{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T01:01:18Z","timestamp":1793754078397,"version":"4.6.1"},"reference-count":49,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"unspecified","delay-in-days":126,"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=\"S1478951526102594_sec1a\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102594_sec2b\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The study aimed to explore Ontario nurses\u2019 perceived competence and self-efficacy in home-based PC delivery. It also examined the relationship between both constructs, perceived competence and self-efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102594_sec3c\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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\u00a0months with 2 reminder emails. Descriptive analysis and Spearman\u2019s rank correlation were conducted to address the research questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102594_sec4d\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      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 (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a0.69,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;.001), highlighting the interconnected nature of these constructs in home-based PC.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102594_sec5e\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>Nurses\u2019 low perceived competence and self-efficacy in spiritual care and symptom management highlight gaps in meeting patients\u2019 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\u2019 preparedness, thereby supporting nurse retention and the quality and sustainability of home-based PC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526102594","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T09:48:32Z","timestamp":1778147312000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Exploring home care nurses\u2019 perceived competence and self-efficacy in palliative care delivery: A cross-sectional study"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7422-0325","authenticated-orcid":false,"given":"Joanne","family":"Ta","sequence":"first","affiliation":[{"name":"University of Windsor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Tay","sequence":"additional","affiliation":[{"name":"University of Windsor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Pfaff","sequence":"additional","affiliation":[{"name":"University of Windsor"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"S1478951526102594_ref18","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01580-7"},{"key":"S1478951526102594_ref46","unstructured":"World Health Organization (2023) Palliative Care. 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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":"e136"}}