Lessons Learned: A Case for Reforming Siloed, Referral-Based Oncologic Palliative Care for High-Risk Opioid Patients [0.03%]
以史为鉴：改革孤立的转诊型姑息肿瘤科医疗模式以应对高风险阿片类药物患者的问题
Benjamin Bailey,Georgetta Bundley,Hannah Bromberg
Benjamin Bailey
The breadth and complexity of knowledge and services required for the delivery of medical care has resulted in team member specialization and subspecialization to meet the needs of our patients. As a collateral effect, medical care has beco...
Attitudes Toward Euthanasia and Physician-Assisted Suicide Among Norwegian Palliative Care Physicians [0.03%]
挪威姑息治疗医师对安乐死和医生协助自杀的态度
Olav Magnus Fredheim,Eva Gravdahl,Ingeborg Skulberg et al.
Olav Magnus Fredheim et al.
Background: Data from other countries have indicated that palliative care physicians are more opposed to assisted dying compared with other physicians. However, little is known about reasons for support/opposition among p...
A National Quality Initiative to Improve Palliative Care Outcomes: Identifying Enabling Factors that Drive Quality Improvement [0.03%]
国家级提高姑息治疗效果的品质改进项目：识别促进品质改进的关键因素
Sabina Clapham,Katherine Clark,Kylie Draper et al.
Sabina Clapham et al.
Background: The Palliative Care Outcomes Collaboration (PCOC), established in 2005 and funded by the Australian Government, is a national quality improvement initiative that integrates patient outcome measures into routin...
Structured Palliative Care Training Enhances Nursing Competence: Evidence from Breast Cancer Care [0.03%]
有组织的舒缓治疗培训能提高护理能力：来自乳腺癌治疗的证据
Yanping Niu,Ling Li,Qiaozhen Xiang et al.
Yanping Niu et al.
Background: Advanced breast cancer patients often require palliative care (PC) to manage significant symptoms, relying heavily on nurses' competence. Obje...
An Educational Initiative Describing Clinician Teachers' Experiences Following Serious Illness Communication Skills Faculty Development Training [0.03%]
关于临床教师在进行重症沟通技能师资培训后的体验的教育性倡议
Helen James,Jacquelin Forsey,Kyle Albuquerque-Boutilier et al.
Helen James et al.
Background: Serious illness communication skills (SICS) are essential competencies for clinicians to possess. Unfortunately, SICS teaching is not routinely taught and many clinician teachers (CTs) never received training ...
Attitudes of a Hemato-Oncology Team Toward Referring Patients to Palliative Care: A Qualitative Study [0.03%]
血液肿瘤科团队将患者转诊至姑息治疗的态度：一项定性研究
Kimberly Botero,Cristian Rendón,Alicia Bernal-García et al.
Kimberly Botero et al.
Objective: International literature suggests that patients with hematological diseases are frequently referred to palliative care (PC) at a late stage. This study aims to explore the attitudes of a hemato-oncology care te...
Physicians' Confidence in Primary Palliative Care and Preferred Methods of Responding: A Sequential Mixed-Methods Survey [0.03%]
医生对初级姑息治疗的信心及其应对的首选方法：一项连续混合方法调查
Rachel D Havyer,Rachel M Wiste,Cory Ingram et al.
Rachel D Havyer et al.
Background: Collaborative methods are necessary to meet patient palliative care (PC) needs because of the inadequate supply of PC specialists. Objective: ...
A Strategic Path Forward for Hospice and Palliative Care: A White Paper on the Potential Future of the Field [0.03%]
美国姑息医学未来战略路径白皮书
Ira Byock
Ira Byock
The field of hospice and palliative care in the United States is experiencing serious problems and faces an uncertain future. Quality of hospice care is highly variable. Unethical hospice business practices are common in some regions. Palli...
Inadequate Cancer Pain Control after Switching High-Dose Fentanyl to Hydromorphone Injection: A Case Series Highlighting Issues with Conventional Conversion Ratios [0.03%]
从芬太尼转换为氢可酮后癌症疼痛控制不足的病例分析：传统转换比率问题的警示
Naoki Suzuki,Atsuko Terasaki
Naoki Suzuki
Opioid conversion, particularly from high-dose intravenous (IV) fentanyl (>120 mg/day oral morphine-equivalent daily dose per referenced Japanese guidelines) to IV hydromorphone, presents clinical challenges due to inconsistent conversion r...
Quality Improvement Initiative to Improve Uptake of an Alternative Call Management Strategy for Home-Based Hospice Care [0.03%]
改善居家姑息治疗替代呼叫管理策略采用率的质量改进倡议
Winnie Choo,Zhi Zheng Yeo,Xiang Yi Chen et al.
Winnie Choo et al.
Background: In home-based hospice care, frontline nurses frequently need to take unscheduled incoming calls while out in the field. This interrupts critical tasks and disrupts patient rapport, potentially lowering care qu...