Pain assessment and management in advanced end-stage dementia are challenging; patients at risk of under-diagnosis, under-assessment under-treatment. Previous research has highlighted the importance needs-driven training development this area for physicians, nurses healthcare assistants (HCAs) across specialties, disciplines care settings. This study used teleconferencing technology to connect professionals multiple settings real-time clinics, based on Project ECHO© model. paper reports...

This paper reports a study to assess the palliative care needs of adult population served by healthcare provider organization in Northern Ireland from perspectives patients, informal carers and providers.Assessing need is key factor for health service planning. Traditionally, has been associated with end-of-life cancer. More recently, concept extended include both cancer non-cancer populations. Various approaches have advocated assessing need, including exploration professional user...

The World Health Organisation recognises palliative care as a global public health issue and this is reflected at strategic level. Despite this, may not be universally welcomed. Surveys over the last decade have suggested that general lack of knowledge negative perceptions towards care. A detailed comprehensive understanding views needed in order to target education policy campaigns manage future needs, expectations resourcing end life aim study was establish current levels awareness...

Background: Research suggests that the public appear to be confused about meaning of palliative care. Given ageing population and associated increase in number patients requiring care, it is vital explore public’s understanding this concept. Health-promoting care seeks translate hospice ideals into broader health practice. Aim: To perceptions identify strategies raise awareness. Design: An exploratory qualitative approach. Participants: Semi-structured telephone interviews were undertaken (...

Despite the strong evidence that cervical screening does save lives, suggests uptake for women from socially deprived areas still remains low. A qualitative approach using four focus groups was undertaken with 48 living in who had accessed a mobile unit to receive screening. Analysis of data thematic content analysis. The women's knowledge cancer including associated risks, and preventative factors were extremely limited. expressed negative attitude towards their experiences screening,...

Background: While studies have evaluated caregiver outcomes in heart failure, the burden and support needs when caring for someone with advanced failure at end of life yet to be outlined. Aim: To identify psychosocial factors associated evaluate caregivers failure. Design: A sequential mixed methods study comprising two phases: (1) postal survey patients their (2) interviews current bereaved caregivers. Correlation, chi-square, t test, regression thematic analysis were undertaken on data....

Palliative care is recognised as a public health issue with the need for earlier integration in wider healthcare system. However, research indicates that it continues to be accessed late course of an illness, understanding palliative limited, and common misconceptions prevail. Strategies address this are needed order reduce barriers delivery improve access.An explanatory sequential mixed methods study, comprising cross-sectional survey interviews was undertaken. Sociodemographic...

truesdale‐kennedy m., taggart l. & mcilfatrick s. (2011) Breast cancer knowledge among women with intellectual disabilities and their experiences of receiving breast mammography. Journal Advanced Nursing 67 (6), 1294–1304. Abstract Aim. This paper is a report descriptive study understanding mammography an disability. Background. Despite the efforts government policies documents to ensure equal access improve health screening for people disability, uptake in this population still remains...

Pain assessment and management are key aspects in the care of people with dementia approaching end life but become challenging when patient self-report is impaired or unavailable. Best practice recommends use observational pain assessments for these patients; however, difficulties have been documented health professionals' tools absence additional collateral knowledge. No studies explored role, perspectives experiences healthcare assistants dementia; this study provides insight into...

Aims and objectives To examine nursing home managers’ knowledge, attitudes, beliefs current practice regarding advance care planning for people with dementia in long‐term settings informed by the theory of planned behaviour. Background Internationally, is advocated dementia. However, evidence suggests that discussions are rare, particularly settings. Whilst managers can be considered central to implementation this setting, there a dearth research has examined their perspective. This study...

Project ECHO (Extension for Community Healthcare Outcomes) uses teleconferencing technology to support and train healthcare providers (HCPs) remotely, has improved care across the USA. A 6-month pilot was trialled in a community palliative nursing setting determine if would be effective UK providing education hospice nurses (CHN).The involved weekly 2 hour sessions of teaching case-based discussions facilitated by staff linking with nine teams CHN using video conferencing technology....

Background. Nursing research is an integral component of improving the care people with cancer. However, for to be successfully integrated and applied practice, ownership identification must come from those in practice. The need local national strategies cancer nursing importance establishing priorities have been repeatedly acknowledged. Study aim. aim study was facilitate a strategic approach by identifying nurses. Research method. A three‐round Delphi survey administered nurses ( n = 112)...

MCILFATRICK S., TAGGART L. & TRUESDALE-KENNEDY M. (2011) European Journal of Cancer Care20, 412–420Supporting women with intellectual disabilities to access breast cancer screening: a healthcare professional perspective prevention has been identified as the most cost-effective strategy for control. This should extend all groups including disability, seeking screening. The purpose this study was explore role professionals, such primary staff (n= 8) and care 10), on supporting disability...

Retrospective studies on male breast cancer (MBC) have suff ered from small numbers of cases available any one centre; thus a signifi cant problem in eff ectively studying this disease is accruing suffi ciently large to allow comparative analysis biomarkers associated with response.Using coordinated multicentre approach, we present the fi rst large-scale study address relevance expression hormone receptors MBC and female (FBC) using immunohistochemistry combined novel bioinformatics...

The implantable cardioverter defibrillator (ICD) is a cornerstone in the treatment of life-threatening arrhythmias. As rates device implantation continue to rise throughout Europe, European and International guidelines recommend professionals discuss deactivation with patients. In reality appropriate therapeutic management an ICD at end-of-life remains uncertain minds patients.To identify current practice examine professional decision-making for patients from time final documentation...

Background: Internationally, participation in advance care planning is low. Whilst a community action approach advocated, what the public know and understand about unknown. Aim: To assess awareness, knowledge attitudes towards identify strategies to raise awareness within health framework. Design: Sequential mixed methods comprising cross-sectional survey focus group/interviews. Setting/participants: A random representative sample of adults from one region United Kingdom ( n = 1201; response...

To explore the impact of an early access master's experiential programme on leadership skills and resilience in new graduate nurses. Succession planning for nursing, requires development Literature suggests that to education can produce nurses with necessary skills. A comparative, cross-sectional survey design. using NHS Leadership Framework Self-Assessment Tool (2012) Connor-Davidson Resilience Scale 25 (2003) was distributed September 2021, graduates, two years, post-registration, from...