{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:05:59Z","timestamp":1787018759654,"version":"build-2736575974"},"reference-count":54,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"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":["Palliat Med"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Palliative care\u2014while overlapping with but distinct from end-of-life care\u2014involves multidisciplinary teams providing medical, psychosocial, and existential support to patients and families facing serious illness. While prior research has examined professional identity in palliative care, the existential dimensions of identity formation\u2014what it means to be a palliative care professional\u2014remain largely underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To explore the lived experiences of palliative care professionals, focussing on how their professional identity is constructed through the existential notion of \u201cbeing,\u201d and to identify implications for advancing international education and workforce policy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Semi-structured interviews were analysed using Interpretative Phenomenological Analysis (IPA). Reflexivity, peer debriefing, thick description, and an audit trail were applied to ensure rigour and transparency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>Fourteen Italian palliative care professionals from diverse disciplines (nursing, medicine, allied health) working primarily in community-based services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One Group Existential Theme emerged: Being, encompassing four subthemes\u2014Meaning of Being, Ways of Being, Being Present for Others, and Reasons for Being Present. Across these, participants framed their identity not only around technical competence but also around emotional presence, relational depth, and ethical commitment to dignity in dying.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study advances existing literature by integrating the existential dimensions of \u201cbeing\u201d into professional identity theory. Findings highlight the need for international education and workforce strategies that embed reflective practice, emotional competence training, and peer-support structures alongside technical instruction, to sustain professionals in death-related work.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163251385888","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T07:14:55Z","timestamp":1762499695000},"page":"74-83","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["\u201cOne must know things, but above all, one must know how to be\u201d: an existential\u2013phenomenological study of professional identity in palliative care"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8968-1616","authenticated-orcid":false,"given":"Mateus Eduardo","family":"Rom\u00e3o","sequence":"first","affiliation":[{"name":"WHYpsy Lab, Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Setti","sequence":"additional","affiliation":[{"name":"WHYpsy Lab, Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6973-7010","authenticated-orcid":false,"given":"Michela","family":"Monaci","sequence":"additional","affiliation":[{"name":"WHYpsy Lab, Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Cavallari","sequence":"additional","affiliation":[{"name":"WHYpsy Lab, Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Barello","sequence":"additional","affiliation":[{"name":"WHYpsy Lab, Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy"},{"name":"IRCCS Mondino Foundation, Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,6]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp035232"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1300\/J457v01n02_05"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/hsw\/hlv077"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12565"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311431311"},{"issue":"1","key":"e_1_3_4_7_2","first-page":"741","article-title":"A cross-sectional survey on health care professionals\u2019 approaches, challenges, and support needs when addressing life threat with recipients of an allogeneic hematopoietic stem cell transplantation and with their relatives","volume":"104","author":"Pralong A","year":"2025","unstructured":"Pralong A, Simon ST, Holtick U, et al A cross-sectional survey on health care professionals\u2019 approaches, challenges, and support needs when addressing life threat with recipients of an allogeneic hematopoietic stem cell transplantation and with their relatives. 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