BMC Palliative Care最新文献

{"title":"Behind the care: emotional struggles, burnout, and denial in kazakhstan's professional palliative care workforce.","authors":"Byron Crape, Pana Akhmetniyaz, Makpal Akhmetova, Faye Foster, Kaisar Dauyey, Alessandra Clementi, Lyazzat Toleubekova","doi":"10.1186/s12904-025-01798-z","DOIUrl":"10.1186/s12904-025-01798-z","url":null,"abstract":"<p><strong>Background: </strong>This exploratory study investigates the emotional impact of palliative care provision among healthcare professionals in resource-limited settings, specifically in Kazakhstan. As a middle-income country with a growing burden of chronic diseases, the palliative care sector in Kazakhstan faces increasing challenges to address burnout.</p><p><strong>Methods: </strong>Due to limited existing knowledge, an exploratory design was adopted, employing grounded theory approach to discover professionals' understanding of their experiences, emotional stressors, and burnout development. In-depth qualitative interviews were conducted with 60 palliative care professionals (41 nurses, 19 physicians) from 4 hospices, 2 PCUs of cancer centers, and 1 nursing department from diverse geographical locations within Kazakhstan. The data collection phase was carried out between May 2021 and July 2022. Analysis focused on identifying stressors leading to burnout and coping mechanisms used by palliative care professionals.</p><p><strong>Results: </strong>The study identifies key stressors, including emotional involvement with patients, communication challenges with relatives, witnessing patient frailty and death, lack of personal accomplishment, and emotional labor. A unique finding is the widespread denial of emotional impact among participants, expressed through normalization of work-related stress and suppression of emotions. Through analysis, four key themes were identified as central to the findings: (1) stressors contributing to burnout, (2) denial of emotional impact, (3) coping mechanisms, and (4) attitudes towards seeking psychological help.</p><p><strong>Conclusions: </strong>The present study has revealed that the denial of emotional impact, along with the downplaying or dismissal of the impact of stress, is a recurring pattern among healthcare workers providing palliative care to terminally ill patients in Kazakhstan. The findings of this study underscore the need for tailored training to address the specific emotional needs of palliative care workers, focusing on effective communication, techniques for emotional regulation, stress management, and self-care practices to help professionals cope with the emotional demands of their work.</p>","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":"24 1","pages":"161"},"PeriodicalIF":2.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing palliative care through university-community partnerships: a systematic review of models, impacts, and challenges.","authors":"Alaka Chandak, Priyadarshini Bhalchandra Kulkarni","doi":"10.1186/s12904-025-01795-2","DOIUrl":"10.1186/s12904-025-01795-2","url":null,"abstract":"<p><strong>Background: </strong>University-community partnerships (UCPs) represent a transformative model for integrating student experiential learning with community-based palliative care. These partnerships enhance empathy, interdisciplinary collaboration, and service delivery, while addressing gaps in end-of-life care.</p><p><strong>Aim: </strong>This systematic review evaluated the effectiveness of UCPs in palliative care, focusing on their impact on student learning, community outcomes, and innovative practices.</p><p><strong>Methods: </strong>Following the PRISMA 2020 guidelines, a systematic search was conducted across PubMed, Scopus, Web of Science, and CINAHL databases for studies published between January 2014 and March 2024. This search yielded 206 unique citations. Nine studies were included after the full-text screening. Grey literature sources (e.g., reports and web-based articles) were screened but excluded due to insufficient methodological rigor, and thematic synthesis was conducted using NVivo, with two independent reviewers performing data extraction. The Risk of bias was assessed using the ROBIS (qualitative) and RoB 2 (quantitative) tools.</p><p><strong>Results: </strong>Of the 206 records screened, nine studies (eight qualitative and one quantitative) met the inclusion criteria. The identified UCP models include transactional, transformational, and community-based participatory research (CBPR), with CBPR noted for contextual adaptability. UCPs contributed to improving student empathy, interprofessional learning, and community empowerment. Barriers include limited resources, cultural mismatches, and inconsistent stakeholder alignments. Innovations, such as telehealth and virtual learning, were also observed.</p><p><strong>Conclusion: </strong>UCPs have strong potential to enhance palliative care education and delivery. Scaling these models requires sustainable funding, culturally responsive approaches, and policy integration. Future research must emphasize longitudinal designs and standardized evaluation structures.</p>","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":"24 1","pages":"160"},"PeriodicalIF":2.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated palliative care improves the quality of life of advanced cancer patients.","authors":"Mei Wang, Xuan Ding","doi":"10.1186/s12904-025-01800-8","DOIUrl":"10.1186/s12904-025-01800-8","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this research is to investigate the efficacy of integrated palliative care in enhancing advanced cancer patients' quality of life, alleviating pain, and improving psychological well-being through the development of a multidimensional hospice care model.</p><p><strong>Methods: </strong>This study involved 150 advanced cancer patients who received palliative care at our institution from January 2020 to December 2023. Participants were randomly assigned into two groups: the control group (n = 75) received standard care, while the treatment group (n = 75) received integrated palliative care, which included pain management strategies, psychological support, and family involvement. The quality of life of both groups was assessed pre- and post-intervention using the EORTC QLQ-C30 scale, which evaluates physical, emotional, and social functioning among other indicators. Mental health was assessed through the GAD-7 (Generalized Anxiety Disorder Scale) and PHQ-9 (Patient Health Questionnaire-9) to measure anxiety and depression levels. Furthermore, family members' satisfaction and support regarding the patient care process were evaluated using a tailored family satisfaction questionnaire.</p><p><strong>Results: </strong>There was no statistically significant difference in age, gender, and tumor type among the treatment group (P > 0.05). Prior to the intervention, there were no statistically significant differences between the two groups in EORTC QLQ-C30 scores, GAD-7 and PHQ-9 assessments, or family satisfaction (P > 0.05). Post-intervention, the treatment group exhibited significantly higher quality of life scores compared to the control group, alongside significantly lower anxiety and depression scores, and notably higher family satisfaction, all of which were statistically significant (P < 0.05).</p><p><strong>Conclusion: </strong>Integrated palliative care demonstrated substantial benefits in enhancing advanced cancer patients' quality of life, alleviating pain, and improving overall psychological health. The findings advocate for the integration of hospice care as a vital component of standard clinical practice and recommend its broader implementation across various departments to provide more compassionate care for patients and their families.</p>","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":"24 1","pages":"162"},"PeriodicalIF":2.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palliative sedation rate for noncancer terminally ill patients at home in Japan.","authors":"Moyuru Shionozaki, Ryo Yamamoto, Jun Hamano","doi":"10.1186/s12904-025-01799-y","DOIUrl":"10.1186/s12904-025-01799-y","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have investigated the frequency and target symptoms of palliative sedation in patients with home-based cancer. However, the status of home-based non-cancer patients remains unclear. This study aimed to determine the frequency and target symptoms of palliative sedation in home-based non-cancer patients in Japan.</p><p><strong>Methods: </strong>We conducted a post hoc analysis of a multicenter prospective cohort study of elderly non-cancer patients at home in Japan between January 2020 and December 2020. The physicians routinely assessed and recorded symptoms and treatment every 3 months until home care was discontinued or until the patient died at home. This multicenter prospective cohort study targeted non-cancer patients aged 65 years and over receiving care at home or in nursing homes.</p><p><strong>Results: </strong>Of the 785 patients, 195 died at home or in nursing homes. Seven patients (3.6%) received palliative sedation before death. The target symptoms for sedation were delirium and dyspnea.</p><p><strong>Conclusions: </strong>The sedation rate for noncancer patients at home is relatively low, and the major target symptoms of sedation are delirium and dyspnea.</p>","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":"24 1","pages":"158"},"PeriodicalIF":2.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parents' experiences of the financial and employment impacts of their child receiving end-of-life care: a national qualitative study.","authors":"Laura Barrett, George Peat, Emma Victoria McLorie, Helen Weatherly, Sebastian Hinde, Gabriella Lake Walker, Jane Noyes, Sam Oddie, Chakrapani Vasudevan, Richard G Feltbower, Bob Phillips, Catherine Hewitt, Richard Hain, Gayathri Subramanian, Andrew Haynes, Fliss E M Murtagh, Julia Hackett, Lorna Katharine Fraser","doi":"10.1186/s12904-025-01796-1","DOIUrl":"10.1186/s12904-025-01796-1","url":null,"abstract":"<p><strong>Background: </strong>Bereaved parents are at higher risk of poor mental and physical health outcomes than people bereaved under other circumstances. These challenges are exacerbated by the continued effects on parents' working lives and the financial strain of a child receiving end-of-life care. There has been very little recent research of parents' experiences of these impacts. Analysis of data from the second workstream of a national research programme on end-of-life care for infants, children and young people (ENHANCE) aimed to understand parents' experiences of the impact on their finances and working lives while their child received end-of-life care.</p><p><strong>Methods: </strong>A multi-site qualitative study using in-depth interviews with bereaved parents, analysed using thematic analysis. Recruited through NHS sites, children's hospices and via the social media of third sector organisations.</p><p><strong>Results: </strong>Forty-two interviews with 55 parents were conducted (Fathers = 16, Mothers = 39), representing 44 children. Four themes were developed: (1) The added cost burden; (2) Pressures of juggling work; (3) Accessing support; and (4) Financial impacts continue after a child dies.</p><p><strong>Conclusions: </strong>Financial hardship is a known consequence of having a child with a life-limiting condition, especially at the end of life, and adds considerable stress to an already painful situation, with the aftermaths continuing into bereavement. The impact is exacerbated by parents' need to reduce work so they can spend time caring for their dying child, leaving families in a financially and emotionally vulnerable position. There needs to be a consistent approach to immediate practical support from healthcare providers; a review of benefit system delays and the abrupt stopping of Disability Living Allowance; and the development of tailored employment support for parents to remain in or rejoin the workforce.</p>","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":"24 1","pages":"157"},"PeriodicalIF":2.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological factors influencing post-traumatic growth in caregivers of breast cancer patients.","authors":"Mahbobeh Faramarzi, Mohammad Golparvar Azizi, Neda Ahangari, Daryush Moslemi, Ehsan Jalalian, Farzan Kheirkhah, Hemmat Gholinia, Seyed Mohsen Jafari","doi":"10.1186/s12904-025-01791-6","DOIUrl":"10.1186/s12904-025-01791-6","url":null,"abstract":"<p><strong>Introduction: </strong>Some family caregivers of breast cancer patients experience post-traumatic growth, which is influenced by various psychological factors. However, limited studies have explored these factors. This study aims to examine the psychological factors affecting post-traumatic growth in primary caregivers of breast cancer patients.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on 194 primary caregivers of breast cancer patients at a referral oncology hospital in Mazandaran Province (Babol, Iran). Participants completed questionnaires assessing post-traumatic growth, Hospital Anxiety and Depression Scale, the NEO Five-Factor Inventory, Perceived Social Support, Perceived Stress Scale, and Spiritual Well-Being. Correlation matrices were used to evaluate the relationships between psychological factors and post-traumatic growth, and stepwise regression analysis identified predictors of post-traumatic growth.</p><p><strong>Results: </strong>The prevalence of post-traumatic growth (77.3%) among caregivers of breast cancer patients was higher than anxiety (47.9%) and depression (22.2%). post-traumatic growth was negatively associated with perceived stress, depression, anxiety, and neuroticism, while it was positively correlated with extraversion, agreeableness, conscientiousness, and spiritual well-being (p-value < 0.05). Stepwise regression analysis revealed that conscientiousness (β = 0.285, p-value < 0.001) and spiritual well-being (β = 0.209, p-value = 0.002) were positive predictors of post-traumatic growth, whereas perceived stress (β = -0.150, p-value = 0.025) was a negative predictor.</p><p><strong>Conclusion: </strong>Spiritual health and high conscientiousness are facilitators, while stress is a barrier to post-traumatic growth (PTG) in caregivers of breast cancer patients. These findings emphasize the need to consider psychological factors in clinical interventions to support caregivers.</p>","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":"24 1","pages":"156"},"PeriodicalIF":2.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to and enablers of availability and integration of palliative care into routine services at Charlotte Maxeke Johannesburg Academic Hospital, South Africa.","authors":"Sukoluhle Pilime, Mpho Ratshikana, Oludoyinmola Ojifinni, Latifat Ibisomi","doi":"10.1186/s12904-025-01778-3","DOIUrl":"10.1186/s12904-025-01778-3","url":null,"abstract":"","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":"24 1","pages":"155"},"PeriodicalIF":2.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of wearable sensor technology to enhance supportive care in hospitalized palliative patients (Support trial): a prospective preliminary pilot study.","authors":"Philipp Helmer, Jessica Glück, Anastasios Anastasiadis, Florian Rumpf, Sebastian Hottenrott, Bernd E Winkler, Patrick Meybohm, Peter Kranke, Carmen Roch, Michael Sammeth","doi":"10.1186/s12904-025-01794-3","DOIUrl":"10.1186/s12904-025-01794-3","url":null,"abstract":"<p><strong>Background: </strong>Continuous monitoring of vital parameters using wearable devices offers potential benefits in palliative care, such as early detection of clinical deterioration and improving symptom management. However, evidence supporting their feasibility and utility in hospitalized palliative care patients remains scarce.</p><p><strong>Methods: </strong>This prospective pilot study aimed to evaluate the feasibility of continuous vital sign monitoring in hospitalized palliative care patients using wrist-worn and chest-wall devices. The study was conducted from October 2023 to November 2024 and included hospitalized patients at a university hospital. Eligible participants were required to provide written informed consent. Patients were monitored for up to 30 days or until discharge or death. Data acquisition focused on the quantity and quality of recorded parameters, including heart rate, respiratory rate, and oxygen saturation, as well as advanced hemodynamic variables. Challenges in recruitment, device performance, and data reliability were assessed.</p><p><strong>Results: </strong>A total of 275 patients were screened, with 263 excluded for not meeting eligibility criteria. Of the nine patients who provided written informed consent, two withdrew consent before study interventions, leaving seven participants. Among these, one patient completed the maximum study duration, three were discharged to outpatient care, and three died during hospitalization. Wrist-worn devices yielded valid data for 61.5% of the monitored time (median: 57.6%; range: 20.1-78.3%), while chest-wall devices achieved 55.2% (median: 62.3%; range: 3.6-100%). Heart rate and respiratory rate showed excellent reliability (> 99% data availability), whereas oxygen saturation exhibited poor performance (45.1%). The interval between the last recorded device measurement and time of death ranged from 0 to 25 min. Recruitment challenges, including strict consent requirements, resulted in premature study termination, as achieving the target sample size of 25 patients was deemed unfeasible.</p><p><strong>Conclusion: </strong>This pilot study demonstrates the potential of continuous monitoring technologies in palliative care, but inconsistent data availability limits the ability to recommend their routine use at this stage. Despite these challenges, the promising results highlight the need for further studies to improve device reliability and explore the broader applicability of this technology in palliative care settings.</p>","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":"24 1","pages":"154"},"PeriodicalIF":2.5,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency and predictors of palliative sedation among patients with cancer who died in a specialist inpatient palliative care unit: a retrospective study.","authors":"Juan Luis Torres-Tenor, Paula Villalba-Cuesta, Eduardo Bruera, Yolanda Vilches-Aguirre, María Varela-Cerdeira, Alberto Alonso-Babarro","doi":"10.1186/s12904-025-01787-2","DOIUrl":"10.1186/s12904-025-01787-2","url":null,"abstract":"<p><strong>Background: </strong>Palliative sedation (PS) is a therapeutic measure used in end-of-life care to alleviate the suffering caused by refractory symptoms. The objectives of our study were to determine the frequency of PS in a specialized inpatient acute palliative care unit (APCU), describe the characteristics of patients who received PS, compare patients who required PS with those who did not, and compare patients who received a single medication for PS with those who received multiple medications.</p><p><strong>Methods: </strong>This was a retrospective study of 444 patients with cancer who died in a specialized inpatient APCU of a tertiary public hospital.</p><p><strong>Results: </strong>A total of 167 patients received PS (38%). The most frequent indication was delirium (64%). The mean duration of PS was 49 h. Patients who received PS were significantly younger (p = 0.001), had higher anxiety (p = 0.024), had longer hospital admissions (p = 0.001), were more likely to have a spouse as their primary caregiver (p = 0.003), were more aware of their prognosis (p = 0.024), and had more advance directives (p = 0,001) than those who did not receive PS. Forty-six patients (28%) required two or three drugs for PS. They had a longer PS (p = 0.002) and received more parental hydration (p = 0.015) than did those who received one drug. Patients receiving midazolam as first-line treatment were less likely to receive a second drug (p = 0.003).</p><p><strong>Conclusions: </strong>A total of 38% of patients with cancer receiving specialized palliative care required PS before death. Patients who received PS were younger, had a longer hospital stay, were more likely to have their spouse be their primary caregiver, were better informed and had more advance directives. 28% of sedated patients required more than one drug, which was associated with a longer PS, the maintenance of parental hydration during PS and the initiation of PS with levomepromazine instead of midazolam.</p>","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":"24 1","pages":"153"},"PeriodicalIF":2.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between grief and coping strategies among nurses dealing with patient deaths: a descriptive, cross-sectional, correlational study.","authors":"Loujain Sharif, Khalid Almutairi, Ibrahim Alnasser, Zalikha Attar, Alaa Mahsoon, Aisha Alhofaian, Budour Almutairi, Yaser Alqahtani, Afnan Tunsi, Sara Yaghmour, Fayez Bokhari, Rebecca Wright","doi":"10.1186/s12904-025-01790-7","DOIUrl":"10.1186/s12904-025-01790-7","url":null,"abstract":"<p><strong>Background: </strong>Nurses often face significant emotional distress and grief when dealing with patient deaths, especially in acute hospital settings. Despite extensive literature offering guidance on nursing practices for providing optimal care to terminally ill patients and their grieving families, there is a scarcity of empirical research examining nurses' experiences of grief following patient deaths in Middle Eastern contexts. This study aimed to assess the relationship between grief and coping strategies among nurses experiencing patient death in an acute hospital in Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using an online survey distributed to nurses at King Fahad Armed Forces Hospital in Jeddah. Data from 382 nurses were analyzed using SPSS software. Descriptive statistics, bivariate analyses, Pearson's chi-square test, Student's t-test, one-way ANOVA, and regression analysis were employed to examine the associations between grief levels, coping strategies, and various socio-demographic and professional characteristics.</p><p><strong>Results: </strong>Among the participants, 80% were aged 25-40 years, and 50% were married. Most nurses (85.4%) reported normal levels of grief. Coping strategies' mean scores ranged from 2.60 to 5.52. Grief levels showed significant correlations with nationality, received support, and intervention type. Nurses with high or severe grief levels had significantly higher mean scores for problem-focused, emotion-focused, and avoidant coping strategies (p < 0.001). A significant positive linear correlation was found between total coping scores and total grief scores. Regression analysis indicated that 21.3% of the variance in total coping scores was explained by total grief scores.</p><p><strong>Conclusions: </strong>The study highlights that while nurses employ personal coping strategies, there is a need for additional, culturally tailored support to manage grief effectively. Implementing structured support systems may enhance nurses' coping mechanisms and overall well-being when facing patient deaths.</p>","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":"24 1","pages":"151"},"PeriodicalIF":2.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}