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Experiences and barriers in downward referral decision-making for palliative care patient caregivers under China's three-tiered linkage model: A qualitative study.
Asia Pac J Oncol Nurs
December 2025
Department of Oncology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Objective: This study aimed to explore hospice caregivers' downward referral decision-making experiences and barriers under the triadic linkage model in China and to analyze the deeper social dynamics of hospice referral choices.
Methods: Semi-structured interviews were conducted with caregivers handling hospice referrals from two primary hospice agencies in Nanjing, China. The themes were analyzed and summarized using the Colaizzi 7-step analysis.
Blood Group Misinformation Impacting the Attendant's Decision-Making for a timely Blood Transfusion in their Patient: An Ethical Dilemma.
Transfus Clin Biol
December 2024
Department of Pathology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Swami Ram Nagar, Jolly Grant Dehradun-248016 Uttarakhand, India.
In the third week of November 2024, a critical incident involving the refusal of a blood transfusion was reported at our hospital. The case involved a 65-year-old Indian patient who had been admitted for a proposed stoma closure surgery. Although the healthcare team deemed an urgent blood transfusion necessary as part of the patient's treatment plan, the transfusion was refused due to misinformation from the patient's attendants regarding the patient's original blood type.
View Article and Find Full Text PDFDevelopment, reliability, and validity of the nurses' conscientious objection attitude scale (COAS-N).
BMC Med Ethics
December 2024
Fundamentals of Nursing Department, Faculty of Nursing, Gazi University, Ankara, Turkey.
Background: Conscientious objection poses ethical dilemmas frequently encountered by nurses, allowing them to prioritize personal beliefs in caregiving. However, it may also be viewed as a stance jeopardizing patients' healthcare access. There is no measurement tool to measure conscientious objection in nurses.
View Article and Find Full Text PDFUnderstanding frailty: a qualitative study of older heart failure patients' frail experience and perceptions of healthcare professionals with frailty.
BMC Geriatr
December 2024
Nursing Department, The Second Affiliated Hospital, Jiangxi Medical College, Nan Chang University, Min de Road #, Nan Chang, Jiang Xi, 330006, People's Republic of China.
Background: Although frailty is highly prevalent in hospitalized older heart failure (HF) patients, its management is often delayed. Understanding the unique experiences of frail elderly HF patients and the perceptions of healthcare professionals (HPs) regarding frailty can facilitate the integration of frailty prevention and intervention into clinical practice. This study aimed to use a descriptive qualitative approach to obtain the experiences of frailty in older HF patients and the perceptions of HPs concerning frailty.
View Article and Find Full Text PDFA Randomized Controlled Feasibility Study to Evaluate the Online Delivery of Storytelling Through Music With Oncology Nurses.
Cancer Nurs
December 2024
Author Affiliations: School of Nursing, The University of Texas at Austin (Drs Phillips, Young, and Stuifbergen); Phyllis F. Cantor Center for Research in Nursing and Patient Care Services (Drs Phillips and Mazzola, Ms Xiong, and Dr Hammer) and Department of Psychosocial Oncology and Palliative Care (Dr Morris), Dana-Farber Cancer Institute, Boston, Massachusetts; Ohana, Center for Child and Adolescent Behavioral Health, Monterey, California (Ms Woods); and The Leonard P. Zakim Center for Integrative Therapies and Healthy Living, Dana-Farber Cancer Institute, Boston, Massachusetts (Dr Ligibel).
Background: Oncology nurses frequently contend with intense work-related emotions stemming from their roles, which include bearing witness to suffering, managing end-of-life care, and navigating ethical dilemmas. These emotional challenges can lead to burnout, compassion fatigue, and overall psychological distress.
Objective: To determine the feasibility, acceptability, and preliminary effect of implementing Storytelling Through Music (STM) online with oncology nurses.
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