A5051163751- Palliative Care and End-of-Life Issues
- Patient Dignity and Privacy
- Grief, Bereavement, and Mental Health
- Childhood Cancer Survivors' Quality of Life
- Family and Patient Care in Intensive Care Units
- Ethics in medical practice
- Patient-Provider Communication in Healthcare
- Mechanical Circulatory Support Devices
- Interprofessional Education and Collaboration
- Cardiac Structural Anomalies and Repair
- Geriatric Care and Nursing Homes
- Cancer survivorship and care
- Religion, Spirituality, and Psychology
- Hemoglobinopathies and Related Disorders
- Migration, Health and Trauma
- Transplantation: Methods and Outcomes
- Frailty in Older Adults
University of Florida
2015-2025
University of Florida Health
2017-2022
Florida College
2017-2020
UF Health Shands Hospital
2017
University of Florida Health Science Center
2017
Healthcare provider self-disclosures are common although sometimes controversial. Providers have unique opportunities to self-disclose for the purpose of conveying empathic concern during Dignity Therapy sessions. We examine topics (ESDs) analyzed 203 audio-recorded, transcribed sessions from a stepped-wedge, randomized trial led by 14 nurses and chaplains in outpatient palliative care. extracted 117 ESDs across applied thematic analysis guided constant comparative method generate ESD topic...
Our goal is to improve psychosocial and spiritual care outcomes for elderly patients with cancer by optimizing an intervention focused on dignity conservation tasks such as settling relationships, sharing words of love, preparing a legacy document. These are central needs cancer. Dignity therapy (DT) has clear feasibility but inconsistent efficacy. DT could be led nurses or chaplains, the 2 disciplines within palliative that may most available provide this intervention; however, it remains...
Background: Patients consider the life review intervention, Dignity Therapy (DT), beneficial to themselves and their families. However, DT has inconsistent effects on symptoms lacks evidence of spiritual/existential outcomes. Objective: To compare usual outpatient palliative care chaplain-led or nurse-led for a quality-of-life outcome, dignity impact. Design/Setting/Subjects: In stepped-wedge trial, six sites in United States transitioned from either random order. Of 638 eligible cancer...
Death anxiety is powerful, potentially contributes to suffering, and yet has date not been extensively studied in the context of palliative care. Availability a validated Anxiety Distress Scale (DADDS) opens opportunity better assess redress death serious illness.
Background Clinician–family communication is a central component of medical decision-making in the intensive care unit (ICU) and quality this has direct impact on decisions made regarding for patients who are critically ill. Aim The purpose project was to emphasise need improvement ICU at University Florida Health Hospital regard between patients, families providers. Method Interventions included development more systemic approach primary palliative by using nationally recognised published...
Background: End-of-life discussions and documentation of preferences are especially important for older cancer patients who at high risk morbidity mortality. Objective: To evaluate influence demographic factors such as religiosity, education, income, race, ethnicity on treatment end-of-life care. Methods: A retrospective observational study was performed baseline data from a multisite randomized clinical trial Dignity Therapy in 308 were receiving outpatient palliative care (PC). Interviews...
Bereavement services are often provided as components of hospice and palliative care plans, including emotional, psychosocial, spiritual support to individuals families assist with grief, loss, adjustment after the death a loved one. Patient- family-centered is hallmark care. Moreover, bereavement counseling offered benefit that covered by Medicare various private insurance plans. However, not all hospital-based programs offer support. Many bereaved persons whose one dies in hospital while...
The need for palliative care is growing along with a rapidly aging population. To meet this need, the American Association of Colleges Nursing developed competencies that all nurses should achieve before graduation. Many these rely on direct experience in caring patients facing serious illness, leading to an increased emphasis experiential learning nursing curricula. Experiential process creating knowledge through transformative experiences outside traditional classroom setting. Comfort...
Abstract Objectives Despite the clinical use of dignity therapy (DT) to enhance end-of-life experiences and promote an increased sense meaning purpose, little is known about cost in practice settings. The aim examine costs implementing DT, including transcriptions, editing legacy document, dignity-therapists’ time for interviews/patient’s validation. Methods Analysis a prior six-site, randomized controlled trial with stepped-wedge design chaplains or nurses delivering DT. Results mean per...
Background: In response to poor healthcare quality outcomes and rising costs, reform triple aim has increased requirements for providers demonstrate value payers, partners, the public. Objective: Electronically automating measurement of meaningful impact palliative care (PC) programs on clinical, operational, financial systems over time is imperative success field goal development this automated PC scorecard. Design: The scorecard was organized into a format measures identified by Measuring...
Background It is unknown whether nurses' knowledge about pain among patients with sickle cell disease (SCD) reflects the current standard of care. The authors evaluated changes in and simulated practice behavior after a continuing education program. Method Inpatient nurses completed an e-learning program on SCD pain; pretest posttest same 10 questions; two patient cases four intervention options at posttest. Results On pretest, mean percentage correct answers was 83% (SD = 13%). increased by...
A routine threat to palliative care research is participants not completing studies. The purpose of this analysis was quantify attrition rates mid-way through a study on Dignity Therapy and describe the reasons cited for attrition. Enrolled in were total 365 outpatients with cancer who receiving outpatient specialty (mean age 66.7 ± 7.3 years, 56% female, 72% White, 22% Black, 6% other race/ethnicity). These completed an initial screening cognitive status, performance physical distress,...
Background Palliative care (PC) helps maintain quality of life for seriously ill patients, yet, many Americans lack knowledge PC. Aim To explore the relationships between PC individuals living in north-central Florida and throughout United States. Design This cross-sectional survey with three sampling approaches, one was a community-engaged sample two were panel respondent samples. Respondents setting: (n 1 = 329) 2 100), representative 23 county general population. national 1800) adult...
The Doctor of Nursing Practice (DNP) curriculum was initially developed in 2004. DNP degree is a practice doctorate, which educates nurses to the highest level clinical nursing practice. students must complete scholarly project accordance with American Association Colleges (AACN) guidelines. an opportunity for student integrate skills into and demonstrate principles advanced AACN provides recommendations project, but much confusion regarding context implementation still exists. At one...
Abstract Aim: As a brief psychotherapy for individuals facing mortal threat, Dignity Therapy (DT) effects on spiritual outcomes are unknown, especially as an intervention to support cancer health equity racial minority patients. Our study aim was compare usual outpatient palliative care and such along with nurse-led or chaplain-led DT groups main dignity impact the interaction of race. Methods: We conducted 4-step, stepped-wedge randomized control trial at 4 NCI designated centers 2 academic...