{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T22:10:32Z","timestamp":1780611032551,"version":"3.54.1"},"reference-count":37,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"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":["J Palliat Care"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Prior studies have outlined the roles and functions of palliative care nurses, yet a gap exists in understanding their lived experiences in delivering humanistic care. These nurses establish deep connections with patients and families, encountering emotional distress while witnessing their suffering. This emotional strain frequently leads to compassion fatigue and burnout. The purpose of this study was to explore humanistic nursing practices and the dilemmas faced by palliative care nurses in providing humanistic care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive phenomenological approach was employed. Individual semi-structured interviews were conducted with 17 palliative care nurses working in Hong Kong, selected through snowball sampling. They shared their lived experiences of providing humanistic care in palliative settings, and the findings were analyzed using van Kaam's control explication method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Palliative care nurses shared both positive and negative experiences in their humanistic interactions with patients and families. They emphasized the profound influence of their care on preserving dignity and easing suffering while encountering challenges in forming meaningful connections amidst constraints such as heavy workloads that impede compassionate engagement. Four themes emerged, showcasing dilemmas confronted by nurses: juggling between \u201ccreating bonds\u201d versus \u201cmaintaining distance,\u201d choosing to \u201ctreasuring life more\u201d versus \u201cgiving up life more easily,\u201d balancing \u201cpatients\u2019 interests\u201d versus \u201cfamilies\u2019 interests,\u201d and weighing \u201cpatient rights\u201d versus \u201cpublic interest.\u201d The findings highlighted the emotional complexities and burdens associated with providing humanistic care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings illuminated the existential dimensions of humanistic nurse-patient interactions within Paterson and Zderad's theory, revealing key elements such as genuine presence, authentic self-awareness, and realizing caregiving potential. They underscored the need for better support for palliative care nurses, emphasizing improved education and practice to navigate complexities and deepen understanding of humanistic nursing principles.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08258597251404106","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T16:45:57Z","timestamp":1765385157000},"page":"305-313","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Dilemma of Palliative Care Nurses: A Phenomenological Inquiry Into Their Lived Experience With Humanistic Care"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5819-1813","authenticated-orcid":false,"given":"Pin Pin Sandy","family":"Choi","sequence":"first","affiliation":[{"name":"Hong Kong Metropolitan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ka Man","family":"Chan","sequence":"additional","affiliation":[{"name":"Hospital Authority"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Le Bing","family":"Yu","sequence":"additional","affiliation":[{"name":"Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000428"},{"key":"e_1_3_3_3_2","unstructured":"World Health Organization. Palliative care [Fact sheet]. 2020 Aug 5 [cited 2024 Sep 2]. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13912"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2013.12.002"},{"key":"e_1_3_3_6_2","volume-title":"Humanistic nursing","author":"Paterson JG","year":"1976","unstructured":"Paterson JG, Zderad LT. Humanistic nursing. John Wiley & Sons; 1976."},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05770.x"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909115583486"},{"issue":"71","key":"e_1_3_3_9_2","first-page":"1","article-title":"Comfort experience in palliative care: A phenomenological study","volume":"15","author":"Coelho A","year":"2016","unstructured":"Coelho A, Parola V, Escobar-Bravo M, Ap\u00f3stolo J. Comfort experience in palliative care: A phenomenological study. BMC Palliat Care. 2016;15(71):1\u20138.","journal-title":"BMC Palliat Care"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2017.09.002"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006026"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000562"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/10541373211039825"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1043454214555196"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2018-001693"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15528"},{"key":"e_1_3_3_17_2","volume-title":"Essentials of nursing research: Appraising evidence for nursing practice","author":"Polit D","year":"2020","unstructured":"Polit D, Beck C. Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams & Wilkins; 2020."},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/20797222.2009.11433983"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.7748\/nr.22.6.22.e1344"},{"key":"e_1_3_3_20_2","unstructured":"Helsinki Declaration. World Medical Association. Ethical Principles for Medical Research Involving Human Subjects. 2013. Available from: https:\/\/www.wma.net\/wp-content\/uploads\/2016\/11\/DoH-Oct2013-JAMA.pdf. (Accessed 17 October 2025)."},{"issue":"1","key":"e_1_3_3_21_2","article-title":"Existential foundations of psychology","volume":"28","author":"Van Kaam A","year":"1967","unstructured":"Van Kaam A. Existential foundations of psychology. Philos Phenomenol Res. 1967;28(1).","journal-title":"Philos Phenomenol Res"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.7748\/nr.2017.e1514"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_3_25_2","article-title":"Humanistic nursing theory","author":"Paterson J","unstructured":"Paterson J, Zderad L. Humanistic nursing theory. In Alligood MR, ed. Nursing Theories and Nursing Practice. 3rd ed. F.A. Davis Company; 2010:358-379.","journal-title":"Nursing Theories and Nursing Practice"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.9.3.151"},{"issue":"2","key":"e_1_3_3_27_2","first-page":"114","article-title":"The outcomes of humanistic nursing for critical care nurses: A qualitative study","volume":"10","author":"Zamaniniya Z","year":"2021","unstructured":"Zamaniniya Z, Khademi M, Toulabi T, Zarea K. The outcomes of humanistic nursing for critical care nurses: A qualitative study. Nurs Midwifery Stud. 2021;10(2):114-120.","journal-title":"Nurs Midwifery Stud"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.3402\/qhw.v8i0.21880"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X22000459"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2013.19.9.423"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01406-6"},{"issue":"97","key":"e_1_3_3_32_2","article-title":"Negotiating relational practice patterns in palliative home care","volume":"28","author":"Ward-Griffin C","year":"2012","unstructured":"Ward-Griffin C, McWilliam C, Oudshoorn A. Negotiating relational practice patterns in palliative home care. J Palliat Care. 2012;28(97).","journal-title":"J Palliat Care"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2013.19.12.593"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2014.20.5.241"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313477176"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.NCC.0000265013.63547.4a"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijnmr.ijnmr_156_21"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1097\/CNQ.0b013e3181d91424"}],"container-title":["Journal of Palliative Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08258597251404106","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08258597251404106","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08258597251404106","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T21:47:27Z","timestamp":1780609647000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08258597251404106"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,10]]},"references-count":37,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/08258597251404106"],"URL":"https:\/\/doi.org\/10.1177\/08258597251404106","relation":{},"ISSN":["0825-8597","2369-5293"],"issn-type":[{"value":"0825-8597","type":"print"},{"value":"2369-5293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,10]]}}}