{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T06:44:24Z","timestamp":1792565064703,"version":"4.5.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"vor","delay-in-days":292,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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 Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>End\u2010of\u2010life care is often delivered in nonspecialist palliative care settings. However, challenges in end\u2010of\u2010life care practice persist in such settings, and associated factors remain underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine how capability\u2010, opportunity\u2010, and motivation\u2010related factors are associated with end\u2010of\u2010life care practice among nurses and physicians working in nonspecialist palliative care settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Nurses and physicians employed at a tertiary hospital in China and providing direct patient care were recruited. Measures assessed capability\u2010related factors (end\u2010of\u2010life care competence and self\u2010rated physical health), opportunity\u2010related factors (social and organizational environments), and motivation\u2010related factors (outcome expectations and compassion satisfaction), with end\u2010of\u2010life care practice as the outcome. Data were analyzed using structural equation modeling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 342 participants were included in the analysis, of whom 82.7% were nurses. End\u2010of\u2010life care competence showed both direct (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.413,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) and indirect associations with end\u2010of\u2010life care practice through outcome expectations (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.059, 95% CI [0.010, 0.138]). The social environment was indirectly associated with practice through outcome expectations (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.082, 95% CI [0.024, 0.189]). Poor or fair self\u2010rated physical health showed a small negative association with practice through outcome expectations (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.022, 95% CI [\u20130.056, \u22120.001]). Organizational environment and compassion satisfaction were not significantly associated with practice in the structural model. Overall, the model explained 32% of the variance in end\u2010of\u2010life care practice.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>End\u2010of\u2010life care competence was associated with end\u2010of\u2010life care practice, while outcome expectations were involved in the indirect associations of both competence and the social environment with practice. These findings highlight the potential relevance of competence and outcome expectations to end\u2010of\u2010life care practice in nonspecialist palliative care settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nursing managers may consider prioritizing competency\u2010based education and continuing professional development, while considering the social environment and healthcare professionals\u2019 outcome expectations related to end\u2010of\u2010life care practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/8686334","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T06:01:11Z","timestamp":1792562471000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With End\u2010of\u2010Life Care Practice in Nonspecialist Palliative Care Settings: A Capability\u2013Opportunity\u2013Motivation Perspective"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6507-4321","authenticated-orcid":false,"given":"Dongyan","family":"Zeng","sequence":"first","affiliation":[{"name":"Cancer Center The Fifth Affiliated Hospital Sun Yat-Sen University  Zhuhai 519000 China  sysu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0950-0292","authenticated-orcid":false,"given":"Yinxian","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Thoracic Oncology The Fifth Affiliated Hospital Sun Yat-Sen University  Zhuhai 519000 China  sysu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3578-0572","authenticated-orcid":false,"given":"Rongzhi","family":"Xie","sequence":"additional","affiliation":[{"name":"Cancer Center The Fifth Affiliated Hospital Sun Yat-Sen University  Zhuhai 519000 China  sysu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0877-6551","authenticated-orcid":false,"given":"Xiaohua","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of General Practice The Fifth Affiliated Hospital Sun Yat-Sen University  Zhuhai 519000 China  sysu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4043-4167","authenticated-orcid":false,"given":"Shili","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Abdominopelvic Oncology The Fifth Affiliated Hospital Sun Yat-Sen University  Zhuhai 519000 China  sysu.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0295-0953","authenticated-orcid":false,"given":"Dandan","family":"Jiao","sequence":"additional","affiliation":[{"name":"Department of Nursing The First Affiliated Hospital, and College of Clinical Medicine Henan University of Science and Technology  Luoyang 471003 China  haust.edu.cn"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,20]]},"reference":[{"key":"e_1_2_9_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2022.103294"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2025.07.026"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163198409"},{"key":"e_1_2_9_4_2","volume-title":"Global Atlas of Palliative Care, 2nd Edition","author":"Connor S. 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