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Expert consensus on family meeting in palliative care/Palliative Care Committee of Chinese Nursing Association
(WritingCommittee:XU Xianghua, CHEN Yongyi, XIAO Yazhou, ZHU Lihui, LIU Xiangyu, LI Xuying, YING Wenjuan, HE Ruixian, YUAN Ling, XIANG Weilan, HU Chengwen, LIU Dongying, CHENG Qinqin, YAN Yixia)
Chinese Journal of Nursing    2023, 58 (13): 1541-1543.   DOI: 10.3761/j.issn.0254-1769.2023.13.001
Abstract1571)   HTML17)    PDF (1197KB)(75)       Save

Objective To form an expert consensus on family meeting in palliative care and provide references for the staff engaged in palliative care to implement family meeting. Methods A consensus drafting group was set up to systematically search,evaluate and extract evidence related to family meeting in palliative care to form a draft consensus. After 2 rounds of Delphi expert consultation and expert demonstration meetings,expert opinions were sorted out and analyzed,the rough draft was revised,and then the final consensus draft was formed. Results The positive coefficient of the first round of expert consultation was 92.11%,and the second round was 100%. The coefficient of expert judgment was 0.95;the degree of familiarity was 0.89;the degree of authority coefficient was 0.92. The Kendall’s coefficients of the 2 rounds of consultation were 0.157 and 0.253,which were statistically significant(P<0.001). The final consensus consisted of 8 aspects,including the scope,terms and definitions,basic requirements,timing of family meetings,preparation before meetings,implementation of meetings,records and follow-up,and precaution. Conclusion The consensus is practical,and it can provide guidance for the standardized implementation of family meeting in palliative care.

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Hospice care for a child with acute leukemia in the end-of-life stage:a case study
SUN Li, HU Chengwen, LIU Qunhui, FANG Min, GU Daoqin, XU Baohui
Chinese Journal of Nursing    2022, 57 (8): 992-995.   DOI: 10.3761/j.issn.0254-1769.2022.08.015
Abstract791)   HTML7)    PDF (636KB)(15)       Save

This article reported hospice care for a child with acute leukemia in the end-of-life stage,including the practical experience of using the concepts knowledge and skills of hospice care and nursing care for the child and his family members. The main points of nursing care include:conducting nursing care for symptoms of breathing difficulties and fever;carrying out family-participated painting therapy interventions,and children’s death education;holding a family meeting;using music,aromatherapy,and auricular acupoint therapy to relieve the insomnia symptoms of the children’s family members;using psychosocial therapy,family mourning,family dignity intervention,and writing letters that travel through time and space to relieve the complex grief of the children’s family members. The score of the Anticipatory Grief Scale dropped from 116 points to 76 points 6 months after the death,which achieved satisfactory results.

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Construction of a death education program for nursing staff based on constructivism learning theory
LI Fengxia, LIU Zhengzheng, HU Chengwen, ZHU Xiaoming, WANG Xiaoqian, SUN Juan, HUANG Yang
Chinese Journal of Nursing    2021, 56 (11): 1685-1690.   DOI: 10.3761/j.issn.0254-1769.2021.11.014
Abstract395)   HTML0)    PDF (847KB)(14)       Save

Objective From the perspective of constructivism learning theory,a death education program for nursing staff is constructed to provide references for the implementation of death education in nursing staff. Methods Since July 2020,through literature content analysis,the draft of the death education program was preliminarily formulated,and 23 experts were selected to carry out 2 rounds of expert letter consultations to form the first draft of the death education program. Finally,the final draft of the death education program was further revised through preliminary experiments. Results The expert judgment basis,expert familiarity coefficient and expert authority coefficient of the second round expert letter consultation are 0.92,0.89 and 0.91. The final version of the intervention program consisted of 4 themes,8 education methods and 22 items,including 7 items in hearing death(lecture+topic discussion),5 items in seeing death(watching experience + experience sharing),5 items in touching death(scenario simulation + value clarification),and 5 items in beyond death(life review + near-death experience). The importance score of each item was >3.5,and the coefficient of variation was between 0.04 and 0.18. The coordination coefficient(W) of the 2 rounds of expert consultations was 0.174 and 0.465,respectively (all P<0.001). Conclusion From the perspective of constructivism learning theory,this study constructed a death education program for nurses,which is scientific,practical and feasible. The training themes and objectives are progressive,and the teaching methods are flexible and open,which are easy for nurses to accept. It can provide references for the implementation of death education in nursing staff.

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