{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T06:19:13Z","timestamp":1794291553278,"version":"4.9.0"},"reference-count":81,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"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":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The nursing home population is expanding and presenting with increasing medical complexity. Specialist palliative care services collaborate with nursing homes to enhance quality of life for residents with advanced disease through timely identification and provision of palliative care. However, these efforts are often limited by workforce shortages, resource constraints, and a lack of clarity on how specialist palliative care can be effectively integrated into nursing home practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To identify and map integrated models of specialist palliative care in nursing homes, describe their core components, and summarise reported evaluation outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A scoping review guided by Arksey and O\u2019Malley\u2019s framework was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources:<\/jats:title>\n                    <jats:p>Six databases (PubMed, Web of Science, Scopus, CINAHL, and Cochrane CENTRAL) were searched from inception to end October 2025. Studies describing SPC delivery integrated with routine nursing home care were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twenty-three studies were included. Two integrated models were identified: (1)\n                      <jats:italic toggle=\"yes\">Specialist Consultation Services<\/jats:italic>\n                      and (2)\n                      <jats:italic toggle=\"yes\">Palliative Case Management<\/jats:italic>\n                      . Both involved interdisciplinary SPC teams supporting nursing home staff through shared expertise, staff training, and quality improvement initiatives.\n                      <jats:italic toggle=\"yes\">Specialist Consultation Services<\/jats:italic>\n                      provided on-demand, resident-specific consultations, while\n                      <jats:italic toggle=\"yes\">Palliative Case Management<\/jats:italic>\n                      adopted a proactive, team-based approach incorporating case conferences, and palliative care rounds to address residents\u2019 ongoing needs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Two complementary models of integrated specialist palliative care in nursing homes were identified. Findings highlight shared and unique components that can inform development of modular, context-appropriate palliative care models tailored to nursing home capacities and resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163261416286","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T15:23:08Z","timestamp":1770909788000},"page":"472-489","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Integrating specialist palliative care delivery in nursing homes: A scoping review"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2422-1591","authenticated-orcid":false,"given":"Apphia Jia Qi","family":"Tan","sequence":"first","affiliation":[{"name":"Division of Supportive and Palliative Care, National Cancer Centre Singapore, SingHealth, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth Wen Yu","family":"Lee","sequence":"additional","affiliation":[{"name":"Nursing Department, Sengkang General Hospital, SingHealth, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0034-7402","authenticated-orcid":false,"given":"Catherine J.","family":"Evans","sequence":"additional","affiliation":[{"name":"Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King\u2019s College London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuling","family":"Lin","sequence":"additional","affiliation":[{"name":"National Neuroscience Institute, SingHealth, Singapore"},{"name":"Duke-NUS Medical School, Neuroscience Academic Clinical Programme, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0199-740X","authenticated-orcid":false,"given":"Sarah Ee Fang","family":"Yong","sequence":"additional","affiliation":[{"name":"SingHealth Office of Regional Health, SingHealth, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0915-6007","authenticated-orcid":false,"given":"Grace Meijuan","family":"Yang","sequence":"additional","affiliation":[{"name":"Division of Supportive and Palliative Care, National Cancer Centre Singapore, SingHealth, Singapore"},{"name":"Duke-NUS Medical School, Lien Centre for Palliative Care, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbae067"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41514-024-00148-2"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.11.027"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-018-0943-8"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2014.12.013"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221074547"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.0164"},{"key":"e_1_3_2_9_2","unstructured":"National Academies of Sciences Engineering and Medicine. The national imperative to improve nursing home quality: honoring our commitment to residents families and staff. 2022."},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.6299"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0319001"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.10.369"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2017.02.016"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.04.151"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00727-0"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216314539785"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2019.5349"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00788-1"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2015-000943"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-019-0953-8"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2010.07.016"},{"issue":"3","key":"e_1_3_2_22_2","first-page":"163","article-title":"End-of-life care in nursing homes: the high cost of staff turnover","volume":"30","author":"Tilden VP","year":"2012","unstructured":"Tilden VP, Thompson SA, Gajewski BJ, et al. End-of-life care in nursing homes: the high cost of staff turnover. Nurs Econ 2012; 30(3): 163\u2013166.","journal-title":"Nurs Econ"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/10499091211011145"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.37464\/2006.233.1935"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216319858237"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163211000660"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2019.11.015"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.3390\/jpm14070700"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00827-x"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-5-69"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000835"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12654"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2015-001071"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216319891077"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2016-001127"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00812-4"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnx201"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-025-01695-5"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.12512"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gns154"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909116641606"},{"key":"e_1_3_2_44_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0181020"},{"key":"e_1_3_2_45_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16192"},{"key":"e_1_3_2_46_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2017.01.011"},{"key":"e_1_3_2_47_2","volume-title":"PCORI final research reports. Do palliative care teams in nursing homes improve the quality of end-of-life care for nursing home residents?","author":"Temkin-Greener H","year":"2019","unstructured":"Temkin-Greener H, Mukamel DB, Ladwig S, et al. PCORI final research reports. Do palliative care teams in nursing homes improve the quality of end-of-life care for nursing home residents? Patient-Centered Outcomes Research Institute (PCORI). University of Rochester. 2019."},{"key":"e_1_3_2_48_2","doi-asserted-by":"publisher","DOI":"10.3310\/KRWQ5829"},{"key":"e_1_3_2_49_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03417.x"},{"key":"e_1_3_2_50_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12789"},{"key":"e_1_3_2_51_2","doi-asserted-by":"publisher","DOI":"10.1177\/1533317511432732"},{"key":"e_1_3_2_52_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2524.1999.00158.x"},{"key":"e_1_3_2_53_2","doi-asserted-by":"publisher","DOI":"10.1080\/09699260.2021.1905146"},{"key":"e_1_3_2_54_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-015515"},{"key":"e_1_3_2_55_2","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.16-2-114"},{"key":"e_1_3_2_56_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2021.0241"},{"key":"e_1_3_2_57_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313480549"},{"key":"e_1_3_2_58_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216314526270"},{"key":"e_1_3_2_59_2","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000634"},{"key":"e_1_3_2_60_2","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.13984"},{"key":"e_1_3_2_61_2","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000001028"},{"key":"e_1_3_2_62_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-020-00627-9"},{"key":"e_1_3_2_63_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2017-001332"},{"key":"e_1_3_2_64_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10010177"},{"key":"e_1_3_2_65_2","doi-asserted-by":"publisher","DOI":"10.1177\/07334648241286326"},{"key":"e_1_3_2_66_2","doi-asserted-by":"publisher","DOI":"10.1177\/0825859717745728"},{"key":"e_1_3_2_67_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-4-7"},{"key":"e_1_3_2_68_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17070"},{"key":"e_1_3_2_69_2","doi-asserted-by":"publisher","DOI":"10.1097\/JXX.0000000000000565"},{"key":"e_1_3_2_70_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16231"},{"key":"e_1_3_2_71_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-023-04082-y"},{"key":"e_1_3_2_72_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2023.01.004"},{"key":"e_1_3_2_73_2","doi-asserted-by":"publisher","DOI":"10.1002\/nur.22105"},{"key":"e_1_3_2_74_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2021.11.027"},{"key":"e_1_3_2_75_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac268"},{"key":"e_1_3_2_76_2","volume-title":"Palliative care fact sheets, 2018","author":"World Health Organization","year":"2019","unstructured":"World Health Organization. Palliative care fact sheets, 2018. World Health Organization. 2019."},{"key":"e_1_3_2_77_2","doi-asserted-by":"publisher","DOI":"10.1331\/JAPhA.2015.15533"},{"key":"e_1_3_2_78_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.09.006"},{"key":"e_1_3_2_79_2","doi-asserted-by":"publisher","DOI":"10.1162\/ajhe_a_00096"},{"key":"e_1_3_2_80_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-024-01381-9"},{"key":"e_1_3_2_81_2","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-38"},{"key":"e_1_3_2_82_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216317701890"}],"container-title":["Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692163261416286","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02692163261416286","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692163261416286","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:38:27Z","timestamp":1777660707000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02692163261416286"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,12]]},"references-count":81,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/02692163261416286"],"URL":"https:\/\/doi.org\/10.1177\/02692163261416286","relation":{},"ISSN":["0269-2163","1477-030X"],"issn-type":[{"value":"0269-2163","type":"print"},{"value":"1477-030X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,12]]}}}