A Framework for Integrating Oncology Palliative Care in Doctor of Nursing Practice (DNP) Education

Doctor of Nursing Practice (DNP) faculty play a critical role in preparing students to meet the complex needs of the nation as the number of cancer rates and survivors rise (National Cancer Institute, 2018) and as an unprecedented number of older Americans enter into the healthcare system with complicated comorbidities (Whitehead, 2016). Palliative care has dramatically expanded over the past decade and has been increasingly accepted as a standard of care for people with cancer and other serious, chronic, or life-limiting illnesses. Advanced practice registered nurses (APRNs) are recognized as important providers of palliative care (Walling et al., 2017). A 2-day course was held with support from the National Cancer Institute to enhance integration of palliative oncology care into DNP curriculum. The course participants (N = 183), consisting of DNP faculty or deans, practicing DNP clinicians, and students, received detailed annotated slides, case studies, and suggested activities to increase student engagement with the learning process. Course content was developed and delivered by palliative care experts and DNP faculty skilled in curriculum design. Participants were required to develop goals on how to enhance their school\u27s DNP curriculum with the course content. They provided updates regarding their progress at integrating the content into their school\u27s curriculum at 6, 12, and 18 months post course. Results demonstrated an increase in incorporating oncology palliative care in DNP scholarly projects and clinical opportunities. Challenges to inclusion of this content in DNP curricula included lack of: perceived time in curriculum; faculty educated in palliative care; and available clinical sites

Improving the Quality of Spiritual Care as a Dimension of Palliative Care: The Report of the Consensus Conference

A Consensus Conference sponsored by the Archstone Foundation of Long Beach, California, was held February 17–18, 2009, in Pasadena, California. The Conference was based on the belief that spiritual care is a fundamental component of quality palliative care. This document and the conference recommendations it includes builds upon prior literature, the National Consensus Project Guidelines, and the National Quality Forum Preferred Practices and Conference proceedings

Optical multiband surface photometry of a sample of Seyfert galaxies. I. Large-scale morphology and local environment analysis of matched Seyfert and inactive galaxy samples

Parallel analysis of the large-scale morphology and local environment of matched active and control galaxy samples plays an important role in studies of the fueling of active galactic nuclei. We carry out a detailed morphological characterization of a sample of 35 Seyfert galaxies and a matched sample of inactive galaxies in order to compare the evidence of non-axisymmetric perturbation of the potential and, in the second part of this paper, to be able to perform a multicomponent photometric decomposition of the Seyfert galaxies. We constructed contour maps, BVRcIc profiles of the surface brightness, ellipticity, and position angle, as well as colour index profiles. We further used colour index images, residual images, and structure maps, which helped clarify the morphology of the galaxies. We studied the presence of close companions using literature data. By straightening out the morphological status of some of the objects, we derived an improved morphological classification and built a solid basis for a further multicomponent decomposition of the Seyfert sample. We report hitherto undetected (to our knowledge) structural components in some Seyfert galaxies - a bar (Ark 479), an oval/lens (Mrk 595), rings (Ark 120, Mrk 376), a nuclear bar and ring (Mrk 352), and nuclear dust lanes (Mrk 590). We compared the large-scale morphology and local environment of the Seyfert sample to those of the control one and found that (1) the two samples show similar incidences of bars, rings, asymmetries, and close companions; (2) the Seyfert bars are generally weaker than the bars of the control galaxies; (3) the bulk of the two samples shows morphological evidence of non-axisymmetric perturbations of the potential or close companions; (4) the fueling of Seyfert nuclei is not directly related to the large-scale morphology and local environment of their host galaxies.Comment: Accepted for publication in A&