Journal article
Outcomes for End-of-Life Patients With Anticipatory Grieving: Insights From Practice With Standardized Nursing Terminologies Within an Interoperable Internet-Based Electronic Health Record
Journal of hospice and palliative nursing, Vol.19(3), pp.223-231
06/01/2017
DOI: 10.1097/NJH.0000000000000333
PMCID: PMC5603282
PMID: 28943805
Abstract
Anticipatory grieving, grief associated with an impending loss, is common for patients facing end of life or for their families. There is little research on the outcomes of interventions for anticipatory grieving among hospitalized patients. A descriptive, comparative analysis of an existing valid and reliable data set that was obtained through routine nursing clinical practice using standardized nursing terminologies was completed. We applied data mining techniques on a targeted data set consisting of hospital episodes for end-of-life patients who were given a diagnosis of anticipatory grieving. Less than 50% of the patients given a diagnosis of anticipatory grieving met the expected ratings of monitored nursing outcomes at the time of death or discharge. Specifically, for the spiritual health outcome, only more than 50% of the patients met the expected outcome rating. For the comfortable death outcome, only 45.9% of the patients met the outcome rating. For the comfortable death outcome, patients were significantly more likely not to meet the expected outcome rating if they were also given a diagnosis belonging to the physical comfort class ((2)(1) = 8.99, P < .003). These results demonstrate that expected outcomes are not being met and suggest the need of better education for the clinicians about the diagnosis and treatment of anticipatory grieving.
Details
- Title: Subtitle
- Outcomes for End-of-Life Patients With Anticipatory Grieving: Insights From Practice With Standardized Nursing Terminologies Within an Interoperable Internet-Based Electronic Health Record
- Creators
- Julie Johnson - University of Illinois at ChicagoMuhammad Kamran Lodhi - Univ Illinois, Dept Comp Sci, Coll Engn, Chicago, IL USAUmer Cheema - University of Illinois at ChicagoJanet Stifter - University of Illinois at ChicagoKaren Dunn-Lopez - University of Illinois at ChicagoYingwei Yao - University of Illinois at ChicagoAndrew Johnson - University of Illinois at ChicagoGail M. Keenan - University of FloridaRashid Ansari - University of Illinois at ChicagoAshfaq Khokhar - Iowa State UniversityDiana J. Wilkie - University of Illinois at Chicago
- Resource Type
- Journal article
- Publication Details
- Journal of hospice and palliative nursing, Vol.19(3), pp.223-231
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/NJH.0000000000000333
- PMID
- 28943805
- PMCID
- PMC5603282
- ISSN
- 1522-2179
- eISSN
- 1539-0705
- Number of pages
- 9
- Grant note
- 1R01 NR012949 / National Institutes of Health (NIH), National Institute for Nursing Research (NINR); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR) R01NR012949 / NATIONAL INSTITUTE OF NURSING RESEARCH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR)
- Language
- English
- Date published
- 06/01/2017
- Academic Unit
- Nursing
- Record Identifier
- 9984370738502771
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