Dion Smyth's review of palliative nursing on the internet.
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Chronic kidney disease (CKD) is a global health challenge that affects patients, caregivers, healthcare systems, the environment and national economies. Despite its far-reaching impact, there is no framework to systematically evaluate national CKD prevention and management programmes or evaluate the societal burden of disease. This paper has two objectives: first, to introduce a comprehensive framework to assess national programmes, which recognises gaps and weaknesses and identifies feasible policy interventions to reduce overall CKD burden; second, to present some key challenges and success stories in delivering CKD services delivered in eight different country settings.
View Article and Find Full Text PDFPrioritizing attributes of approaches to analyzing patient-centered outcomes that are truncated due to death in critical care clinical trials: a Delphi study.
Trials
January 2025
Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Background: A key challenge for many critical care clinical trials is that some patients will die before their outcome is fully measured. This is referred to as "truncation due to death" and must be accounted for in both the treatment effect definition (i.e.
View Article and Find Full Text PDFNo Vaccine, No Organ? Ethics of Vaccine Mandates for Pediatric Transplant.
Pediatr Transplant
February 2025
Departments of Health Humanities and Bioethics, Philosophy, Pediatrics, and Neurology, University of Rochester, Rochester, New York, USA.
Many transplant programs worldwide are likely to impose vaccine mandates for pediatric solid organ transplant candidates; some already do. Three potential benefits that advocates invoke to justify mandates are improved patient outcomes, efficient organ allocation, and contributions to community protection. We show that none of these benefits can justify mandates.
View Article and Find Full Text PDFAssisted dying legislation: challenges and considerations for community nurses.
Br J Community Nurs
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The article focuses on assisted dying, its legislation process and why it might be a political priority for UK lawmakers at this time. The author also raises questions about what the implications of this bill for nurses, particularly community nurses. The article mentions places outside the UK where assisted dying is already a feature of healthcare.
View Article and Find Full Text PDFRelational skills of nephrology and dialysis nurses in clinical care settings: A scoping review and stakeholder consultation.
Nurse Educ Pract
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Azienda Ospedaliera Santa Maria della Misericordia, Perugia, Italy.
Aim: To describe and analyze the relational skills of nephrology nurses.
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