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AnteayerEvidence-Based Nursing

Who gets to die at home? Race and disease-related cause of death impacts young adults place of death

Por: Sansom-Daly · U. M. · Mack · J. W.

Commentary on: Gustafson CM, Higgins M, Wood KA, Song MK. Place of death for young adults with chronic illness. Nurs Res. 2023 Jul 11. doi: 10.1097/NNR.0000000000000681. Epub ahead of print.

Implications for practice and research

  • Clinicians must communicate with young adults (YAs) throughout their disease course about end-of-life care preferences, including place-of-death.

  • Future research must explore YAs’ preferences for place-of-death.

  • Context

    Young adults (YAs) with serious illnesses report wanting choices in their end-of-life care.1–3 Where YAs would prefer to die is highly personal, though some studies have reported that many YAs prefer home-based palliative care and death.2 3 Yet, many YAs experience high-intensity, inpatient care at the end of their lives,4 with approximately half of YAs with cancer dying in hospital.4 Factors influencing these patterns of care—and the extent to...

    Trajectory patterns of self-care behaviour over 1 year provide nurses insights to tailor individualised care for patients with heart failure

    Por: Chang · W.-T. · Chen · H.-M.

    Commentary on: Son YJ, Jang I. One-year trajectories of self-care behaviours and unplanned hospital readmissions among patients with heart failure: A prospective longitudinal study. J Clin Nurs. 2023 Sep;32(17-18):6427-6440. doi: 10.1111/jocn.16658. Epub 2023 Feb 23.

    Implications for practice and research

  • Timely identifying self­care behaviour patterns over time may reduce the risk of hospital readmissions in patients with heart failure (HF).

  • Further research studies are required to examine the effects of every 3–6 months self-care intervention on hospital readmissions among patients with HF.

  • Context

    Unplanned readmissions within 30 days and 6 months postdischarge are notably common in patients with HF.1 2 Effective self-care behaviours are essential to lower readmissions. However, the trajectories of self-care behaviours throughout the HF progression can vary among patients.3 Limited research studies have examined the relationships among the influencing variables, self-care behaviours and readmissions over...

    Starting at the top: culture change has the potential to advance the patient participation agenda in Iranian hospitals

    Por: Tobiano · G. · Chaboyer · W.

    Commentary on: Sarkhosh S, Abdi Z, Ravaghi H. Engaging patients in patient safety: a qualitative study examining healthcare managers and providers' perspectives. BMC Nurs. 2022 Dec 29;211,:374. doi: 10.1186/s12912-022-01152-1.

    Implications for practice and research

  • Without a shift in organisational culture, patient participation in patient safety may continue to be haphazard in Iranian hospitals.

  • Researchers should consider and report the impact of gender when investigating patient participation in care.

  • Context

    Despite Iran’s economic crisis, brought on by sanctions, years of war and improper government resource management, Iranian healthcare is now considered among the finest in the Eastern Mediterranean region.1 There are satisfactory secondary and tertiary hospitals, and progress towards eradication of contagious, maternal and neonatal disorders has been made.1 Internationally, patient participation in hospital safety activities is advocated, such as patients detecting and reporting symptoms, side effects and hospital issues, to...

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