Written by Michelle Tan
Published on Issue 1 Vol 7, 2026
Intensive care environments are characterized by high levels of technical and emotional complexity, where nursing staff routinely encounter patient mortality. Throughout this process, the quality of care delivered is directly shaped by nurses’ viewpoints on what constitutes a good death, as well as their overall attitudes and practical behaviors regarding end-of-life care. Investigating how these components interact is critical for advancing the standards of holistic end-of-life care. A descript
Written by Nora Schneider
Published on Issue 1 Vol 7, 2026
Advance care planning (ACP) helps ensure that medical care respects patients’ personal preferences while enhancing the quality of end-of-life care. However, utilization remains restricted and is routinely prompted by medical emergencies, especially within collectivist cultures where family interconnectedness and emotional resilience influence engagement. There is still limited empirical research exploring how patients, their relatives, and clinicians experience ACP within non-Western medical env
Written by Ji-eun Choi
Published on Issue 1 Vol 7, 2026
The primary driver for emergency department (ED) consultations is abdominal pain. A significant portion of these individuals present with cyclical symptoms linked to non-critical etiologies, such as gut-brain interaction disorders. This preliminary investigation aimed to outline the clinical profiles of patients experiencing recurrent, low-risk abdominal pain, focusing on pain intensity, clinical management, biopsychosocial elements, opioid utilization, and 30-day readmission frequencies. Adult
Written by Aisha Bello
Published on Issue 1 Vol 7, 2026
The global rise in chronic conditions requiring prolonged management underscores the urgent need for optimized palliative care. Although nursing professionals are central to delivering this care, they routinely face ethical dilemmas, complex clinical decisions, and occupational burnout. This systematic review synthesizes and groups international data regarding nurses’ ethical viewpoints, dilemmas, and systemic interventions within both institutional hospital units and home-care environments. The
Written by Laura Jensen
Published on Issue 1 Vol 7, 2026
Locating the precise window when patients suffering from chronic obstructive pulmonary disease (COPD) or heart failure (HF) enter the palliative stage remains a persistent clinical obstacle. Detecting this transition early is vital for mapping patient requirements and launching holistic supportive care, yet such recognition often comes too late. Because the majority of individuals diagnosed with HF and COPD remain at home for most of their illness, identifying these shifts within community care
Written by Karolina Novak
Published on Issue 1 Vol 7, 2026
Global data indicate that the majority of individuals prefer receiving end-of-life care and dying in their own homes, provided the care is of high quality. Nonetheless, this objective is frequently obstructed by systemic and logistical barriers. Palliate represents a nurse-guided intervention designed to overcome these obstacles. It equips lay-carers to administer end-of-life subcutaneous injections to their relatives by providing targeted training, instructional materials, and structured docume
Written by Tatiana Volkov
Published on Issue 1 Vol 7, 2026
Information regarding the ‘Phase of Illness’ within specialized home-based palliative care remains unavailable in Switzerland. This study aimed to examine how oncological patients and their informal caregivers experience burden, needs, and associated resource utilization across each specific ‘Phase of Illness’ to establish a comprehensive profile of every phase’s unique attributes. A convergent parallel mixed-methods approach was utilized. For the quantitative component (comprising 91 adult onco
Written by Liam O’Connor
Published on Issue 1 Vol 7, 2026
Female patients face a significantly lower probability of receiving bystander or in-hospital cardiopulmonary resuscitation (CPR) than male patients, contributing to poorer post-arrest survival outcomes. Traditional resuscitation pedagogy relies heavily on training simulators that replicate lean, white, male anatomy. This project analyzes whether the physical sex characteristics of a training manikin affect clinical performance during simulated cardiac emergencies. We designed a randomized, prosp
Written by Julia Berg
Published on Issue 1 Vol 7, 2026
Cancer-related fatigue is a multidimensional symptom that can remain severe despite rest and can substantially affect daily function in advanced cancer. This conceptual article examines how inflammatory and metabolic signals can be integrated with experienced fatigue in palliative and oncology care without treating biomarkers as direct measures of symptom severity. The synthesis supports a conditional interpretation: inflammatory biomarkers may strengthen or weaken particular clinical explanatio
Written by Peter Novak
Published on Issue 1 Vol 7, 2026
Functional independence in older adults receiving palliative care can deteriorate through interacting changes in skeletal muscle, nutritional status, disease burden, frailty, treatment exposure, and the environment in which daily activities are performed. Sarcopenia is therefore clinically important, although its meaning cannot be reduced to low muscle quantity or interpreted independently of nutritional and functional context. This conceptual article applies a functional-reserve perspective to
Written by Grace Okafor
Published on Issue 1 Vol 7, 2026
Nurses caring for people with advanced illness face decisions in which patient preferences, expected benefit, treatment burden, family expectations, professional duties, and organizational realities may conflict. Ethical difficulty alone, however, does not establish moral distress. This article develops an ethical decision and moral-resilience account that separates the morally salient event, the nurse’s appraisal, practical capacity to speak or act, criterion-based moral distress, persistence a
Written by Aisha Rahman
Published on Issue 1 Vol 7, 2026
Transitions from hospital to community palliative services expose patients and families to a distinctive continuity problem. Clinical information may be transferred while responsibility, follow-through, relational knowledge, and mechanisms for resolving uncertainty remain fragmented. This conceptual article develops a cross-setting continuity framework for examining that problem. It integrates informational, management, and relational continuity with clinical handover content, accountability tra
Written by Thomas Weber
Published on Issue 1 Vol 7, 2026
Sleep disruption in inpatient palliative settings reflects the interaction of symptoms, patient vulnerability, ward conditions, clinical surveillance, medication, alarms, equipment, and unpredictable care. This conceptual article proposes a night-time nursing framework based on three judgments: susceptibility to disturbance, cumulative nocturnal burden, and the necessity and modifiability of each interruption. It distinguishes care that is immediately necessary, care that is required overnight b
Written by Michael Osei
Published on Issue 1 Vol 7, 2026
Extreme heat creates a distinctive safety problem in home-based palliative care because environmental exposure occurs within a setting where physiological reserve, oral intake, cognition, mobility, medication effects, caregiver availability, housing conditions, and goals of care can all modify what constitutes an appropriate response. This conceptual article examines heat exposure and hydration challenges through a climate-health vulnerability and preparedness framework. The analysis integrates
Written by Julia Berg
Published on Issue 1 Vol 7, 2026
Family caregivers increasingly undertake symptom observation, medication administration, personal care, nutrition and hydration support, and communication with professionals while caring for people with advanced illness at home. Their ability to perform these responsibilities cannot be understood from information provision alone. This conceptual article examines family caregiver preparedness as a multidimensional and changing condition shaped by what caregivers know, what they can do, how emotio
Written by Peter Novak
Published on Issue 1 Vol 7, 2026
Telepalliative care can reduce geographic separation from specialist palliative services, yet technical availability does not guarantee usable, acceptable, equitable, or sustainable care. Rural residence, digital resources, workforce capacity, care organization, and patient preferences may alter whether remote access translates into meaningful service delivery. To synthesize evidence on telepalliative nursing for rural and underserved populations while separating access and reach, acceptability,
