Scandinavian Journal of Caring Sciences最新文献

{"title":"Choosing Virtual Versus In-Person Mental Health Crisis Care: A Theoretical Framework for the Decision-Making Process From the Patient's Perspective.","authors":"Angela Buchel, Jocelyne Lemoine, Danielle Carignan Svenne, James M Bolton, Jennifer M Hensel","doi":"10.1111/scs.70256","DOIUrl":"10.1111/scs.70256","url":null,"abstract":"<p><strong>Introduction: </strong>Decisions around receiving hospital-level care are complex; the addition of a virtual option introduces additional considerations.</p><p><strong>Aim: </strong>To develop a theoretical framework for the decision-making process regarding in-person or virtual-based crisis stabilisation support.</p><p><strong>Method: </strong>Web-based surveys emailed to all individuals admitted to in-person and virtual Crisis Stabilisation Units between March 2022 and May 2023. Purposive sampling identified interview candidates based on use of the virtual service. A constructivist grounded theory approach started with analysis of the interviews and triangulated with survey data from in-person service users.</p><p><strong>Results: </strong>Surveys (N = 76 in-person users) and interviews (N = 21 virtual users) were analysed. The decision-making framework highlighted clinical and safety risk, technological, environmental and systems factors within the clinical recommendation. The recommendation was either congruent or incongruent with the patient's desires leading to agreement or compromise through negotiation. Many patients viewed the virtual service as a good first step in care, while some continued to fear forced confinement.</p><p><strong>Discussion: </strong>Many patients are reluctant to accept in-person crisis stabilisation, and the virtual option provides an acceptable alternative. Clinical recommendations should consider patient, environmental, and technological factors.</p><p><strong>Implications for practice: </strong>Clinicians must be willing to consider when virtual care may be an acceptable patient-centred option.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70256"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' Patient Safety Compliance and Patient Safety Participation: A Scoping Review.","authors":"Ayano Fujiyoshi-Ito, Yasuko Ogata, Miki Sasaki, Kana Sato","doi":"10.1111/scs.70258","DOIUrl":"10.1111/scs.70258","url":null,"abstract":"<p><strong>Aims and objectives: </strong>Adverse events to patients continue to be a significant global concern. Although some of these events are preventable through improved safety behaviours among nurses, research has primarily focused on safety culture, safety systems, and policy, often overlooking individual factors such as nurses' safety behaviours. A deeper understanding of the factors influencing nurses' compliance with patient safety protocols and their active participation in safety initiatives is essential for promoting safer patient care. In this review, we aim to identify factors that determine nurses' patient safety behaviours-both patient safety compliance and participation-and highlight existing research gaps.</p><p><strong>Methods: </strong>A scoping review was conducted in November 2023 utilizing the databases PubMed, CINAHL, PsycINFO, Web of Science, and Ichushi-Web. Two researchers independently screened articles for inclusion. The factors influencing patient safety behaviours were extracted from the selected studies and categorized based on their characteristics and relevance.</p><p><strong>Results: </strong>Of the 286 articles screened, 5 were included. Factors influencing nurses' patient safety behaviours were categorized into the following groups: contextual (patient safety climate, hospital characteristics, and job demands); individual (motivation, perception of patient safety behaviours, experience with patient safety, knowledge of patient safety, and demographic characteristics); and cross-level interaction (contextual × individual factors).</p><p><strong>Conclusions: </strong>Our findings underscore the importance of addressing both contextual and individual factors in promoting nurses' patient safety behaviours. Nurse managers should develop patient safety systems while also understanding the individual factors influencing patient safety behaviours and their interaction with the broader organizational context.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70258"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distant Presence: Care Workers' Experiences of Digital Monitoring Systems in Dementia Care.","authors":"Clara Iversen, David Redmalm, Marcus Persson, Elin Thunman","doi":"10.1111/scs.70251","DOIUrl":"10.1111/scs.70251","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To add nuance to when and how remote technologies should be used to support dementia care, we examine care workers' experiences of two phone-based digital systems used for monitoring and planning in daily care.</p><p><strong>Methodological design and justification: </strong>Short-term ethnography at three care homes, 49 qualitative interviews, and five video-recorded situations provided data for a detailed account of care workers' experiences of the digital systems. Latour's concept of \"presence in absence\" was used to theorise the emergent theme of distant presence.</p><p><strong>Ethical issues and approval: </strong>Participants were given information about the project, asked to provide written consent, and could stop their participation at any time. The study was approved by the Swedish Ethical Review Authority.</p><p><strong>Research methods: </strong>Ethnographic notes and interview transcripts were analysed using reflexive thematic analysis to identify recurrent and meaningful themes. Video recordings were transcribed and analysed using multimodal conversation analysis to illustrate how the technology affected the progression of interaction.</p><p><strong>Results: </strong>The notion of distant presence highlights how digital technology can support care work by enabling presence at a distance: Reducing disturbances and increasing efficiency. At the same time, it captures how digital tools may undermine ethical care when alarms introduce the distant into the present-competing with patients for attention-or when plans fail to adjust to the specific conditions of dementia care.</p><p><strong>Study limitations: </strong>All participants had worked in dementia care for several years, so the experiences of new care workers were not studied.</p><p><strong>Conclusions: </strong>The findings provide insights into the complexities of how digital tools can both support and obstruct care: By introducing distant presence, digital tools can simultaneously protect patients' integrity and create a false sense of safety.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70251"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualising the Patient Ecosystem: A Holistic Framework for Home Care.","authors":"Marija Milavec Kapun","doi":"10.1111/scs.70249","DOIUrl":"10.1111/scs.70249","url":null,"abstract":"<p><strong>Aims and objectives: </strong>The study aims to derive a conceptual model of an ecosystem of a patient in their home environment, integrating principles from biological ecosystem theory to enhance holistic, home-based care for patients with non-communicable diseases.</p><p><strong>Methodological design and justification: </strong>A concept derivation approach was employed due to the absence of any clear definition of the patient ecosystem at home concept.</p><p><strong>Ethical issues and approval: </strong>As a conceptual study, ethical considerations were minimal. Ethical standards were upheld during the literature review, and ethical approval was not required.</p><p><strong>Research method: </strong>Concept derivation was used to derive the concept from biology and apply it to the patient's home. The process involved four steps: a literature review, cross-disciplinary exploration, selection of the parent concept, and a redefinition of the concept in the context of patients at home.</p><p><strong>Outcome measures: </strong>The conceptual clarity, structure, and applicability of the derived model of the patient ecosystem served as measures of the outcomes. These include the identification and integration of the ecosystem's key components, such as the environment, living elements, processes, and structure, and their relevance for supporting patients at home.</p><p><strong>Results: </strong>The main outcome is a conceptual model of the patient ecosystem at home that highlights dynamic interactions within the ecosystem and stresses patient agency and collaboration between informal, formal, and virtual support networks. As ecosystem managers, nurses play a crucial role in supporting the patient ecosystem's capability to provide homeostasis.</p><p><strong>Study limitations: </strong>As a conceptual model not yet empirically validated, its applicability may vary across cultural and socioeconomic contexts.</p><p><strong>Conclusions: </strong>The proposed patient ecosystem model provides a novel framework for understanding and supporting patients at home, facilitating efficient resource utilisation and adding to the quality of life for patients and family members. While offering theoretical insight, further validation and cross-sector collaboration are essential before implementing the model in practice.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70249"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construction of a Core Competency Evaluation Index System for Emergency and Critical Care Among Community Nurses.","authors":"Fucai Lin, Yi Xin, Wen Lin Cheng, Qian Fei Hu, Shuo Wang, DongMei Zhang, Rui Li, Qi Qi Liu, Yuan Yuan Tang, Shao Nan Liu, Yan Jie Ma","doi":"10.1111/scs.70225","DOIUrl":"10.1111/scs.70225","url":null,"abstract":"<p><strong>Background: </strong>Community nurses are essential in providing healthcare services, including emergency and critical care. Assessing their competencies in managing acute and critical illnesses is crucial for ensuring quality care.</p><p><strong>Objective: </strong>This study aimed to develop a scientifically validated evaluation index system to assess the core competencies of community nurses in treating acute and critical illnesses.</p><p><strong>Methods: </strong>A literature review was conducted using databases such as CNKI, Wanfang, PubMed, Medline, and Web of Science to identify key competency indicators. Semi-structured interviews were held with community nurses, physicians, and nursing managers from seven Shanghai community health centers to refine these indicators. Two rounds of Delphi consultations involving 15 experts were conducted to finalize the system. The analytic hierarchy process (AHP) was used to assign weights to the indicators and ensure consistency.</p><p><strong>Results: </strong>The final evaluation index system consists of three first-level indicators (treatment knowledge, treatment skills, and treatment attitude), nine second-level indicators, and 43 third-level indicators. The system is structured scientifically, with a reasonable weight distribution for each indicator, providing a standardized framework for assessing community nurses' emergency and critical care competencies.</p><p><strong>Conclusion: </strong>The developed evaluation index system aligns with China's healthcare needs and social development. It serves as a reliable reference for the assessment, training, and certification of community nurses, contributing to the improvement of emergency and critical care services at the community level.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70225"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative Education in Palliative Care: Enhancing Caregiver Knowledge and Reducing Anxiety Through the Pecha Kucha Method for PEG Tube Feeding.","authors":"Yasemin Erden, Nurgul Karakurt, Gülcan Bahçecioğlu Turan","doi":"10.1111/scs.70279","DOIUrl":"10.1111/scs.70279","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate the effectiveness of education and follow-up provided to relatives of palliative care patients receiving percutaneous endoscopic gastrostomy (PEG) feeding using the Pecha Kucha method on anxiety, knowledge and caregiving practices.</p><p><strong>Design: </strong>A randomized controlled trial.</p><p><strong>Methods: </strong>The study included 60 caregivers (intervention = 30; control = 30). The intervention group received PEG education using the Pecha Kucha method, while the control group received conventional oral education. The intervention was delivered twice weekly for four weeks. Outcomes were assessed using the PEG Knowledge Form, PEG Practice Form and Visual Analogue Scale for Anxiety (VAS-A).</p><p><strong>Results: </strong>Post-intervention VAS-A scores were significantly lower in the intervention group compared to the control group (3.20 ± 0.99 vs. 5.50 ± 1.19, p < 0.001). PEG knowledge scores were significantly higher in the intervention group (19.63 ± 2.17 vs. 9.33 ± 5.06, p < 0.001). Similarly, PEG practice scores were significantly improved in the intervention group (12.03 ± 1.32 vs. 9.13 ± 4.24, p < 0.001).</p><p><strong>Conclusion: </strong>The findings suggest that Pecha Kucha-based education may improve caregivers' knowledge and practices and reduce anxiety levels in relatives of palliative care patients receiving PEG feeding. However, findings should be interpreted cautiously due to the single-centre design and limited sample size.</p><p><strong>Trial registration: </strong>The study was registered at ClinicalTrials.gov, NCT06339723.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70279"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Evaluation of the Chinese Version of the Jacelon Attributed Dignity Scale Among Community-Dwelling Older Adults: A Methodological Study.","authors":"Shuang Ma, Chi Wang, Xueying Li, Di Wu, Yujia Liu","doi":"10.1111/scs.70287","DOIUrl":"10.1111/scs.70287","url":null,"abstract":"<p><strong>Background: </strong>Dignity care for older adults in China is gradually advancing, but there remains a lack of appropriate assessment tools.</p><p><strong>Aim: </strong>This study aimed to translate the 18-item Jacelon Attributed Dignity Scale into Chinese and evaluate its reliability and validity.</p><p><strong>Methods: </strong>The original English version of the Jacelon Attributed Dignity Scale was translated into Chinese following Brislin's translation procedure. A convenience sample of 200 Chinese older adults was recruited. Item screening, internal consistency, test-retest reliability, content validity, construct validity and convergent validity were examined to establish the reliability and validity of the Chinese version of the scale.</p><p><strong>Results: </strong>The Cronbach's α coefficient and test-retest correlation of the Chinese version of the Jacelon Attributed Dignity Scale were 0.959 and 0.891, respectively. The content validity index was 0.972. Confirmatory factor analysis supported the four-factor model (χ²/df = 2.431, p < 0.001; comparative fit index = 0.932; root mean square error of approximation = 0.085; Tucker-Lewis index = 0.920; standardised root mean square residual = 0.048). The scale demonstrated adequate reliability and convergent validity, as indicated by acceptable values of composite reliability (CR = 0.800-0.924) and average variance extracted (AVE = 0.515-0.710).</p><p><strong>Conclusion: </strong>The Chinese version of the Jacelon Attributed Dignity Scale exhibits good reliability and validity and can be utilised to assess the dignity of Chinese older adults.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70287"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Staff Resilience to Work-Related Challenges at Day Centres for Older Adults: A Longitudinal Study of Staff's Experiences Under Pressure.","authors":"Marie Jönsson, Mialinn Arvidsson-Lindvall, Helle Wijk, Cecilia Pettersson","doi":"10.1111/scs.70268","DOIUrl":"10.1111/scs.70268","url":null,"abstract":"<p><strong>Background: </strong>Day centres for older adults (DCOs) complement health and social care by supporting capability and social interaction in older adults. However, specific circumstances such as pandemics can rapidly change the prerequisites for everyday activities, negatively affecting older adults' participation and contributing to a stressful and frustrating work environment for healthcare staff. The aim of this study is to explore healthcare staff resilience to work-related challenges at DCOs for older adults during extraordinary circumstances and to describe aspects of the DCO work environment experienced by healthcare staff under pressure.</p><p><strong>Method: </strong>Six focus groups were conducted with healthcare professionals (registered occupational therapists, registered nurses and assistant nurses; n = 28) in municipal DCOs. Data was collected on two occasions (spring 2020 and autumn 2022) and analysed via qualitative content analysis.</p><p><strong>Results: </strong>Healthcare staff resilience to work-related challenges while under pressure was influenced by two categories. The first category, Circumstances influencing day activities at the DCOs, describes conditions related to leadership, the environment and regulations that affected day activities at the DCOs. The second category, Managing various actions due to an unstable work situation, describes how staff's ability to perform training and support social interactions with the older adults at the DCOs was carried out.</p><p><strong>Conclusion: </strong>Continuing activities for older adults at DCOs under extraordinary circumstances such as pandemics is essential. Having a structured plan regarding the different levels of openness or closure of the DCO and what activities can be carried out at each level may contribute to physical and psychosocial interventions in a more person-centred way. The results of this study emphasise the importance of DCOs for older adults. Healthcare providers and management must work together in order to support healthcare staff to be resilient to work-related challenges during extraordinary circumstances.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70268"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences, Challenges and Adaptations Among Stroke Rehabilitation Staff During the First and Second COVID-19 Waves in Sweden-A National Survey.","authors":"Maya Kylén, Lena von Koch, Magnus Zingmark, Linnea McCarthy, Marie Elf","doi":"10.1111/scs.70272","DOIUrl":"10.1111/scs.70272","url":null,"abstract":"<p><strong>Aims and objectives: </strong>This study aimed to explore stroke rehabilitation staff's experiences, challenges and adaptations in their work during the first two waves of the COVID-19 pandemic in Sweden.</p><p><strong>Methods: </strong>A web survey was conducted from September to December 2020 with staff involved in stroke rehabilitation. It covered participant characteristics, experiences, COVID-19 management, patient safety, organisation, information allocation and information and communication technologies (ICT). Quantitative data was presented with descriptive statistics. Free-text responses were used to illuminate the findings.</p><p><strong>Results: </strong>Three hundred and forty stroke rehabilitation staff answered the survey. No stroke rehabilitation organisation was closed entirely, but services had been paused or altered in several regions. Adaptations included prioritising patients with COVID-19 and thereby reducing the capacity to supply rehabilitation for stroke survivors. The participants experienced a shortage of personal protective equipment (PPE) and patient safety had been compromised. The pandemic restricted opportunities to provide ordinary rehabilitation, often resulting in ethical dilemmas and stress. The rapid transition to using ICT was primarily experienced positively.</p><p><strong>Conclusions: </strong>Staff reported working under complex, constantly changing and stressful conditions during the first two waves of the COVID-19 pandemic. Disruptions in ordinary practice led to compromised patient safety and increased stress among staff, intensified by limited access to PPE. Ethical guidelines, as well as regular debriefing protocols, should be put in place to prevent adverse health outcomes among staff and to prepare healthcare systems for future crises and disruptions. ICT offers a potential pathway for more flexible and accessible care in the future.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70272"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Abdominal Massage and In-Bed Exercise on Gastrointestinal Complications, Pain and Comfort in Palliative Care Patients: A Randomised Controlled Trial.","authors":"Serap Gungor Unal, Ismaıl Dusak, Sumeyye Akcoban","doi":"10.1111/scs.70234","DOIUrl":"10.1111/scs.70234","url":null,"abstract":"<p><strong>Background: </strong>Enteral nutrition helps maintain nutritional status and sustain quality of life in palliative care patients. In this context, enteral nutrition supports nutritional intake, while nursing care aims to enhance comfort and prevent related complications.</p><p><strong>Objectives: </strong>This study aimed to evaluate the effects of abdominal massage and in-bed exercise on gastrointestinal complications, pain and comfort in enterally fed palliative care patients.</p><p><strong>Methods: </strong>A randomised controlled trial was conducted at a palliative care centre with 105 patients assigned to three groups: abdominal massage, in-bed exercise, and control (n = 35 each). In the abdominal massage intervention, superficial and deep effleurage, petrissage, vibration and repeated superficial effleurage manoeuvres were applied sequentially. The in-bed exercise intervention consisted of passive exercises designed to maintain the range of motion of the upper and lower extremity joints. Interventions were administered twice daily for 3 days, with 15-min sessions. Data were collected using the Patient Information Form, Comfort Behaviours Checklist, Wong-Baker Faces Pain Rating Scale, and Gastrointestinal Complication Form.</p><p><strong>Results: </strong>In the abdominal massage group, constipation and abdominal distension significantly decreased over time (p < 0.05). In the in-bed exercise group, constipation, nausea, vomiting, and distension significantly decreased (p < 0.05). Pain scores were significantly lower in both the abdominal massage (1.97 ± 0.70) and in-bed exercise (2.05 ± 0.80) groups compared to the control group (p < 0.001). Comfort scores were significantly higher in both intervention groups (71.60 ± 7.89 and 71.25 ± 10.05, respectively) than in the control group (p < 0.001).</p><p><strong>Conclusions: </strong>Abdominal massage and in-bed exercise are effective, safe, and independent nursing interventions that reduce gastrointestinal complications and pain, while improving comfort in palliative care patients receiving enteral nutrition.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov: NCT07125482.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70234"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13022942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}