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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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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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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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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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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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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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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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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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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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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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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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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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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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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Written by Sara Ben Youssef
Published on Issue 1 Vol 7, 2026
A significant number of patients undergoing specialist community palliative care experience emergency department presentations or unplanned hospitalizations. Identifying the underlying drivers of these events is critical for designing person-centered solutions. To determine the underlying causes of unplanned hospitalizations for individuals enrolled in specialist community palliative care services. A scoping review registered with PROSPERO (CRD42024495016) was conducted and reported in accordanc
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Written by Ananya Sen
Published on Issue 1 Vol 7, 2026
Using the Theoretical Domains Framework (TDF), this systematic investigation aims to analyze and integrate current data on impediments and facilitators to integrating spiritual care within palliative programs for terminal populations. A comprehensive search was executed across six digital repositories (PubMed, Embase, CLNAHL, Web of Science, ProQuest, and the Cochrane Library) for literature published before July 2025. This review incorporated both qualitative and quantitative papers detailing h
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Written by Veronica Alvarez
Published on Issue 1 Vol 7, 2026
The objective of this investigation was to determine whether surrogate decision-makers’ (SDMs) life orientation predicts their level of involvement in advance care planning (ACP). Furthermore, we examined whether this relationship is sequentially mediated by perceived social support and illness-related uncertainty regarding the patient’s condition. A cross-sectional survey was administered to a sample of 276 adult SDMs, including patients with advanced-stage cancer, at a medical center in China.
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Written by Yasmin Farouk
Published on Issue 1 Vol 7, 2026
Around the world, the designations, functions, and training of unregulated healthcare staff remain unstandardized. Nevertheless, a growing body of evidence indicates that these workers are vital to the delivery of palliative services. In the United Kingdom, a Health Care Assistant (HCA) is an unregulated member of the workforce who delivers patient support under the direct oversight of registered practitioners across diverse medical environments. Although the availability of community-based, out
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