Nurse-led palliative care services facilitate an interdisciplinary network of care

Imhof, Lorenz; Kipfer, Stephanie; Waldboth, Veronika

doi:10.12968/ijpn.2016.22.8.404

Cited by 7 publications

(12 citation statements)

References 10 publications

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“…Several countries, such as the UK, Switzerland, Australia, Sweden, the US, Austria, and Canada, have introduced nurse-led PC clinics, which have been shown to broaden access, reduce costs, improve the quality of care, and facilitate an interdisciplinary network of care. [25262728]…”

Section: Discussionmentioning

confidence: 99%

Understanding the organization of hospital-based palliative care in a Nigerian Hospital: An ethnographic study

Agom

Poole

Allen

et al. 2019

Indian J Palliat Care

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Context:Organization and delivery of palliative care (PC) services vary from one country to another. In Nigeria, PC has continued to develop, yet the organization and scope of PC is not widely known by most clinicians and the public.Objectives:The aim of the study is to identify PC services available in a Nigerian Hospital and how they are organized.Methods:This ethnographic study, utilized documentary analysis, participant observation, and ethnographic interviews (causal chat during observation and individual interviews) to gather data from members of PC team comprising doctors (n = 10), nurses (n = 4), medical social workers (n = 2), a physiotherapist, and a pharmacist, as well nurses from the oncology department (n = 3). Data were analyzed using Spradley's framework for ethnographic data analysis.Results:PC was found to be largely adult patient-centered. A hospital-based care delivery model, in the forms of family meetings, in- and out-patients' consultation services, and a home-based delivery model which is primarily home visits conducted once in a week, were the two models of care available in the studied hospital. The members of the PC team operated two shift patterns from 7:00 am to 2.00 pm and a late shift from 2:00 pm to 7:00 pm instead of 24 h service provision.Conclusions:Although PC in this hospital has made significant developmental progress, the organization and scope of services are suggestive of the need for more development, especially in manpower and collaborative care. This study provided knowledge that could be used to improve the clinical practice of PC in various cross-cultural Nigerian societies and other African context, as well as revealing areas for PC development.

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Section: Discussionmentioning

confidence: 99%

Understanding the organization of hospital-based palliative care in a Nigerian Hospital: An ethnographic study

Agom

Poole

Allen

et al. 2019

Indian J Palliat Care

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“…25 Expanding the oncology nurse role to manage palliative care needs is supported by current primary palliative care programs. Oncology nurses create care plans and provide supportive follow-up, 26 are engaged with patients in individual meetings in collaboration with caregivers, 27 and organize care among the interdisciplinary team members. 28 These roles are most successful when delivered earlier in the metastatic cancer disease trajectory rather than close to the end of life.…”

Section: Discussionmentioning

confidence: 99%

The Support, Education, and Advocacy (SEA) Program of Care for Women With Metastatic Breast Cancer: A Nurse-Led Palliative Care Demonstration Program

Reiser

Rosenzweig

Welsh

et al. 2019

Am J Hosp Palliat Care

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Background: Women with metastatic breast cancer (MBC) experience unique symptom management and psychosocial needs due to aggressive, yet palliative treatment with a progressive, chronic illness. Objective: This article describes the effect of a quality improvement project for coordination of supportive care in MBC. Program evaluations included referral rates for supportive services, patient-reported outcomes of symptom distress, generalized anxiety, and overall well-being. Design: An interdisciplinary Support, Education and Advocacy Program (MBC-SEA) was developed. The 1-hour, weekly, patient review included collaborative assessments to determine needs for social service, psychological counseling, and palliative care. A prospective pre- and postexperimental cohort design with convenience sampling was used. Analysis was conducted with paired t test analysis of pre- and postimplementation outcomes. Setting/Participants: Program outcomes of 118 women with MBC visiting an urban outpatient breast cancer clinic during September 2016 to November 2016 (pre) and January 2017 to March 2017 (post) were evaluated. Measurements: Referral rates to social work and palliative care, symptom, anxiety, and overall well-being scores. Results: Following program implementation, referrals to palliative care and social work supportive services increased significantly including patient-reported outcomes symptom distress scores mean difference 1.4 (95% confidence interval [CI]: 0.4306-2.6428), P = .004; generalized anxiety scores mean difference 1.5 (95% CI: 0.5406-2.5781), P = .003; and overall well-being mean difference of −0.7 (95% CI: −1.3498 to −0.0570), P = .03. Conclusions: Purposeful nurse-led assessment for social service and palliative care needs increases referrals with improvement in patient-reported outcomes.

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“… 43 , 44 , 52 , 64 , 65 , 67 , 75 , 76 , 80 , 81 , 83 , 84 , 89 This knowledge allows the nurse to make decisions adapted or contextualized to individual realities, to offer resources that meet the needs expressed and to draw on the capacities of the patient or their caregivers. 38 , 39 , 46 , 54 , 67 , 70 , 81 , 83 , 85 This knowledge can also help the patient and their caregivers to develop a feeling of safety, which is necessary for their engagement in care. 46 – 48 , 64 , 65 , 70 , 71 , 78 , 85 , 86 …”

Section: Resultsmentioning

confidence: 99%

Nursing activities for health promotion in palliative home care: an integrative review

Leclerc-Loiselle,

Gendron,

Daneault

2024

Palliat�Care

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Palliative care in community contexts is undergoing significant change as a result of public policy and new models of care, which link health promotion principles with palliative care practices. These models support the creation of partnerships between formal care structures and the communities in which care is provided. Given the central role of nurses in the institutional delivery of palliative care, particularly in the home, it is important to provide a systematic description of the activities of nurses that fall within the principles of health promotion. The objective was to describe the diverse range of nursing activities for health promotion that are provided in the palliative home care setting. This is an integrative review. Fifty-five studies listed in the MEDLINE, CINAHL and EMBASE databases, and published between 1999 and December 2022, were identified. Data analysis and presentation of the results were guided by Kellehear’s Health-Promoting Palliative Care (HPPC) model. Six themes were identified to describe nursing activities for health promotion in the context of palliative home care: creating a meaningful relationship, supplying medical information, promoting self-care throughout the trajectory, providing emotional support, involving professional or community services and supporting change. The findings point to nurses focusing more on the individual context and on direct care. The relationship with communities in which they work remains unidirectional. However, some HPPC principles are relevant to nursing activities through the contextualization of nurses’ actions and their moral responsibility to work towards the respect of patient’s values. Being poorly described, how nurses can truly engage their practice towards health-promoting principles, such as the enhancement of support and control over their lives for people living with serious illness, still requires further empirical research.

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Nurse-led palliative care services facilitate an interdisciplinary network of care

Abstract: A nurse-led palliative care service facilitated interdisciplinary palliative home care to the benefit of all agents involved.

Cited by 7 publications

References 10 publications

Understanding the organization of hospital-based palliative care in a Nigerian Hospital: An ethnographic study

Understanding the organization of hospital-based palliative care in a Nigerian Hospital: An ethnographic study

The Support, Education, and Advocacy (SEA) Program of Care for Women With Metastatic Breast Cancer: A Nurse-Led Palliative Care Demonstration Program

Nursing activities for health promotion in palliative home care: an integrative review

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