{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:40:56Z","timestamp":1759365656603,"version":"build-2065373602"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":273,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1478951525100801_sec1a\">\n\t    <jats:title>Objectives<\/jats:title>\n\t    <jats:p>In the cultural context of China, it holds profound significance for nursing students to engage in discussions about hospice and palliative care with their families. This study aimed to explore nursing students\u2019 willingness to discuss hospice and palliative care with their families and the factors associated with it.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525100801_sec2b\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>Nursing students from three schools in three Chinese provinces (<jats:italic>n<\/jats:italic> = 1,234) completed questionnaires on general information, hospice and palliative care awareness, attitude toward death, and willingness to discuss hospice and palliative care with their families. This cross-sectional analysis utilized logistic regression to investigate the predictors of participants\u2019 willingness to discuss hospice and palliative care with their families.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525100801_sec3c\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>The mean hospice and palliative care knowledge score was 6.68, and 19.1% were willing to discuss the topic with their families. Factors associated with nursing students\u2019 willingness to discuss hospice and palliative care with their families included region, whether their family members considered talking about death a taboo, whether a family member was severely ill and at risk of death, their knowledge of World Hospice and Palliative Care Day, hospice and palliative care knowledge score, and death avoidance attitude. Participants with higher hospice and palliative care knowledge scores were more willing to discuss the topic with their families, while a higher death avoidance score was associated with unwillingness.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525100801_sec4d\">\n\t    <jats:title>Significance of results<\/jats:title>\n\t    <jats:p>Nursing students significantly lack hospice and palliative care awareness, and their willingness to discuss the topic with their families needs improvement. Nursing schools should provide systematic and standardized hospice and palliative care education and communication skills training.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1478951525100801","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T09:24:24Z","timestamp":1759310664000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Nursing students\u2019 willingness to discuss hospice and palliative care with family and associated factors: A cross-sectional study"],"prefix":"10.1017","volume":"23","author":[{"given":"Hui","family":"Li","sequence":"first","affiliation":[{"name":"Jining Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huaiting","family":"Gu","sequence":"additional","affiliation":[{"name":"Jining Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tingting","family":"Xu","sequence":"additional","affiliation":[{"name":"Shandong First Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6857-9800","authenticated-orcid":false,"given":"Qiushi","family":"Liu","sequence":"additional","affiliation":[{"name":"Hainan Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"key":"S1478951525100801_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2018.11.025"},{"key":"S1478951525100801_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2022.103447"},{"key":"S1478951525100801_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2019.05.040"},{"key":"S1478951525100801_ref10","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18158071"},{"key":"S1478951525100801_ref22","doi-asserted-by":"publisher","DOI":"10.1177\/1049909120902123"},{"key":"S1478951525100801_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.105150"},{"key":"S1478951525100801_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-020-00959-y"},{"key":"S1478951525100801_ref15","doi-asserted-by":"publisher","DOI":"10.1177\/0269216320956817"},{"key":"S1478951525100801_ref21","doi-asserted-by":"publisher","DOI":"10.1177\/10499091221127983"},{"key":"S1478951525100801_ref2","doi-asserted-by":"publisher","DOI":"10.3928\/01484834-20180123-06"},{"key":"S1478951525100801_ref32","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S395128"},{"key":"S1478951525100801_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2019.01.005"},{"key":"S1478951525100801_ref17","doi-asserted-by":"publisher","DOI":"10.1177\/1049909118813720"},{"key":"S1478951525100801_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.03.008"},{"key":"S1478951525100801_ref6","doi-asserted-by":"publisher","DOI":"10.1080\/07481187.2020.1850546"},{"key":"S1478951525100801_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951524000658"},{"key":"S1478951525100801_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/0091-7435(86)90025-3"},{"key":"S1478951525100801_ref26","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01533-0"},{"key":"S1478951525100801_ref5","doi-asserted-by":"publisher","DOI":"10.1080\/10376178.2021.1890165"},{"key":"S1478951525100801_ref7","doi-asserted-by":"publisher","DOI":"10.1177\/08258597241244605"},{"key":"S1478951525100801_ref20","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.1996.tb03106.x"},{"key":"S1478951525100801_ref12","first-page":"324","article-title":"Concept analysis of good death with Chinese cultural characteristics from the perspective of palliative care","volume":"37","author":"Lin","year":"2024","journal-title":"Chinese Medical Ethics"},{"key":"S1478951525100801_ref33","doi-asserted-by":"publisher","DOI":"10.1177\/1049909120905255"},{"key":"S1478951525100801_ref34","unstructured":"Zou, M (2007) Investigation and Analysis of Knowledge and Attitude of Nurses in Palliative Care in Shanghai. Master\u2019s thesis, Second Military Medical University, China."},{"key":"S1478951525100801_ref29","first-page":"35","article-title":"Status quo and enlightenment of community health education for the elderly in China in the past ten years [in Chinese]","volume":"09","author":"Yang","year":"2022","journal-title":"Continuing Education Research"},{"key":"S1478951525100801_ref23","first-page":"145","article-title":"Investigation and countermeasures on the ethical cognition of death and the ability of hospice care among nursing undergraduates [in Chinese]","volume":"01","author":"Su","year":"2024","journal-title":"Journal of Health Vocational Education"},{"key":"S1478951525100801_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.104993"},{"key":"S1478951525100801_ref11","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19159197"},{"key":"S1478951525100801_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/JCMA.0000000000000484"},{"key":"S1478951525100801_ref30","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1013719"},{"key":"S1478951525100801_ref31","first-page":"49","article-title":"Research scope of decision regret among surrogate decision makers in palliative care for patients with advanced cancer [in Chinese]","volume":"31","author":"Zhang","year":"2024","journal-title":"Journal of Nursing"},{"key":"S1478951525100801_ref25","article-title":"From embedding relations to constitutive relations: challenges and opportunities of the indigenization of hospice care in China","volume":"02","author":"Tu","year":"2024","journal-title":"Social Sciences in Guangdong"},{"key":"S1478951525100801_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/10499091221116794"},{"key":"S1478951525100801_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.02.021"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525100801","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T09:24:26Z","timestamp":1759310666000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951525100801\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":34,"alternative-id":["S1478951525100801"],"URL":"https:\/\/doi.org\/10.1017\/s1478951525100801","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e178"}}