A concept analysis of palliative care in the United States

“…Health care professionals and researchers suggest earlier referral would be more beneficial to provide support and to reduce emotional and spiritual needs well in advance of their death and to establish trust in the patient and their family and acceptance of the nurse [1,2,18].…”

Section: Discussionmentioning

confidence: 98%

Bereaved cancer carers’ experience of and preference for palliative care

Sekelja

Butow

Tattersall

2009

Support Care Cancer

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“…In the last century, necessary steps were taken toward providing an open comprehension of the burdens of mortal illness, through lessening the taboo against talking about dying, 1 and recognizing the dimensions-physical, social, emotional, and spiritual-of "total pain." 2 Expansions of the palliative care/hospice concept subsequent to these foundations have included interdisciplinary teamwork, 3 initiating care earlier in the disease trajectory, 4 and promoting opportunities for development at end of life. 5 All of these advances set the stage for reaching new possibilities, but there has been no widely accepted theory-driven practical schema to guide interdisciplinary teams toward realizing potential achievements of selfactualization and transcendence.…”

Section: Introductionmentioning

confidence: 99%

Maslow's Hierarchy of Needs: A Framework for Achieving Human Potential in Hospice

Zalenski

Raspa

2006

Journal of Palliative Medicine

122

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Although the widespread implementation of hospice in the United States has led to tremendous advances in the care of the dying, there has been no widely accepted psychological theory to drive needs assessment and intervention design for the patient and family. The humanistic psychology of Abraham Maslow, especially his theory of motivation and the hierarchy of needs, has been widely applied in business and social science, but only sparsely discussed in the palliative care literature. In this article we review Maslow's original hierarchy, adapt it to hospice and palliative care, apply the adaptation to a case example, and then discuss its implications for patient care, education, and research. The five levels of the hierarchy of needs as adapted to palliative care are: (1) distressing symptoms, such as pain or dyspnea; (2) fears for physical safety, of dying or abandonment; (3) affection, love and acceptance in the face of devastating illness; (4) esteem, respect, and appreciation for the person; (5) selfactualization and transcendence. Maslow's modified hierarchy of palliative care needs could be utilized to provide a comprehensive approach for the assessment of patients' needs and the design of interventions to achieve goals that start with comfort and potentially extend to the experience of transcendence.

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“…As of 2015, there are 17 centers affiliated with the Ministry of Health serving as palliative care centers with a total bed capacity of 228 in Turkey. This developing approach of care is also a new concept for health care disciplines that will offer service (Meghani, 2004;Turkish Social Security Institution General Directorate of General Health Insurance, 2015).…”

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confidence: 99%

Knowledge and opinions of nursing students on palliative care: A university example

2016

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Objectives: This study was conducted to determine the level of knowledge of nursing students about palliative care. Methods: The descriptive study was conducted with 324 graduate students who received training at a state university. Data were collected by using a questionnaire prepared by the researchers to determine the students' level of knowledge about palliative care and the notion of death. The analysis was performed using parametric and non-parametric tests on computers. Results: The average age of students was 20.56 ± 1.39, 82.7% of them were female, 16.4% graduated from Healthcare Vocational High School, and 40.1% of them were second grade students. The average palliative care knowledge score of students was calculated as 70.54 ± 11.01. The knowledge scores of female students were significantly higher than male students (p = 0.001), and the scores of the third-and fourth-year students were significantly higher than the second-year students (p = 0.001). The palliative care knowledge scores of the respondents who defined the concept of death as "a new beginning for eternal life, rebirth" were significantly lower than those who defined it as "the end of life" (p = 0.02). Conclusions: It was found that the average palliative care score of students is above the intermediate level, and the scores are affected by gender, level of knowledge, age, grade, having received palliative care training, having provided care to patients in the terminal stage and defining ways of death.

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A concept analysis of palliative care in the United States

Cited by 111 publications

References 60 publications

Bereaved cancer carers’ experience of and preference for palliative care

Bereaved cancer carers’ experience of and preference for palliative care

Maslow's Hierarchy of Needs: A Framework for Achieving Human Potential in Hospice

Knowledge and opinions of nursing students on palliative care: A university example

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