Written by Scarlett Hill
Published on Issue 2 Vol 6, 2025
Although previous studies using single research methods have examined the impact of simulated interprofessional education (SIPE), a comprehensive understanding of its effects remains limited. Additionally, many studies lack a theoretical framework to guide teaching design, reducing methodological rigor. This study aimed to investigate the effects of a 3P theory–based SIPE model on the “Clinical Critical Thinking Training” course using a convergent mixed-methods approach, providing evidence to in
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Written by Annie Marcela Vivares-Builes
Published on Issue 2 Vol 6, 2025
A large proportion of people spend their final year of life at home, with many expressing a preference to die there. However, this often requires access to care beyond normal working hours. Out-of-hours palliative services, typically delivered by multidisciplinary teams that include Health Care Assistants (HCAs), play a vital role in supporting patients and families. Despite this, there is limited understanding of how HCAs contribute to these services and influence patient care. This study aims
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Written by Helena Novak
Published on Issue 2 Vol 6, 2025
In-hospital cardiac arrest remains associated with high mortality, and effective cardiopulmonary resuscitation (CPR) is critical for patient survival. Conventional instructor-led (IL) CPR courses demand considerable resources, whereas automated, feedback-driven skill stations (SS) may offer a practical alternative for frequent skills maintenance. This study investigated whether CPR performance differs between IL and SS training approaches. One hundred twenty-nine hospital nurses were randomized
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Written by Tessa Wright
Published on Issue 2 Vol 6, 2025
Regional cerebral oxygen saturation (rSO₂) offers a non-invasive indicator of brain perfusion. Despite its potential, the dynamics of rSO₂ during pre-hospital management of out-of-hospital cardiac arrest (OHCA) patients remain poorly understood. This study explored whether different temporal patterns of rSO₂ were linked to clinical outcomes. Between June 2013 and December 2019 in Osaka City, Japan, emergency life-saving technicians (ELTs) used portable devices to measure rSO₂ in OHCA patients. S
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Written by Leila Moussa
Published on Issue 2 Vol 6, 2025
Many out-of-hospital cardiac arrests have virtually no chance of meaningful survival, yet current practice often involves transporting these patients to hospital, where death is subsequently pronounced. This process generates potentially avoidable resource utilization and costs. Termination of Resuscitation (TOR) protocols empower paramedics to discontinue resuscitation efforts at the scene in cases deemed medically futile. This study quantifies the differences in resource-intensive events and o
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Written by Munkhzul Batbayar
Published on Issue 2 Vol 6, 2025
To conduct a systematic review and meta-analysis evaluating whether CPR guided by real-time feedback or post-event (debriefing-based) feedback improves CPR quality metrics or patient outcomes compared with standard unguided CPR in adult out-of-hospital cardiac arrest (OHCA). In August 2020, we searched PubMed, Embase, CINAHL, and the Cochrane Library for studies published studies after 2010 involving adult OHCA. Key CPR quality outcomes were chest compression depth, rate, and fraction. Critical
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Written by Aizada Saparbek
Published on Issue 2 Vol 6, 2025
Dispatching lay volunteers to suspected out-of-hospital cardiac arrest (OHCA) can enhance early resuscitation efforts, yet the experience may also influence volunteers’ psychological well-being. This study explored how citizen responders perceived their psychological state during the first hours after being mobilized to an OHCA event. In the Capital Region of Denmark, a smartphone platform was used to alert trained and untrained volunteers to initiate cardiopulmonary resuscitation. All individua
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Written by Bruno Martins
Published on Issue 2 Vol 6, 2025
Individuals facing terminal illness commonly endure considerable physical and mental distress. This suffering influences the patients directly as they cope with the pain of their disease, as well as their family members, who are impacted by the patient’s condition and related medical choices. In addition, investigating how patients and their families perceive a “good death” is key to reflecting on the meaning of life and to designing appropriate treatment or care approaches (such as advance care
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Written by Maria Gonzalez
Published on Issue 2 Vol 6, 2025
Within intensive care units (ICUs), close attention to symptom management and clear awareness of therapeutic goals are fundamental when caring for patients with life-threatening conditions. These demands illustrate why embedding palliative care into ICU practice is increasingly important. Although it carries clear benefits, numerous obstacles still prevent the seamless incorporation of palliative care approaches in this setting. In particular, a substantial proportion of healthcare professionals
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Written by Jinwoo Park
Published on Issue 2 Vol 6, 2025
Announcing a patient’s death is a highly sensitive occasion that can leave a lasting imprint on how families cope with their loss; nevertheless, the exact ways physicians should adjust their approach during this moment are still not well defined. To determine if missing specific actions by the physician correlated with families’ feeling that the death pronouncement process needed to be improved for patients with advanced cancer receiving care in palliative care units (PCUs). This research was a
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Written by Oliver Grant
Published on Issue 2 Vol 6, 2025
Amyotrophic lateral sclerosis (ALS) remains an incurable and ultimately fatal condition that frequently involves a heavy symptom load during the terminal phase. Relatively little is currently known regarding nurses’ lived experiences in this setting. To investigate the experiences of nurses who provide care to individuals with ALS during the end-of-life period. Semi-structured individual interviews were carried out between February and August 2022 with nurses practicing in Quebec, Canada. All pa
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Written by Ahmed El-Kholy
Published on Issue 2 Vol 6, 2025
Even though palliative care (PC) training is now more commonly included in medical school curricula, several obstacles continue to limit the creation and rollout of high-quality educational initiatives. Internet-based distance learning supported by information technology (IT-DL) has the potential to build essential PC knowledge among students; however, questions remain regarding the most effective ways to design these curricula and to implement well-structured learning experiences that help stud
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Written by Sanjay Kulkarni
Published on Issue 2 Vol 6, 2025
England’s South-west Peninsula is predominantly rural, contains a large number of residents aged 65+, and includes several areas of rural and coastal deprivation. People living in rural and low-income areas often face significant disadvantages at the end of life. Yet, there is a very limited understanding of the specific support needs of rural, coastal, and low-income communities. To identify effective ways of building community support for good dying and grieving, a regional multi-sector resear
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Written by Hiroshi Nakamura
Published on Issue 2 Vol 6, 2025
Modern therapies have substantially extended survival for patients with metastatic renal cell carcinoma (mRCC). However, individuals with advanced disease frequently experience intense symptoms. Research has demonstrated that incorporating palliative care early into cancer treatment can enhance quality of life and potentially increase overall survival. As a result, guidelines suggest initiating palliative care for patients presenting with complex symptoms as soon as the disease reaches an advanc
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Written by James Walker
Published on Issue 2 Vol 6, 2025
Homeless individuals typically suffer from elevated levels of medical complexity, multiple co-existing conditions, and increased mortality risks. They also confront major obstacles when seeking palliative care. Among structurally disadvantaged groups needing end-of-life support, these obstacles intensify, creating significant challenges for patients and clinicians alike and carrying notable consequences for health equity. This study examined firsthand accounts of palliative care clinicians who s
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Written by Carlos Ramirez
Published on Issue 2 Vol 6, 2025
Lebanon ranks among the smallest nations globally, covering a total area of 10,452 square kilometers. At present, male life expectancy in the country is around 76.6 years, while female life expectancy reaches approximately 79.3 years. It is widely acknowledged that extended longevity often entails chronic conditions, major illnesses, and greater demands on healthcare resources. Given the rapid growth of the aging population and the steadily rising life expectancy, a corresponding increase in age
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Written by Claire Dupont
Published on Issue 2 Vol 6, 2025
Screening individuals via patient-reported outcome tools helps uncover important palliative care issues. The Integrated Palliative Care Outcome Scale (IPOS) was originally designed in the United Kingdom to serve this function. However, measures created in one healthcare system often face challenges when applied in different local environments. Our team had earlier tested the validity and reliability of IPOS in our cardiology unit. Despite this, questions remain about the specific elements that w
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