Excellence In Palliative Care Research Articles

An Integrative Review on Knowledge and Attitudes of Nurses Toward Palliative Care: Implications for Practice.

To effectively participate in provision of palliative care, nurses need to possess a combination of knowledge, skills, and positive attitudes in equal measure in a way that is sensitive and meaningful and in a dynamic manner. The aim of this review was to examine nurses' knowledge and attitudes about palliative care, to identify gaps to improve care of patients and families facing death. An integrative review method guided this review. After implementation of a search strategy, data from 26 studies were analyzed and synthesized. The Mixed Methods Appraisal Tool was used to assess the methodological quality of the studies. Data were extracted using a common table, and themes were generated from the available peer-reviewed studies using narrative synthesis. Findings revealed knowledge deficit but favorable attitudes toward palliative care among nurses. Education and the clinical experience of nurses in palliative care influenced their knowledge and attitudes toward palliative care. There is a need for mandatory inclusion of basic palliative care content in nursing school curricula and more in-depth postgraduate curricula. In clinical practice, there is a need to reinforce palliative care education by creating expert nurse support networks to model excellence in palliative care.

Clinical Excellence in Palliative Care: Examples From the Published Literature.

With the expansion of palliative care, the concept of clinical excellence is worthy of study and has not been described well in the literature. To apply the domains of clinical excellence, as proposed and published by the Miller Coulson Academy of Clinical Excellence, to the field of palliative care. Review of the literature to identify episodes of superb palliative care delivered by individuals and teams. In reviewing 821 publications, we found multiple palliative care case reports to serve as exemplars for each of the distinct domains of clinical excellence. The domains of excellence are relevant and applicable to the field of palliative care. This article aims to inspire clinicians-and advance the field-by promoting thoughtful reflection on what clinical excellence in palliative care entails.

European Association for Palliative Care: Forging a Vision of Excellence in Palliative Care in Central and Eastern European and Former Soviet Union Countries

The European Association for Palliative Care (EAPC) represents many thousands of health care workers and volunteers working in or with an interest in palliative care. In 2016, the EAPC has individual members from 48 nations across the world, and collective members from 57 national palliative care associations in 32 European countries. Throughout its history, the EAPC has produced guidance on a range of palliative care issues. The biennial congresses and research congresses and the comprehensive Web site (www.eapcnet.eu) are renowned and well utilized platforms for dissemination and exchange of palliative care information. The EAPC has also published a newsletter specifically for Eastern European and Central Asian countries that has been available in both English and Russian from 2005 to 2012. In addition, for a period of time, a Russian Web site (www.eapcspeaksrussian.eu) was also available. A survey of palliative care in Central and Eastern European nations sponsored by Open Society Foundation's International Palliative Care Initiative found that in most countries, the national language is preferred rather than using English or Russian for the provision of information. Accordingly, the EAPC Web site provides translations of white papers, position papers, and blog posts in a number of languages.

E08-B A Whole Systems and Societal Approach to Pursue Excellence in Palliative Care in BC

E08-B A Whole Systems and Societal Approach to Pursue Excellence in Palliative Care in BC

The Island Hospice model of palliative care

There has been a substantial increase in cancer detections in Africa over years, and it has also been noted that higher number of individuals are affected by the later stages of cancer that lead to death. When it comes to cancer care, Zimbabwe is no exception with its ongoing palliative care related research, though still in its infancy. The need for advanced and more accessible palliative care to assist the vulnerable has been intensified by this increase in cancer prevalence. Island Hospice, which is a centre of excellence in palliative care has varying elements of the models that it employs to engage those most in need of palliative assistance, especially children and financially-challenged individuals.

"DECIDING RIGHT" PROJECT, RIGHT CARE, RIGHT PLAN FOR RIGHT PATIENT

Aims and ObjectivesAlthough healthcare professionals perceive palliative care as a rewarding humane work, lack of training, leadership and resources are often cited as impediments to deliver high quality palliative care...

Are surgeons able to identify frailty status pre-operatively in older patients with colorectal cancer?

P245 Are surgeons able to identify frailty status pre-operatively in older patients with colorectal cancer? S.R. Kristjanssona,b, M.S. Jordhoyc,d, A. Nesbakkene,f, N. Ommundsenb, T.B. Wyllerb,e a Department of Medicine, Diakonhjemmet Hospital, Oslo, Norway b Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway c Department of Internal Medicine, Innlandet Hospital Trust Hamar, Hamar, Norway d Regional center of Excellence in Palliative Care, Oslo University Hospital, Oslo, Norway e Institute of Clinical Medicine, University of Oslo, Oslo, Norway f Department of Gastroenterological surgery, Oslo university Hospital, Oslo, Norway

The European Association for Palliative Care: forging a vision of excellence in palliative care

The European Association for Palliative Care (EAPC) represents 46 national associations from 27 European countries and more than 50 000 health care workers and volunteers working or interested in palliative care. The area of influence includes 23 developing countries, most of them in Eastern Europe and Central Asia. Even though many countries are improving rapidly in their economy and the development of their health care systems, there still are major gaps between Western and Eastern European countries. EAPC has produced guidance on different areas of palliative care from symptom assessment to organization of care. The congresses and research congresses as well as the website (www.eapcnet.eu) are renowned platforms for dissemination and exchange of information. The research network and a number of task forces are active on a wide range of topics. Members from developing countries can benefit from these activities, and, for example, pan-European comparisons such as the Atlas of Palliative Care in Europe have been used with good effect for advocacy work in individual countries. EAPC actions such as the Budapest Commitments and the Venice Declaration also have been useful for developing countries. However, more specific support is needed for the developing countries. EAPC has set up a newsletter for Eastern European and Central Asian countries that is available in English and Russian, and more recently also a Russian website (www.eapcspeaksrussian.eu). A survey on information needs is currently under way to provide a basis for more tailored provision of information and knowledge. More specifically the ATOME project (Access to Opioid Medications in Europe) funded in the seventh Framework programme of the European Commission works at the improvement of access to opioids for medical and scientific use in 12 East and South European countries. As a first central project goal, a revised version of the World Health Organization policy guidelines on ensuring balance in access to controlled medicines has been released only recently. The European Association for Palliative Care produces high-quality expert advice, with congresses, publications, the website and various other activities. Palliative care professionals from Eastern European and Central Asian countries benefit from these activities. In addition, EAPC has initiated additional activities with a focus on developing countries, ranging from information needs assessment to specific research projects. The range of activities of EAPC is only possible with the continuing input of palliative care professionals from all over Europe. Palliative care professionals from developing countries are invited to contribute and share the successes of EAPC.

Benchmarking: A Tool for Excellence in Palliative Care

Quietly and without fanfare, total quality management (TQM) is being implemented in a branch of health care where quality of care has particular impact on the patient's comfort and well-being. Some palliative care providers, dedicated to improving the quality of life for the dying, have fulfilled all the criteria to be contenders for prestigious quality honors like the Baldrige Award in the United States and the Canada Award for Excellence. Their secret is simple: the patient defines quality, and the palliative care team acts on that definition. Benchmarking, a TQM tool, allows institutions and organizations to benefit from sharing their best processes, and keeps the TQM continuous improvement cycle on track.