{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:55:56Z","timestamp":1791186956129,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nurses are central to palliative and end\u2010of\u2010life care, yet organizational, family\u2010related, and professional barriers may restrict person\u2010centered support. Evidence from Palestinian governmental hospitals remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess nurses' perceived barriers to palliative care delivery and examine associated demographic and professional factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A multicentre cross\u2010sectional study was conducted in four hospitals in Hebron Governorate, Palestine, from January to March 2026. A convenience sample of 200 nurses completed a demographic questionnaire and a 15\u2010item Perceived Barriers to Palliative Care Scale. Data were analyzed using descriptive statistics, Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      tests, Kruskal\u2013Wallis tests with Dunn\u2013Bonferroni post hoc comparisons, and multiple linear regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean perceived\u2010barriers score was 2.05 (SD\u2009=\u20090.24), with a median of 2.07 and an interquartile range of 1.93\u20132.20. The highest\u2010rated barriers were uncertainty regarding patients' wishes, family non\u2010acceptance of poor prognosis, liberal visiting hours, family absence at death, inadequate consideration of nurses' opinions, and limited resources. Barrier scores differed across age groups, H(3)\u2009=\u200910.70,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013, although no pairwise comparison remained significant after Bonferroni adjustment. Nurses aged 50 years or older had higher barrier scores than those aged 20\u201329 years (B\u2009=\u20090.147,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.026). However, the model was not significant, F(9, 189)\u2009=\u20091.87,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.059, and explained 8.2% of the variance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nurses perceived multidimensional barriers involving patient preferences, family communication, resources, privacy, and participation in decision\u2010making. Organizational, educational, and policy interventions are needed to strengthen palliative care delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73198","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:57:46Z","timestamp":1788778666000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived Barriers to Palliative Care Delivery Among Nurses in Palestinian Hospitals: Organizational, Family, and Professional Challenges"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2414-7982","authenticated-orcid":false,"given":"Mohammad","family":"Qtait","sequence":"first","affiliation":[{"name":"Nursing College Palestine Polytechnic University Hebron Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"World Health Organization \u201cPalliative Care \u201d World Health Organization;2020."},{"key":"e_1_2_12_3_1","volume-title":"Global Atlas of Palliative Care","author":"Worldwide Hospice Palliative Care 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