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The scope of the literature was limited to peer-reviewed articles authored by scholars affiliated with institutions in Austria, Germany, and Switzerland. Terms and slogans associated with the hospice movement were used as keywords to search for literature in both German and English. During data analysis, values, frameworks, and actions were systematically extracted from the articles. Actions were then clustered into four groups: one involving actions aimed at planning future end-of-life decision-making; another focused on transforming cultures of care; a third encompassing end-of-life practices; and a fourth consisting of residual actions. A comparison of two of these groups shows that normative understandings of end-of-life care in long-term care institutions take shape around two poles\u2014a procedural pole, involving standardised tools that can be used in specific practices to address challenges and improve care, and a substantive pole, centred on the embodied competencies and moral sensibilities of caregivers in realising visions of good end-of-life care.<\/jats:p>","DOI":"10.1007\/s11019-025-10278-3","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T23:18:20Z","timestamp":1749165500000},"page":"607-621","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A normativity mapping review on end-of-life care in long-term care institutions by authors from Germany, Austria, and Switzerland"],"prefix":"10.1007","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0695-1352","authenticated-orcid":false,"given":"Ingrid","family":"Metzler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7206-9432","authenticated-orcid":false,"given":"Hanna","family":"Mayer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8265-9436","authenticated-orcid":false,"given":"Giovanni","family":"Rubeis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5642-5791","authenticated-orcid":false,"given":"Jasmin","family":"Eppel-Meichlinger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,6,6]]},"reference":[{"key":"10278_CR1","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1186\/s12912-024-02087-5","volume":"23","author":"Majed Awad Alanazi","year":"2024","unstructured":"Alanazi, Majed Awad, Marwa Mamdouh Shaban, Osama Mohamed Elsayed. 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