Issue 1 Volume 7 (2026)

The Relationship between Intensive Care Nurses’ Perceptions of a Good Death and End-of-Life Care Attitudes: A Cross-Sectional Study
The Relationship between Intensive Care Nurses’ Perceptions of a Good Death and End-of-Life Care Attitudes: A Cross-Sectional Study
Downloads: 57
Views: 662
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

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Experiences of Advance Care Planning Among Patients, Family Caregivers, and Healthcare Providers: A Qualitative Study
Experiences of Advance Care Planning Among Patients, Family Caregivers, and Healthcare Providers: A Qualitative Study
Downloads: 38
Views: 598
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

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Clinical Characteristics and Management of Recurrent Low-Risk Abdominal Pain in the Emergency Department
Clinical Characteristics and Management of Recurrent Low-Risk Abdominal Pain in the Emergency Department
Downloads: 47
Views: 600
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

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Ethical Issues in Palliative Care for Patients with Chronic Diseases: A Systematic Review of Nursing Perspectives
Ethical Issues in Palliative Care for Patients with Chronic Diseases: A Systematic Review of Nursing Perspectives
Downloads: 50
Views: 813
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

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Identifying the Transition to the Palliative Phase in Patients with COPD and Heart Failure in Primary Care: A Mixed-Methods Study
Identifying the Transition to the Palliative Phase in Patients with COPD and Heart Failure in Primary Care: A Mixed-Methods Study
Downloads: 39
Views: 424
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

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Exploring the Acceptability of Lay-Carer Administration of Anticipatory Injectable Medications in Home-Based End-of-Life Care
Exploring the Acceptability of Lay-Carer Administration of Anticipatory Injectable Medications in Home-Based End-of-Life Care
Downloads: 35
Views: 438
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

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Characterizing Phase of Illness in Specialist Palliative Home Care for Patients with Cancer: A Mixed-Methods Study
Characterizing Phase of Illness in Specialist Palliative Home Care for Patients with Cancer: A Mixed-Methods Study
Downloads: 32
Views: 352
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

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Sex Representation in CPR Training Manikins and Its Impact on Resuscitation Performance: A Randomized Crossover Simulation Study
Sex Representation in CPR Training Manikins and Its Impact on Resuscitation Performance: A Randomized Crossover Simulation Study
Downloads: 55
Views: 789
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

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In Situ CPR Coaching Improves Chest Compression Quality: A Multicenter Randomized Simulation Study
In Situ CPR Coaching Improves Chest Compression Quality: A Multicenter Randomized Simulation Study
Downloads: 29
Views: 435
Written by Fatou Ndiaye   Published on Issue 1 Vol 7, 2026
A prior simulation-based investigation among medical professionals using manikins demonstrated that a cardiopulmonary resuscitation (CPR) coaching strategy yielded notable improvements in CPR quality compared with real-time audiovisual feedback from a defibrillator monitor. The objective of the current research was to determine whether these outcomes could be replicated in an expanded, multicenter study involving first responders. A multicenter, block-randomized trial was conducted among French

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Blood Pressure Trajectories Following Prehospital Adrenaline Infusion in Post-ROSC Out-of-Hospital Cardiac Arrest
Blood Pressure Trajectories Following Prehospital Adrenaline Infusion in Post-ROSC Out-of-Hospital Cardiac Arrest
Downloads: 33
Views: 319
Written by Helena Costa   Published on Issue 1 Vol 7, 2026
Hypotension following the return of spontaneous circulation (ROSC) occurs frequently and correlates with poorer patient outcomes, yet the immediate circulatory reaction to prehospital adrenaline administration remains inadequately characterized. This study investigated minute-by-minute blood pressure pathways surrounding the recorded commencement of adrenaline infusions in patients with out-of-hospital cardiac arrest (OHCA) who attained stable ROSC and retained a palpable pulse upon emergency de

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Prospective Comparison of Four Noninvasive Bedside Predictors of Mortality in Sepsis and Septic Shock
Prospective Comparison of Four Noninvasive Bedside Predictors of Mortality in Sepsis and Septic Shock
Downloads: 33
Views: 297
Written by Burak Demir   Published on Issue 1 Vol 7, 2026
Sepsis stands as a critical bodily dysfunction triggered by infection and remains a primary threat to public health worldwide. Detecting it early is frequently hampered by its vague initial presentation. While simple bedside metrics—including the shock index, diastolic shock index, capillary refill time (CRT), and mottling score (MS)—allow clinicians to monitor blood flow stability and estimate survival odds, their relative accuracy has not been directly compared. This paper analyzes how effecti

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From the United Kingdom to Denmark: Translating and Adapting the ReSPECT Process for Emergency Care Planning
From the United Kingdom to Denmark: Translating and Adapting the ReSPECT Process for Emergency Care Planning
Downloads: 39
Views: 331
Written by Rebecca Stone   Published on Issue 1 Vol 7, 2026
Within the UK, the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) framework and its associated document facilitate collaborative decision-making and advance care planning; however, ReSPECT’s implementation remains confined to the UK. This project sought to translate the original English ReSPECT document into Danish and to conduct a pilot evaluation of this adapted version across diverse clinical environments. The translation of the ReSPECT document into Danish was conducted

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Resilience and Attitudes toward Death among Nursing Professionals: A Cross-Sectional Study
Resilience and Attitudes toward Death among Nursing Professionals: A Cross-Sectional Study
Downloads: 37
Views: 501
Written by Mina Takahashi   Published on Issue 1 Vol 7, 2026
Nursing professionals regularly care for patients facing the end of life, yet a significant portion report feeling insufficiently equipped to handle the emotional burdens of this work. Individual orientations toward death affect both the standard of end-of-life care provided and the psychological health of the clinicians themselves. Although resilience has been posited as a key protective resource, its precise function in determining attitudes toward death among nursing staff has not been thorou

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Turkish Adaptation and Psychometric Evaluation of the Care Competency Scale for Family Caregivers in Home Palliative Care
Turkish Adaptation and Psychometric Evaluation of the Care Competency Scale for Family Caregivers in Home Palliative Care
Downloads: 43
Views: 505
Written by Mariana Lopes   Published on Issue 1 Vol 7, 2026
The primary goal of palliative care is to improve the quality of life of individuals confronting terminal medical conditions, alongside supporting their families. In home care settings, relatives typically assume the core caregiving responsibilities, making it paramount to verify their capacity to provide care safely and effectively. This investigation was designed to culturally translate the Care Competency Scale for Family Caregivers in Home Palliative Care (CCSHPC) into Turkish and analyze it

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Issue 2 Volume 7 - 2026