{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T22:03:38Z","timestamp":1771020218656,"version":"3.50.1"},"reference-count":49,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe patient outcomes for patients at high risk of mortality (with a prognosis of three months or less to live) where a Palliative Care Nurse Consultant (PCNC) was embedded in a General Medicine team. To explore patients and\/or their carers feedback and allied health, nursing professionals' perspectives on integrating a palliative care approach in the General Medicine ward.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective exploratory study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>SQUIRE reporting guidelines was adopted for the study reporting. This study was conducted over six weeks in a general medicine ward at Monash Medical Centre in Melbourne, Australia. Participants were 20 patients aged &gt;\u200965\u2009years with non\u2010malignant, chronic conditions at high risk of mortality within three months and had 18 nursing and allied health professionals involved in their care. Quantitative data were analysed descriptively and qualitative survey data were analysed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty patients participated, with an average age of 87\u2009years. 55% spoke a language other than English. PCNC interventions, focused on care coordination and family liaison, were found to facilitate timely referrals to other support services, improve communication and better address end\u2010of\u2010life care needs. Healthcare professionals recognised the benefits of PCNC involvement; however, a key qualitative theme was staff reluctance to raise palliative care needs due to perceived role boundaries and limited confidence. While PCNC presence improved communication and advocacy, barriers included time constraints and patient\/family resistance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Embedding a PCNC in a general medicine team appears to enhance care coordination and support timely palliative care integration. Addressing barriers and optimising workflow can improve patient, carer and clinician experience as well as improve resource utilisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>The model has the potential to enhance patient\u2010centred care and clinician support in acute general medicine settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>The research will have an impact on acute care settings, particularly general medicine units, by informing models of integrated palliative care for patients with complex needs and enhancing staff capability and confidence in providing timely, person\u2010centred care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Patients or members of the public were not involved in the design, conduct, analysis or manuscript preparation of this study. The project was a prospective observational study with limited scope and resources, which did not include a formal patient or public involvement component.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70088","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T11:56:38Z","timestamp":1756727798000},"page":"1210-1221","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Embedding a Palliative Care Nurse Consultant Within a General Medicine Ward: A Prospective Exploratory Study"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3322-1830","authenticated-orcid":false,"given":"Jianxia","family":"Zhai","sequence":"first","affiliation":[{"name":"School of Health &amp; Biomedical Science, STEM College RMIT University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Mooney","sequence":"additional","affiliation":[{"name":"Supportive and Palliative Care Unit Monash Health  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia","family":"Hamilton","sequence":"additional","affiliation":[{"name":"School of Architecture &amp; Urban Design RMIT University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian","family":"Vesty","sequence":"additional","affiliation":[{"name":"School of Accounting, Information Systems and Supply Chain, College of Business and Law RMIT University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Millar","sequence":"additional","affiliation":[{"name":"School of Health &amp; Biomedical Science, STEM College RMIT University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"Runacres","sequence":"additional","affiliation":[{"name":"Supportive and Palliative Care Unit Monash Health  Melbourne Australia"},{"name":"Medicine, Nursing and Health Science Department Monash University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Dellit","sequence":"additional","affiliation":[{"name":"Medicine, Nursing and Health Science Department Monash University  Melbourne Australia"},{"name":"General Medicine Unit and Supportive and Palliative Care Unit Monash Health  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbora","family":"de Courten","sequence":"additional","affiliation":[{"name":"School of Health &amp; Biomedical Science, STEM College RMIT University  Melbourne Australia"},{"name":"School of Clinical Sciences Monash University  Melbourne Australia"},{"name":"Department of Diabetes and Vascular Medicine Monash Health  Melbourne Australia"},{"name":"Department of General Medicine Monash Health  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,1]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/082585979601200102"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2013.0409"},{"key":"e_1_2_16_4_1","unstructured":"Australian Institute of Health and Welfare.2023.\u201cBurden of Disease. 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