Literature Review
All posts tagged with “Education | Clinical.”
The impact of clinical internship experience on nursing students' attitudes towards death and choices of end-of-life care: A self-control study
07/06/24 at 03:00 AMThe impact of clinical internship experience on nursing students' attitudes towards death and choices of end-of-life care: A self-control study Nursing Opens; Jingyuan Jiang, Jing Zhou, Xiaoli Chen, Xiaolin Zhu, Hao Zhang, Qin Zhang, Jianna Zhang; 6/28/24 Attitude towards death refers to an individual's evaluative and stable reactions to death events, reflecting their psychological tendencies and characteristics. ... Death is an inevitable part of life, and individuals must face the reality of death. ... The findings of this study suggest that real clinical experiences in the emergency department contribute to nursing students' development of a positive attitude towards death and a more positive view of providing end-of-life care in a hospital setting. Incorporating teachings on end-of-life care in a hospital setting into death education courses can further enhance nursing students' understanding and acceptance of end-of-life care.
Penn Health CEO on piecing together the healthcare hiring puzzle
07/01/24 at 03:00 AMPenn Health CEO on piecing together the healthcare hiring puzzle Becker's Hospital Review - Leadership & Management; by Madeline Ashley; 6/17/24 ... Penn Medicine has introduced programs to students and young people that will not only inspire them to join the healthcare industry, but prepare and train them for the opportunities that lie ahead. "I think the world needs mission oriented people," Kevin Mahoney [CEO of Philadelphia-based University of Pennsylvania Health System] told Becker's. "You've got to believe in where you're working, otherwise you're just punching the clock." In late May, the health system partnered with Heights Philadelphia, an organization that connects middle schoolers and up with career and college opportunities, and Philadelphia City Council majority leader Katherine Richardson to hold a career event. ... "By introducing students to the field, we’re creating a pathway to careers that enrich lives and make a difference in others. Encouraging careers in health care also helps to strengthen the field overall, ensuring a pipeline poised to answer the needs of the future." [Click on the title's link to read more of this innovative solution, and other student-oriented programs.]
Coping and end-of-life decision-making in ALS: A qualitative interview study
06/29/24 at 03:40 AMCoping and end-of-life decision-making in ALS: A qualitative interview study PLoS One, University of Auckland, New Zealand; by Olga Wenzel, Anke Erdmann, Gerald Neitzke, and Irene Hirschberg; 6/26/24 How do people with amyotrophic lateral sclerosis (PALS) deal with their diagnosis and engage in end-of-life decision-making? What informational or supportive needs do they have for counselling about life-sustaining treatment and end-of-life care? Which correlating conditions and influences relate to these needs and how do they connect to the wish to die or wish to live? ... We identified the coping strategies ‘avoid thinking about end-of-life’ and its counterpart, ‘planning ahead to be well-prepared,’ and differentiated the latter into the patterns ‘withdrawing from life and taking precautions against life-prolongation’ and ‘searching for a new meaning in life and preparing for life-sustaining treatment’. ... These strategies may vary over time, resulting in different support needs. Our findings signify that deep insight is needed into PALS‘ coping processes to understand their decision-making about life-sustaining treatment. Healthcare professionals should be sensitive to illness experiences beyond medical aspects and foster coping as a biographical process to better support people with ALS.Editor's Note: Click on the title to access the full text of this insightful, relevant research. Hospice and palliative educators, use this to strengthen your disease-specific resources and training about care for persons with ALS.
A palliative care curriculum may promote resident self-reflection and address moral injury
06/29/24 at 03:30 AMA palliative care curriculum may promote resident self-reflection and address moral injury The Journal of Surgical Research; by Shruti Koti, Lyudmyla Demyan, Danielle Deperalta, Sophia Tam, Gary Deutsch; 6/22/24 online ahead of print Introduction: There is a lack of formal palliative care education for surgical trainees, and the demanding nature of surgical training and exposure to challenging clinical scenarios can contribute to moral injury. We developed a palliative care curriculum to promote self-reflection, aiming to address moral injury in residents.Conclusions: The described palliative care curriculum accomplishes several goals as follows: it educates residents on palliative care topics, teaches communication tools, encourages self-reflection, and provides space for building peer relationships. The ease of implementation makes this curriculum applicable across various types of institutions, offering the potential to positively impact surgical training on a national scale.
Experiencing and enduring patient distress: the distress of palliative care patients and its emotional impact on physicians in training
06/29/24 at 03:00 AMExperiencing and enduring patient distress: the distress of palliative care patients and its emotional impact on physicians in trainingBMC Medical Education; by Andréa Tarot, Maxence Pithon, Ashley Ridley, Virginie Guastella, Virginie Guastella, Morgane Plancon, Régis Aubry, Helène Vaillant Roussel, and Axelle Maneval; 6/26/24The extreme vulnerability experienced by patients in palliative care may result in significant distress. These patients require appropriate care while not pathologizing their natural distress. ... [The] aim of this study was to explore how professionals in training feel when confronted with the distress of patients undergoing palliative care. ... The interviews revealed the following five themes:
Project ECHO: 5 years of fostering learning in your community
06/27/24 at 03:00 AMProject ECHO: 5 years of fostering learning in your community Dartmouth Health; by Connections Magazine and modified for the web; 6/25/24 Teach, teach, learn, learn. That is the model Project ECHO® at Dartmouth Health uses to connect people and their communities in a virtual setting, sharing knowledge between participants and subject matter experts. The program is especially helpful for rural communities seeking expertise on a broad range of health and medical issues. ... ECHO is an acronym for Extension for Community Healthcare Outcomes. ... The past three cohorts of the Palliative Care ECHO have been very successful, and the program content has continued to evolve over time. The sessions have had an average of 70 participants and have received high scores on feedback metrics. Fifty percent of participants were repeat attendees. “Our mission is to improve palliative care throughout our region, and our leadership is committed to the model,” Kathleen Broglio, DNP says. “This was the culmination of what I hoped to do in my career.” Editor's Note: Memorable quote from this article, "“Everyone is a teacher, and everyone is a learner,” says Kathleen Broglio, DNP, associate professor of medicine and a nurse practitioner of palliative medicine. Broglio has co-led the Palliative Care ECHO with Robin Larson, MD, MPH through three courses (cohorts) and with the support of the Project ECHO team at Dartmouth Health.
Dementia decisions: Making tough choices about hospice, palliative care
06/26/24 at 03:00 AMDementia decisions: Making tough choices about hospice, palliative care Being Patient; by Katy Koop; 6/25/24 In the later stages of Alzheimer's, palliative and hospice care can be necessary. But how do you find a facility designed for dementia patients? ... Dr. Maribeth Gallagher, director of Arizona’s Hospice of the Valley dementia program, joins Being Patient video reporter Mark Niu to discuss how to make these difficult decisions and what makes a palliative or hospice care program “dementia-capable.” Gallagher’s work directing the Hospice of the Valley’s dementia program has received national and international awards for its innovative approaches. Her focus on dementia care was initially inspired by her personal experiences as a family caregiver, sharing the journey with her loved one from diagnosis to death. [Click on the title's link for the full conversation, in both audio and text.]
Lawmakers remain committed to passing hospice workforce bill
06/26/24 at 02:00 AMLawmakers remain committed to passing hospice workforce bill Hospice News; by Jim Parker; 6/24/24 Federal legislators plan to continue to work on passing a bill designed to bolster the hospice and palliative care workforce. The Palliative Care and Hospice Education Training Act (PCHETA) has come before Congress several times but has not yet been passed. The bill’s most recent development occurred in July 2023, when it was reintroduced by Sens. Tammy Baldwin (D-Wisc.) and Shelley Moore Capito (R-W.Va.). Capito has indicated that the senators are not giving up on the legislation as they seek to ensure that hospice and palliative care providers are able to meet growing demand. ... The legislation would establish fellowships through new palliative care and hospice education centers to provide short-term, intensive training, as well as incentivized award programs across all the relevant disciplines. It also would support programs to develop career paths within the field.
Unity launches Guide that enhances quality of life for dementia patients and their caregivers
06/24/24 at 03:00 AMUnity launches Guide that enhances quality of life for dementia patients and their caregivers The Chamber - Manitowoc County, De Pere, Wisconsin; Press Release; 6/20/24 In honor of The Longest Day Of The Year which is celebrated on June 20th to raise awareness and outshine the darkness of Alzheimer's disease, Unity, in partnership with National Partnership for Healthcare and Hospice Innovation (NPHI), announces the release of a new dementia care resources guide that will improve quality of life for dementia and Alzheimer’s patients, reduce hospitalizations, and ease the burden for families and caregivers. ... The new guide represents the best standards of care for mid-, advanced-, to end-stage dementia and was put together with the collective input of 100+ not-for-profit hospice, palliative care, and advanced illness care organizations. [Click on the title's link for more information, and to download the free guide.]
Hospice of Marion County trains first responders to care for dementia patients
06/21/24 at 02:00 AMHospice of Marion County trains first responders to care for dementia patients Hospice News; by Jim Parker; 6/18/24 Florida-based Hospice of Marion County, an affiliate of Empath Health, is training first responders in its community on how to treat dementia patients. For several years, the nonprofit hospice has been educating family caregivers and others in their community about the experiences of dementia patients and how to better interact with them. More recently, Hospice of Marion County [Ocala, Florida] has been expanding that training to include local law enforcement and fire departments, as well as medical students and staff at assisted living facilities, among others. The training uses a series of tools to simulate symptoms of dementia, related to visual, tactile, auditory senses, their ability to process information and perform certain tasks. The education helps first responders address the unique challenges associated with caring for dementia patients, according to Dr. Mery Lossada, chief medical officer of Hospice of Marion County.Editor's Note: Bravo, Hospice of Marion County!
‘I tried to get into their shoes and their culture’. Care worker experiences in cultural end-of-life care: Interpretative phenomenological analysis
06/20/24 at 03:00 AM‘I tried to get into their shoes and their culture’. Care worker experiences in cultural end-of-life care: Interpretative phenomenological analysis Journal of Clinical Nursing / Early View; by Elizabeth Lambert RN, BN (Hons), Jo Gibson RN, BN, PhD, MAdvNsgPrac, Kasia Bail RN, BN(Hons), GCHE, PhD Aim: What are care workers' lived experiences caring for people of culturally and linguistically diverse backgrounds during end-of-life care?What does this paper contribute to the wider global community? This study highlights the importance of understanding care workers’ experiences in providing culturally appropriate end-of-life care.
When your parents die: Becoming an adult orphan
06/20/24 at 03:00 AMWhen your parents die: Becoming an adult orphan The Montecito Journal; by Deann Zampelli; 6/18/24 Shortly after I got married, my 64-year-old mother lost her battle with breast cancer. Seven years later my father joined her. The loss isn’t any less painful just because you are a grown-up. ... Many don’t realize that grief isn’t linear. We don’t go through a neat little phase, checking off each stage as we complete it. The famous (and somewhat debunked) five stages of grief introduced by Elisabeth Kübler-Ross in the 1960s (Denial, Anger, Bargaining, Depression, Acceptance) were from a study she did on the emotional states of patients who were dying. It was their stages she was referencing, not ours. ... I came to a frightening realization. ... It suddenly dawned on me that my siblings and I were next in line to kick it. [Click on the title's link to continue reading.]Editor's Note: While serving in your hospice leadership roles, you experience the ongoing aging, changes and likely even deaths of your own family members, friends, and mentors. Do you, your hospice communications, and/or your grief services rely on the outdated "Stages of Grief" model? These "stages" opened the door in the 1960's for talking about death and dying, but became overpopularizd for surviving and healing after the loss. These have been replaced with extensive bereavement/loss/grief research, clinical best practices, and more. For expert information, resources, and bereavement professionals, examine www.adec.org, the Association for Death Education and Counseling.
Staff training key to improving hospice quality among LGBTQ+ patients
06/19/24 at 03:00 AMStaff training key to improving hospice quality smong LGBTQ+ patientsHospice News; by Holly Vossel; 6/13/24Hospice staff training models with culturally appropriate LGBTQ+ components are key to improving quality outcomes among an increasingly diverse base of underserved seniors. Ongoing staff education and communication skill building are two significant pieces of bridging gaps of hospice care among LGBTQ+ seniors, according to Jerry Farmer, vice president of diversity, equity and inclusion at AccentCare.
Hope in oncology: Where art and science collide
06/13/24 at 03:00 AMHope in oncology: Where art and science collide Medscape; by Sharon Worcester, MA; 6/12/24 Carlos, a 21-year-old, laid in a hospital bed, barely clinging to life. Following a stem cell transplant for leukemia, Carlos had developed a life-threatening case of graft-vs-host disease. But Carlos' mother had faith. "I have hope things will get better," she said, via interpreter, to Richard Leiter, MD, a palliative care doctor in training at that time. "I hope they will," Leiter told her. "I should have stopped there," said Leiter, recounting an early-career lesson on hope during the ASCO Voices session at the American Society of Clinical Oncology (ASCO) 2024 annual meeting. "But in my eagerness to show my attending and myself that I could handle this conversation, I kept going, mistakenly." ... Carlos' mother looked Leiter in the eye. "You want him to die," she said. ...Editor's Note: Click on the title's link to continue reading this insightful reflection and discussion about the importance of "hope." Engage your oncology/palliative/hospice chaplains (hopefully CPE trained and Board Certified) with your medical team members to explore this core belief in "hope." Alert: AI referrals for palliative and hospice care are increasing exponentially. Clinicians must be sensitive to the human dimensions and dynamics of "hope" (which shift and change), and not be driven just by technological data.
Design, creation, and 13-month performance of a novel, web-based activity for education in primary cardiology palliative care
06/11/24 at 03:00 AMDesign, creation, and 13-month performance of a novel, web-based activity for education in primary cardiology palliative care Journal of Pain and Symptom Management; by Jill M Steiner, Caroline L Doherty, Jill A Patton, Jadry Gruen, Sarah Godfrey, John Mulrow, Richard A Josephson, Sarah J Goodlin; 6/5/24 online ahead of print Cardiovascular disease (CVD) clinicians who care for seriously ill patients frequently report that they do not feel confident nor adequately prepared to manage patients' palliative care (PC) needs. With the goal, therefore, of increasing PC knowledge and skills amongst interprofessional clinicians providing CVD care, the ACC's PC Workgroup designed, developed, and implemented a comprehensive PC online educational activity. This paper describes the process and 13-month performance of this free, online activity for clinicians across disciplines and levels of training, "Palliative Care for the Cardiovascular Clinician" (PCCVC).Editor's Note: Reiterating, this "free, online activity [is] for clinicians across disciplines and levels of training." The trajectories for cardiovascular diseases can elicit enormous anxiety--due to their roller-coaster changes that can result in sudden death--in contrast to the more predictable trajectories for cancer. Whether you use this resource or another, educate your interdisciplinary clinical managers and team members to the all-important disease and care factors for cardiology palliative care, relevant to the scope of professionals' different roles.
The Aging Revolution: Growing old in America becoming more dignified, but with senior population booming, is nation’s health system prepared?
06/07/24 at 03:00 AMThe Aging Revolution: Growing old in America becoming more dignified, but with senior population booming, is nation’s health system prepared?BusinesssWire; 6/4/24A half-century after renowned gerontologist, psychiatrist and author Dr. Robert Butler ridiculed the nation’s medical establishment for ignoring the suffering of older Americans, Northwell Health today announced the publication of The Aging Revolution: The History of Geriatric Health Care and What Really Matters to Older Adults, which chronicles the significant advancements made in improving the physical and emotional health of the nation’s rapidly aging population.
3 keys to hospice oversight preparation
06/06/24 at 03:00 AM3 keys to hospice oversight preparation Hospice News; by Jack Silverstein; 6/4/24 When hospice providers are being investigated not just by CMS but the FBI, the stakes for compliance are higher than ever. In May of 2024, the federal law enforcement agency placed its spotlight on the rising number of complaints about hospice fraud, in which hospices participate in signing up seniors for care without the seniors’ knowledge. Integrity concerns are in four states: Arizona, California, Nevada and Texas. The mechanics vary but the end result is the same: hospices getting paid for services they either did not provide, provided at a substandard level or had no authority to provide at all. ...
19 myths about dying people need to stop believing
05/31/24 at 03:00 AM19 myths about dying people need to stop believing Million Dollar Sense; by Anuradha Supun; 5/29/24
Manassas Park teens complete inaugural nurse aide course while earning high school diploma
05/31/24 at 03:00 AMManassas Park teens complete inaugural nurse aide course while earning high school diploma ABC News 7 Washington DC; by Victoria Sanchez; 5/30/24 Ten Manassas Park seniors completed their high school nurse aide program and are on their way to being certified by the Virginia Board of Nursing, all while earning their diploma. The inaugural Nurse Aide Pathway class is a competitive, five-day-a-week program that teaches the teens 22 skills they need to become a CNA. They also learned outside the classroom during 40 hours of clinical rotations at a local hospice center. ... “This is the best opportunity I could ever have in high school and will forever be one of the best opportunities I ever have in my life,” said student Javi Sedeno Cisneros. He has an eye on earning an MD after becoming a CNA. ... During their time at the hospice center, the 17-year-olds experienced life lessons most of their peers won’t learn for years.... [Read more for this inspiring, innovative solution.]
Three ways to communicate with Gen-Z—and why it’s important
05/29/24 at 02:00 AMThree ways to communicate with Gen-Z—and why it’s importantForbes; by Clarissa Windham-Bradstock; 5/28/24"It’s not what you said, it’s how you said it!" ... Gen-Z (born 1996-2015) is leading the charge on this one, according to a new Gallup survey. ... They want to hear full transparency. ... How to Speak Gen-Z: ...
Nephrologists' perspectives and experiences with hospice among older adults with end-stage kidney disease
05/28/24 at 03:00 AMNephrologists' perspectives and experiences with hospice among older adults with end-stage kidney disease Journal of the American Geriatrics Society; by Melissa W Wachterman, Anupallavi Sinha, Tarikwa Leveille, Sushrut S Waikar, Eric Widera, Kai Romero, Barbara Bokhour; 5/22/24 Background: ... Hospice use among older adults with end-stage kidney disease (ESKD) is markedly lower than among older adults with other serious illnesses, and the majority of those with ESKD who use hospice enroll in the last days of life. ... Conclusions: Our findings suggest that, in addition to Medicare policy change, nephrologists need to receive more training in primary palliative care skills including in indications for hospice, initiating conversations about hospice with patients, and collaborating with hospice clinicians to care for these vulnerable patients.
State-level initiatives tackle language-based barriers to worker training, testing
05/27/24 at 03:00 AMState-level initiatives tackle language-based barriers to worker training, testing McKnights Senior Living; by Kimberly Bonvissuto; 5/20/24Foreign-born workers account for 27% of the nation’s direct care workforce, but many states maintain strict, English-only testing and training requirements that can prevent some immigrants from entering the workforce, according to the results of a new analysis. PHI looked at five state initiatives working to address those language-based barriers to workforce training and certification with a goal of expanding opportunities for workers who do not speak English as their primary language. PHI highlighted initiatives in five states — California, Massachusetts, New York, Washington and Wisconsin — using approaches deemed innnovative to make progress in addressing language access barriers for direct care workers. [Click on the title's link for solutions these five states are using.]
Hospital staffing shortages draws hundreds to California rally
05/27/24 at 03:00 AMHospital staffing shortages draws hundreds to California rally AFSCME, American Federation of State, County & Municipal Employees; by UNANC/UHCP and AFSCME International Staff; 5/21/24 SACRAMENTO, Calif. – More than 400 health care union members went to the California state Capitol during National Nurses Week this month to appeal to the state’s elected leaders to fix the nursing education backlog and hospital staffing issues that affect patient care. ... Rally participants pressed lawmakers to make health care education and training programs more accessible so students remain in their California communities for their health care careers. They also appealed to lawmakers to empower health care professionals to enforce safe staffing standards in the state’s hospitals.Editor's Note: Pair this article with others in today's issue, in our "Education" section.
Educating the future of hospice and palliative care
05/24/24 at 03:00 AMEducating the future of hospice and palliative carePortage.life; by Center for Hospice Care; 5/21/24This spring students at the University of Notre Dame gained insight into the delivery of care to patients and families dealing with serious advanced illnesses. The university, in partnership with Center for Hospice Care (CHC), once again offered the course “Introduction to Hospice and Palliative Care” that was designed by Dr. Dominic Vachon, Director of Ruth M. Hillebrand Center for Compassionate Care in Medicine and Mike Wargo, COO and vice president of the Hospice Foundation. The five-week class covered a variety of topics focused on hospice and palliative care and was taught by CHC staff including physicians, social workers, chaplains, bereavement counselors and other hospice and palliative care support staff.
Understanding the role of Learning & Development in employee well-being
05/24/24 at 03:00 AMUnderstanding the role of Learning & Development in employee well-being Today Headline - Education News; 5/21/24... The Connection Between Learning and Well-Being: Learning and Development programs [L&D] are often associated with upskilling, reskilling, and career advancement. But their potential extends far beyond professional growth. Learning can have a positive impact on employee well-being, too. When employees are engaged in continuous learning and skill development, their overall sense of well-being improves significantly. ... [The] role of L&D in employee well-being. ...