{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:15:04Z","timestamp":1782843304543,"version":"3.54.5"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"unspecified","delay-in-days":19,"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":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951525101491_sec1a\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To understand how the Go Wish Cards Game (GWCG) can support the expression of values, wishes, and preferences at the end of life among women living with advanced breast and\/or gynecological cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101491_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This descriptive qualitative study was conducted as part of a larger randomized clinical trial. Participants were recruited from a leading cancer center in Brazil and invited to sort the GWCG cards into three categories: \u201cvery important,\u201d \u201csomewhat important,\u201d and \u201cnot important.\u201d The 10 cards rated as \u201cvery important\u201d were discussed individually to explore their meanings. At the end of the session, participants were asked: \u201cWhat did it mean for you to play the cards?\u201d Narratives associated with the \u201cvery important\u201d cards were analyzed using content analysis based on Bardin\u2019s methodological framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101491_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-three women completed the GWCG. Participants described the game as a meaningful opportunity for reflection, communication, and expression of personal values and end-of-life wishes. Discussions of the \u201cvery important\u201d cards elicited narratives focused on trust-based relationships, emotional and spiritual support, dignity, and relief from suffering. The most frequently selected cards included wishes such as \u201cto have a doctor I trust and nurses who care about me\u201d and \u201cto have my family and friends with me,\u201d reflecting shared priorities across narratives. Values and wishes were organized into three overarching dimensions: emotional and existential connections; dignity and autonomy; and care and comfort at the end of life. The GWCG was perceived as a valuable tool for facilitating the expression of biopsychosocial and spiritual values.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101491_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>The findings indicate that the GWCG supports reflection and the articulation of end-of-life values, wishes, and priorities, particularly those related to dignity, autonomy, comfort, and emotional connection. The tool shows potential to promote meaningful conversations and care aligned with what gives purpose and meaning to women living with advanced cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951525101491","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T08:02:12Z","timestamp":1768896132000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Values and wishes at the end of life among women with advanced cancer: An analysis using the Go Wish Cards Game"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2711-8346","authenticated-orcid":false,"given":"Bianca Sakamoto Ribeiro","family":"Paiva","sequence":"first","affiliation":[{"name":"GPQual \u2013 Research Group on Palliative Care and Quality of Life \u2013 Barretos Cancer Hospital"},{"name":"Teaching and Research Institute, Barretos Cancer Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna Louren\u00e7o","family":"Arantes","sequence":"additional","affiliation":[{"name":"GPQual \u2013 Research Group on Palliative Care and Quality of Life \u2013 Barretos Cancer Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3815-0218","authenticated-orcid":false,"given":"Vit\u00f3ria Aparecida","family":"Betussi","sequence":"additional","affiliation":[{"name":"GPQual \u2013 Research Group on Palliative Care and Quality of Life \u2013 Barretos Cancer Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7934-1451","authenticated-orcid":false,"given":"Carlos Eduardo","family":"Paiva","sequence":"additional","affiliation":[{"name":"GPQual \u2013 Research Group on Palliative Care and Quality of Life \u2013 Barretos Cancer Hospital"},{"name":"Teaching and Research Institute, Barretos Cancer Hospital"},{"name":"Barretos Cancer Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"S1478951525101491_ref5","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58040461"},{"key":"S1478951525101491_ref9","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2024.157"},{"key":"S1478951525101491_ref25","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01564-7"},{"key":"S1478951525101491_ref24","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2006.9983"},{"key":"S1478951525101491_ref20","doi-asserted-by":"publisher","DOI":"10.1177\/2333721418778195"},{"key":"S1478951525101491_ref8","doi-asserted-by":"publisher","DOI":"10.1177\/10497323241303393"},{"key":"S1478951525101491_ref26","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2017-001342"},{"key":"S1478951525101491_ref7","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.01468"},{"key":"S1478951525101491_ref35","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2022.2028348"},{"key":"S1478951525101491_ref6","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.1017\/S147895152400018X","article-title":"Existential distress and associated factors in advanced cancer patients: a cross-sectional study","volume":"22","author":"Chang","year":"2024","journal-title":"Palliative and Supportive Care"},{"key":"S1478951525101491_ref33","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951523001517"},{"key":"S1478951525101491_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X0500382X"},{"key":"S1478951525101491_ref34","first-page":"214","article-title":"Open communication between patients and relatives about illness and death in advanced cancer-results of the eQuiPe Study","volume":"32","author":"Haaksman","year":"2024","journal-title":"Support Care Cancer"},{"key":"S1478951525101491_ref18","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-025-01681-x"},{"key":"S1478951525101491_ref17","doi-asserted-by":"publisher","DOI":"10.1111\/scs.13047"},{"key":"S1478951525101491_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.03.025"},{"key":"S1478951525101491_ref31","doi-asserted-by":"publisher","DOI":"10.1080\/07481187.2019.1701145"},{"key":"S1478951525101491_ref11","doi-asserted-by":"publisher","DOI":"10.20435\/pssa.v14i4.2067"},{"key":"S1478951525101491_ref3","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311xpt116823"},{"key":"S1478951525101491_ref2","first-page":"279","article-title":"An\u00e1lise de conte\u00fado\/Laurence Bardin; tradu\u00e7\u00e3o Lu\u00eds Antero Reto, Augusto Pinheiro","volume":"70","author":"Bardin","year":"2016","journal-title":"S\u00e3o Paulo: Edi\u00e7\u00f5es"},{"key":"S1478951525101491_ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3260-9"},{"key":"S1478951525101491_ref12","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00839-7"},{"key":"S1478951525101491_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2009.08.011"},{"key":"S1478951525101491_ref4","volume-title":"Fragility Fracture Nursing: Holistic Care and Management of the Orthogeriatric Patient [Internet]","author":"Brent","year":"2018"},{"key":"S1478951525101491_ref30","doi-asserted-by":"publisher","DOI":"10.21147\/j.issn.1000-9604.2022.03.09"},{"key":"S1478951525101491_ref13","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2021-003300"},{"key":"S1478951525101491_ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-017-0336-5"},{"key":"S1478951525101491_ref28","doi-asserted-by":"publisher","DOI":"10.3390\/cancers17040560"},{"key":"S1478951525101491_ref1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12161584"},{"key":"S1478951525101491_ref29","doi-asserted-by":"publisher","DOI":"10.32635\/2176-9745.RBC.2022v68n1.1625"},{"key":"S1478951525101491_ref21","doi-asserted-by":"publisher","DOI":"10.1177\/1049909120917361"},{"key":"S1478951525101491_ref14","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2019-001834"},{"key":"S1478951525101491_ref27","doi-asserted-by":"publisher","DOI":"10.21037\/apm-23-381"},{"key":"S1478951525101491_ref15","first-page":"1","volume-title":"Dor No Fim da Vida: Avaliar Para Tratar","volume":"11","author":"Hennemann-Krause","year":"2012"},{"key":"S1478951525101491_ref32","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525101491","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T08:02:14Z","timestamp":1768896134000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951525101491\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":35,"alternative-id":["S1478951525101491"],"URL":"https:\/\/doi.org\/10.1017\/s1478951525101491","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. 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":"e40"}}