Enhancing Rigor, Quality, and Patient Engagement in Qualitative Research: A Step-By-Step Guide to Applying Reflexive Thematic Analysis to the Experience-Based Co-Design Methodology.

Experience-based co-design (EBCD) is a qualitative form of participatory action research supported by a toolkit providing guidance and recommendations. The toolkit is intentionally non-prescriptive, allowing EBCD practitioners the freedom to flex the approach to cater to the needs of their specific populations and contexts. For less experienced researchers, the lack of specificity can be a challenge when navigating activities such as data analysis, particularly as wider literature provides limited insights to methods, processes, methodological critique, and lessons learned.

The Palliative Arts: Envisioning a New Paradigm in Palliative Care.

A growing body of evidence supports the effectiveness of arts-based interventions in nurturing human connection, healing, and reflection-for patients living with illness, their families, and their health care communities. Thus, we propose that these interventions, what we call the Palliative Arts-just as much as science-should be systematically integrated in clinical education, practice, research, wellness, leadership, and advocacy to impact person-centered outcomes. Our interprofessional team describes a variety of arts-based programming that its authors are leading to highlight the breadth of existing Palliative Arts work and point to future horizons for its integration in health care education and clinical settings.

A study on motion reduction for suspended platforms used in gravitational wave detectors.

We report a reduction in motion for suspended seismic-isolation platforms in a gravitational wave detector prototype facility. We sense the distance between two seismic-isolation platforms with a suspension platform interferometer and the angular motion with two optical levers. Feedback control loops reduce the length changes between two platforms separated by [Formula: see text] to [Formula: see text] at [Formula: see text], and the angular motion of each platform is reduced to [Formula: see text] at [Formula: see text].

Integrating Narrative Goals of Care in the Medical Intensive Care Unit: Impact on Educational and Clinical Outcomes.

Background: High-quality goals of care (GOC) communication is fundamental to providing excellent critical care.

Objective: Educate medical intensive care unit (MICU) clinicians, design and implement workflows relating to GOC communication, and measure the impact on communication proficiency and rate of GOC documentation.

Methods: Guided by Lean Six Sigma principles, an interprofessional team from palliative and critical care tailored a multicomponent intervention-the 3-Act Model communication training and workflow modification-to equip and empower the pulmonary and critical care medicine (PCCM) fellow as the clinical lead for GOC discussions.

Interprofessional Interventions to Improve Serious Illness Communication in the Intensive Care Unit: A Scoping Review.

Serious illness communication is fundamental to the provision of quality care for patients in the intensive care unit (ICU). Evidence suggests that including interprofessional team members in such communication is beneficial. This scoping review--conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines-maps existing evidence regarding interprofessional interventions to improve serious illness communication in the ICU.

Defining Clinical Excellence for Palliative Care Specialists: A Concept Whose Time Has Come.

Experts in the field of palliative care in the United States (U.S.) have defined competence, or "good," mainly for programs, trainees, or providers of primary palliative care.

Home Based Palliative Care: Known Benefits and Future Directions.

Purpose Of Review: To summarize key recent evidence regarding the impact of Home-Based Palliative Care (HBPalC) and to highlight opportunities for future study.

Recent Findings: HBPalC is cost effective and benefits patients and caregivers across the health care continuum.

Summary: High-quality data support the cost effectiveness of HBPalC.

Palliative Care Involvement in Patients Hospitalized in the United States with Aneurysmal Subarachnoid Hemorrhage.

Aneurysmal subarachnoid hemorrhage (aSAH) has a high mortality rate and significantly impacts survivors' quality of life. To assess impact of specialty palliative care services (sPCS) among patients hospitalized with aSAH. A retrospective cohort study using the National Inpatient Sample (2017-2018).

Narrative Approach to Goals of Care Discussions: Adapting the 3-Act Model Training to an Online Format.

Context: The three-Act Model, a narrative approach to goals of care (GOC) discussions centered on patients' individual stories, has proven to be effective as measured by objective skill improvement among medical trainees. This study describes the adaptation of the in-person curriculum to a streamlined, online format, in the setting of the Covid19 pandemic. We hypothesized that high levels of skill proficiency and learner satisfaction observed in previous in-person cohorts would be sustained amongst trainees in the online setting.

Advance Care Planning Shared Decision-Making Tools for Non-Cancer Chronic Serious Illness: A Mixed Method Systematic Review.

Context: Shared decision-making tools can facilitate advance care planning and goals of care conversations in non-cancer serious illness. More information on integrating these tools in ambulatory care could better support clinicians and patients/caregivers in these conversations.

Objectives: We evaluated effectiveness and implementation of integrating palliative care shared decision-making tools into ambulatory care for U.

A Call to Action to Address Disparities in Palliative Care Access: A Conceptual Framework for Individualizing Care Needs.

Palliative care is a values-driven approach for providing holistic care for individuals and their families enduring serious life-limiting illness. Despite its proven benefits, access and acceptance is not uniform across society. The genesis of palliative care was developed through a traditional Western lens, which dictated models of interaction and communication.

COVID-19 Pandemic Response: Development of Outpatient Palliative Care Toolkit Based on Narrative Communication.

Context: The coronavirus disease 2019 (COVID-19) pandemic laid bare the immediate need for primary palliative care education for many clinicians. Primary care clinicians in our health system reported an urgent need for support in advance care planning and end-of-life symptom management for their vulnerable patients. This article describes the design and dissemination of palliative care education for primary care clinicians using an established curriculum development method.

Primary Palliative Care Education for Trainees in U.S. Medical Residencies and Fellowships: A Scoping Review.

The medical profession increasingly recognizes the growing need to educate nonpalliative physicians in palliative care. This study aims to provide a scoping review of the primary palliative care (PPC) education currently available to graduate medical trainees in primary and specialty tracks. Studies of PPC interventions in U.

Narrative Approach to Goals of Care Discussions: Assessing the Use of the 3-Act Model in the Clinical Setting.

Context: The 3-Act Model is an innovative narrative approach to goals of care (GOC) discussions centered on patients' unique stories. Previous studies have demonstrated the effectiveness of the 3-Act Model training in enhancing trainees' skills objectively in role-plays with standardized patients. This study moves beyond the classroom to the clinical setting to assess whether learners preferred this approach, believed it to be clinically effective, and demonstrated proficiency objectively.

The Effect of a Standardized Triage Process on Efficiency and Productivity of an Inpatient Palliative Care Team.

Context: Studies have shown that palliative care involvement delivers a multitude of benefits to patients and caregivers. The existing palliative care workforce is inadequate to meet growing demand. Innovative strategies to triage inpatient consults are necessary.

Narrative Approach to Goals of Care Discussions: A Novel Curriculum.

Context: Innovative patient-centered approaches to goals of care (GOC) communication training are needed. Teaching a narrative approach, centered on the patient's unique story, is conceptually sound but has not been evaluated with respect to objective skills attainment. We developed a curriculum based on a novel, easily-remembered narrative approach to GOC, the 3-Act Model, and piloted it with a cohort of internal medicine (IM) interns.

Narrative Interventions in the Palliative Care Setting: A Scoping Review.

Context: This scoping review maps the existing literature on narrative interventions within a palliative care and end-of-life context.

Objectives: A scoping review was performed to address the following research question: What observational or randomized controlled trials have been performed to evaluate narrative interventions in the palliative care setting?

Methods: A search across multiple electronic databases was performed. The search results were screened.

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

Background: With the expansion of palliative care, the concept of clinical excellence is worthy of study and has not been described well in the literature.

Objective: 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.

Design: Review of the literature to identify episodes of superb palliative care delivered by individuals and teams.

Catalytic oxidation of Li2S on the surface of metal sulfides for Li-S batteries.

Polysulfide binding and trapping to prevent dissolution into the electrolyte by a variety of materials has been well studied in Li-S batteries. Here we discover that some of those materials can play an important role as an activation catalyst to facilitate oxidation of the discharge product, LiS, back to the charge product, sulfur. Combining theoretical calculations and experimental design, we select a series of metal sulfides as a model system to identify the key parameters in determining the energy barrier for LiS oxidation and polysulfide adsorption.

Wavelength conversion technique for optical frequency dissemination applications.

We demonstrate coherent wavelength conversion capable of covering the entire C-band by modulating the incoming optical carrier with a compact Fabry-Perot cavity embedded phase modulator and by optical injection locking a semiconductor laser to a tone of the generated optical frequency comb. The phase noise of the converted optical carrier over 1 THz frequency interval is measured to be -40 dBc/Hz at 10 Hz offset and the frequency stability is better than 2 × 10(-17) level for averaging times >1000 s, making this technique a promising solution for comparisons of state-of-the-art optical clocks over complex fiber networks.

Optical injection locking-based amplification in phase-coherent transfer of optical frequencies.

We demonstrate the use of an optical injection phase locked loop (OIPLL) as a regenerative amplifier for optical frequency transfer applications. The optical injection locking provides high gain within a narrow bandwidth (<100  MHz) and is capable of preserving the fractional frequency stability of the incoming carrier to better than 10(-18) at 1000 s. The OIPLL was tested in the field as a mid-span amplifier for the transfer of an ultrastable optical carrier, stabilized to an optical frequency standard, over a 292 km long installed dark fiber link.

Insights into size-dominant magnetic microwave absorption properties of CoNi microflowers via off-axis electron holography.

In this study, CoNi flower-like hierarchical microstructures with different sizes were obtained via a one-step solvothermal method by simply adjusting the concentration of precursors and surfactant. The obtained CoNi microflowers possess uniform and tunable size, good monodispersity, and remarkable magnetic microwave absorption properties as well as electron holography phase images. Characterization results have demonstrated the dependency of properties of CoNi microflowers on their morphologies and sizes.