scholarly journals Palliative Care for Advanced Practice Nurses

2015 ◽  
Vol 26 (2) ◽  
pp. 108-109
Author(s):  
Denise Buonocore ◽  
Debra L. Wiegand
Keyword(s):  
Palliative Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses

scholarly journals Integration of Palliative Care in the Role of the Oncology Advanced Practice Nurse

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Betty R. Ferrell, RN, PhD, MA, FAAN, FPCN, CHPN ◽  
Rose Virani, RNC, MHA, FPCN ◽  
Elinor Han, BA ◽  
Polly Mazanec, PhD, ACNP-BC, AOCN, FPCN, FAAN
Keyword(s):  
Palliative Care ◽  
Training Program ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Disease Trajectory ◽  
Barriers To Implementation ◽  
Increasing Demand ◽  
One Year ◽  
Oncology Practice

Numerous organizations have cited the increasing demand for palliative care in oncology and the challenge of a limited workforce to deliver specialty palliative care. Advanced practitioners in oncology can provide generalist or primary palliative care to complement the care provided by specialists and enhance the overall provision of care. This article reports on a National Cancer Institute–funded training program to prepare advanced practice nurses to incorporate palliative care within their practice. One-year follow-up of the first three national cohorts (N = 276) included evaluation of goal achievement as these nurses integrated palliative care within their oncology practice. Goal analysis reported here demonstrates the success of the training program in impacting practice as well as the barriers to implementation efforts. The advanced practice registered nurses’ implemented goals included extensive training of clinicians across disciplines and numerous systems changes to improve delivery of palliative care. Advanced practice nurses will continue to be a valuable source of extending palliative care into oncology care to support patients and families across the disease trajectory.

scholarly journals Palliative care provider attitudes toward existential distress and treatment with psychedelic-assisted therapies

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Halsey Niles ◽  
Colleen Fogg ◽  
Ben Kelmendi ◽  
Mark Lazenby
Keyword(s):  
Palliative Care ◽  
Advanced Practice Nurses ◽  
Educational Outreach ◽  
Advanced Practice ◽  
Health Providers ◽  
Care Providers ◽  
Snowball Sampling ◽  
Provider Attitudes ◽  
Practice Nurses ◽  
Existential Distress

Abstract Background Existential distress is a significant source of suffering for patients facing life-threatening illness. Psychedelic-Assisted Therapies (PAT) are novel treatments that have shown promise in treating existential distress, but openness to providing PAT may be limited by stigma surrounding psychedelics and the paucity of education regarding their medical use. How PAT might be integrated into existing treatments for existential distress within palliative care remains underexplored. Methods The present study aimed to elucidate the attitudes of palliative care clinicians regarding treatments for existential distress, including PAT. We recruited palliative care physicians, advanced practice nurses, and spiritual and psychological care providers from multiple US sites using purposive and snowball sampling methods. Attitudes toward PAT were unknown prior to study involvement. Semi-structured interviews targeted at current approaches to existential distress and attitudes toward PAT were analyzed for thematic content. Results Nineteen respondents (seven physicians, four advanced practice nurses, four chaplains, three social workers, and one psychologist) were interviewed. Identified themes were 1) Existential distress is a common experience that is frequently insufficiently treated within the current treatment framework; 2) Palliative care providers ultimately see existential distress as a psychosocial-spiritual problem that evades medicalized approaches; 3) Palliative care providers believe PAT hold promise for treating existential distress but that a stronger evidence base is needed; 4) Because PAT do not currently fit existing models of existential distress treatment, barriers remain. Conclusions PAT is seen as a potentially powerful tool to treat refractory existential distress. Larger clinical trials and educational outreach are needed to clarify treatment targets and address safety concerns. Further work to adapt PAT to palliative care settings should emphasize collaboration with spiritual care as well as mental health providers and seek to address unresolved concerns about equitable access.

Evolution of the Palliative Team

2021 ◽  
pp. 23-30
Author(s):  
Britni Lookabaugh ◽  
Charles von Gunten
Keyword(s):  
Palliative Care ◽  
Physician Assistants ◽  
Advanced Practice Nurses ◽  
Interdisciplinary Teams ◽  
Direct Care ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Care Services ◽  
Palliative Care Services ◽  
Hospice And Palliative Care

Hospice and palliative care teams are inherently interdisciplinary to be able to assess and address all the domains of palliative care for patients with chronic, complex, and life-limiting illness. These domains include the physical, psychosocial, spiritual, and practical needs of patients and families, among others. The disciplines include, but are not limited to, physician, advanced practice provider, pharmacist, nurse, social worker, and chaplain, among others. Advanced practice providers are defined in the National Consensus Project Guidelines for Quality Palliative Care as physician assistants and advanced practice nurses utilized to expand the capacity of palliative care interdisciplinary teams to deliver complex care and provide direct care. The term advanced practice provider means either physician assistants or advanced practice nurses. The development of an interdisciplinary team in the midst of team and consult growth is essential to be able to provide high-quality palliative care. Team resilience should be supported and maintained as it is necessary to meet the high demand for specialty palliative care services throughout the care continuum.

Palliative Care for Advanced Practice Nurses

2015 ◽  
Vol 26 (2) ◽  
pp. 108-109
Author(s):  
Denise Buonocore ◽  
Debra L. Wiegand
Keyword(s):  
Palliative Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses

Integration of Palliative Care Advanced Practice Nurses Into Intensive Care Unit Teams

2016 ◽  
Vol 34 (4) ◽  
pp. 330-334 ◽  
Author(s):  
Sean O’Mahony ◽  
Tricia J. Johnson ◽  
Shawn Amer ◽  
Marlene E. McHugh ◽  
Janet McHenry ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses

Beratungsqualität von Pflegeexpertinnen-APN im spitalexternen Bereich (APN-BQ) – Psychometrische Testung des Instruments

Pflege ◽  
2014 ◽  
Vol 27 (6) ◽  
pp. 393-403
Author(s):  
Heidi Petry ◽  
Susanne Suter-Riederer ◽  
Carmen Kerker-Specker ◽  
Lorenz Imhof
Keyword(s):  
Advanced Practice Nurses ◽  
Alte Menschen ◽  
Advanced Practice ◽  
Varimax Rotation ◽  
Practice Nurses ◽  
Chronisch Kranke

Hintergrund: Patientenzentrierte und individuell ausgerichtete Angebote, wie die häusliche Beratung durch Pflegeexpertinnen-APN (Advanced Practice Nurses), eignen sich besonders, chronisch kranke alte Menschen in einer möglichst selbstständigen Lebensführung zu unterstützen. Methode: Um die Qualität einer patientenzentrierten Beratung zu evaluieren, wurde ein 23-Item Instrument entwickelt und seine psychometrischen Eigenschaften mit einer Stichprobe von 206 Personen, die 80 Jahre und älter waren getestet. Ziel: Ziel dieses Artikels ist es, die Entwicklung und Evaluation des APN-BQ zu beschreiben. Die psychometrische Testung des Instruments erfolgte anhand einer Hauptkomponentenanalyse mit Varimax-Rotation. Ergebnisse: Die Analyse ergab eine stabile vier Faktorenstruktur (FS = 0,91) mit 19 Items. Alle Faktoren hatten eine Faktorladung > 0,45. Die interne Konsistenz der Gesamtskala ergab einen Wert von Cronbachs alpha 0,86. Die hohe Rücklaufquote der Fragebogen und die Tatsache, dass 98,8 % der Fragen beantwortet wurden, bestätigten die Anwendungsfreundlichkeit und Akzeptanz des Instruments. Schlussfolgerungen: Das APN-BQ erwies sich als zuverlässiges und in Bezug auf Inhalt und Konstrukt valides Instrument, die Struktur-, Prozess- und Ergebnisqualität einer patientenzentrierten Beratungsintervention in der gemeindenahen Versorgung sowie das Ausmaß der Partizipation und Selbstbefähigung (Empowerment) der zu Beratenden zu messen.

Advanced Nursing Practice (ANP) im direkten Pflegealltag: Die pflegerische Praxisentwicklung eines akutgeriatrischen ANP-Teams

Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 403-410 ◽  
Author(s):  
Anja Ulrich ◽  
Peter Hellstern ◽  
Reto W. Kressig ◽  
Germaine Eze ◽  
Rebecca Spirig
Keyword(s):  
Nursing Practice ◽  
Advanced Practice Nurses ◽  
Geriatrische Patienten ◽  
Advanced Practice ◽  
Advanced Nursing Practice ◽  
Practice Nurses ◽  
Know How ◽  
Chronisch Kranke

Im Jahr 2000 startete das Institut für Pflegewissenschaft in Basel mit einem klinisch ausgerichteten Masterprogramm in Advanced Nursing Practice (ANP). Die mit einem Masterabschluss erlangte Pflegeexpertise beinhaltet vertieftes Wissen und Know-how in einem Spezialgebiet. Zusammen mit anderen Pflegefachpersonen entwickeln diese klinisch tätigen, wissenschaftlich- und praxisorientierten Advanced Practice Nurses (APNs) die Pflegepraxis in der Schweiz weiter, insbesondere für chronisch kranke oder geriatrische Patienten. Bis zu 25 % der über 80-jährigen Menschen erfahren jährlich mindestens einen Spitalaufenthalt. Neben dem akuten Einlieferungsgrund leiden sie oft an zusätzlichen chronischen Erkrankungen, welche gleichzeitig exazerbieren. Diese fragilen Patienten benötigen Unterstützung durch Pflegende, welche erweiterte gerontologische Pflege anbieten können. In der akutgeriatrischen Universitätsklinik Basel findet unter der Leitung einer APN eine systematische, kontinuierliche und effektive Praxisentwicklung statt, welche eine personenorientierte und geriatrisch-spezialisierte Pflege fördert. Die Prinzipien der Aktionsforschung leiten das Praxisentwicklungsprojekt. Der zyklische Prozess «Look-Think-Act» fördert die kritische Auseinandersetzung mit der Praxis. Erste Resultate zeigen eine kürzere Aufenthaltsdauer und verbesserte Betreuungsresultate bei den Patienten sowie eine erhöhte Arbeitszufriedenheit und Selbstwirksamkeit aus Sicht der Pflegenden. Mit dem vorliegenden Artikel wird die Geschichte von ANP kurz eingeführt und anschließend werden die Entwicklung und Einführung des Projekts sowie erste Resultate der Evaluation dargestellt.

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