Survey of 68 hospice volunteers found volunteers to be relatively young, well-educated, in good health, motivated by religious beliefs and personal experience, and prepared for jobs after training and some on-the-job experience. Volunteers were most satisfied when working in direct contact with patients and families and in the hospital.…

Administered measures of generalized communication apprehension (CA), communication regarding the dying (CA-Dying), and death anxiety to 29 persons in a hospice volunteer training program and 30 persons on a hospice mailing list. Results suggest the CA-Dying scale possesses adequate reliability and validity to serve as useful index of difficulties…

Obtained data in hospices (N=34) from social workers, nurses, and volunteers on how frequently and for how long they performed 27 social service activities. Found that social workers were employed part time and did not play a unique role in service provision, but that nurses were employed full time and provided social services. (Author/ABB)

Analyzed response bias among 34 recipients of care in hospice. Found nonrespondents to have better bereavement prognoses and tended to care for patients who were younger, male, and in program for shorter time. Nonrespondents were in contact with staff less than were respondents. Data are consistent with earlier research showing significant…

Describes a program that used art and poetry therapy with terminally ill patients. Presents the creative writings of two patients. (SR)

Notes that International Work Group on Death, Dying, and Bereavement recognizes wide variation of attitudes, beliefs, and behaviors pertaining to childhood death, dying, and bereavement. Statement identifies set of assumptions which can serve as guidelines, across cultures, in care of children with terminal illness and their families. (Author/NB)

Members of the Association of Oncology Social Workers completed a survey, which included the Hospice Philosophy Scale (HPS) assessing the likelihood of the worker referring a terminally ill patient to hospice, background and experience, and demographics. The respondents held overwhelmingly favorable attitudes toward hospice philosophy and care,…

Examined competencies that hospice practitioners and experts in the field would agree upon as necessary attributes to being an effective hospice team member. Results indicated strong positive agreement between the rankings of the practitioners on emotional and interpersonal characteristics needed by hospice personnel to effectively function with…

Interviews with 6 of 10 Veterans' Affairs programs offering postdoctoral fellowships in geropsychology indicated that only 30% included palliative care or hospice training, despite the fact that the veteran population is likely to have an increasing need for terminal illness care. (SK)

The political and social development of the Medicare Hospice Benefit combines humanitarian and cost-saving strategies. Although it mainstreamed care of the terminally ill and provided multiple services, four major constraints of the benefit package are identified and explored. It is important that we analyze this policy before we devise new ways…

In hospice, those who work with families have an opportunity to help the terminally ill patient and the patient's family experience death as a time for growth. There are four basic concepts of the hospice philosophy: (1) the patient and the family are the units of care; (2) physical, psychological, and spiritual needs of the patient and the family…

Describes development of the Hospice Environmental Survey (HES) to measure user's perception of the homelike atmosphere provided by a hospital inpatient unit called Hospice House. Presents the HES instrument, methodology, and pilot study data. (Author/NB)

Based on nearly three years of participant-observation research in hospice settings, factors that interfere with the hospice philosophy of providing patient autonomy include efforts at symptom control, patient residence, patient disease state, and staff limit setting. Discusses examples, implications, and staff attempts at solutions. (JPS)

Reviews findings regarding attrition of hospice volunteers. Suggests ways to improve retention relating to several aspects of volunteer administrator's job including selection of volunteers, training, overseeing transition from training to actual volunteering, structuring communication between volunteers and paid staff, and supervising and…

Hospice care (health care for the terminally ill that emphasizes emotional support for the patient and family) is essential to ease emotional, psychological, and social pain, and can be a factor in addressing spiritual and physical pain. Yet to ease the pain of final illness, therapeutic communication must extend beyond words. Physical contact--in…