Comfort‐Supporting Nursing Activities for End‐of‐Life Patients in an Institutionalized Environment

Kisvetrová, Helena; Vévodová, Šárka; Školoudík, David

doi:10.1111/jnu.12341

Cited by 9 publications

(8 citation statements)

References 24 publications

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“…Similar results have been confirmed when assessing independence using the Modified Barthel Index [10] or when using the Instrumental Activities Daily Living Test [11]. The support of independence and physical comfort as a QoL dimension should rank among the most frequently administered nursing interventions [32, 33].…”

Section: Discussionmentioning

confidence: 60%

Psychometric Properties of the Czech Version of the Falls Efficacy Scale-International in Patients with Early-Stage Dementia

Kisvetrová¹,

Školoudík²,

Herzig³

et al. 2019

Dement Geriatr Cogn Disord Extra

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IntroductionA fear of falling marks an important psychological factor connected with a reduction in the life space of people with dementia. The Czech version of the Falls Efficacy Scale-International (FES-I) has not been validated in patients with early-stage dementia.MethodsThe tests were administered to 282 patients with early-stage dementia. The test battery included the following: the FES-I, the Short Physical Performance Battery, the Geriatric Depression Scale, the Bristol Activity Daily Living Scale, and the Quality of Life-Alzheimer's Disease Scale. Internal reliability (Cronbach's α and intraclass correlation [ICC]), Pearson's and Spearman's correlations, exploratory factor analysis, and a t test for independent samples were used for statistical analyses.ResultsThe Czech version of the FES-I had excellent internal and test-retest reliability (Cronbach's α = 0.98, ICC = 0.90; 95′ CI 0.82–0.94). Factor analysis suggested 2 relevant factors. A significantly higher FES-I score was associated with patients with early-stage dementia who were older (p = 0.003) or female (p = 0.001), lived alone (p = 0.0001), spent >8 h a day alone (p = 0.032), used mobility aids (p < 0.0001), or had severe hearing (p = 0.004) or vision impairment (p < 0.0001) or a lower education (r = −0.16, p = 0.007).ConclusionThe Czech version of the FES-I had very good reliability and validity and may be useful in future cross-cultural comparisons in research among patients with early-stage dementia.

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Section: Discussionmentioning

confidence: 60%

Psychometric Properties of the Czech Version of the Falls Efficacy Scale-International in Patients with Early-Stage Dementia

Kisvetrová¹,

Školoudík²,

Herzig³

et al. 2019

Dement Geriatr Cogn Disord Extra

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“…Fifty-three articles were included [33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85]. Seventeen were quantitative studies [33,34,36,37,40,43,50,51,54,61,66,67,69,71,74,81,82], of which the majority ( n = 11) were survey studies, 27 qualitative studies […”

Section: Resultsmentioning

confidence: 99%

“…Seventeen were quantitative studies [33,34,36,37,40,43,50,51,54,61,66,67,69,71,74,81,82], of which the majority ( n = 11) were survey studies, 27 qualitative studies [38,39,41,42,44,45,46,48,49,53,55,56,57,58,59,60,63,64,68,73,76,78,79,80,83,84,85], most of which were interview studies ( n = 13), and nine mixed-methods studies [35,47,52,62,65,70,72,75,77]. Most studies were conducted in Western Europe ( n = 37), especially in the UK ( n = 10), Germany ( n = 8), and the Netherlands ( n = 13).…”

Section: Resultsmentioning

confidence: 99%

Spiritual Care in Palliative Care: A Systematic Review of the Recent European Literature

et al. 2019

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Many studies on spiritual care in palliative care are performed in the US, leaving other continents unexplored. The objective of this systematic review is to map the recent studies on spiritual care in palliative care in Europe. PubMed, CINAHL, ATLA, PsycINFO, ERIC, IBSS, Web of Science, EMBASE, and other databases were searched. Included were European studies published in a peer-reviewed journal in 2015, 2016, or 2017. The characteristics of the included studies were analyzed and a narrative synthesis of the extracted data was performed. 53 articles were included. Spiritual care was seen as attention for spirituality, presence, empowerment, and bringing peace. It implied creative, narrative, and ritual work. Though several studies reported positive effects of spiritual care, like the easing of discomfort, the evidence for spiritual care is low. Requirements for implementation of spiritual care in (palliative) care were: Developing spiritual competency, including self-reflection, and visibility of spirituality and spiritual care, which are required from spiritual counselors that they participated in existing organizational structures. This study has provided insight into spiritual care in palliative care in Europe. Future studies are necessary to develop appropriate patient outcomes and to investigate the effects of spiritual care more fully.

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“…The end-of-life elicits suffering. [27][28][29] However the concept analysis clearly demonstrates that engaging family members in the process of end-of-life care facilitates strengthens the effects of the comforting interventions by the nurse. 11 Furthermore, patients often have complex comfort needs at the end-of-life stage in addition to the need for careful physical symptom management.…”

Section: Discussionmentioning

confidence: 99%

A conceptual analysis of the meaning of comfort at the end-of-life using the Walker and Avant (2014) Framework

Hou

Timmins

Zhou

et al. 2021

Frontiers of Nursing

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Objective The aim of the authors is to clarify the concept of comfort at the end-of-life in order to support understandings of fundamental nursing care needed at this stage of healthcare. Methods The Walker and Avant framework was applied to develop a deeper understanding of the concept of comfort at the end of life. Results Five defining attributes of comfort in the end-of-life were identified and they are having a peaceful home-life environment, trust and consolation, proximity and social-cultural support, alleviation of suffering, and a process of integrated intervention by nurses. Conclusions At the end-of-life patients commonly experience physical, psychological, social-cultural, and environmental discomfort. Patients’ families also encounter significant challenges. However, their comfort needs are often secondary to that of the patient. Additionally, a lack of clarity exists regarding the holistic meaning of comfort at the end-of-life, which can largely be confined to understandings of physical comfort for the patient, with a limited understanding of addressing family/caregivers’ needs. Therefore, this concept analysis may provide some guidance in this regard and also provides support toward a more integrated understanding of the concept.

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Comfort‐Supporting Nursing Activities for End‐of‐Life Patients in an Institutionalized Environment

Abstract: RNs in hospitals and LTCFs focus insufficiently on the spiritual and psychosocial comfort of end-of-life patients. This study is of particular significance to educators who prepare the next generation of nurses.

Cited by 9 publications

References 24 publications

Psychometric Properties of the Czech Version of the Falls Efficacy Scale-International in Patients with Early-Stage Dementia

Psychometric Properties of the Czech Version of the Falls Efficacy Scale-International in Patients with Early-Stage Dementia

Spiritual Care in Palliative Care: A Systematic Review of the Recent European Literature

A conceptual analysis of the meaning of comfort at the end-of-life using the Walker and Avant (2014) Framework

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