Describing transitional palliative nursing care using a standardized terminology

Diane E. Holland, Catherine E. Vanderboom, Ann Marie Dose, Adriana M. Delgado, Christine M. Austin, Cory J. Ingram, Ellen M. Wild, Karen A. Monsen

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


We used a standardized terminology to describe patient problems and the nursing care provided in a pilot study of a transitional palliative care intervention with patients and caregivers. Narrative phrases of a nurse's documentation were mapped to the Omaha System (problem, intervention, and target). Over the course of the intervention, 109 notes (1473 phrases) were documented for 9 adults discharged home (mean age, 68 years; mean number of morbid conditions, 7.1; mean number of medications, 15.4). Thirty-one of the 42 Omaha System problems were identified; the average number of problems per patient was 13. Phrases were mapped to all 4 problem domains (environmental, 2.6%; health-related behaviors, 52.3%; physiological, 30.8%; and psychosocial, 14.3%). Surveillance phrases were the most frequent (72.4%); case management phrases were at 20.9%, and teaching, guidance, and counseling phrases were at 6.7%. The number of problems documented per patient correlated with the time between the first and last notes (> = 0.76; P = .02) but not with the number of notes per patient (> = 0.51; P = .16). These results are the first to describe nursing interventions in transitioning palliative care from hospital to home with a standardized terminology. Linking interventions to patient problems is critical for describing effective strategies in transitioning palliative care from hospital to home.

Original languageEnglish (US)
Pages (from-to)275-281
Number of pages7
JournalJournal of Hospice and Palliative Nursing
Issue number3
StatePublished - 2017

Bibliographical note

Publisher Copyright:
Copyright © 2017 by The Hospice and Palliative Nurses Association. All rights reserved.


  • Omaha System
  • Palliative care
  • Standardized terminology
  • Transitional care


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