{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T05:03:32Z","timestamp":1784351012356,"version":"3.55.0"},"reference-count":48,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Nursing assistants (NAs) in long-term care facilities contribute to palliative care by assisting with activities of daily living and comfort care. There is a gap in evaluated palliative care trainings for NAs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effect of online training on knowledge of psychosocial aspects of palliative care among NAs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We used a wait-listed randomized two-group pretest\u2212posttest design. The training was developed based on literature review and needs assessment. All participants completed a baseline evaluation. The intervention group took a posttest on palliative care knowledge upon completing an eight-module palliative care training, with the control group just completing the assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Subjects:<\/jats:title>\n                    <jats:p>NAs (n = 102) from six long-term care facilities in the United States were in the intervention (n = 51) and a control group (n = 51). The retention rate was 90% at the posttest, with 46 NAs in each group (n = 92).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements:<\/jats:title>\n                    <jats:p>We measured palliative care knowledge using 50 questions (scored 0\u2013100) at baseline and posttest. The questions were developed to measure how well the participants understood the training content.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Palliative care knowledge significantly increased in the intervention group only (mean score 4.1 points,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05). The posttest score of the intervention group was significantly greater than that of the control group (mean score 6.5 points,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.005). The effect size of the difference in posttest scores between two study groups was medium (Glass\u2019s \u0394 0.60).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The results indicate the effectiveness of online training in improving NAs\u2019 knowledge of psychosocial aspects of palliative care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jpm.2024.0546","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T07:20:40Z","timestamp":1767943240000},"page":"1302-1308","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of Online Training on Palliative Care Knowledge of Nursing Assistants"],"prefix":"10.1177","volume":"28","author":[{"given":"Jinsook","family":"Kim","sequence":"first","affiliation":[{"name":"School of Health Studies, Northern Illinois University, DeKalb, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A.","family":"Gray","sequence":"additional","affiliation":[{"name":"School of Health Studies, Northern Illinois University, DeKalb, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"Meier DE. 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Available from: https:\/\/www.cms.gov\/regulations-and-guidance\/guidance\/manuals\/downloads\/bp102c09.pdf [Last accessed: March17 2025]."},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12035"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15733"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01227-z"},{"issue":"9","key":"e_1_3_5_9_2","first-page":"16","article-title":"The role of the certified nursing assistant: Caring on the front line","volume":"19","author":"Carland MD","year":"2018","unstructured":"Carland MD. The role of the certified nursing assistant: Caring on the front line. 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