End-of-life care for persons living with dementia in home hospice relies heavily on coordination between family care partners (FCPs) and clinicians (e.g., hospice social workers and nurses). FCPs and clinicians have reported support and knowledge gaps in end-of-life dementia care. Interventions are needed to improve FCPs’ support and clinicians’ educational gaps.

A pilot randomized controlled trial was designed to examine implementation outcomes for a dementia-focused end-of-life intervention for FCPs (n = 37) and clinicians (n = 15). Data on survey completion and acceptability were collected at baseline, during 4 follow-up visits, and at the conclusion of the study.

Twenty-eight (75%) caregivers completed the post-study survey, and 10 (27%) reported using the structured worksheet. Thirteen (87%) clinicians completed the post-training survey, 8 (53%) completed the post-study survey, and 8 (100%) used the worksheet. Clinicians (n = 8) were satisfied or highly satisfied with the instructional videos, and half (50%) used the information frequently with patients. Both groups reported the worksheet helpful, easy to use, and satisfactory, though clinicians rated helpfulness slightly higher (mean = 3.88 vs. 3.70 for FCPs). Clinicians liked the worksheet’s structured guidance and the enhanced collaboration.

This study provides preliminary evidence for implementation outcomes of a dementia-focused end-of-life intervention in home hospice. Findings suggest the intervention can be implemented in a hospice setting, with moderate worksheet uptake and perceived value among FCPs and clinicians.

To demonstrate the application of the Theoretical Domains Framework (TDF) and behaviour change theory to identify behaviour change techniques for a complex intervention targeting dementia care by general practice nurses (GPNs).

GPNs have an important role in dementia care but require support to translate evidence-based recommendations into routine practice. Theory-informed implementation strategies may help facilitate this change.

The target behaviour was derived from a Delphi study identifying national dementia care recommendations relevant to GPNs. Barriers to operationalizing the target behaviour were identified from previous research and then coded independently by two authors using the TDF. Identified domains were then mapped to behaviour change techniques using the Theory and Techniques Tool.

The specified behaviour was: ‘the general practice nurse will use language that is accurate, respectful, inclusive, empowering and non-stigmatizing when communicating with people living with dementia within each patient encounter in general practice’. Seven TDF domains were identified, including ‘knowledge’, ‘skills’ and ‘social influences’, mapping to 22 behaviour change techniques, including ‘instruction on how to perform the behaviour’ and ‘social support’. This theory-informed approach identifies practical techniques for developing interventions to improve GPN communication with people living with dementia and provides a method that could be applied to other dementia care behaviours in general practice.

The growing demand for palliative care (PC) services and the need for standardized approaches to patient identification highlight the importance of having validated tools available in Brazilian Portuguese. The absence of culturally adapted instruments may hinder appropriate patient assessment, delay referral to PC services, and ultimately compromise the quality of care delivered. This study aims to translate and adapt the Identification des patients nécessitant des soins PALLiatifs généraux et spécialisés (ID-PALL©) instrument into Brazilian Portuguese.

Herdman’s recommendations were followed, which include conceptual, item, and semantic validation stages. After authorization from the ID-PALL© developers, the translation, synthesis of the translated versions, and back-translation of the instrument were performed. Subsequently, a committee of 11 experts evaluated the semantic, idiomatic, conceptual, and cultural equivalence between the versions, resulting in the development of the pre-final version. To validate the instrument’s content, this version was pre-tested (n = 30) with the participation of physicians and nurses. For statistical analyses, the content validity coefficient (CVC) was calculated.

The cross-cultural adaptation demonstrated the suitability of the translated versions after semantic and cultural adjustments. The pre-final version showed satisfactory comprehension and semantic (CVC), idiomatic (CVC), conceptual (CVC), and cultural (CVC) equivalence, which enabled the development of the final version, named IDPALL-BR. The data obtained in the pre-test demonstrated content validity among the target audience, with a CVC = 0.909.

The Brazilian Portuguese version of this instrument has semantic validity and, therefore, shows potential for screening general and specialized PC needs.

While the World Health Organization established minimum standards for emergency medical teams (EMTs) in 2013, globally recognized competency standards for individual disaster medical responders remain lacking. This study identifies and synthesizes existing competencies, qualifications, and training requirements for physicians, nurses, and paramedics who serve as deployable disaster response specialists on EMTs.

A scoping review was conducted following PRISMA-ScR guidelines. Comprehensive searches of five databases were performed in September, 2024. Gray literature from 22 governmental and non-governmental organizations was also reviewed. Studies addressing competencies or requirements for disaster specialists (physicians, nurses, paramedics) participating in disaster response were included.

Fifty-four studies were included, most being nursing-focused (n = 28, 51.9%). Studies predominantly originated from the United States (n = 15, 27.8%) and China (n = 9, 16.7%). Training program duration ranged from single-day workshops to multi-week courses, with varied delivery formats. Core competencies identified across professions included Incident Command System knowledge, triage skills, communication abilities, personal protective equipment use, psychological first aid, ethical-legal preparedness, clinical-technical skills, and leadership capabilities.

Substantial convergence exists around core disaster medicine competencies, yet significant variability persists in training approaches and duration. The establishment of globally recognized, evidence-based competency standards for individual disaster medical specialists represents a critical next step.

Nurses often serve as the initial responders in cases of cardiac arrest, making cardiopulmonary resuscitation (CPR) competence essential to effective resuscitation. It is therefore important for nursing students to possess sufficient CPR knowledge and skills for future clinical practice.

The aim of this study was to examine whether CPR post-qualification training is needed in maintaining knowledge and skills and if face-to-face or online training is more effective as an educational method in preserving CPR knowledge and skills in nursing students.

A three-group, parallel randomized-controlled, single-blind design was used. The participants were 133 nursing students, randomly assigned to the face-to-face group (n = 43), the e-learning group (n = 43), and the control group (n = 47). Before randomization, all participants (n = 133) successfully completed the European Resuscitation Council (ERC) standard five-hour Basic Life Support/Automated External Defibrillation (BLS/AED) course (t0) and a questionnaire based on the 2021 ERC Guidelines to assess their knowledge. Six months later, Group A received face-to-face training, Group B received e-learning training, and Group C had no intervention. Six months after interventions, all participants (n = 133) were re-assessed on the same questionnaire, and they were given the same scenario of cardiopulmonary arrest that was used during the initial BLS course to assess the skills that they retained (t1) with the use of the ERC CPR/AED 11-item checklist. The collected data were analyzed with inferential “among group” analysis involving Kruskal-Wallis’s and Pearson’s Chi-Squared test and inferential “within group” analysis including Wilcoxon’s Signed-Rank and McNemar’s test. Multiple linear regression was used for adjusting demographic characteristics.

Based on pairwise differences between independent groups, both intervention groups presented higher scores in knowledge at t1 (P < 0.001) and in skills at t1 (P < 0.001) compared to the control group. Moreover, both training methods demonstrated comparable effectiveness. Based on comparisons between paired groups, there was also a statistically significant decrease in the Skill Score in the control group after one year (P < 0.001). Most skills were notably higher, primarily in the e-learning group, and to a lesser extent in the face-to-face group. In specific, intervention groups demonstrated statistically significant improvement in nine of the eleven assessed skills (all P < 0.05).

The current study showed that post-qualification training is needed to retain CPR knowledge and skills of nursing students, and that face-to-face and e-learning training had similar outcomes.

Integration of home-based palliative care (PC) enables patients to receive care at home, fosters family involvement, and reduces healthcare costs. Despite its benefits, nurses report challenges in delivering competent PC, and limited research has explored how home care nurses perceive their own competence and self-efficacy within this context.

The study aimed to explore Ontario nurses’ perceived competence and self-efficacy in home-based PC delivery. It also examined the relationship between both constructs, perceived competence and self-efficacy.

A cross-sectional design was used with 2 validated survey tools: the 10-domain Palliative Care Nursing Self-Competence scale and the 2-domain Palliative Care Self-Efficacy scale. Ontario home care and nursing organizations were contacted to assist with recruitment by disseminating a Qualtrics survey link via mass email to nurses who had provided home-based PC. A minimum of 219 participants was required based on a G*Power analysis. Data were collected over 2 months with 2 reminder emails. Descriptive analysis and Spearman’s rank correlation were conducted to address the research questions.

Seventy-two registered nurses and 38 registered practical nurses reported the highest levels of perceived competence in addressing functional care, while spiritual care emerged as the most challenging domain. Self-efficacy was higher in psychosocial care than in symptom management. A strong positive correlation was found between perceived competence and self-efficacy (ρ = .69, p <.001), highlighting the interconnected nature of these constructs in home-based PC.

Nurses’ low perceived competence and self-efficacy in spiritual care and symptom management highlight gaps in meeting patients’ holistic care needs. Nurses must be better equipped to manage the psychosocial and spiritual care needs of patients and families. Strengthening training and resources can enhance holistic PC delivery and nurses’ preparedness, thereby supporting nurse retention and the quality and sustainability of home-based PC.

In India, the term euthanasia is frequently used to describe a wide range of end-of-life practices, including withdrawal of life-sustaining treatment and administration of lethal drugs. Such usage diverges from more narrow definitions that restrict euthanasia to the intentional administration of lethal drugs.

This systematic review and meta-analysis examines how euthanasia has been defined and operationalized in quantitative studies of Indian physicians’ and nurses’ attitudes, and estimates the prevalence of approval when euthanasia is defined narrowly.

Following PRISMA 2020 guidelines, searches were conducted in PubMed, EMBASE, PsycINFO, and CINAHL for studies published from 2010 onward. Two investigators independently screened studies, extracted data, and assessed risk of bias using the Mixed Methods Appraisal Tool (MMAT). Studies were included in the meta-analysis only if they reported attitudes toward euthanasia as narrowly defined.

Nine studies met inclusion criteria for the systematic review. Definitions of euthanasia varied considerably, and several studies combined attitudes toward treatment withdrawal with attitudes toward the administration of lethal drugs. Four studies reporting on 519 nurses and physicians provided data suitable for meta-analysis. Approval of euthanasia, defined as the intentional administration of lethal drugs, ranged from 12% to 20%, with a pooled prevalence of 16% (95% confidence interval: 0.13–0.19). This prevalence is notably lower than in earlier reports on Indian healthcare professionals’ attitudes.

Definitional inconsistency substantially affects reported attitudes toward euthanasia in Indian research. When euthanasia is defined narrowly, approval among healthcare professionals is low and consistent across studies. These findings highlight the need for conceptual clarity in future research to support accurate interpretation of empirical data and to strengthen the contribution of studies on ethical attitudes to ethical and palliative care scholarship.

This qualitative study explored nurses’ experiences of facing death while caring for bedridden patients in palliative and long-term care settings. Nurses are the primary witnesses to the final phase of life, where technical competence and emotional endurance coexist. Understanding how nurses perceive death and how knowledge, time, and communication affect their caregiving can provide insights into improving end-of-life nursing practices.

The study was conducted with 70 primary nurse-caregivers of bedridden patients who were hospitalized in the palliative clinic of a university and an educational research hospital in Istanbul between April and August 2024. The research data were obtained through face-to-face interviews using a semi-structured interview form. The interviews were recorded on a voice recorder. The data obtained from the interviews were analysed thematically.

Three main themes were identified: Deficits in Knowledge and Education, Time Management, and Communication and Coordination. Nurses expressed uncertainty and emotional tension when providing care for dying patients. Inadequate end-of-life education heightened their fear of making mistakes. Heavy workload and limited time constrained emotional presence at the bedside. Fragmented communication among healthcare professionals increased feelings of isolation and moral distress. Across these themes, nurses experienced a silent but persistent awareness of death that shaped their professional identity and coping strategies.

Nurses caring for bedridden patients constantly face death, balancing medical duties with human vulnerability. Including death education, emotional support, and effective interdisciplinary communication in nursing practice can improve nurses’ resilience and the quality of end-of-life care.

Following natural disasters nurses assume a critical role in the provision of primary health care services in container cities. This study aims to reveal the experiences of nurses who voluntarily provided primary health care services in the container city constructed after the earthquake.

This study was conducted using a qualitative study design, and reported following the COREQ guidelines. Interviews were conducted with 9 volunteer nurses between January 11-29, 2024. Study data were collected using a “Personal Information Form” and “Semi-Structured Questionnaire” via in-depth interview technique. Collected data were analyzed with a 6-step thematic analysis method.

Five main themes were featured in the study: “Factors affecting participation in volunteer activities,” “Scope of volunteer services,” “Challenges experienced in volunteer activities,” “Achievements of volunteer activities,” and “Suggestions for improving volunteer services.”

Volunteer nurses have experienced various gains, as well as difficulties, as a result of their container city experiences. Suggestions for improving disaster nursing are instructive in terms of strengthening disaster nursing.

Comprising the largest group of health care professionals, nurses play a great role and assume many responsibilities during disaster periods, when the public needs health care services the most. The aim of this study was to reveal the experiences of nurses assigned to the disaster area during relief efforts after the February 6, 2023 earthquakes in Türkiye.

This qualitative and descriptive study used the maximum variation sampling method, one of the purposive sampling methods, and was completed with 20 nurses. Data were analyzed using inductive content analysis.

Four main themes emerged from the experiences of the nurses who provided health care services in the disaster area: experiences related to pre-mission processes, experiences during the mission, post-mission experiences, and recommendations for disaster preparedness.

Nurses’ experiences and suggestions revealed in this study may inform future disaster preparedness and disaster management plans, and this study’s results point to the need for the development of professional nursing skills in disaster management.

This systematic review aims to identify the theoretical-based frameworks and content of disaster training programs for nurses worldwide.

This systematic review was conducted following the PRISMA guidelines across 5 databases: Web of Science, PubMed, CINAHL, Cochrane, and Google Scholar. Studies were selected on disaster training programs for nurses and published within the past decade.

This systematic review analyzed 14 studies that utilized a variety of theoretical-based disaster nursing training programs. Among the theoretical frameworks identified, the International Council of Nurses (ICN) framework emerged as the most frequently applied, likely due to its global applicability and comprehensive approach in disaster training programs. In contrast, other frameworks—such as the Bioterrorism Guidelines and Infectious Disease Response Guidelines from the Korea Disease Control and Prevention Agency, the Malkina-Pykh Mixed Model, the World Health Organization (WHO) framework, and the National League for Nurses/Laerdal Simulation Model, and others—were each used only once.

These findings suggest the ICN framework’s potential to serve as a leading model for the development of future disaster training programs. Achieving an optimal balance of theory, practice, and evidence-based content is crucial for preparing nurses to respond effectively to disasters.

Nurses play a critical role in preventing health care-acquired infections (HAIs) by applying infection control practices during hospitalization, in health care settings, and after patient discharge. Our aim was to evaluate the effect of an HAIs educational workshop on the knowledge, attitude, and practice of pediatric nurses at Al-Mezan Hospitals in Palestine.

A quasi-experimental study was conducted in 2022 among 44 pediatric nurses working in the PICU, NICU, pediatric ward, and nursery departments. Data were collected using demographic, knowledge, attitude, and practice questionnaires before and after the intervention. The educational workshop consisted of 4 sessions, each lasting 45 minutes. Data were analyzed using SPSS version 23, including descriptive statistics and paired t tests, with a significance level set at P < 0.05.

Post-intervention scores showed significant improvements: knowledge increased from 52.9 ± 3.3 to 61.9 ± 4.1, attitude from 44.1 ± 4.1 to 52.6 ± 3.4, and practice from 42.1 ± 5.7 to 53.3 ± 3.3. All changes were statistically significant (P ≤ 0.001), indicating the effectiveness of the workshop.

The HAIs educational workshop significantly enhanced the knowledge, attitudes, and practices of pediatric nurses regarding infection control. These findings highlight the importance of continuous education and training programs to improve health care quality and patient safety.

This study was conducted to examine the relationship between disaster literacy and disaster preparedness of the community.

This cross-sectional study was conducted on adult participants after a major earthquake that occurred in Türkiye on February 6, 2023 (n = 414). Convenience sample was used in sample selection. Data collection instruments are the Disaster Literacy Scale-DLS and Disaster Preparedness Scale-DPS. Descriptive statistics, independent samples t test, correlation, and multiple linear regression analysis were used to analyze the data.

Participants’ DLS score was 33.08 ± 6.72 (limited disaster literacy) and DPS score was 31.89 ± 5.15 (moderate level). A positive correlation was found between DLS and DPS scores (r = 0.242; P = 0.000). Disaster literacy scores are higher for those with higher education levels, those who have taken disaster-related training/courses, those who have a disaster plan at home, and those who have a disaster kit (P < 0.05). In community, increasing disaster literacy, having a disaster kit, insuring the house, and making family plans against disasters positively affect disaster preparedness.

The disaster literacy level of the participants is limited, and the disaster preparedness level is moderate. To increase the disaster literacy levels of individuals, it is recommended that public health nurses strengthen public education and disseminate disaster training in community.