International journal of palliative nursing最新文献

{"title":"Intensivists' perspectives on the quality of palliative care: a network analysis.","authors":"Eduardo Tavares Gomes, Gabriela Tavares Boscarol, Tânia Couto Machado Chianca, Geovana Aparecida Dos Reis Cirino, Larissa Braga Celes, Erika Nunes de Oliveira Rodrigues","doi":"10.12968/ijpn.2025.0015","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0015","url":null,"abstract":"<p><strong>Background: </strong>There are barriers to the practice of palliative care in intensive care units (ICUs) and cardiology, considering that these settings are designed with high technological resources aimed at cure.</p><p><strong>Aims: </strong>To conduct a network analysis on the perceptions of medical professionals and nurses regarding the quality of palliative care provided in their ICU.</p><p><strong>Methods: </strong>A cross-sectional network analysis study was conducted between October and December 2024 with intensivist nurses and physicians from five university hospitals in Brazil. The Palliative Care Quality Questionnaire for Intensive Care Units (QCP-UTI) was used.</p><p><strong>Results: </strong>The items QCP-UTI 3 (investigating and respecting patient and/or family preferences regarding care and treatment goals), QCP-UTI 4 (communication with team members about the emotional needs of the patient and/or family), and QCP-UTI 6 (attention to the emotional and practical needs of patients in the terminal stages of illness and their families) showed greater closeness and higher betweenness centrality.</p><p><strong>Conclusions: </strong>These factors share a common theme of defining goals and care objectives for end-of-life patients in intensive care. It can be concluded that these factors may be central to actions aimed at enhancing the quality of care provided, supporting organisational strategies, and establishing clear protocols and processes for such care.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 8","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Online palliative care education and spiritual care perceptions among Iranian nursing students: A quasi-experimental study.","authors":"Nahid Sharifan, Mohamad Shayan Sajjadi, Mohamad Reza Mansoorian, Moosa Sajjadi","doi":"10.12968/ijpn.2025.0074","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0074","url":null,"abstract":"<p><strong>Background: </strong>Spiritual care is often underprovided in nursing practice due to insufficient education and training. Online education may offer an effective strategy to bridge this gap.</p><p><strong>Aims: </strong>To determine the effect of an online palliative care education programme on the perception of spirituality and spiritual care among Iranian nursing students.</p><p><strong>Methods: </strong>This two-group, quasi-experimental study was conducted on 60 nursing students enrolled in the sixth semester or higher at Gonabad University of Medical Sciences, Iran. They were selected using convenience sampling based on the study inclusion criteria, and were allocated into intervention and control groups. Students in the intervention group participated in four educational sessions about palliative care. Data were collected using a demographic questionnaire and spirituality and spiritual care measurement scale. The data were analysed using SPSS version 20 by independent and paired t-tests, Chi-square and analysis of covariance at the significance level of 0.05.</p><p><strong>Findings: </strong>The two groups were comparable with respect to demographic characteristics (<i>P</i>>0.05). However, significant baseline differences were observed in spirituality, spiritual care and overall attitude scores. To address these baseline imbalances, analysis of covariance was performed, adjusting for pre-intervention scores. The results of analysis of covariance demonstrated that the educational intervention had a significant and substantial effect on students' perceptions of spirituality and spiritual care after controlling for baseline differences (<i>P</i><0.001).</p><p><strong>Conclusions: </strong>Participation in an online palliative care education programme may be associated with improved perceptions of spirituality and spiritual care among nursing students.</p><p><strong>Implications for practice: </strong>Integrating structured online training into undergraduate nursing curricula may better prepare future nurses to deliver holistic patient-centred care.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 8","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' perceptions and experiences of palliative care for patients with cancer.","authors":"Kofi Gyasi Agyei, Sarah Ennin, Osei Owusu-Akyeaw, Jacob Deri Dogtir, Riddick Michael Adjei, Ahmed-Rufai Yahaya, Emmanuel Dapilah, Ernestina Armah","doi":"10.12968/ijpn.2025.0106","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0106","url":null,"abstract":"<p><strong>Background: </strong>Nurses are an integral part of the multidisciplinary team and are ideally positioned to offer palliative care services.</p><p><strong>Aim: </strong>To explore nurses' perceptions and experiences in providing palliative care to patients with cancer.</p><p><strong>Methods: </strong>This study employed a descriptive qualitative research design, with data collected through in-depth interviews. A total of 13 nurses participated in the interviews, which were transcribed verbatim. Thematic analysis was performed using ATLAS.ti software, adopting an inductive approach.</p><p><strong>Findings: </strong>Four major themes were identified: (1) perceptions of nurses, (2) experiences of nurses, (3) roles of nurses and (4) challenges in providing palliative care.</p><p><strong>Conclusions: </strong>Nurses play an integral role in palliative care, but face challenges that constrain their services. Key stakeholders should support nurses by providing them with adequate resources and training in palliative care.</p><p><strong>Implications for practice: </strong>Healthcare systems should support nurses' wellbeing through sustainable strategies such as resilience training, peer support, flexible work arrangements and culturally appropriate coping mechanisms, while integrating palliative care into routine oncology services with clear referral pathways.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 8","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Listening beyond words.","authors":"Sonja McIlfatrick","doi":"10.12968/ijpn.2026.0089","DOIUrl":"https://doi.org/10.12968/ijpn.2026.0089","url":null,"abstract":"","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 7","pages":"319-320"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extended reality interventions for cognitive and psychosocial rehabilitation in patients with cancer: an integrative review.","authors":"Bernadette D Quiambao, Melody Crispina Morales, Roison Andro Narvaez, Cliff Richard Mabasa, Erella Palo, Vanessa Lagman Langcay, Marco Buenaventura, Razzel Louise Gatdula, Marilane Ferrer","doi":"10.12968/ijpn.2025.0119","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0119","url":null,"abstract":"<p><strong>Background: </strong>People living with and beyond cancer frequently experience cognitive and psychosocial difficulties, yet structured rehabilitation remains limited. Extended reality offers immersive and adaptable tools that may help address these supportive care needs.</p><p><strong>Aim: </strong>To synthesise evidence on extended reality interventions for cognitive and psychosocial rehabilitation in cancer care.</p><p><strong>Methods: </strong>An integrative review was conducted using Whittemore and Knafl's framework. Literature published between 2014 and 2025 was identified through searches of major electronic databases and manual reference screening. Study quality was appraised using the Mixed Methods Appraisal Tool, and findings were synthesised thematically.</p><p><strong>Results: </strong>A total of 14 studies met the inclusion criteria. Two primary functional domains emerged: cognitive rehabilitation, including improvements in attention, executive function and psychosocial rehabilitation, including reductions in anxiety, depression, fatigue and improvements in quality of life. Across studies, extended reality interventions-predominantly virtual reality-were generally feasible, well accepted and associated with high engagement and minimal adverse effects, although methodological heterogeneity remained substantial.</p><p><strong>Conclusions: </strong>Extended reality, particularly virtual reality, shows promise as a feasible and acceptable approach to supporting cognitive and psychosocial rehabilitation in cancer care.</p><p><strong>Implications for practice: </strong>Extended reality, particularly virtual reality, may be considered as a complementary approach to support cognitive and psychosocial rehabilitation in people living with and beyond cancer. Clinicians may consider integrating extended reality into supportive cancer care while recognising that further high-quality evidence is needed to inform routine clinical implementation.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 7","pages":"345-356"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the role of telenursing in meeting the needs of palliative care patients and symptom outcomes.","authors":"Gassan Abudari, Kim Sadler, Steven Callaghan, Safa Arishi, Bashayr Albayjan","doi":"10.12968/ijpn.2025.0064","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0064","url":null,"abstract":"<p><strong>Background: </strong>Palliative care aims to improve quality of life for patients and families facing serious illness, yet access is often limited by workforce shortages, geographic barriers and patient preferences. Telenursing may address these challenges by enhancing access to care, symptom management, and support for patients and caregivers.</p><p><strong>Aim: </strong>Guided by the Donabedian model, this study evaluated a customer relationship management-enabled telenursing intervention in a Saudi tertiary hospital by describing users and care delivery patterns, assessing changes in symptom severity, and exploring the relationship between medication interventions and symptom improvement.</p><p><strong>Methods: </strong>A single-group pre-post design was used to assess changes in symptom severity following the intervention. This real-world approach was appropriate for end-of-life care settings where randomisation and control groups are difficult to implement; findings are therefore exploratory.</p><p><strong>Results: </strong>Telenursing may improve symptom management and care coordination in palliative care, particularly for pain, insomnia and constipation.</p><p><strong>Conclusions: </strong>Structured remote symptom assessment can help identify unmet needs and support responsive care, although controlled multi-centre studies are needed to confirm effectiveness and sustainability.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 7","pages":"321-333"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with the implementation of advance care planning among nurses caring for patients with heart failure: A cross-sectional survey in Japan.","authors":"Yuya Tamaki, Haruno Nagata, Terumi Hirata, Shuichiro Ikemiya, Kenya Kusunose, Yusuke Ohya, Koji Yonemoto","doi":"10.12968/ijpn.2025.0082","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0082","url":null,"abstract":"<p><strong>Background: </strong>Multiple barriers and facilitators affect nurses' implementation of advance care planning for patients with heart failure. However, differences in nurses' perceptions according to their experience with advance care planning remain unclear.</p><p><strong>Aims: </strong>This study examined factors associated with advance care planning implementation among Japanese nurses.</p><p><strong>Methods: </strong>In this cross-sectional study, 1250 cardiology hospitals were selected using prefecture-based stratified sampling. Nurses were classified into three groups according to their experience with advance care planning, and factors associated with the implementation of advance care planning were analysed.</p><p><strong>Findings: </strong>A total of 238 nurses responded. Participation in workshops and training sessions had the strongest influence on advance care planning implementation. With greater experience of advance care planning, items related to anxiety were more prevalent than those related to reduction.</p><p><strong>Conclusions: </strong>Establishing an educational framework that reflects the characteristics of Japanese nurses is essential for promoting its implementation. In addition, a multidisciplinary approach is recommended to address nurses' anxiety.</p><p><strong>Implications for practice: </strong>Providing structured education and training on advance care planning may enhance nurses' confidence and implementation of advance care planning in patients with heart failure. Multidisciplinary support should also be incorporated to address nurses' anxiety and facilitate the integration of advance care planning into routine clinical practice.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 7","pages":"334-344"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with psychological distress among Filipino women with breast cancer.","authors":"Gil P Soriano, Justine Robert L Ofracio, Mars Ian A Silud, Kathyrine A Calong Calong","doi":"10.12968/ijpn.2025.0124","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0124","url":null,"abstract":"<p><strong>Background: </strong>In the Philippines, breast cancer is the primary cause of cancer-related death and the most common cancer among women worldwide. In addition to its physical effects, the condition significantly affects psychological health, with loneliness, uncertainty and low social support being associated with emotional distress.</p><p><strong>Aim: </strong>The purpose of this study was to examine the associations of intolerance of uncertainty, social support and loneliness with psychological distress among Filipino women with breast cancer.</p><p><strong>Methods: </strong>Using a descriptive-correlational design, a total of 121 patients with breast cancer were recruited from support groups and organisations in Metro Manila. Standardised instruments were used to collect the data. Descriptive and inferential statistics were used to analyse the data.</p><p><strong>Results: </strong>Participants reported moderate to high levels of anxiety, stress and depression, along with moderate to high levels of intolerance of uncertainty and loneliness. Psychological distress variables were positively associated with intolerance of uncertainty and loneliness (<i>P</i><.001), whereas social support was negatively associated with these outcomes (<i>P</i><.001).</p><p><strong>Conclusions: </strong>Psychological distress among women with breast cancer was associated with intolerance of uncertainty, loneliness and social support. These findings suggest that psychosocial factors may be relevant considerations in psychosocially informed cancer care for women with breast cancer.</p><p><strong>Implications for practice: </strong>Routine assessment of psychological distress, intolerance of uncertainty, loneliness and available social support may help identify women with breast cancer who are at risk of poor psychological outcomes. Integrating psychosocial assessment and supportive interventions into oncology care may promote more comprehensive, patient-centred care.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 7","pages":"358-366"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering end-of-life choices: evaluation of an innovative model of integrated palliative care.","authors":"Gammanage Malkanthi Hewage, Amanda Fischer, Phillip Good","doi":"10.12968/ijpn.2025.0025","DOIUrl":"https://doi.org/10.12968/ijpn.2025.0025","url":null,"abstract":"<p><strong>Background: </strong>Recognising patients' preferences for end-of-life care and enabling people to die in their preferred location is critical to effective palliative care delivery.</p><p><strong>Aim: </strong>To evaluate patients' end-of-life choices for death and consumer satisfaction with support provided.</p><p><strong>Methods: </strong>This single-centre, prospective, cohort study included patients that accessed a private health insurance funded community palliative care programme.</p><p><strong>Findings: </strong>Over 5 years (August 1, 2016 to July 31, 2021) of the 779 patients admitted to the community specialist palliative care service, 608 died. Among those who died, 39.5% died at home, 40.1% in an in-patient palliative care unit and 20.4% elsewhere. Overall, 85.7% achieved their preferred place of death, with high rates of adherence across different settings: 79.0% for home, 91.5% for in-patient palliative care unit and 100% for acute in-patient setting. Satisfaction with services was high.</p><p><strong>Conclusions: </strong>Key components to achieving a high preferred place of death include enhanced in-home support, case-managed community specialist palliative care and dedicated access to multidisciplinary team members.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 6","pages":"306-314"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How the introduction of a specialist triage tool in a community palliative care setting impacts referral to review time and staff wellbeing.","authors":"Sara Smith, Katy Menear","doi":"10.12968/ijpn.2026.0005","DOIUrl":"https://doi.org/10.12968/ijpn.2026.0005","url":null,"abstract":"<p><strong>Background: </strong>At Walsall Healthcare NHS Trust, high referral volumes were overwhelming the community palliative care team, leading to delays in triage and patient contact alongside existing workloads. To improve this, a triage nurse role was introduced to assess and allocate new referrals, supported by a triage tool. This streamlined the review of clinical information and enabled timely telephone contact and appropriate clinical nurse specialist visits.</p><p><strong>Aims: </strong>To enhance patient care by systematically evaluating clinical performance and attitudes towards the newly implemented triage tool, as well as assessing the team's wellbeing with a focus on reducing team pressure and redirecting the triage process.</p><p><strong>Method: </strong>This clinical audit evaluated a service improvement initiative using a mixed-methods approach. An anonymous questionnaire was sent to the clinical nurse specialist and administrative teams to gather views on the triage tool. An audit of referral-to-first-contact times was also conducted using 20 randomly selected patient records (10 pre- and 10 post-implementation) from the team database. The audit was carried out by the care group quality nurse to reduce bias. Pre- and post-implementation groups were comparable, with no other significant service changes during the period.</p><p><strong>Results: </strong>Results showed that using the triage tool improved the time from referral received to first patient contact, and supported team wellbeing through the process of clearly defining roles and responsibilities.</p><p><strong>Conclusion: </strong>The implementation of a triage tool has enabled a more efficient and systematic method for prioritising patient referrals and allocating workload and resources equitably.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"32 6","pages":"270-274"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}