With the growing aging population and high prevalence of chronic illnesses, there is an increasing demand for palliative care. In US state Indiana, estimated 6.3 million people are living with one or more a large proportion them reside in rural areas where limited access to care leading major healthcare inequities disparities. This study aims identify common barriers facilitators services Indiana from perspectives providers including clinicians, educators, community stakeholders. Using...

Numerous spirituality models and tools have been developed in health education research, but a gap still exists around the conceptual clarity articulation of among nurses healthcare providers. Nurses providers find it difficult to interpret apply concepts their practice settings. This paper provides concept analysis using Walker Avant method analysis. Several databases including empirical literature from various disciplines used. The defining attributes included religion as separable or...

Abstract Background Rural caregivers experience significant financial stressors while caring for their older family members with chronic illnesses. Limited access to care, support, and resources in rural areas poses threats insecurity some caregivers. As the majority of are women, these challenges also represent gender disparities, role imbalances, division labor society that has rarely been explored literature from a context. To address gaps, our study aims explore lived experiences burdens...

The 2016 Alberta wildfire, the largest insured natural disaster in Canada, led to a mass evacuation of residents Fort McMurray, small city northern Alberta. wildfire resulted significant damages housing and community infrastructure. entire was displaced for several weeks. Post-disaster, members experienced individual collective trauma, other negative mental health impacts response losses grief they endured. Spirituality has been found be major protective factor facilitating resiliency...

Abstract The objectives of this study were to investigate (1) gender and race differences in mental health psychological well-being among older adults during the COVID-19 pandemic (2) whether there significant interaction effects between race. This used National Health Aging Trends Study (NHATS) public use data files. It focused on well-being, including loneliness, no time yourself, poor sleep quality, anxiety, depression, post-traumatic stress disorder (PTSD). sample consisted 2465 adults,...

Family caregivers experience multiple transitions, resolutions, loss, and grief where their search for meaning becomes evident. Spirituality is an important dimension of palliative care, yet little attention has been given to this aspect spirituality especially among the family in a hospice setting. The study aimed bring hidden voices caregivers, own spiritual experiences caring dying patients setting, guide direct care practices health professionals. An interpretive descriptive approach...

Abstract Background COVID-19 put older individuals at high risk for morbidity and mortality, isolation, reduced coping, lower satisfaction with life. Many adults experienced social fear, anxiety. We hypothesized that successful coping these stressors would maintain or improve life, a crucial psychological outcome during the pandemic. Our study investigated relationships between people’s life pandemic their optimism, sense of mastery, closeness spouse, family, friends, vulnerabilities from...

Abstract Purpose To explore the palliative care needs and preferences of older adults with advanced or serious chronic illnesses their families. Also, to propose strategies promote supportive in rural communities Indiana, USA. Method We conducted qualitative interviews gather caregivers’ experiences care. Recruitment was done collaboration community partners using social media, flyers, emails, invitations, word‐of‐mouth. A purposive sample family caregivers obtained. All were online. The...

Use of complementary and alternative medicine (CAM) has increased globally, particularly among oncology patients. This study investigated the knowledge, experience attitudes nurses towards CAM. A quantitative was conducted in tertiary care hospitals Karachi, Pakistan, where 132 were surveyed. The survey revealed that more than 50% had never heard about many CAM therapies used Pakistan. Approximately 65% knowledge prayer less 30% education or training. In addition, majority seen patients...

Psychological First Aid (PFA) is becoming a universally accepted intervention in providing psychosocial support to individuals and families affected by trauma or disaster. Our study aimed measure the effectiveness of didactic simulation based training program Alberta, Canada. Social work students, practitioners, human service professionals from Calgary, Edmonton, Lethbridge were invited attend training. A total 90 participants attended at three different sites. pre post survey questionnaire...

Palliative care improves outcomes, yet rural residents often lack adequate and equitable access. This study provides practical tips to address palliative (PC)-related challenges in communities. Strategies include engaging trusted community partners, addressing cultural factors, improving pediatric care, utilizing telehealth, networking with teams including caregivers, expanding roles for nurses advanced practice providers. Despite complex barriers access, providers can tailor PC be...

Introduction: Rural informal caregivers (IC) experience major financial and economic constraints in caring for their older family members. Rurality combined with increased caregiving demands intensity, poor opportunities, limited resources policies create multiple stressors can lead to well-being. A cross-sectional survey was conducted understand how demands, duration impact the subjective well-being of rural adults. Methods: Informal (N = 196) residing 12 counties central North Region...

This article aims to share the historical context of spirituality in nursing, meanings and expressions spirituality, different models along with its significance nursing education practice. Several challenges tools for successful integration practice are also discussed.

The need for palliative care (PC) has gained increased attention during the COVID-19 pandemic. Palliative adds an extra layer of support and patients with advanced chronic illnesses their families. Because pandemic restrictions, access provision PC services were challenging resulted in huge suffering caregiving burden among families, especially those living smaller towns rural communities. study aimed to describe impact on examine various ethical, moral, practice issues challenges...

Abstract Objective This study evaluated a rapidly developed program designed to support family resilience during the COVID‐19 pandemic. Background Grounded in Walsh's framework, Families Tackling Tough Times Together (FT) disseminated weekly evidence‐informed content through public Facebook group, partner organizations, and on dedicated website. Method website analytics brief usage surveys ( n with at least one = 74) documented use, pre‐ post‐FT 49) assessed connectedness, positive outlook,...

In a private university teaching hospital in Pakistan, study using grounded theory design was conducted among new nursing graduates to elicit their transitional experiences from student staff nurse role. Four major themes emerged highlighting the core category of "sailing forward": stepping into role, initial adjustment, support systems, and resolution phase. A substantive on role transition outcome.

This descriptive cross-sectional study was designed to assess nurses' knowledge, perceptions, and actual practice with relation patient discharge. Two separate semistructured questionnaires were used. A convenience sample of 15 nurses patients taken from four medical-surgical units. Fifteen patients' records also studied. Analysis the findings revealed that lacked knowledge regarding discharge planning which had an impact on their current practices. Recommendations are provided improve this deficit.

Addressing existential and spiritual care needs, often remains a challenge in health education. Spirituality is subjective human experience that shapes how individuals make meaning, construct knowledge, develop their own sense of reality, bring personal social transformation. To inspire students at London based University; learners were engaged into philosophical reasonings associated with the meaning to care. SOPHIE (Self-exploration through Ontological, Phenomenological Humanistic,...

To identify mental health needs in local communities, and provide evaluate nurse-led services to promote community Karachi, Pakistan.Using an action research approach, nurses implemented activities psychiatric rehabilitation 15 urban communities Karachi. The were planned collaboration with a community-based social welfare organisation.Community interventions by multidisciplinary team including nursing educators postgraduate students. Positive transformation of the clients was found.The...

Purpose This article explores the community recovery and resilience element of “building back better” (BBB) through perspectives experiences influencers who provided psychosocial supports after 2013 floods in southern Alberta, Canada. Design/methodology/approach The Alberta Resilient Communities (ARC) project adopted a community-based research methodology to examine lived realities children, youth, families their communities postflood. In-depth semistructured interviews were conducted with...