Journal of pain and symptom management
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J Pain Symptom Manage · Aug 2023
ReviewClinical Decision Support Systems for Palliative Care Management: A Scoping Review.
With the expansion of palliative care services in clinical settings, clinical decision support systems (CDSSs) have become increasingly crucial for assisting bedside nurses and other clinicians in improving the quality of care to patients with life-limiting health conditions. ⋯ This study demonstrated that implementing palliative care CDSSs can assist nurses and other clinicians in improving the quality of care for palliative patients. The studies' different methodological approaches and variations in palliative CDSSs made it challenging to compare and validate the applicability under which CDSSs are effective. Further research utilizing rigorous methods to evaluate the impact of clinical decision support features and guideline-based actions on clinicians' adherence and efficiency is recommended.
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J Pain Symptom Manage · Aug 2023
Differential Use of Outpatient Palliative Care by Demographic and Clinical Characteristics.
Little is known about equity in utilization of outpatient palliative care (PC). ⋯ We found that Black and Latinx patients were less likely to complete an initial visit and those with a preferred language other than English were less likely to complete a follow-up visit. To promote equity in PC, these differences and their impact on outcomes must be explored.
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J Pain Symptom Manage · Aug 2023
Development of a Japanese Version of the Quality of Life at the End of Life-Cancer Scale.
The Quality of Life at the End of Life-Cancer Scale (QUAL-EC) is a self-reported instrument to assesses the quality of life of patients with cancer near the end of life. ⋯ The QUAL-EC-J has a three-factor structure with acceptable reliability and sufficient validity. Differences in the factor structure between the QUAL-EC-J and the QUAL-EC may be due to cultural factors. Study findings suggest that utilization of the QUAL-EC-J could help to improve research and clinical care in advanced cancer in Japan.
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J Pain Symptom Manage · Aug 2023
Using design thinking to promote goals of care conversations with seriously ill patients.
Goals of care (GOC) conversations can improve serious illness outcomes such as pain and symptom management and patient satisfaction. ⋯ We found that design thinking techniques offered a useful bridge between RE-AIM strategy and clinical.