{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:16:12Z","timestamp":1785406572516,"version":"3.56.0"},"reference-count":67,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"unspecified","delay-in-days":200,"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=\"S1478951526102880_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore the stress experienced by nurses while addressing the needs of families during palliative and end-of-life care for children and young adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102880_sec2b\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A meta-synthesis was conducted. Six online databases (PubMed, Medline, EMBASE, Cochrane Library, CINAHL, and Airiti) from 2014 to September 15, 2025 were searched.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102880_sec3c\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 1,841 citations identified, 34 qualitative studies and 12 case reports were included. All included studies had adequate to strong methodological quality. Three themes emerged from the qualitative findings: (1) never seem to feel fully prepared; (2) sense of unfairness in conflicts of values; and (3) sheathing against traumatic bond attachment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102880_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>Nurses experience various stresses throughout the nursing process, which evoke avoidance responses. Supporting nurses is as crucial as providing family-centered palliative care to ensure a sustainable healthcare workforce. These findings demonstrate the importance of understanding how nurses perceive their stress in relation to provision of pediatric palliative care to help develop personal and team resilience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526102880","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T09:48:37Z","timestamp":1784540917000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Nurses\u2019 stressful experiences in providing palliative and end-of-life care for children: A meta-synthesis"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2547-5013","authenticated-orcid":false,"given":"Ratna Puji","family":"Priyanti","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03gk81f96","id-type":"ROR","asserted-by":"publisher"}],"name":"College of Nursing, Kaohsiung Medical University"},{"name":"Stikes Pemkab Jombang"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Asri","sequence":"additional","affiliation":[{"name":"Muhammadiyah Surabaya University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Wen","family":"Chen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03gk81f96","id-type":"ROR","asserted-by":"publisher"}],"name":"College of Nursing, Kaohsiung Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8298-0334","authenticated-orcid":false,"given":"Shih-Chun","family":"Lin","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03gk81f96","id-type":"ROR","asserted-by":"publisher"}],"name":"College of Nursing, Kaohsiung Medical University"},{"id":[{"id":"https:\/\/ror.org\/03gk81f96","id-type":"ROR","asserted-by":"publisher"}],"name":"Kaohsiung Medical University"},{"id":[{"id":"https:\/\/ror.org\/02xmkec90","id-type":"ROR","asserted-by":"publisher"}],"name":"Kaohsiung Medical University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"S1478951526102880_ref44","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.29533"},{"key":"S1478951526102880_ref36","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-002070"},{"key":"S1478951526102880_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2023.100148"},{"key":"S1478951526102880_ref29","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001594"},{"key":"S1478951526102880_ref65","doi-asserted-by":"publisher","DOI":"10.1097\/NMC.0000000000000490"},{"key":"S1478951526102880_ref43","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2646-9"},{"key":"S1478951526102880_ref19","first-page":"218","article-title":"Critical realism: An important theoretical framework for explaining and changing health and healthcare","volume":"9","author":"Clark","year":"2008","journal-title":"Nursing Philosophy"},{"key":"S1478951526102880_ref64","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-8-45"},{"key":"S1478951526102880_ref20","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2018353"},{"key":"S1478951526102880_ref39","first-page":"45","article-title":"Nursing experience on caring a dying baby with head injury","volume":"10","author":"Hsu","year":"2014","journal-title":"Cheng Ching Medical Journal"},{"key":"S1478951526102880_ref60","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01459-7"},{"key":"S1478951526102880_ref35","doi-asserted-by":"publisher","DOI":"10.1177\/0269216320967593"},{"key":"S1478951526102880_ref59","doi-asserted-by":"publisher","DOI":"10.3109\/01460862.2013.797520"},{"key":"S1478951526102880_ref62","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951525000148"},{"key":"S1478951526102880_ref32","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-307780"},{"key":"S1478951526102880_ref31","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12816"},{"key":"S1478951526102880_ref57","article-title":"\u201cA life slips through our fingers\u201d experiences of nurses working in pediatric intensive care units about children\u2019s death: A qualitative study","author":"\u00d6zsavran","year":"2024","journal-title":"OMEGA - Journal of Death and Dying"},{"key":"S1478951526102880_ref3","doi-asserted-by":"publisher","DOI":"10.1590\/S0080-623420160000300018"},{"key":"S1478951526102880_ref50","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"S1478951526102880_ref67","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.103973"},{"key":"S1478951526102880_ref12","doi-asserted-by":"publisher","DOI":"10.1177\/02692163241233977"},{"key":"S1478951526102880_ref18","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2023-004640"},{"key":"S1478951526102880_ref38","doi-asserted-by":"publisher","DOI":"10.1177\/09697330221134978"},{"key":"S1478951526102880_ref58","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"S1478951526102880_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13492"},{"key":"S1478951526102880_ref45","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2017-0094"},{"key":"S1478951526102880_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.esmoop.2022.100476"},{"key":"S1478951526102880_ref26","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2021.27.6.281"},{"key":"S1478951526102880_ref40","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30415-7"},{"key":"S1478951526102880_ref47","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2020.1756686"},{"key":"S1478951526102880_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2018.12.004"},{"key":"S1478951526102880_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2023.05.013"},{"key":"S1478951526102880_ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s40271-023-00627-w"},{"key":"S1478951526102880_ref27","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2017.0397"},{"key":"S1478951526102880_ref55","first-page":"23","volume-title":"JBI Reviewer\u2019s Manual","author":"Lockwood","year":"2020"},{"key":"S1478951526102880_ref14","first-page":"2","volume-title":"Ethics and Issues in Contemporary Nursing: Nursing Ethics for the 21st Century","author":"Burkhardt","year":"2020"},{"key":"S1478951526102880_ref34","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000000725"},{"key":"S1478951526102880_ref51","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951520001455"},{"key":"S1478951526102880_ref5","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.19.00313"},{"key":"S1478951526102880_ref53","volume-title":"A Realist Approach for Qualitative research","author":"Maxwell","year":"2012"},{"key":"S1478951526102880_ref11","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01274-0"},{"key":"S1478951526102880_ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s10730-023-09506-1"},{"key":"S1478951526102880_ref6","doi-asserted-by":"publisher","DOI":"10.1037\/ocp0000056"},{"key":"S1478951526102880_ref17","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14602"},{"key":"S1478951526102880_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-016-0181-3"},{"key":"S1478951526102880_ref23","article-title":"The diverse faces of child death from the perspective of doctors and nurses","volume":"54","author":"De Abreu Haickel Nina","year":"2021","journal-title":"Medicina"},{"key":"S1478951526102880_ref28","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001113"},{"key":"S1478951526102880_ref56","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01214-4"},{"key":"S1478951526102880_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12434"},{"key":"S1478951526102880_ref10","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.5.890"},{"key":"S1478951526102880_ref52","doi-asserted-by":"publisher","DOI":"10.1177\/0269216314552091"},{"key":"S1478951526102880_ref66","unstructured":"World Health Organization (2020) https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care (accessed 10 June 2025 )."},{"key":"S1478951526102880_ref2","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2021-0007"},{"key":"S1478951526102880_ref48","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2021.12.004"},{"key":"S1478951526102880_ref16","first-page":"214","article-title":"The nursing experience of palliative care on a 28-week-old premature infant with persistent pulmonary hypertension","volume":"26","author":"Chen","year":"2015","journal-title":"Chang Gung Nursing"},{"key":"S1478951526102880_ref42","doi-asserted-by":"publisher","DOI":"10.1177\/0030222820971880"},{"key":"S1478951526102880_ref41","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2021.08.015"},{"key":"S1478951526102880_ref21","doi-asserted-by":"publisher","DOI":"10.1177\/13674935221147716"},{"key":"S1478951526102880_ref46","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000355"},{"key":"S1478951526102880_ref63","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2016251"},{"key":"S1478951526102880_ref24","doi-asserted-by":"publisher","DOI":"10.25259\/IJPC_134_2021"},{"key":"S1478951526102880_ref33","doi-asserted-by":"publisher","DOI":"10.1177\/1043659615592677"},{"key":"S1478951526102880_ref54","doi-asserted-by":"publisher","DOI":"10.1177\/0269216315573000"},{"key":"S1478951526102880_ref30","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2020-0735"},{"key":"S1478951526102880_ref37","volume-title":"Critical Realism, Causality and Interest","author":"Groff","year":"2010"},{"key":"S1478951526102880_ref68","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-022-01054-8"},{"key":"S1478951526102880_ref61","doi-asserted-by":"publisher","DOI":"10.3928\/00220124-20240927-03"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951526102880","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T09:48:40Z","timestamp":1784540920000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951526102880\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":67,"alternative-id":["S1478951526102880"],"URL":"https:\/\/doi.org\/10.1017\/s1478951526102880","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":"e191"}}