens.” 2001. Web. 03 Mar 2021.

Vancouver:

O'CALLAGHAN C. Music therapy's relevance in a cancer hospital researched through a constructivist lens. [Internet] [Doctoral dissertation]. University of Melbourne; 2001. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/11343/39309.

Council of Science Editors:

O'CALLAGHAN C. Music therapy's relevance in a cancer hospital researched through a constructivist lens. [Doctoral Dissertation]. University of Melbourne; 2001. Available from: http://hdl.handle.net/11343/39309

University of Hong Kong

21. Ho, Hau-yan, Andy. Living and dying with dignity : an interpretive-systemic framework in Hong Kong.

Degree: 2013, University of Hong Kong

URL: http://hdl.handle.net/10722/193427

► Protecting and promoting patients’ and families’ sense of dignity at end-of-life is an indispensable goal, one that palliative care professionals have pursued unceasingly in the… (more)

▼ Protecting and promoting patients’ and families’ sense of dignity at end-of-life is an indispensable goal, one that palliative care professionals have pursued unceasingly in the modern era. While researchers have made several attempts to uncover the intricate meaning and constitution of dignity and dignified end-of-life care in recent years, their works are solely based upon a Western individualistic paradigm that may not be applicable in Eastern collective societies. This limitation underscores that the existing body of knowledge is missing an important articulation on the Chinese experience. Thus, to fill this important knowledge gap, this study has applied ‘micro’, ‘meso’ and ‘macro’ levels of inquiries to attain a holistic understanding of dignity and dignified end-of-life care in the Hong Kong Chinese context. Through meaning-oriented interviews with 18 Chinese palliative terminal cancer patients and 18 of their family caregivers, as well as four interpretive-systemic focus groups with 30 key informants involved in a novel end-of-life care pathway programme (N=66), a total of 31 themes that elucidate dignity and dignified end-of-life care have been generated. These 31 themes are carefully organized into 9 categories that reflect the Individual, Familial and Institutional dimensions of dignity at end-of-life. First, the Individual dimension includes: 1) “Personal Autonomy”, which consists of Regain Control, Self-Sufficiency, Informed Care Decisions and Future Planning; 2) “Family Connectedness”, which consists of Express Appreciation, Achieve Reconciliation, Fulfill Family Obligations and Strengthen Family Bond; and 3) “Spiritual Plasticity”, which consists of Enduring pain, Spiritual Surrender, Moral Transcendence and Transgenerational Unity. Second, the Familial dimension involves: 1) “Social Agency”, which comprises of Caregiving Resources, Caregiver Assertiveness and Communicative Action; 2) “Family Integrity”, which comprises of Mutual Support, Kinship Involvement and Family Adaptability; and 3) “Filial Compassion”, which comprises of Compassionate Duty, Reciprocal Relationship and Emotional Connection. Third, the Institutional dimension entails: 1) “Regulatory Empowerment”, which encompasses Interdisciplinary Teamwork, Resource Allocation, Culture Building and Collaborative Policymaking; 2) “Family-Centered Care”, which encompasses Continuity of Care, Family Conference and Care Partnership; and 3) “Collective Compassion”, which encompasses Devotion in Care, Empathic Understanding, and Compassionate Action. These 9 categories and their respected 31 themes are clearly interrelated and embedded within the political, cultural, and spiritual contexts of society, highlighting the intricate interplay of systemic structure and social discourse for promoting dignity at end-of-life. These findings have further led to the development of the ‘Patient-Family Model of Dignified Care’ and the ‘Interpretive-Systemic Framework of Dignity at End-of-Life’. The former provides a new clinical protocol for… Advisors/Committee Members: Chan, CLW (advisor), Chow, AYM (advisor).

Subjects/Keywords: Palliative treatment - China - Hong Kong

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Ho, Hau-yan, A. (2013). Living and dying with dignity : an interpretive-systemic framework in Hong Kong. (Thesis). University of Hong Kong. Retrieved from http://hdl.handle.net/10722/193427

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Ho, Hau-yan, Andy. “Living and dying with dignity : an interpretive-systemic framework in Hong Kong.” 2013. Thesis, University of Hong Kong. Accessed March 03, 2021. http://hdl.handle.net/10722/193427.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Ho, Hau-yan, Andy. “Living and dying with dignity : an interpretive-systemic framework in Hong Kong.” 2013. Web. 03 Mar 2021.

Vancouver:

Ho, Hau-yan A. Living and dying with dignity : an interpretive-systemic framework in Hong Kong. [Internet] [Thesis]. University of Hong Kong; 2013. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/10722/193427.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Ho, Hau-yan A. Living and dying with dignity : an interpretive-systemic framework in Hong Kong. [Thesis]. University of Hong Kong; 2013. Available from: http://hdl.handle.net/10722/193427

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

22. Bradley, Sarah Elizabeth. Specialist palliative day care : patients' perspectives.

Degree: PhD, 2009, University of Hull

URL: http://hydra.hull.ac.uk/resources/hull:3970 ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.507474

► This portfolio has three parts. Part one is a systematic literature review entitled ‘Patients' Psychosocial Experiences of Attending Specialist Palliative Day Care: A Systematic Literature… (more)

▼ This portfolio has three parts. Part one is a systematic literature review entitled ‘Patients' Psychosocial Experiences of Attending Specialist Palliative Day Care: A Systematic Literature Review’. Recent reviews conclude that the benefits of attending Specialist Palliative Day Care are likely to be in the social, psychological and spiritual domains. However these areas are not easily identified, leaving researchers and practitioners unclear as to what aspects of these domains patients most need and desire. The objective of this review was to systematically evaluate literature on patient perceived psychosocial experiences of attendance at SPDC. Twelve studies were included. Evidence showed that patients value a person-centred approach which reduces isolation, increases social support, encourages communication and provides activities. Future research could focus on investigating why patients value the psychosocial experiences reported in this review and how these experiences can be defined in a way that would be meaningful to clinical service commissioners. Once this has been done, clinicians can start to measure clinical effectiveness and devise justifiable interventions for this patient group. Part two is a qualitative study, using Interpretative Phenomenological Analysis (IPA) to explore patients’ perspective of attending SPDC. The importance of services helping patients cope with terminal illness has been emphasised throughout Department of Health (2000) and NICE (2004) cancer guidance. However, whether or not services are achieving this aim has been sparsely researched to date; particularly in relation to Specialist Palliative Day Care (SPDC). Eleven semi-structured interviews were carried out and analysed utilising qualitative methodology (Interpretative Phenomenological Analysis – IPA) to allow for an in depth investigation of SPDC. Emerging themes suggest that SPDC provides an environment in which patients are helped to cope by facilitation of acceptance of the reality of death, thereby freeing them to focus on 'life'. The study does not claim to provide the definitive answer to what processes may underpin attendance at SPDC, however in such an under researched area it provides a much needed exploration which can be built upon or challenged by future research. Part three comprises appendices relating to the research. This includes a reflective statement on the process of conducting the research, the challenges faced and the lessons learnt.

Subjects/Keywords: 155; Medicine Palliative treatment

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APA (6^th Edition):

Bradley, S. E. (2009). Specialist palliative day care : patients' perspectives. (Doctoral Dissertation). University of Hull. Retrieved from http://hydra.hull.ac.uk/resources/hull:3970 ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.507474

Chicago Manual of Style (16^th Edition):

Bradley, Sarah Elizabeth. “Specialist palliative day care : patients' perspectives.” 2009. Doctoral Dissertation, University of Hull. Accessed March 03, 2021. http://hydra.hull.ac.uk/resources/hull:3970 ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.507474.

MLA Handbook (7^th Edition):

Bradley, Sarah Elizabeth. “Specialist palliative day care : patients' perspectives.” 2009. Web. 03 Mar 2021.

Vancouver:

Bradley SE. Specialist palliative day care : patients' perspectives. [Internet] [Doctoral dissertation]. University of Hull; 2009. [cited 2021 Mar 03]. Available from: http://hydra.hull.ac.uk/resources/hull:3970 ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.507474.

Council of Science Editors:

Bradley SE. Specialist palliative day care : patients' perspectives. [Doctoral Dissertation]. University of Hull; 2009. Available from: http://hydra.hull.ac.uk/resources/hull:3970 ; http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.507474

Massey University

23. Koti, Diane Maureen. Te tatau o te pō : perceptions and experiences of palliative care and hospice – a Māori perspective : a thesis presented in partial fulfillment of the requirements for a Master of Arts in Psychology at Massey University, Manawatū, New Zealand .

Degree: 2013, Massey University

URL: http://hdl.handle.net/10179/5462

► Palliative care and hospice service demand in New Zealand is predicted to increase, due to New Zealand's growing and ageing population. The Maori population is… (more)

Subjects/Keywords: Maori (New Zealand people); Palliative treatment; Hospice care; New Zealand

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APA (6^th Edition):

Koti, D. M. (2013). Te tatau o te pō : perceptions and experiences of palliative care and hospice – a Māori perspective : a thesis presented in partial fulfillment of the requirements for a Master of Arts in Psychology at Massey University, Manawatū, New Zealand . (Thesis). Massey University. Retrieved from http://hdl.handle.net/10179/5462

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Koti, Diane Maureen. “Te tatau o te pō : perceptions and experiences of palliative care and hospice – a Māori perspective : a thesis presented in partial fulfillment of the requirements for a Master of Arts in Psychology at Massey University, Manawatū, New Zealand .” 2013. Thesis, Massey University. Accessed March 03, 2021. http://hdl.handle.net/10179/5462.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Koti, Diane Maureen. “Te tatau o te pō : perceptions and experiences of palliative care and hospice – a Māori perspective : a thesis presented in partial fulfillment of the requirements for a Master of Arts in Psychology at Massey University, Manawatū, New Zealand .” 2013. Web. 03 Mar 2021.

Vancouver:

Koti DM. Te tatau o te pō : perceptions and experiences of palliative care and hospice – a Māori perspective : a thesis presented in partial fulfillment of the requirements for a Master of Arts in Psychology at Massey University, Manawatū, New Zealand . [Internet] [Thesis]. Massey University; 2013. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/10179/5462.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Koti DM. Te tatau o te pō : perceptions and experiences of palliative care and hospice – a Māori perspective : a thesis presented in partial fulfillment of the requirements for a Master of Arts in Psychology at Massey University, Manawatū, New Zealand . [Thesis]. Massey University; 2013. Available from: http://hdl.handle.net/10179/5462

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

24. Snow, Patricia. Nurses' Knowledge of Palliative Care in a Midwestern Federal Medical Center.

Degree: MS, Graduate Nursing, 1999, South Dakota State University

URL: https://openprairie.sdstate.edu/etd/898

► This study was designed to assess the current knowledge and perceptions of palliative care of nurses in a Midwestern Veterans Affairs Medical Center (VAMC).… (more)

▼ This study was designed to assess the current knowledge and perceptions of palliative care of nurses in a Midwestern Veterans Affairs Medical Center (VAMC). The specific research questions were: 1. What is the current state of knowledge of palliative care, current perceptions about nurses' spiritual role and current perceptions about the hospital climate towards palliative care of all nurses in a Midwestern Veterans hospital? 2. What is the difference between the different educational levels of nurses and their knowledge of palliative care, perceptions about nurses' spiritual role and perceptions about the hospital climate towards palliative care? 3. What is the difference between nurses from different practice areas and their knowledge of palliative care, perceptions about nurses' spiritual role and perceptions about the hospital climate towards palliative care? 4. What is the difference between experienced nurses and inexperienced nurses in their knowledge of palliative care, perceptions about nurses' spiritual role and perceptions about the hospital climate towards palliative care? All registered nurses and licensed practical nurses from a Midwestern VAMC were Invited to complete a palliative care survey which consisted of demographic data, the Palliative Care Quiz for Nursing and the Health Professional's Spiritual Role Scale. Additional data was obtained regarding the nurses' perception of hospital climate towards palliative care by using visual analog scales and open ended questions regarding perceived barriers and perceived supportive factors. Surveys were distributed to all registered nurses and licensed practical nurses within the designated medical center. All Information was anonymous with no Identifying data on the survey. All participants were Instructed not to Include their names. Completion and return of the survey was considered Informed consent, which was explained in the cover letter. Ninety of the one hundred sixty three of the potential subjects returned surveys for a response rate of 55.2%. Results of the study Indicated nurses had a lack of knowledge of palliative care Including principles of palliative care, pain and symptom management and psychosocial and spiritual aspects of palliative care. Educational level, years of experience and practice setting made no significant difference on knowledge scores. Nurses had a positive perspective of their role In providing spiritual care for dying patients with mean scores on the Health Professional's Spiritual Role Scale of 105.4 out of a possible ISO. Educational level, years of experience and practice setting made no significant difference on nurses' perception of their role in providing spiritual care. Nurses' perception of hospital support for palliative care through continuing education, adequate staffing and providers overall acceptance of palliative care was low. Top supportive factors for palliative care identified by nurses included chaplain services, caring nurses, analgesic options, hospice room, family… Advisors/Committee Members: Margaret Hegge.

Subjects/Keywords: palliative treatment; nurse attitudes; Nursing

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Snow, P. (1999). Nurses' Knowledge of Palliative Care in a Midwestern Federal Medical Center. (Masters Thesis). South Dakota State University. Retrieved from https://openprairie.sdstate.edu/etd/898

Chicago Manual of Style (16^th Edition):

Snow, Patricia. “Nurses' Knowledge of Palliative Care in a Midwestern Federal Medical Center.” 1999. Masters Thesis, South Dakota State University. Accessed March 03, 2021. https://openprairie.sdstate.edu/etd/898.

MLA Handbook (7^th Edition):

Snow, Patricia. “Nurses' Knowledge of Palliative Care in a Midwestern Federal Medical Center.” 1999. Web. 03 Mar 2021.

Vancouver:

Snow P. Nurses' Knowledge of Palliative Care in a Midwestern Federal Medical Center. [Internet] [Masters thesis]. South Dakota State University; 1999. [cited 2021 Mar 03]. Available from: https://openprairie.sdstate.edu/etd/898.

Council of Science Editors:

Snow P. Nurses' Knowledge of Palliative Care in a Midwestern Federal Medical Center. [Masters Thesis]. South Dakota State University; 1999. Available from: https://openprairie.sdstate.edu/etd/898

25. Bonecutter, Cheryl J. Content Validation of the Perinatal Palliative Care Advance Care Birth Plan Following the American Psychological Association's Guidelines.

Degree: 2015, Drexel University

URL: http://hdl.handle.net/1860/idea:6493

►

Background and Purpose: The purpose of this project was to validate the content of the perinatal palliative care advance care birth plan (ACBP). Families of… (more)

▼

Background and Purpose: The purpose of this project was to validate the content of the perinatal palliative care advance care birth plan (ACBP). Families of these infants experience a myriad of emotions when faced with the diagnosis that their baby will not survive. The healthcare team should support these families with a level of comfort and confidence. Without a formalized program or document of families' wishes and expectations, communication within the team of specialists and consultants can be challenging for the family and the healthcare team. In order to provide ethical, psychosocial, spiritual, cultural and clinical care, a confident team requires coordination and organization. Methods: Experts in perinatal bereavement, hospice and palliative care were asked to evaluate the content of the ACBP for clarity, comprehensiveness, and relevance. Each section of the ACBP was evaluated and comments were extrapolated and trends identified to affect revisions to the document. Evaluation: Prior to distributing the ACBP to the nationally recognized experts, professionals that would be utilizing the ACBP in a large university-based hospital system in the southern United States were asked to evaluate the ACBP for content and clarity. Combined comments were extrapolated and revisions to the ACBP document were completed. A letter included with the ACBP explained the evaluation process and need to validate the content of the ACBP. Clinical Implications/Recommendations: The ACBP will provide a template for difficult conversations between the healthcare team and the family of these infants with life-limiting conditions. The ACBP provides a bridge of communication with the entire healthcare team ensuring a comprehensive care model and structure. Healthcare teams, patients and their families will have integrated, informed decision-making capacity in the birth, life and death of their infant.

D.N.P., Nursing Practice – Drexel University, 2015

Advisors/Committee Members: Zuzelo, Patti Rager, College of Nursing and Health Professions.

Subjects/Keywords: Nursing; Newborn infants; Palliative treatment; Advanced directives (Medical care)

3 more images…

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Bonecutter, C. J. (2015). Content Validation of the Perinatal Palliative Care Advance Care Birth Plan Following the American Psychological Association's Guidelines. (Thesis). Drexel University. Retrieved from http://hdl.handle.net/1860/idea:6493

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Bonecutter, Cheryl J. “Content Validation of the Perinatal Palliative Care Advance Care Birth Plan Following the American Psychological Association's Guidelines.” 2015. Thesis, Drexel University. Accessed March 03, 2021. http://hdl.handle.net/1860/idea:6493.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Bonecutter, Cheryl J. “Content Validation of the Perinatal Palliative Care Advance Care Birth Plan Following the American Psychological Association's Guidelines.” 2015. Web. 03 Mar 2021.

Vancouver:

Bonecutter CJ. Content Validation of the Perinatal Palliative Care Advance Care Birth Plan Following the American Psychological Association's Guidelines. [Internet] [Thesis]. Drexel University; 2015. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/1860/idea:6493.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Bonecutter CJ. Content Validation of the Perinatal Palliative Care Advance Care Birth Plan Following the American Psychological Association's Guidelines. [Thesis]. Drexel University; 2015. Available from: http://hdl.handle.net/1860/idea:6493

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Drexel University

26. Mendez, Jessica L. Examining the Implementation of Outpatient Palliative Care and its Influence on Quality of Life in Patients with a Life-Limiting Condition.

Degree: 2019, Drexel University

URL: https://idea.library.drexel.edu/islandora/object/idea%3A9604

►

Background: Incorporating home-based palliative care is a new frontier within health care.Many health systems do not have patient access to such services. The need for… (more)

▼

Background: Incorporating home-based palliative care is a new frontier within health care.Many health systems do not have patient access to such services. The need for comprehensive palliative care is inevitable with the aging population. Benefit of initiating palliative medicine for patients with life-limiting illness is known within present literature. The practice gap that exists within palliative medicine is well supported by existing evidence, as is the need to improve access to this style of care. Purpose: The purpose of this study is to embed outpatient palliative care services within the visiting nurses association (VNA) within Wellspan Health. By embedding this service as a needs assessment project, the investigator attempts to demonstrate improved quality of life outcomes and overall improved symptom management. Methods: a pre-test and post-test survey method using a convenience sample within the VNA was conducted assessing symptom control, wellbeing and level of distress. Initial ratings of symptoms including pain, nausea, anxiety, depression, sleep wellbeing, and distress level was documented using the Edmonton Symptom Assessment System and the distress thermometer. Weekly surveys were provided to participants on week one through eight during home visits. Evaluation: Descriptive statistics was used to evaluate the data collected. A Wilcoxon Signed Rank test was used to compare pain, wellbeing and distress scores from initial home visit to the final visit at the end of three weeks. Results: A non-parametric Wilcox Signed Rank test was used to analyze symptom data. When comparing the mean rating from the ESAS from week one (M=35.20, SD= 20.85), to week three (M=30.30, SD= 17.84), overall improvement cannot be generalized with the implementation of palliative care within the home health model. No statistical significance was identified (z= -1.07,p= 0.284). The same was true for the NCCN Distress Thermometer at week one (M= 3.60, SD=2.80), as compared to the end of the study at week three (M= 2.69, SD= 2.69, z= -.049, p=0.623). Clinical Implications: Review of the results does demonstrate some improvement toward improved symptom management, but because of time constraints and limited participation, results were not supportive of the hypothesis of suggested improvement with implementation of outpatient palliative care services within the VNA. Results suggest increase support for completion of symptom management tools and increased study length to demonstrate a more generalizable finding.

D.N.P., Nursing Practice – Drexel University, 2019

Advisors/Committee Members: Wilson, Linda, 1962-, Prince, Douglas, Bhatia, Vipul, College of Nursing and Health Professions.

Subjects/Keywords: Nursing; Nursing – Practice; Palliative treatment; Quality of life; Ambulatory medical care

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mendez, J. L. (2019). Examining the Implementation of Outpatient Palliative Care and its Influence on Quality of Life in Patients with a Life-Limiting Condition. (Thesis). Drexel University. Retrieved from https://idea.library.drexel.edu/islandora/object/idea%3A9604

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Mendez, Jessica L. “Examining the Implementation of Outpatient Palliative Care and its Influence on Quality of Life in Patients with a Life-Limiting Condition.” 2019. Thesis, Drexel University. Accessed March 03, 2021. https://idea.library.drexel.edu/islandora/object/idea%3A9604.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Mendez, Jessica L. “Examining the Implementation of Outpatient Palliative Care and its Influence on Quality of Life in Patients with a Life-Limiting Condition.” 2019. Web. 03 Mar 2021.

Vancouver:

Mendez JL. Examining the Implementation of Outpatient Palliative Care and its Influence on Quality of Life in Patients with a Life-Limiting Condition. [Internet] [Thesis]. Drexel University; 2019. [cited 2021 Mar 03]. Available from: https://idea.library.drexel.edu/islandora/object/idea%3A9604.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Mendez JL. Examining the Implementation of Outpatient Palliative Care and its Influence on Quality of Life in Patients with a Life-Limiting Condition. [Thesis]. Drexel University; 2019. Available from: https://idea.library.drexel.edu/islandora/object/idea%3A9604

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

27. Janssen, D.J.A. Palliative care needs of patients with advanced chronic organ failure.

Degree: 2012, Datawyse / Universitaire Pers Maastricht

URL: https://cris.maastrichtuniversity.nl/en/publications/62864658-2176-481a-9085-eed174c51917 ; urn:nbn:nl:ui:27-62864658-2176-481a-9085-eed174c51917 ; 62864658-2176-481a-9085-eed174c51917 ; urn:isbn:978 94 6159 124 1 ; urn:nbn:nl:ui:27-62864658-2176-481a-9085-eed174c51917 ; https://cris.maastrichtuniversity.nl/en/publications/62864658-2176-481a-9085-eed174c51917

► The number of patients with chronic life threatening diseases, such as heart or kidney failure is increasing. Today’s health care does not sufficiently meet the… (more)

Subjects/Keywords: palliative care; treatment preferences; communication

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APA (6^th Edition):

Janssen, D. J. A. (2012). Palliative care needs of patients with advanced chronic organ failure. (Doctoral Dissertation). Datawyse / Universitaire Pers Maastricht. Retrieved from https://cris.maastrichtuniversity.nl/en/publications/62864658-2176-481a-9085-eed174c51917 ; urn:nbn:nl:ui:27-62864658-2176-481a-9085-eed174c51917 ; 62864658-2176-481a-9085-eed174c51917 ; urn:isbn:978 94 6159 124 1 ; urn:nbn:nl:ui:27-62864658-2176-481a-9085-eed174c51917 ; https://cris.maastrichtuniversity.nl/en/publications/62864658-2176-481a-9085-eed174c51917

Chicago Manual of Style (16^th Edition):

Janssen, D J A. “Palliative care needs of patients with advanced chronic organ failure.” 2012. Doctoral Dissertation, Datawyse / Universitaire Pers Maastricht. Accessed March 03, 2021. https://cris.maastrichtuniversity.nl/en/publications/62864658-2176-481a-9085-eed174c51917 ; urn:nbn:nl:ui:27-62864658-2176-481a-9085-eed174c51917 ; 62864658-2176-481a-9085-eed174c51917 ; urn:isbn:978 94 6159 124 1 ; urn:nbn:nl:ui:27-62864658-2176-481a-9085-eed174c51917 ; https://cris.maastrichtuniversity.nl/en/publications/62864658-2176-481a-9085-eed174c51917.

MLA Handbook (7^th Edition):

Janssen, D J A. “Palliative care needs of patients with advanced chronic organ failure.” 2012. Web. 03 Mar 2021.

Vancouver:

Janssen DJA. Palliative care needs of patients with advanced chronic organ failure. [Internet] [Doctoral dissertation]. Datawyse / Universitaire Pers Maastricht; 2012. [cited 2021 Mar 03]. Available from: https://cris.maastrichtuniversity.nl/en/publications/62864658-2176-481a-9085-eed174c51917 ; urn:nbn:nl:ui:27-62864658-2176-481a-9085-eed174c51917 ; 62864658-2176-481a-9085-eed174c51917 ; urn:isbn:978 94 6159 124 1 ; urn:nbn:nl:ui:27-62864658-2176-481a-9085-eed174c51917 ; https://cris.maastrichtuniversity.nl/en/publications/62864658-2176-481a-9085-eed174c51917.

Council of Science Editors:

Janssen DJA. Palliative care needs of patients with advanced chronic organ failure. [Doctoral Dissertation]. Datawyse / Universitaire Pers Maastricht; 2012. Available from: https://cris.maastrichtuniversity.nl/en/publications/62864658-2176-481a-9085-eed174c51917 ; urn:nbn:nl:ui:27-62864658-2176-481a-9085-eed174c51917 ; 62864658-2176-481a-9085-eed174c51917 ; urn:isbn:978 94 6159 124 1 ; urn:nbn:nl:ui:27-62864658-2176-481a-9085-eed174c51917 ; https://cris.maastrichtuniversity.nl/en/publications/62864658-2176-481a-9085-eed174c51917

Rutgers University

28. Ulysse, Gesmene, 1987-. BSN to DNP students' knowledge and plan of care on palliative care.

Degree: Post-Master's DNP Practice, 2020, Rutgers University

URL: https://rucore.libraries.rutgers.edu/rutgers-lib/63347/

Subjects/Keywords: Palliative treatment – Study and teaching

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Ulysse, Gesmene, 1. (2020). BSN to DNP students' knowledge and plan of care on palliative care. (Thesis). Rutgers University. Retrieved from https://rucore.libraries.rutgers.edu/rutgers-lib/63347/

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Ulysse, Gesmene, 1987-. “BSN to DNP students' knowledge and plan of care on palliative care.” 2020. Thesis, Rutgers University. Accessed March 03, 2021. https://rucore.libraries.rutgers.edu/rutgers-lib/63347/.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Ulysse, Gesmene, 1987-. “BSN to DNP students' knowledge and plan of care on palliative care.” 2020. Web. 03 Mar 2021.

Vancouver:

Ulysse, Gesmene 1. BSN to DNP students' knowledge and plan of care on palliative care. [Internet] [Thesis]. Rutgers University; 2020. [cited 2021 Mar 03]. Available from: https://rucore.libraries.rutgers.edu/rutgers-lib/63347/.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Ulysse, Gesmene 1. BSN to DNP students' knowledge and plan of care on palliative care. [Thesis]. Rutgers University; 2020. Available from: https://rucore.libraries.rutgers.edu/rutgers-lib/63347/

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

29. Singh, Gursharan K. Access and referral to palliative care for individuals with chronic heart failure.

Degree: 2019, Western Sydney University

URL: http://hdl.handle.net/1959.7/uws:58320

► Background: Chronic heart failure is associated with poor survival rates and high symptom burden. Despite recommendations for palliative care to improve symptoms and quality of… (more)

▼ Background: Chronic heart failure is associated with poor survival rates and high symptom burden. Despite recommendations for palliative care to improve symptoms and quality of life for individuals with chronic heart failure, palliative care remains underutilised by individuals with chronic heart failure. Purpose: This thesis examines patient, provider and system factors influencing access and referral to palliative care for individuals with chronic heart failure. Methods: This was a mixed-methods study encompassing a survey, a meta-synthesis and qualitative semi-structured interviews. Results: Patient: The qualitative semi-structured interviews demonstrated that patients had their own expectations of what palliative care entailed, interpreting it to be impending death or care for the dying. Each patient with chronic heart failure was unique, with their own set of comorbidities and symptom needs that led to variation in palliative care referral. Provider: The survey findings revealed that the majority of healthcare professionals would refer the patient later in the illness trajectory or as the patient reaches an advanced stage of their illness. System: Access and referral to palliative care for individuals with chronic heart failure is influenced by the perception that palliative care is a limited, finite resource that would not accept referrals for individuals with chronic heart failure. Recommendations: 1. Healthcare professionals require enhanced communication skills. 2. Collaboration between primary care, cardiology and palliative care can streamline referrals and further research on needs-based tools are required. 3. Healthcare professionals would benefit from restorative clinical supervision. 4. Referral to palliative care should be based on the patient’s needs and not prognosis. 5. Patient, family and community awareness of palliative care should be improved to facilitate uptake. Shifting the name to supportive care may facilitate access if based on patient need. 6. Interprofessional education between palliative care and cardiology is needed to improve palliative care access. 7. The impact of healthcare professionals' attitudes towards end of life care on palliative care referral requires further research. 8. Policy and funding models encompassing early access is required to meet the palliative needs of individuals with chronic heart failure. 9. Further research is needed on which palliative care model and method of delivery is best for individuals with chronic heart failure. Advisors/Committee Members: Western Sydney University, School of Nursing and Midwifery (Host institution).

Subjects/Keywords: heart failure; treatment; palliative treatment; Australia; Thesis (Ph.D.) – Western Sydney University, 2019

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Singh, G. K. (2019). Access and referral to palliative care for individuals with chronic heart failure. (Thesis). Western Sydney University. Retrieved from http://hdl.handle.net/1959.7/uws:58320

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Singh, Gursharan K. “Access and referral to palliative care for individuals with chronic heart failure.” 2019. Thesis, Western Sydney University. Accessed March 03, 2021. http://hdl.handle.net/1959.7/uws:58320.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Singh, Gursharan K. “Access and referral to palliative care for individuals with chronic heart failure.” 2019. Web. 03 Mar 2021.

Vancouver:

Singh GK. Access and referral to palliative care for individuals with chronic heart failure. [Internet] [Thesis]. Western Sydney University; 2019. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/1959.7/uws:58320.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Singh GK. Access and referral to palliative care for individuals with chronic heart failure. [Thesis]. Western Sydney University; 2019. Available from: http://hdl.handle.net/1959.7/uws:58320

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of the Western Cape

30. Uwimana, Jeannine. Met and unmet palliative care needs for people living with HIV/AIDS in selected areas in Rwanda .

Degree: 2005, University of the Western Cape

URL: http://hdl.handle.net/11394/1503

► The aim of this study was to investigate met and unmet palliative care needs for people living with HIV/AIDS in selected areas in Rwanda. The… (more)

Subjects/Keywords: AIDS (Disease); Palliative treatment; Rwanda; Patients Care; HIV infections; Palliative treatment

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Uwimana, J. (2005). Met and unmet palliative care needs for people living with HIV/AIDS in selected areas in Rwanda . (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/1503

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Uwimana, Jeannine. “Met and unmet palliative care needs for people living with HIV/AIDS in selected areas in Rwanda .” 2005. Thesis, University of the Western Cape. Accessed March 03, 2021. http://hdl.handle.net/11394/1503.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Uwimana, Jeannine. “Met and unmet palliative care needs for people living with HIV/AIDS in selected areas in Rwanda .” 2005. Web. 03 Mar 2021.

Vancouver:

Uwimana J. Met and unmet palliative care needs for people living with HIV/AIDS in selected areas in Rwanda . [Internet] [Thesis]. University of the Western Cape; 2005. [cited 2021 Mar 03]. Available from: http://hdl.handle.net/11394/1503.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Uwimana J. Met and unmet palliative care needs for people living with HIV/AIDS in selected areas in Rwanda . [Thesis]. University of the Western Cape; 2005. Available from: http://hdl.handle.net/11394/1503

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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Open Access Theses and Dissertations