{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T21:08:40Z","timestamp":1790370520213,"version":"4.1.0"},"reference-count":41,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"unspecified","delay-in-days":253,"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=\"S1478951526103447_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Nursing interns often experience high levels of death anxiety and stress, which can reduce their comfort and confidence in caring for dying patients. This study evaluated the effects of an 8-week Mindfulness-Based Stress Reduction (MBSR) program on death anxiety, perceived stress, and attitudes toward care of the dying among nursing interns during palliative and oncology rotations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103447_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A quasi-experimental pre\u2013post design was used with 120 final-year Bachelor of Science in nursing interns at Prince Sattam Bin Abdulaziz University, Saudi Arabia. Participants completed the 8-week MBSR program following Kabat-Zinn\u2019s original protocol, including weekly 2-hour sessions, a silent retreat, and daily home practice. Pre- and post-intervention assessments were conducted using the Death Attitude Profile-Revised (DAP-R), Perceived Stress Scale (PSS-10), and Frommelt Attitude Toward Care of the Dying Scale Form B (FATCOD-B). Data were analyzed using paired t-tests, effect sizes (Cohen\u2019s\n                      <jats:italic>d<\/jats:italic>\n                      ), Pearson correlations, and multiple linear regression to identify predictors of post-intervention attitudes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103447_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Post-intervention, nursing interns showed a significant reduction in death anxiety (DAP-R: 134.67\u00a0\u00b1\u00a06.70 vs. 118.46\u00a0\u00b1\u00a07.85;\n                      <jats:italic>t<\/jats:italic>\n                      \u00a0=\u00a033.39,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001,\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a03.05) and perceived stress (PSS-10: 20.29\u00a0\u00b1\u00a02.94 vs. 19.41\u00a0\u00b1\u00a03.36;\n                      <jats:italic>t<\/jats:italic>\n                      \u00a0=\u00a04.25,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001,\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.39). Attitudes toward caring for dying patients improved significantly (FATCOD-B: 84.10\u00a0\u00b1\u00a04.99 vs. 90.01\u00a0\u00b1\u00a05.64;\n                      <jats:italic>t<\/jats:italic>\n                      \u00a0=\u00a0\u221216.95,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001,\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a01.55). Baseline FATCOD-B scores were the strongest predictor of post-intervention attitudes (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a00.778,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Correlations between constructs were weak, indicating that death anxiety, perceived stress, and care attitudes represent distinct dimensions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103447_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>These findings highlight that mindfulness training can enhance emotional resilience, reduce anxiety and stress, and positively shape attitudes toward caring for dying patients. Integrating MBSR into nursing education during palliative rotations may better prepare interns to provide compassionate, human-centered end-of-life care, ultimately improving patient and family experiences in terminal illness settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103447","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T07:46:10Z","timestamp":1789112770000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Effect of mindfulness-based stress reduction on nursing interns\u2019 death anxiety, stress, and palliative care self-efficacy during oncology end-of-life training"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5689-7758","authenticated-orcid":false,"given":"Donia Elsaid Fathi","family":"Zaghamir","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04jt46d36","id-type":"ROR","asserted-by":"publisher"}],"name":"Prince Sattam Bin Abdul-Aziz University"},{"id":[{"id":"https:\/\/ror.org\/01vx5yq44","id-type":"ROR","asserted-by":"publisher"}],"name":"Port Said University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8192-0017","authenticated-orcid":false,"given":"Ateya Megahed","family":"Ibrahim","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04jt46d36","id-type":"ROR","asserted-by":"publisher"}],"name":"Prince Sattam Bin Abdul-Aziz University"},{"name":"Port Said University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hala Samir Ahmed","family":"El-Husseiny","sequence":"additional","affiliation":[{"name":"Qassim University"},{"id":[{"id":"https:\/\/ror.org\/035h3r191","id-type":"ROR","asserted-by":"publisher"}],"name":"Damietta University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"S1478951526103447_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/inr.13006"},{"key":"S1478951526103447_ref18","volume-title":"Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness","author":"Kabat-Zinn","year":"1990"},{"key":"S1478951526103447_ref37","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-04024-6"},{"key":"S1478951526103447_ref36","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1307"},{"key":"S1478951526103447_ref34","doi-asserted-by":"publisher","DOI":"10.2478\/FON-2019-0042"},{"key":"S1478951526103447_ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s12671-025-02559-y"},{"key":"S1478951526103447_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2024.e32986"},{"key":"S1478951526103447_ref40","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1107"},{"key":"S1478951526103447_ref23","doi-asserted-by":"publisher","DOI":"10.2478\/fon-2020-0001"},{"key":"S1478951526103447_ref9","doi-asserted-by":"publisher","DOI":"10.1177\/104990919100800509"},{"key":"S1478951526103447_ref5","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"S1478951526103447_ref15","unstructured":"Jiajia, L and Jiawen, G (2022) Nursing students\u2019 experiences of caring for dying patients during their internship: a descriptive literature review . Bachelor\u2019s degree thesis (15 credits), Nursing Programme, University of G\u00e4vle, Sweden. Supervisor: Fan Xing (Vivian); Examiner: Britt-Marie Sj\u00f6lund."},{"key":"S1478951526103447_ref19","first-page":"135","article-title":"Nursing students\u2019 death anxiety, influencing factors and request of caring for dying people","volume":"7","author":"Kayg\u0131s\u0131","year":"2016","journal-title":"Journal of Psychiatric Nursing"},{"key":"S1478951526103447_ref39","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2023.103625"},{"key":"S1478951526103447_ref41","doi-asserted-by":"publisher","DOI":"10.6913\/MRHK.202009_2(3).0001"},{"key":"S1478951526103447_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2015.03.009"},{"key":"S1478951526103447_ref35","first-page":"121","volume-title":"Dying: Facing the Facts","author":"Wong","year":"1994"},{"key":"S1478951526103447_ref21","doi-asserted-by":"publisher","DOI":"10.5604\/01.3001.0016.0894"},{"key":"S1478951526103447_ref13","first-page":"160","article-title":"Efficiency of a palliative education programme for nursing students","volume":"30","author":"Ibrahim","year":"2025","journal-title":"International Journal of Palliative Nursing"},{"key":"S1478951526103447_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2017.06.007"},{"key":"S1478951526103447_ref38","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v15.i7.106845"},{"key":"S1478951526103447_ref31","doi-asserted-by":"publisher","DOI":"10.21203\/rs.3.rs-8496860\/v1"},{"key":"S1478951526103447_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02530-7"},{"key":"S1478951526103447_ref24","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-64183-5"},{"key":"S1478951526103447_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/S8755-7223(03)00094-2"},{"key":"S1478951526103447_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2026.104717"},{"key":"S1478951526103447_ref27","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-022-00931-0"},{"key":"S1478951526103447_ref30","doi-asserted-by":"publisher","DOI":"10.1177\/09697330241252975"},{"key":"S1478951526103447_ref1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12161647"},{"key":"S1478951526103447_ref6","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare14010130"},{"key":"S1478951526103447_ref22","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16897"},{"key":"S1478951526103447_ref4","doi-asserted-by":"publisher","DOI":"10.62425\/crihs.1805046"},{"key":"S1478951526103447_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/104990910302000108"},{"key":"S1478951526103447_ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.profnurs.2026.01.001"},{"key":"S1478951526103447_ref12","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951524000488"},{"key":"S1478951526103447_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(82)90026-3"},{"key":"S1478951526103447_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2019.e02578"},{"key":"S1478951526103447_ref25","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03387-0"},{"key":"S1478951526103447_ref16","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000047211"},{"key":"S1478951526103447_ref33","doi-asserted-by":"publisher","DOI":"10.1111\/jan.17098"},{"key":"S1478951526103447_ref29","doi-asserted-by":"publisher","DOI":"10.1177\/00302228211066982"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951526103447","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T07:46:12Z","timestamp":1789112772000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951526103447\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":41,"alternative-id":["S1478951526103447"],"URL":"https:\/\/doi.org\/10.1017\/s1478951526103447","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":"e222"}}