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  1. Article ; Online: From comfort zone to front-line care: perspectives and reflections of community pharmacists entering home-based palliative care.

    Wu, Chien-Yi / Wu, Yu-Hsuan / Chang, Yi-Hui / Tsay, Min-Shiow / Chen, Hung-Cheng / Kuo, Yu-Ling / Hsieh, Hui-Ya

    BMC palliative care

    2024  Volume 23, Issue 1, Page(s) 4

    Abstract: Background: Palliative care requires a multidisciplinary team to assist patients and their families to obtain good quality care at the end of life. Typically, community pharmacists have fewer opportunities to provide services for patients with ... ...

    Abstract Background: Palliative care requires a multidisciplinary team to assist patients and their families to obtain good quality care at the end of life. Typically, community pharmacists have fewer opportunities to provide services for patients with palliative care needs than hospital pharmacists. Moreover, home-based palliative care (HBPC) by pharmacists remains low and there is a lack of research regarding HBPC provided by pharmacists. Therefore, this study sought to understand the views and reflections of community pharmacists in the clinical frontline providing palliative home services.
    Methods: Purposive sampling was used to recruit six community pharmacists for one-on-one, in-depth, semi-structured interviews and the data were analysed using thematic analysis.
    Results: Five major themes emerged: [1] Engagement, [2] Challenge, [3] Mission, [4] Career metamorphosis, and [5] Outlook. The pharmacists described how they engaged in HBPC and faced the challenges. They regarded opioid management as a burden. Moreover, some mentioned that reimbursement for palliative home care is low or non-profitable. They suggested building a platform to exchange advice and legislation adjustments so that they could pass on their experiences to less experienced pharmacists in HBPC.
    Conclusions: The involvement of pharmacists is crucial to provide better palliative care. Although the present study was small and might not fully represent the whole situation, the findings could still inform future education, training, and policy planning to promote pharmacists' participation in palliative care to generalise community palliative care.
    MeSH term(s) Humans ; Palliative Care ; Pharmacists ; Professional Role ; Hospice and Palliative Care Nursing ; Attitude of Health Personnel ; Qualitative Research
    Language English
    Publishing date 2024-01-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2091556-1
    ISSN 1472-684X ; 1472-684X
    ISSN (online) 1472-684X
    ISSN 1472-684X
    DOI 10.1186/s12904-023-01332-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Community Nurses' Preparations for and Challenges in Providing Palliative Home Care: A Qualitative Study.

    Wu, Chien-Yi / Wu, Yu-Hsuan / Chang, Yi-Hui / Tsay, Min-Shiow / Chen, Hung-Cheng / Hsieh, Hui-Ya

    International journal of environmental research and public health

    2021  Volume 18, Issue 22

    Abstract: Hospitals have played a leading role in providing palliative care in Taiwan as its care model has developed over the past few decades. However, earlier local studies in Taiwan showed that terminal patients prefer to die at home, highlighting the need to ... ...

    Abstract Hospitals have played a leading role in providing palliative care in Taiwan as its care model has developed over the past few decades. However, earlier local studies in Taiwan showed that terminal patients prefer to die at home, highlighting the need to promote community-based palliative care instead of hospital-based care. Along with this shift, how community nurses provide palliative home care merits further exploration. This qualitative descriptive study aims to understand (1) how community nurses implement community-based palliative care, (2) what preparations are needed, and (3) what challenges they may face. Purposive sampling was used for recruiting nurses. We conducted one-on-one, in-depth, semi-structured interviews. Interview recordings were transcribed verbatim and analyzed using thematic analysis. Eight community nurses with a range of experience in palliative home care were interviewed. Four major themes emerged: (1) Opportunities, (2) Qualifications, (3) Support, and (4) Commitments. Psychological preparedness, well-developed professional capabilities, external assistance, and peer support motivate community nurses to offer community-based palliative care. As the requests for palliative home care services increase, community nurses play a critical role in palliative home care. Although the sample size is small and the findings retrieved from a small number of experiences might not be generalized to every region, the study results could inform future experience-sharing and workshop sessions to train more nurses for community-based care, expanding service coverage, and providing optimal palliative care.
    MeSH term(s) Home Care Services ; Hospice and Palliative Care Nursing ; Humans ; Nurses ; Palliative Care ; Qualitative Research
    Language English
    Publishing date 2021-11-11
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph182211838
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A Comparison of the Survival, Place of Death, and Medical Utilization of Terminal Patients Receiving Hospital-Based and Community-Based Palliative Home Care: A Retrospective and Propensity Score Matching Cohort Study.

    Lin, Cheng-Pei / Tsay, Min-Shiow / Chang, Yi-Hui / Chen, Hung-Cheng / Wang, Ching-Yu / Chuang, Yun-Shiuan / Wu, Chien-Yi

    International journal of environmental research and public health

    2021  Volume 18, Issue 14

    Abstract: Evidence shows that community-based palliative home care (PHC) provision enhances continuous care and improves patient outcomes. This study compared patient survival, place of death, and medical utilization in community- versus hospital-based PHC. A ... ...

    Abstract Evidence shows that community-based palliative home care (PHC) provision enhances continuous care and improves patient outcomes. This study compared patient survival, place of death, and medical utilization in community- versus hospital-based PHC. A retrospective cohort study was conducted of patients aged over 18 referred to either community- or hospital-based PHC from May to December 2018 at a tertiary hospital and surrounding communities in Southern Taiwan. A descriptive analysis, Chi-square test,
    MeSH term(s) Aged ; Cohort Studies ; Home Care Services ; Hospices ; Humans ; Propensity Score ; Retrospective Studies
    Language English
    Publishing date 2021-07-07
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph18147272
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: 采伐对小兴安岭森林沼泽非生长季土壤温室气体排放的影响.

    Hao, Li / Mu, Chang Cheng / Chang, Yi Hui / Shen, Zhong Qi / Han, Li Dong / Jiang, Ning / Peng, Wen Hong

    Ying yong sheng tai xue bao = The journal of applied ecology

    2019  Volume 30, Issue 5, Page(s) 1713–1725

    Abstract: Soil greenhouse gas emission during non-growing season plays an important role in ecosystem carbon and nitrogen cycling in mid and high latitude regions. However, the effects of harvest on greenhouse gas emission during non-growing remain unclear. We ... ...

    Title translation Effects of harvest on greenhouse gas emissions from forested swamp during non-growing season in Xiaoxing'an Mountains of China.
    Abstract Soil greenhouse gas emission during non-growing season plays an important role in ecosystem carbon and nitrogen cycling in mid and high latitude regions. However, the effects of harvest on greenhouse gas emission during non-growing remain unclear. We measured the fluxes of CO
    MeSH term(s) Air Pollutants/analysis ; Carbon Dioxide ; China ; Environmental Monitoring ; Forests ; Greenhouse Gases/analysis ; Methane ; Nitrous Oxide ; Seasons ; Soil ; Wetlands
    Chemical Substances Air Pollutants ; Greenhouse Gases ; Soil ; Carbon Dioxide (142M471B3J) ; Nitrous Oxide (K50XQU1029) ; Methane (OP0UW79H66)
    Language Chinese
    Publishing date 2019-06-27
    Publishing country China
    Document type Journal Article
    ZDB-ID 2881809-X
    ISSN 1001-9332
    ISSN 1001-9332
    DOI 10.13287/j.1001-9332.201905.036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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