{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T03:47:06Z","timestamp":1782186426816,"version":"3.54.5"},"reference-count":44,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"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":["Nursing &amp;amp; Health Sciences"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>With growing global demand for high\u2010quality palliative and end\u2010of\u2010life care in community\u2010based settings, continuing education for care staff has become increasingly important. However, access to structured education remains limited, particularly in long\u2010term care facilities. This study evaluated a palliative and end\u2010of\u2010life care education program comprising an education session and a focus group discussion using an embedded mixed\u2010methods design. Thirty\u2010nine healthcare workers from a small\u2010scale, community\u2010based facility participated in this study, and the online education was evaluated measuring four indicators\u2014knowledge, confidence, and motivation, difficulties providing care, and job satisfaction\u2014at three time points (before, after, and 3\u2009months after), alongside qualitative data. Analysis indicated significant improvements in knowledge and confidence, with a notable reduction in difficulties observed 3\u2009months post\u2010program. While overall job satisfaction showed no significant change, the \u201cenhanced sense of efficacy\u201d sub\u2010item increased significantly. Thematic analysis of focus group discussion and descriptive feedback confirmed enhanced knowledge and highlighted opportunities for further discussion. This suggests the program positively impacted care quality and job satisfaction. Long\u2010term follow\u2010up is suggested to confirm this effect and improve palliative and end\u2010of\u2010life care.<\/jats:p>","DOI":"10.1111\/nhs.70368","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T03:03:24Z","timestamp":1780369404000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of a Palliative and End\u2010of\u2010Life Care Education Program for Healthcare Workers"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3823-6671","authenticated-orcid":false,"given":"Chizuru","family":"Nagata","sequence":"first","affiliation":[{"name":"Division of Community\/Gerontological Nursing, School of Health Sciences Yamaguchi University Graduate School of Medicine  Ube Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6859-6846","authenticated-orcid":false,"given":"Aiko","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Division of Fundamental Nursing, School of Health Sciences Yamaguchi University Graduate School of Medicine  Ube Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyae157"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1478"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2018.10.013"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0885\u20103924(01)00332\u20103"},{"key":"e_1_2_14_6_1","volume-title":"Annual Report on the Ageing Society","author":"Cabinet Office, Government of Japan","year":"2019"},{"key":"e_1_2_14_7_1","volume-title":"Designing and Conducting Mixed Methods Research","author":"Creswell J. 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