2024
Association Between Restricting Symptoms and Disability After Critical Illness Among Older Adults.
Jain S, Han L, Gahbauer E, Leo-Summers L, Feder S, Ferrante L, Gill T. Association Between Restricting Symptoms and Disability After Critical Illness Among Older Adults. Critical Care Medicine 2024 PMID: 39298623, DOI: 10.1097/ccm.0000000000006427.Peer-Reviewed Original ResearchActivities of daily livingAssociated with increased disabilityDaily livingOlder adultsRestricting symptomsInstrumental activities of daily livingCommunity-living older adultsICU hospitalizationMultivariable Poisson regression modelsCommunity-living adultsOlder ICU survivorsAge of participantsPoisson regression modelsSurvive critical illnessCritical illnessQuality of lifeInstrumental activitiesICU survivorsProspective longitudinal studyLength of stayPost-ICUIncreased disabilityMonthly interviewsICU length of stayPre-ICUVeterans' use of inpatient and outpatient palliative care: The national landscape
Kaufman B, Woolson S, Stanwyck C, Burns M, Dennis P, Ma J, Feder S, Thorpe J, Hastings S, Bekelman D, Van Houtven C. Veterans' use of inpatient and outpatient palliative care: The national landscape. Journal Of The American Geriatrics Society 2024 PMID: 39180221, DOI: 10.1111/jgs.19141.Peer-Reviewed Original ResearchPalliative care encountersPalliative care userSpecialty palliative carePalliative careLife-limiting conditionsCare encountersCare settingsCare usersHospice useOlder adultsInpatient palliative careOutpatient palliative carePalliative care usePalliative care utilizationOutpatient care settingsQuality of lifeVeteran characteristicsCare useVeteran demographicsCare utilizationVeterans' useCare expansionSociodemographic factorsInpatient settingSocioeconomic statusParent-Clinician Communication and Prolonged Grief in Parents Whose Child Died from Cancer
Ouyang N, Baker J, Ananth P, Knobf M, Snaman J, Feder S. Parent-Clinician Communication and Prolonged Grief in Parents Whose Child Died from Cancer. Journal Of Pain And Symptom Management 2024 PMID: 39142495, DOI: 10.1016/j.jpainsymman.2024.08.003.Peer-Reviewed Original ResearchEnd-of-lifeParent-clinician communicationProlonged grief symptomsGrief symptomsChild's end-of-lifeCross-sectional survey of parents of childrenEnd-of-life careHigh-quality end-of-lifeProlonged griefSum scoreSurvey of parents of childrenCross-sectional surveyParents of childrenAdequate prognostic informationBereaved parentsPrognostic informationChild deathsParents' experiencesMultiple linear regressionPG-13Analyzed dataLinear regressionAssociationGriefChildrenClinician Insights into Effective Components, Delivery Characteristics, and Implementation Strategies of Ambulatory Palliative Care for People with Heart Failure: A Qualitative Analysis
Feder S, Iannone L, Lendvai D, Zhan Y, Akgün K, Ersek M, Luhrs C, Allen L, Bekelman D, Goldstein N, Kavalieratos D. Clinician Insights into Effective Components, Delivery Characteristics, and Implementation Strategies of Ambulatory Palliative Care for People with Heart Failure: A Qualitative Analysis. Journal Of Cardiac Failure 2024 PMID: 39098653, DOI: 10.1016/j.cardfail.2024.07.009.Peer-Reviewed Original ResearchSpecialist palliative careVeterans Affairs Medical CenterCardiology cliniciansPalliative careImplementation strategiesDelivery characteristicsDiscussion of goals of careSpecialist palliative care cliniciansAmbulatory palliative careGoals of careGuideline-directed careQualitative descriptive studyAffairs Medical CenterSemi-structured interviewsCare deliveryAdvanced practiceLeadership supportVA systemReferral proceduresDescriptive studyAmbulatory settingClinicians insightCareHeart failureMedical CenterPalliative Pharmacotherapy for Cardiovascular Disease: A Scientific Statement From the American Heart Association
Di Palo K, Feder S, Baggenstos Y, Cornelio C, Forman D, Goyal P, Kwak M, McIlvennan C, Nursing O. Palliative Pharmacotherapy for Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation Cardiovascular Quality And Outcomes 2024, 17: e000131. PMID: 38946532, DOI: 10.1161/hcq.0000000000000131.Peer-Reviewed Original ResearchQuality of lifeCardiovascular diseaseExcess health care useGoal-oriented careHealth care useShared decision-makingEnhance quality of lifePalliative pharmacotherapyMedical managementScientific statementEvidence-based medical therapyPulmonary arterial hypertensionSpectrum of cardiovascular diseasesAmerican Heart AssociationCoronary heart diseaseEnd-stage heart failurePalliative medicineCare usePalliative approachArterial hypertensionGuideline-directedMedical therapyDevice therapyHeart failureWorsening symptomsOpportunities to Improve End-of-Life Care Quality among Patients with Short Terminal Admissions
Sullivan D, Jones K, Wachterman M, Griffin H, Kinder D, Smith D, Thorpe J, Feder S, Ersek M, Kutney-Lee A. Opportunities to Improve End-of-Life Care Quality among Patients with Short Terminal Admissions. Journal Of Pain And Symptom Management 2024 PMID: 38810950, DOI: 10.1016/j.jpainsymman.2024.05.020.Peer-Reviewed Original ResearchEnd-of-lifeLife-limiting conditionsTerminal admissionPalliative careEnd-of-life care quality indicatorsEnd-of-life care qualityEnd-of-life careImprove end-of-lifeDepartment of Veterans Affairs (VAVA inpatient settingsVeterans Affairs (VACare quality indicatorsNon-cancer conditionsCare qualityInpatient decedentsHealthcare useVeteran decedentsAcute careNon-VAInpatient settingVA hospitalsShort admissionsCareLonger admissionsQuality indicatorsFinding the Difference Makers: Revealing Necessary and Sufficient Conditions for Palliative Care Outcomes Through Coincidence Analysis (ME302)
Feder S, Zhan Y, Miech E. Finding the Difference Makers: Revealing Necessary and Sufficient Conditions for Palliative Care Outcomes Through Coincidence Analysis (ME302). Journal Of Pain And Symptom Management 2024, 67: e847. DOI: 10.1016/j.jpainsymman.2024.02.490.Peer-Reviewed Original ResearchPalliative careHospice careComplex interventionsDelivery of palliative careReceipt of palliative carePresence of multiple conditionsBackground Palliative carePalliative care deliveryPalliative care researchDepartment of Veterans AffairsPalliative care outcomesImplementation science studyHealth services researchMedical CenterVA Medical CenterCare deliveryCare outcomesMultiple conditionsPeer-reviewed literatureCare researchImplementation scienceVeterans AffairsHospiceServices researchCareThe Future of State Workforce Policy in Palliative Care
Sinclair S, Feder S, Rusyn E. The Future of State Workforce Policy in Palliative Care. Journal Of Pain And Symptom Management 2024, 67: e701-e702. DOI: 10.1016/j.jpainsymman.2024.02.175.Peer-Reviewed Original ResearchPalliative care workforcePalliative care policyCare workforcePalliative careWorkforce policyCare policySkill buildingPalliative care principlesPrimary careClinician shortagesCare principlesHealthcare professionalsBehavioral healthHealth AffairsWorkforce developmentCare paymentsWorkforce concernsHealth fieldState-level initiativesCareState-level policiesLoan forgivenessHealthWorkforceParticipantsVariation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers
Zhan Y, Han L, Abel E, Akgun K, Redeker N, Feder S. Variation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers. Journal Of Pain And Symptom Management 2024, 67: e551-e552. DOI: 10.1016/j.jpainsymman.2024.02.339.Peer-Reviewed Original ResearchSpecialist palliative careVA Medical CenterDepartment of Veterans AffairsPalliative careVeterans AffairsRandom intercept multilevel logistic regressionPalliative care deliveryDelivery characteristicsMedical CenterMultilevel logistic regressionCare deliveryICD-9/10 codesAdvanced heart failureRetrospective cohort studyHealth careModifiable factorsCareTeam staffingCohort studyHeart failureLogistic regressionImplementation effortsIdentified factorsICD-9/10Study findingsInterventions to promote readiness for advance care planning: A systematic review and meta-analysis
Tan M, Tang S, Feder S, Xiao J, Huang C, Cook A, Johnson C, Ding J. Interventions to promote readiness for advance care planning: A systematic review and meta-analysis. International Journal Of Nursing Studies 2024, 156: 104778. PMID: 38761437, DOI: 10.1016/j.ijnurstu.2024.104778.Peer-Reviewed Original ResearchAdvance care planningAdvance care planning interventionCare planning interventionCare planningStatistically significant effect of interventionMeta-analysisJoanna Briggs Institute critical appraisal toolsPlanning interventionsBackground Advance care planningSignificant effect of interventionMeta-analysesStages of behavior changeFuture health policyCritical appraisal toolsStandard medical servicesEffectiveness of interventionsPooled effect sizeRandomized controlled trialsMeta-analysis of randomized controlled trialsAppraisal ToolIntervention designHealth policyMedical servicesPromote readinessSystematic reviewVariation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs
Feder S, Han L, Zhan Y, Abel E, Akgün K, Fried T, Ersek M, Redeker N. Variation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs. Journal Of Pain And Symptom Management 2024, 68: 22-31.e1. PMID: 38561132, PMCID: PMC11168897, DOI: 10.1016/j.jpainsymman.2024.03.022.Peer-Reviewed Original ResearchOutpatient specialist palliative careSpecialist palliative careVeterans Affairs Medical CenterPalliative careSpecialist palliative care consultationRandom intercept multilevel logistic regressionDepartment of Veterans AffairsMultilevel logistic regressionAffairs Medical CenterClinical practice guidelinesICD-9/10 codesAdvanced heart failureRetrospective cohort studyVeterans AffairsOutpatient palliativeOutpatient deliveryPractice guidelinesCohort studyLogistic regressionCardiology involvementDelivery characteristicsAssociated factorsMedical CenterIdentified factorsICD-9/10
2023
USING MULTI-LEVEL MODELING TO EXAMINE RACIAL DISPARITIES IN PALLIATIVE CARE AMONG OLDER ADULTS WITH HEART FAILURE
Han L, Abel E, Zhan Y, Akgün K, Feder S. USING MULTI-LEVEL MODELING TO EXAMINE RACIAL DISPARITIES IN PALLIATIVE CARE AMONG OLDER ADULTS WITH HEART FAILURE. Innovation In Aging 2023, 7: 1149-1150. PMCID: PMC10736640, DOI: 10.1093/geroni/igad104.3689.Peer-Reviewed Original ResearchAdvanced heart failureVeterans Affairs Medical CenterSpecialist palliative careHeart failureOlder adultsWhite raceGuideline-concordant careICD-9/10 codesService delivery characteristicsAHF cohortSPC servicesPalliative careBlack raceMedical CenterLogistic regressionSocioeconomic disparitiesFacility characteristicsRacial disparitiesPersistent disparitiesAdultsRandom interceptDelivery characteristicsConventional logistic regressionCareEquitable accessChanges in Restricting Symptoms after Critical Illness among Community-Living Older Adults.
Jain S, Han L, Gahbauer E, Leo-Summers L, Feder S, Ferrante L, Gill T. Changes in Restricting Symptoms after Critical Illness among Community-Living Older Adults. American Journal Of Respiratory And Critical Care Medicine 2023, 208: 1206-1215. PMID: 37769149, PMCID: PMC10868351, DOI: 10.1164/rccm.202304-0693oc.Peer-Reviewed Original ResearchConceptsNeighborhood-level socioeconomic disadvantageCritical illnessIntensive care unitHospital dischargeCommunity-living older adultsOlder adultsOlder ICU survivorsPost-ICU careSocioeconomic disadvantageProspective longitudinal studyQuality of lifeICU admissionICU survivorsCare unitFunctional recoverySymptom managementMultiple symptomsThird monthThree monthsSymptomsIllnessRestricted activityVulnerable subgroupsFirst monthMonthsA comparison of end‐of‐life care quality for Veterans receiving hospice in VA nursing homes and community nursing homes
Wachterman M, Smith D, Carpenter J, Griffin H, Thorpe J, Feder S, Hoelter J, Ersek M, Shreve S, Kutney‐Lee A. A comparison of end‐of‐life care quality for Veterans receiving hospice in VA nursing homes and community nursing homes. Journal Of The American Geriatrics Society 2023, 72: 59-68. PMID: 37947240, PMCID: PMC10842969, DOI: 10.1111/jgs.18606.Peer-Reviewed Original ResearchCommunity nursing homesVeterans Health AdministrationBereaved Family SurveyElectronic medical recordsVA CLCsNursing homesEOL careAdjusted proportionVA electronic medical recordsVA nursing homesLife care qualityDays of lifeQuality of endNumber of veteransBFS itemsSecondary outcomesPrimary outcomeSymptom managementOverall careMedical recordsRetrospective analysisHospice careLife careHealth AdministrationVA CommunityFocus Group Study of Heart Failure Nurses’ Perceptions of the Feasibility of Cognitive Behavioral Therapy for Insomnia
O’Connell M, Feder S, Nwanaji-Enwerem U, Redeker N. Focus Group Study of Heart Failure Nurses’ Perceptions of the Feasibility of Cognitive Behavioral Therapy for Insomnia. Nursing Research 2023, 73: 109-117. PMID: 37967228, PMCID: PMC10922255, DOI: 10.1097/nnr.0000000000000706.Peer-Reviewed Original ResearchCognitive behavioral therapyHeart failureMode of deliveryBehavioral therapyClinical settingEfficacious treatmentOutpatient HF clinicOutpatient clinical settingAdvanced practice nursesDescriptive qualitative study designPerceptions of nursesImportance of insomniaHF clinicQualitative study designPractice nursesNurse membersDaytime consequencesSleep specialistsFocus groupsNurses' perceptionsSleep healthInsomniaTherapyFocus group participantsFocus group studyEasing Suffering for ICU Patients and Their Families: Evidence and Opportunities for Primary and Specialty Palliative Care in the ICU
Doherty C, Feder S, Gillespie-Heyman S, Akgün K. Easing Suffering for ICU Patients and Their Families: Evidence and Opportunities for Primary and Specialty Palliative Care in the ICU. Journal Of Intensive Care Medicine 2023, 39: 715-732. PMID: 37822226, DOI: 10.1177/08850666231204305.Peer-Reviewed Original ResearchSurrogate decision makersPalliative needsCritical illnessICU patientsPalliative medicineIntensive care unit admissionChronic critical illnessPalliative medicine teamsPost-ICU disabilitySpecialty palliative careCare unit admissionTransitions of careImprovement of patientsAdvanced practice nursesFamily-centered carePerson-centred careUnit admissionICU carePalliative supportPalliative carePractice nursesPalliative principlesMedicine teamPatientsICUDevelopment of the Palliative Care Law and Policy GPS to Assess National Policies in Palliative Care
Feder S, Schulman-Green D, Huer J, Hoffman L, Martins L, Sinclair S, Gluck A, Rusyn E. Development of the Palliative Care Law and Policy GPS to Assess National Policies in Palliative Care. Journal Of Palliative Medicine 2023, 26: 1698-1701. PMID: 37585604, PMCID: PMC10714111, DOI: 10.1089/jpm.2023.0200.Peer-Reviewed Original ResearchPreparing nurse scientists for health services and policy research: Five-year outcomes of interprofessional postdoctoral training in the National Clinician Scholars Program
Choi K, Brush B, Chapman S, Costa D, Feder S, Gutierrez J, Heilemann M, Manojlovich M, Noonan D, Park L, Potempa K, Sochalski J. Preparing nurse scientists for health services and policy research: Five-year outcomes of interprofessional postdoctoral training in the National Clinician Scholars Program. Nursing Outlook 2023, 71: 102024. PMID: 37487421, DOI: 10.1016/j.outlook.2023.102024.Peer-Reviewed Original ResearchRelationship Between Distressing Symptoms and Changes in Disability After Major Surgery Among Community-living Older Persons
Gill T, Han L, Feder S, Gahbauer E, Leo-Summers L, Becher R. Relationship Between Distressing Symptoms and Changes in Disability After Major Surgery Among Community-living Older Persons. Annals Of Surgery 2023, 279: 65-70. PMID: 37389893, PMCID: PMC10761592, DOI: 10.1097/sla.0000000000005984.Peer-Reviewed Original ResearchConceptsMajor surgeryDistressing symptomsElective surgeryFunctional outcomeOlder personsCommunity-living older personsMultiple distressing symptomsSocioeconomic disadvantageCommunity-living personsTiming of surgerySerious health eventsNumber of disabilitiesSurgerySignificant associationSymptomsHealth eventsRate ratioPotential targetDisabilityUnit increaseDeleterious effectsOutcomesPersonsMultimorbidityAdmissionValidation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs
Feder S, Zhan Y, Abel E, Smith D, Ersek M, Fried T, Redeker N, Akgün K. Validation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs. Journal Of Pain And Symptom Management 2023, 66: e475-e483. PMID: 37364737, PMCID: PMC10527602, DOI: 10.1016/j.jpainsymman.2023.06.023.Peer-Reviewed Original ResearchConceptsSpecialist palliative careInpatient encountersCurrent Procedural TerminologyPalliative careICD-9/ICDICD-9/10 codesCohort of peopleVeterans Affairs facilitiesStop codeNegative predictive valueElectronic health recordsChart reviewHeart failureAdministrative databasesSpecific clinicPredictive valueICD codesProcedural TerminologyVeterans AffairsOutpatientsHealth recordsAdministrative dataReference standardCareConsultation