Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2016
Multicenter StudyAdherence to Measuring What Matters Measures Using Point-of-Care Data Collection Across Diverse Clinical Settings.
Measuring What Matters (MWM) for palliative care has prioritized data collection efforts for evaluating quality in clinical practice. How these measures can be implemented across diverse clinical settings using point-of-care data collection on quality is unknown. ⋯ Variations in clinician documentation of adherence to MWM quality measures are seen across clinical settings. Additional studies are needed to better understand benchmarks and acceptable ranges for adherence tailored to various clinical settings.
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J Pain Symptom Manage · Mar 2016
Randomized Controlled Trial Comparative StudyTai Chi Exercise for Cancer-Related Fatigue in Patients with Lung Cancer Undergoing Chemotherapy: A Randomized Controlled Trial.
Tai Chi is a traditional Chinese health-promoting exercise. It has been shown to enhance mental health and improve psychological condition. ⋯ Tai Chi is an effective intervention for managing cancer-related fatigue in patients with lung cancer undergoing chemotherapy, especially for decreasing general fatigue and physical fatigue, and increasing vigor.
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J Pain Symptom Manage · Mar 2016
Multicenter StudyICU Bedside Nurses' Involvement in Palliative Care Communication: A Multicenter Survey.
Successful and sustained integration of palliative care into the intensive care unit (ICU) requires the active engagement of bedside nurses. ⋯ ICU bedside nurses see their involvement in discussions of prognosis, goals of care, and palliative care as a key element of overall quality of patient care. Based on the barriers participants identified regarding their engagement, interventions are needed to ensure that nurses have the education, opportunities, and support to actively participate in these discussions.
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J Pain Symptom Manage · Mar 2016
Comparative StudyDoes Mode of Survey Administration Matter? Using Measurement Invariance to Validate the Mail and Telephone Versions of the Bereaved Family Survey.
The Veterans Health Administration evaluates outcomes of end-of-life (EOL) care using the Bereaved Family Survey (BFS). Originally, the BFS was administered as a telephone survey but was transitioned to a mail survey beginning October 2012. The transition necessitated an evaluation of the tool's validity using this new mode of administration. ⋯ These findings demonstrate the MI and robust psychometric properties for the BFS across administration modes.
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J Pain Symptom Manage · Mar 2016
Improving Emergency Providers' Attitudes Towards Sickle Cell Patients in Pain.
Provider biases and negative attitudes are recognized barriers to optimal pain management in sickle cell disease, particularly in the emergency department (ED). ⋯ Brief video-based educational interventions can improve emergency providers' attitudes toward patients with sickle pain crises, potentially curtailing pain crises early, improving health outcomes and patient satisfaction scores.