{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:02:09Z","timestamp":1790776929930,"version":"4.1.0"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Hope is a dynamic, relational dimension of palliative care; little is known about how nurses themselves perceive and navigate hope-oriented practice. This study aimed to explore experienced palliative care nurses\u2019 perceptions of the relational and organizational barriers, facilitators, strategies, and practices involved in supporting hope.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative, exploratory, descriptive study was conducted using a single online focus group with 8 nurses experienced in palliative care. Data were analyzed using inductive content analysis following Bardin's approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four interconnected categories emerged: challenges in supporting hope (symptom control, limited time and availability, environmental and organizational constraints, and documentation limitations); facilitators of hope-oriented care (preserving autonomy, honest communication, family involvement, and genuine presence); organizational and team-level strategies (teamwork, nurse case management, and standardized instruments); and person-centered hope-promoting practices (personalized goals and dignity and meaning oriented care). Findings indicate that hope-oriented care depends not only on relational competencies but also on organizational conditions that enable continuity, documentation, and coordination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Supporting hope in palliative care should be understood as both a relational and an organizational responsibility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08258597261488205","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:37:40Z","timestamp":1790609860000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Hope-Oriented Care in Palliative Care: Relational and Organizational Perspectives From Nurses"],"prefix":"10.1177","author":[{"given":"Sandra","family":"Madureira","sequence":"first","affiliation":[{"name":"Local Health Unit Santo Ant\u00f3nio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"University of Porto (Local Health Unit Gaia and Espinho)"},{"name":"Faculty of Medicine, University of Coimbra (Local Health Unit Gaia and Espinho), Coimbra, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2656-8935","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Rocha-Neves","sequence":"additional","affiliation":[{"name":"University of Porto (Local Health Unit Alto Ave)"},{"name":"Faculty of Medicine, University of Coimbra (Local Health Unit Alto Ave), Coimbra, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6348-3316","authenticated-orcid":false,"given":"Paulo","family":"Alves","sequence":"additional","affiliation":[{"name":"Portuguese Catholic University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6715-3621","authenticated-orcid":false,"given":"Daniela","family":"Cunha","sequence":"additional","affiliation":[{"name":"Portuguese Catholic University"},{"name":"University of Porto"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Organization. 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