{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T02:15:04Z","timestamp":1793499304464,"version":"4.5.0"},"reference-count":45,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T00:00:00Z","timestamp":1740096000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T00:00:00Z","timestamp":1740096000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01GY1702B"],"award-info":[{"award-number":["01GY1702B"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Professionals\u2019 personal perceptions of sedated patients in the context of palliative care may influence their opinion on sedation as treatment option. However, little is known of palliative care professionals\u2019 perception of patients dying under sedation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To explore German specialist palliative care team members\u2019 views on and perception of the dying process under sedation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>\n                      Qualitative phenomenological study using semi-structured interviews (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200959). Interviews took place in-person after recruitment via a contact person and were transcribed verbatim. Framework Analysis was used for analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>Physicians, nurses, psychologists, physical therapists, chaplains, and social workers from 10 palliative care units and 7 specialist palliative homecare teams across 12 German cities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Participants\u2019 views on patients dying under sedation can be grouped into: (i) those who perceived an influence of sedation on the dying process with and without positive and\/or negative connotations and (ii) those who saw no difference between dying with or without sedation. Positive connotations referred to the perception of sedation providing an easier path. Concerns were mainly related to the deprivation of patients regarding a conscious dying. The metaphorical description of sedation as \u201csleep\u201d was common among participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The wide range of perceptions of patients dying under sedation may be rooted in different judgements regarding aspects of a good death. Clarifying ideals of a good death with professionals, patients, and relatives before sedation may support transparent decision-making and help avoid conflicts or moral distress.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163251321320","type":"journal-article","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T07:23:38Z","timestamp":1740122618000},"page":"517-526","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["An easier way to die?\u2014A qualitative interview study on specialist palliative care team members\u2019 views on dying under sedation"],"prefix":"10.1177","volume":"39","author":[{"given":"Jeremias","family":"Bazata","sequence":"first","affiliation":[{"name":"Department of Palliative Medicine, LMU University Hospital, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6174-6573","authenticated-orcid":false,"given":"Sophie","family":"Meesters","sequence":"additional","affiliation":[{"name":"Palliative Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany"},{"name":"Comprehensive Cancer Center Alliance WERA (CCC WERA), W\u00fcrzburg, Erlangen, Regensburg, Augsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Bozzaro","sequence":"additional","affiliation":[{"name":"Institute for Ethics, History and Theory of Medicine, University of M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Violet","family":"Handtke","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, LMU University Hospital, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Schildmann","sequence":"additional","affiliation":[{"name":"Institute for History and Ethics of Medicine, Interdisciplinary Centre for Health Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6212-2562","authenticated-orcid":false,"given":"Maria","family":"Heckel","sequence":"additional","affiliation":[{"name":"Comprehensive Cancer Center Alliance WERA (CCC WERA), W\u00fcrzburg, Erlangen, Regensburg, Augsburg, Germany"},{"name":"Department of Palliative Medicine, Universit\u00e4tsklinikum Erlangen, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg (FAU), Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4449-5036","authenticated-orcid":false,"given":"Christoph","family":"Ostgathe","sequence":"additional","affiliation":[{"name":"Comprehensive Cancer Center Alliance WERA (CCC WERA), W\u00fcrzburg, Erlangen, Regensburg, Augsburg, Germany"},{"name":"Department of Palliative Medicine, Universit\u00e4tsklinikum Erlangen, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg (FAU), Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0958-3041","authenticated-orcid":false,"given":"Claudia","family":"Bausewein","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, LMU University Hospital, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Schildmann","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, LMU University Hospital, Munich, Germany"},{"name":"Palliative Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany"},{"name":"Comprehensive Cancer Center Alliance WERA (CCC WERA), W\u00fcrzburg, Erlangen, Regensburg, Augsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"For the SedPall Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,21]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-020-00635-9"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2013.0511"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2012.11.008"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01243-z"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163231220225"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2016-001159"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318762708"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/SPC.0000000000000224"},{"key":"e_1_3_3_10_2","article-title":"Reflections on palliative sedation","volume":"12","author":"Twycross R.","year":"2019","unstructured":"Twycross R. Reflections on palliative sedation. Palliat Care 2019; 12: 1178224218823511.","journal-title":"Palliat Care"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2019-105457"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01426-2"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.accpm.2023.101317"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1363459320976746"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14020301"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951522001559"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318770342"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-10-5"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216314543319"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/1363459314555377"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4497-2"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.07.012"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1089\/pmr.2021.0022"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4229-7"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2344-7"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0963180198704074"},{"key":"e_1_3_3_28_2","first-page":"129","article-title":"The hour of our death","volume":"16","author":"Ari\u00e9s P.","year":"1982","unstructured":"Ari\u00e9s P. The hour of our death. J Soc Hist 1982; 16: 129\u2013131.","journal-title":"J Soc Hist"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-132-10-200005160-00011"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1533-8525.1998.tb00513.x"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(21)00097-0"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114647"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02314-X"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.12.339"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216306070241"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-86386-9_5"},{"key":"e_1_3_3_37_2","first-page":"261","article-title":"The relation between cultural values, euthanasia, and spiritual care in the Netherlands","volume":"127","author":"Leget C.","year":"2017","unstructured":"Leget C. The relation between cultural values, euthanasia, and spiritual care in the Netherlands. Pol Arch Intern Med 2017; 127: 261\u2013266.","journal-title":"Pol Arch Intern Med"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1002\/ase.1969"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2020466"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2017.23.1.29"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2019.07.033"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0247193"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/56.2.119"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.10762"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2016.01.135"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11019-019-09921-7"}],"container-title":["Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692163251321320","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02692163251321320","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692163251321320","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:37:13Z","timestamp":1777660633000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02692163251321320"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,21]]},"references-count":45,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/02692163251321320"],"URL":"https:\/\/doi.org\/10.1177\/02692163251321320","relation":{},"ISSN":["0269-2163","1477-030X"],"issn-type":[{"value":"0269-2163","type":"print"},{"value":"1477-030X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,21]]}}}