Aggressive End-of-Life Care and Caregiver Satisfaction for Patients With Advanced Cancer
Aggressive end-of-life care in patients with advanced cancer is associated with poor experiences and outcomes. The purpose of the study was to examine the impact of aggressive end-of-life care on caregiver satisfaction for caregivers of bereaved advanced cancer patients. Data of 101 caregivers were...
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Veröffentlicht in: | Western journal of nursing research 2024-01, Vol.46 (1), p.19-25 |
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creator | Park, Sumin Douglas, Sara L. Boveington-Molter, Barbara Lipson, Amy R. |
description | Aggressive end-of-life care in patients with advanced cancer is associated with poor experiences and outcomes. The purpose of the study was to examine the impact of aggressive end-of-life care on caregiver satisfaction for caregivers of bereaved advanced cancer patients. Data of 101 caregivers were gathered using a longitudinal, descriptive correlational design study. Postdeath interviews were conducted 2 months after the patient’s death. The most common end-of-life care indicators were patient not enrolled in hospice or enrolled within 3 days of death, >1 hospitalization, and intensive care unit admission. More than one-third of patients received at least one of the aggressive end-of-life care indicators in the last 30 days of life. From the multiple linear regression analyses, patient intensive care unit admission and having more than one hospitalization significantly affected caregiver satisfaction with care. Understanding caregiver satisfaction with care may improve the clinical practice of nurses who have crucial role in patients’ end-of-life care. |
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The purpose of the study was to examine the impact of aggressive end-of-life care on caregiver satisfaction for caregivers of bereaved advanced cancer patients. Data of 101 caregivers were gathered using a longitudinal, descriptive correlational design study. Postdeath interviews were conducted 2 months after the patient’s death. The most common end-of-life care indicators were patient not enrolled in hospice or enrolled within 3 days of death, >1 hospitalization, and intensive care unit admission. More than one-third of patients received at least one of the aggressive end-of-life care indicators in the last 30 days of life. From the multiple linear regression analyses, patient intensive care unit admission and having more than one hospitalization significantly affected caregiver satisfaction with care. Understanding caregiver satisfaction with care may improve the clinical practice of nurses who have crucial role in patients’ end-of-life care.</description><identifier>ISSN: 0193-9459</identifier><identifier>EISSN: 1552-8456</identifier><identifier>DOI: 10.1177/01939459231213786</identifier><identifier>PMID: 37981723</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aggressiveness ; Bereavement ; Cancer ; Caregivers ; Clinical medicine ; Clinical nursing ; Death & dying ; End of life decisions ; Hospice Care ; Hospitalization ; Humans ; Intensive care ; Neoplasms - therapy ; Nurses ; Palliative care ; Patient admissions ; Patient Satisfaction ; Patients ; Personal Satisfaction ; Terminal Care</subject><ispartof>Western journal of nursing research, 2024-01, Vol.46 (1), p.19-25</ispartof><rights>The Author(s) 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c320t-72eb37dd58b9072acd6b642e8ca012a08cab0d3bd18fea055c7528636005a55a3</cites><orcidid>0000-0002-3007-8736</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/01939459231213786$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/01939459231213786$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21818,27923,27924,30998,43620,43621</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37981723$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Sumin</creatorcontrib><creatorcontrib>Douglas, Sara L.</creatorcontrib><creatorcontrib>Boveington-Molter, Barbara</creatorcontrib><creatorcontrib>Lipson, Amy R.</creatorcontrib><title>Aggressive End-of-Life Care and Caregiver Satisfaction for Patients With Advanced Cancer</title><title>Western journal of nursing research</title><addtitle>West J Nurs Res</addtitle><description>Aggressive end-of-life care in patients with advanced cancer is associated with poor experiences and outcomes. The purpose of the study was to examine the impact of aggressive end-of-life care on caregiver satisfaction for caregivers of bereaved advanced cancer patients. Data of 101 caregivers were gathered using a longitudinal, descriptive correlational design study. Postdeath interviews were conducted 2 months after the patient’s death. The most common end-of-life care indicators were patient not enrolled in hospice or enrolled within 3 days of death, >1 hospitalization, and intensive care unit admission. More than one-third of patients received at least one of the aggressive end-of-life care indicators in the last 30 days of life. From the multiple linear regression analyses, patient intensive care unit admission and having more than one hospitalization significantly affected caregiver satisfaction with care. Understanding caregiver satisfaction with care may improve the clinical practice of nurses who have crucial role in patients’ end-of-life care.</description><subject>Aggressiveness</subject><subject>Bereavement</subject><subject>Cancer</subject><subject>Caregivers</subject><subject>Clinical medicine</subject><subject>Clinical nursing</subject><subject>Death & dying</subject><subject>End of life decisions</subject><subject>Hospice Care</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Neoplasms - therapy</subject><subject>Nurses</subject><subject>Palliative care</subject><subject>Patient admissions</subject><subject>Patient Satisfaction</subject><subject>Patients</subject><subject>Personal Satisfaction</subject><subject>Terminal Care</subject><issn>0193-9459</issn><issn>1552-8456</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kN1LwzAUxYMobk7_AF8k4IsvnTdJ89HHMeYHDBRU9K2kTVo7tnYm7cD_3tRNBcWnc7n3d07CQeiUwJgQKS-BJCyJeUIZoYRJJfbQkHBOIxVzsY-G_T3qgQE68n4BADQm9BANmEwUkZQN0cukLJ31vtpYPKtN1BTRvCosnmpnsa7N51CGq8MPuq18ofO2ampcNA7fh4WtW4-fq_YVT8xG17ntHUHcMToo9NLbk52O0NPV7HF6E83vrm-nk3mUMwptJKnNmDSGqywBSXVuRCZialWugVANQTMwLDNEFVYD57nkVAkmALjmXLMRutjmrl3z1lnfpqvK53a51LVtOp9SlVAgBAgP6PkvdNF0rg6_66lEMMmEChTZUrlrvHe2SNeuWmn3nhJI-9rTP7UHz9kuuctW1nw7vnoOwHgLeF3an2f_T_wAnpqIWQ</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Park, Sumin</creator><creator>Douglas, Sara L.</creator><creator>Boveington-Molter, Barbara</creator><creator>Lipson, Amy R.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3007-8736</orcidid></search><sort><creationdate>202401</creationdate><title>Aggressive End-of-Life Care and Caregiver Satisfaction for Patients With Advanced Cancer</title><author>Park, Sumin ; Douglas, Sara L. ; Boveington-Molter, Barbara ; Lipson, Amy R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-72eb37dd58b9072acd6b642e8ca012a08cab0d3bd18fea055c7528636005a55a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aggressiveness</topic><topic>Bereavement</topic><topic>Cancer</topic><topic>Caregivers</topic><topic>Clinical medicine</topic><topic>Clinical nursing</topic><topic>Death & dying</topic><topic>End of life decisions</topic><topic>Hospice Care</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Neoplasms - therapy</topic><topic>Nurses</topic><topic>Palliative care</topic><topic>Patient admissions</topic><topic>Patient Satisfaction</topic><topic>Patients</topic><topic>Personal Satisfaction</topic><topic>Terminal Care</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Sumin</creatorcontrib><creatorcontrib>Douglas, Sara L.</creatorcontrib><creatorcontrib>Boveington-Molter, Barbara</creatorcontrib><creatorcontrib>Lipson, Amy R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Western journal of nursing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Sumin</au><au>Douglas, Sara L.</au><au>Boveington-Molter, Barbara</au><au>Lipson, Amy R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aggressive End-of-Life Care and Caregiver Satisfaction for Patients With Advanced Cancer</atitle><jtitle>Western journal of nursing research</jtitle><addtitle>West J Nurs Res</addtitle><date>2024-01</date><risdate>2024</risdate><volume>46</volume><issue>1</issue><spage>19</spage><epage>25</epage><pages>19-25</pages><issn>0193-9459</issn><eissn>1552-8456</eissn><abstract>Aggressive end-of-life care in patients with advanced cancer is associated with poor experiences and outcomes. The purpose of the study was to examine the impact of aggressive end-of-life care on caregiver satisfaction for caregivers of bereaved advanced cancer patients. Data of 101 caregivers were gathered using a longitudinal, descriptive correlational design study. Postdeath interviews were conducted 2 months after the patient’s death. The most common end-of-life care indicators were patient not enrolled in hospice or enrolled within 3 days of death, >1 hospitalization, and intensive care unit admission. More than one-third of patients received at least one of the aggressive end-of-life care indicators in the last 30 days of life. From the multiple linear regression analyses, patient intensive care unit admission and having more than one hospitalization significantly affected caregiver satisfaction with care. Understanding caregiver satisfaction with care may improve the clinical practice of nurses who have crucial role in patients’ end-of-life care.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>37981723</pmid><doi>10.1177/01939459231213786</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3007-8736</orcidid></addata></record> |
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subjects | Aggressiveness Bereavement Cancer Caregivers Clinical medicine Clinical nursing Death & dying End of life decisions Hospice Care Hospitalization Humans Intensive care Neoplasms - therapy Nurses Palliative care Patient admissions Patient Satisfaction Patients Personal Satisfaction Terminal Care |
title | Aggressive End-of-Life Care and Caregiver Satisfaction for Patients With Advanced Cancer |
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