{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T22:47:27Z","timestamp":1794091647479,"version":"4.8.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"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":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Advanced breast cancer patients often require palliative care (PC) to manage significant symptoms, relying heavily on nurses\u2019 competence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Evaluate whether a structured PC training program can enhance nurses\u2019 competence in breast cancer care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      After an online announcement at Zhejiang Hospital, nurses enrolled in the PC training program. Due to the imbalance in trained and untrained nurses post-training, stratified randomization was applied, forming untrained (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 34) and trained (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 24) groups. The primary outcome, nursing competence, was assessed using Competency Inventory for Nursing Students at baseline and three months post-training. Subsequently, patients were recruited and assigned to different study groups based on the nurses providing their care. The untrained group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 167) and trained group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 106) received three months of inpatient PC care. European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 and Family Caregiver Satisfaction Scale-2, as secondary outcomes, were assessed at baseline and three months post-care to evaluate the training\u2019s impact on care quality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At baseline, there were no significant differences in nursing competence or patient quality of life between the trained and untrained groups. Trained nurses showed significant improvements in general clinical skills, critical thinking, and ethics compared to untrained nurses. Patients cared for by trained nurses also demonstrated improved quality of life and higher family caregiver satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Structured training improves nursing competence, patient quality of life, and family caregiver satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/pmr.2024.0061","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T04:34:52Z","timestamp":1745901292000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Structured Palliative Care Training Enhances Nursing Competence: Evidence from Breast Cancer Care"],"prefix":"10.1177","volume":"6","author":[{"given":"Yanping","family":"Niu","sequence":"first","affiliation":[{"name":"School of Nursing, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiaozhen","family":"Xiang","sequence":"additional","affiliation":[{"name":"Department of End-of-Life Care, Zhejiang Hospital, Hangzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caixia","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Nursing, Zhejiang Hospital, Hangzhou City, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qin","family":"Lin","sequence":"additional","affiliation":[{"name":"School of Nursing, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haipeng","family":"Song","sequence":"additional","affiliation":[{"name":"School of Management, Zhejiang Shuren University, Hangzhou, People\u2019s Republic of China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junhong","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Nursing Studies, Zhejiang University School of Medicine, Medical School of Zhejiang University, Hangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-024-03451-7"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctrv.2024.102767"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.13651"},{"issue":"9","key":"e_1_3_4_5_2","first-page":"1185","article-title":"Disease burden and economic burden of breast cancer in females in China: A synthesis analysis","volume":"45","author":"Zhou XY","year":"2024","unstructured":"Zhou XY, , Wang X, , Li YJ, et al. 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