{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T08:25:11Z","timestamp":1786868711665,"version":"build-2736575974"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100025019","name":"Support for Pioneering Research Initiated by the Next Generation","doi-asserted-by":"publisher","award":["Grant Number JPMJSP2119"],"award-info":[{"award-number":["Grant Number JPMJSP2119"]}],"id":[{"id":"10.13039\/501100025019","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Holist Nurs"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To explore how nurses in palliative care wards perceive hygiene care for patients at the end of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A theory-generating qualitative study based on the grounded theory approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eighteen nurses working in palliative care wards were recruited through purposive and theoretical sampling. Semistructured interviews were conducted between January and May 2025. Data were analyzed using the grounded theory approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\u201cAnchoring through touch\u201d emerged as the core category; touch refers not merely to physical contact, but to a responsive mode of practice wherein nurses adjust care according to patients\u2019 pain, anxiety, embarrassment, comfort, and discomfort. Patients initially experienced hygiene care as \u201crelinquishing their former everyday life,\u201d but responsive touch enabled \u201creorienting through bodily pleasantness\u201d and \u201copening of the self through acceptance.\u201d Sensory stimuli and trusting dialogue facilitated \u201cencountering the self across time,\u201d helping patients reinterpret their lives and achieve \u201crecovery of a sense of connectedness.\u201d Conversely, pain and distress rendered this process fragile, increasing susceptibility to \u201cpain-induced existential instability.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study theorizes hygiene care as a holistic nursing practice supporting bodily, emotional, relational, temporal, and existential dimensions through responsive touch. \u201cAnchoring through touch\u201d offers an empirical foundation for understanding whole-person healing within everyday fundamental nursing care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08980101261475734","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T02:41:03Z","timestamp":1786675263000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Anchoring Through Touch: Nurses\u2019 Perspectives on the Meaning of Hygiene Care for Patients at the End of Life in Palliative Care Wards\u2014A Grounded Theory Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7644-7314","authenticated-orcid":false,"given":"Kotone","family":"Nishiya","sequence":"first","affiliation":[{"name":"Hokkaido University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2480-1983","authenticated-orcid":false,"given":"Risa","family":"Takashima","sequence":"additional","affiliation":[{"name":"Hokkaido University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayumi","family":"Kato","sequence":"additional","affiliation":[{"name":"Nursing Department, Kin-ikyo Chuo Hospital, Hokkaido, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5243-8763","authenticated-orcid":false,"given":"Rika","family":"Yano","sequence":"additional","affiliation":[{"name":"Hokkaido University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_3_3_2_1","volume-title":"Description of holistic nursing","author":"American Holistic Nurses Association.","year":"1998","unstructured":"American Holistic Nurses Association. 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