Publications by authors named "Nanor Kevork"
Background: Early palliative care improves quality of life during life-prolonging treatment for patients with cancer, but the role of nurses in facilitating the early involvement of palliative care is unclear.
Aim: To conceptualize the psychosocial processes involved in the introduction and provision of palliative care by oncology nurses.
Design: A constructivist qualitative grounded theory study was conducted.
Factors associated with discharge disposition on an acute palliative care unit.
Support Care Cancer
November 2018
Purpose: Acute palliative care units (APCUs) admit patients with cancer for symptom control, transition to community palliative care units or hospice (CPCU/H), or end-of-life care. Prognostication early in the course of admission is crucial for decision-making. We retrospectively evaluated factors associated with patients' discharge disposition on an APCU in a cancer center.
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- Contact with bereaved caregivers is not a common practice among cancer physicians, and this study aimed to explore caregivers' experiences with such contact.
- Qualitative interviews with 61 caregivers revealed that those who received bereavement contact found it supportive and caring, while those who didn't often felt ambivalent or regretful about the absence of contact.
- The findings suggest that integrating bereavement contact into routine care could benefit caregivers, as it is generally well received and appreciated.
Purpose: To describe prevalence and characteristics associated with family physician and general practitioner (FP/GP) provision of home palliative care (HPC).
Methods: We surveyed FP/GPs in an urban health region of Ontario, Canada, to determine their current involvement in HPC, the nature of services provided, and perceived barriers and enablers.
Results: A total of 1439 surveys were mailed.
Purpose: The purposes of the study were to assess awareness and prevalence of advance directives (ADs) among patients with advanced cancer undergoing active outpatient care and to determine factors associated with AD completion before and after the diagnosis of cancer.
Methods: Patients with advanced solid tumor malignancy receiving treatment at the Chemotherapy Day Unit were approached for recruitment. They completed an onsite questionnaire about completion and timing of ADs, demographic information, and perceived health; a review of their medical records was conducted to document their cancer care and co-morbidities.
Quality of Care and Satisfaction With Care on Palliative Care Units.
J Pain Symptom Manage
February 2016
Context: There is little research on quality of care specific to palliative care units (PCUs).
Objectives: To delineate important aspects of satisfaction with care and quality of care on a PCU, as described by inpatients, family caregivers, and health care professionals.
Methods: Qualitative interviews and focus groups were conducted across four Toronto PCUs, with a total of 46 patient/caregiver interviews and eight staff focus groups.
Background: Clinician-patient communication is central in palliative care, but it has not been described qualitatively which specific elements of communication are important for high-quality palliative care, particularly in the inpatient setting.
Objective: Our aim was to identify elements of communication that are central to quality of care and satisfaction with care on palliative care units (PCUs), as described by inpatients, family caregivers, and health care providers.
Methods: Qualitative interviews with patients/caregivers and focus groups with staff were conducted on four PCUs.
Purpose: Guidelines recommend documentation of care preferences for patients with advanced cancer upon hospital admission.We assessed end-of-life outcomes for patients who did or did not have code status (CS) documented within 48 h of admission.
Methods: This was a retrospective cohort study of patients who died on an inpatient oncology ward between January 2004 and February 2009.
Purpose: Most Canadians die in inpatient settings. Our aim was to determine the availability of medical services, programs, and care for common palliative procedures, in hospices, palliative care units (PCUs), and hospital medical wards (MWs) providing inpatient palliative care in Ontario, Canada.
Methods: We identified facilities providing inpatient palliative care using the Ontario Hospital Association (OHA) and Hospice Association of Ontario (HAO) websites.