Palliative Care Communication in the ICU: Implications for an Oncology-Critical Care Nursing Partnership

Boyle, Deborah A.; Barbour, Susan; Anderson, Wendy G.; Noort, Janice; Grywalski, Michelle; Myer, Jeannette; Hermann, Heather

doi:10.1016/j.soncn.2017.10.003

Cited by 20 publications

(16 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Conversely, physicians must recognize the burden that is placed upon nurses once such information has been disclosed, and patients and families begin to process the information shared with them. As the members of the healthcare team most intimately involved with patients and families, nurses are an integral part of these conversations (Boyle et al, 2017).…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

Pediatric oncology nurses’ perceptions of prognosis-related communication

2019

View full text Add to dashboard Cite

Background: Disclosure of prognosis-related information is an essential aspect of communication with pediatric patients with cancer and their families. The nurse is believed to play an important role in this process, but nurse perceptions and experiences have not been well-described. Purpose: Provide an exploration of pediatric oncology nurses’ experiences with prognosis-related communication (PRC). Method: Mixed-methods, multi-phase design. This paper highlights the qualitative portion of the study. Findings: Three themes were identified: Importance of Collaboration, Impact of PRC, and Delivery of Prognostic Information. Discussion: Collaboration is a critical element of PRC. Nurses are often not included in the disclosure process, which limits the ability of nurses to fully function in their roles, compromising patient, family and nurse outcomes. A paradigm shift is required to empower nurses to be more active participants. More education of physicians and nurses is necessary to consistently engage nurses in PRC and prepare nurses for critical conversations.

show abstract

Section: Discussion and Recommendationsmentioning

confidence: 99%

Pediatric oncology nurses’ perceptions of prognosis-related communication

2019

View full text Add to dashboard Cite

show abstract

“…A consistent method for approaching advanced communication skills training has not been identified, but simulation, which provides the opportunity to practice different communication strategies in a safe environment, appears to be an essential aspect of such training (Foronda, MacWilliams, & McArthur, 2016; Gilligan et al, 2018). Numerous reports of institutional communication skills training programs have been reported in the literature (Arnold et al, 2015; Boyle et al, 2017; Coad, Smith, Pontin, & Gibson, 2018; Weintraub, Figueiredo, Roth, & Levy, 2016). Often the programs are aimed at one discipline (e.g., medicine or nursing), although increasingly programs have become more interprofessional in nature (Erickson, Blackhall, Brashers, & Varhegyi, 2015; Grey, Constantine, Baugh, & Lindenberger, 2017).…”

Section: Discussionmentioning

confidence: 99%

The Nurse’s Role in Prognosis-Related Communication in Pediatric Oncology Nursing Practice

Newman

Linder

Haglund

2019

J Pediatr Oncol Nurs

View full text Add to dashboard Cite

The experiences of pediatric oncology nurses with prognosis-related communication (PRC) remain largely unknown. The purpose of this article is to report results of focus groups wherein 15 pediatric oncology nurses from three Midwestern pediatric cancer programs provided descriptions of PRC and how they experience PRC within their daily practice. Data from focus groups were analyzed via an interpretive descriptive approach, which resulted in three themes: (1) nurses’ operational definition of PRC, (2) nurses’ roles in PRC, and (3) nurses’ preparation for engagement in PRC. From discussions within the focus groups, nurses recognized that PRC occurs across a continuum. Nurses distinguished that the definition of PRC expands beyond simply reporting life expectancy to describing the consequences of cancer- and treatment-related toxicities and effects. When nurses are not actively invited by their physician partners to participate in PRC, nurses will often develop workarounds to ensure that they understand what was said to patients and families. This allows them to function more effectively as supporters, advocates, and informants. Nurses described little preparation to participate in such challenging conversations. Pediatric oncology nurses need to acknowledge and embrace that they are an integral part of PRC. Interprofessional communication training is necessary to enhance the comfort and confidence of nurses engaging in PRC.

show abstract

“…This includes cancer and non-cancer patients, without forgetting their particular characteristics (Fig. 1) [19][20][21] .…”

Section: Revista Médica Del Hospital General De Méxicomentioning

confidence: 99%

Integration of palliative care to the emergency department. Management algorithm approach

Anica-Malagón¹,

Cordero-Pelayo²,

Salgado-Abrego³

et al. 2021

HGMX

View full text Add to dashboard Cite

Regarding medical emergencies, physicians exclusively deal with seriously ill patients suffering from advanced, progressive, and chronic diseases, where the diagnostic and therapeutic approach becomes simultaneous. Sometimes with a very wide range of possibilities that lead to a greater complexity when identifying if the patient is in the last phase of life. Thus, there is a risk of falling into therapeutic obstinacy or disinterest leaving aside the main objective of ensuring the comfort of these patients. In response to this need, our work team carried out an algorithm that aims to integrate palliative care to the emergency service, by identifying end-of-life patients, in addition to implementing management proposals for each stage thereof.

show abstract

Palliative Care Communication in the ICU: Implications for an Oncology-Critical Care Nursing Partnership

Cited by 20 publications

References 62 publications

Pediatric oncology nurses’ perceptions of prognosis-related communication

Pediatric oncology nurses’ perceptions of prognosis-related communication

The Nurse’s Role in Prognosis-Related Communication in Pediatric Oncology Nursing Practice

Integration of palliative care to the emergency department. Management algorithm approach

Contact Info

Product

Resources

About