{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:57:58Z","timestamp":1777384678541,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"JSPS KAKENHI","award":["24K13775"],"award-info":[{"award-number":["24K13775"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>\n                    <jats:italic>Objectives:<\/jats:italic>\n                    To investigate the current state of primary palliative care practice in Japanese critical care settings, identify care perceived as equivalent to primary palliative care, and explore the barriers.\n                    <jats:italic>Methods:<\/jats:italic>\n                    We employed a quantitative descriptive questionnaire survey with a nationwide cross-sectional design involving 740 critical care specialist nurses.\n                    <jats:italic>Results:<\/jats:italic>\n                    Questionnaires were received from 384 nurses, yielding a response rate of 51.9%. Nurses recognized typical palliative care provided to cancer patients, such as \u201crelieving suffering at end-of-life\u201d (95.3%), \u201cpain management\u201d (88.8%), and \u201ccaring for patients\u2019 psychological suffering\u201d (88.3%), as primary palliative care in the critical care setting. They also recognized \u201cmonitoring and management of delirium\u201d (68.5%), \u201ccaring for patients\u2019 social suffering\u201d (63.5%), and \u201cpreventing post-intensive care syndromes\u201d (61.7%) less frequently as aspects of primary palliative care in critical care settings. Additionally, the recognition was lower among emergency department nurses than intensive care unit nurses. The nurses recognized inadequate overall palliative care practices, especially regarding patients\u2019 social (72.1%) and spiritual (76.8%) suffering. They recognized \u201cinsufficient knowledge and skills among critical care medical staff\u201d (70.6%) and \u201cunable to confirm the patients\u2019 preferences to treatment goals\u201d (54.4%) as barriers to providing primary palliative care. The barriers that nurses recognized less often were \u201cuncertainty about palliative care in critical care settings\u201d (6.8%) and \u201cdisagreements among nursing teams regarding providing palliative care\u201d (8.3%).\n                    <jats:italic>Conclusion:<\/jats:italic>\n                    Specialist nurses understood palliative care but felt unprepared in primary palliative care due to limited knowledge. Improved education in primary palliative care and patient-family communication is needed in Japan\u2019s critical care settings.\n                  <\/jats:p>","DOI":"10.1177\/10499091241303675","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T18:00:33Z","timestamp":1733421633000},"page":"1151-1160","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Current Status of and Barriers to Primary Palliative Care Recognized by Critical Care Specialist Nurses: A Nationwide Cross-Sectional Questionnaire Survey in Japan"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6197-320X","authenticated-orcid":false,"given":"Akane","family":"Kato","sequence":"first","affiliation":[{"name":"Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan"},{"name":"Department of Adult and Geriatric Nursing, Faculty of Health Sciences, Shinshu University Medical School of Medicine, Matsumoto Nagano, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuta","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiyuki","family":"Kizawa","sequence":"additional","affiliation":[{"name":"Department of Palliative Supportive Care, Kobe University Hospital School of Medicine, Kobe, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"Yamase","sequence":"additional","affiliation":[{"name":"Department of Clinical Nursing, Yamaguchi University Graduate School of Medicine, Ube, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asami","family":"Tado","sequence":"additional","affiliation":[{"name":"Department of Clinical Nursing, Yamaguchi University Graduate School of Medicine, Ube, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junko","family":"Tatsuno","sequence":"additional","affiliation":[{"name":"Department of Quality Management, Kokura Memorial Hospital, Kyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsunori","family":"Miyashita","sequence":"additional","affiliation":[{"name":"Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(07)70138-9"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/23779608221117379"},{"key":"e_1_3_5_4_2","unstructured":"World Health Organization. Palliative Care. Geneva: WHO. https:\/\/who.int\/health-topics\/palliative-care. n.d. Accessed 19 July 2022."},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-022-06729-7"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hfc.2019.12.006"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2019.0349"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2011.04.006"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.11153\/jaccn.15.0_33"},{"key":"e_1_3_5_10_2","unstructured":"End of Life Nursing Education Consortium-Japan Critical Care. The Number of ELNEC-JCC Program Completion Nurses. 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Geneva: WHO. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care. n.d. Accessed 11 November 2024."},{"key":"e_1_3_5_19_2","volume-title":"Cancer Control Act [Internet]","author":"General Affairs Division Cancer Control Promotion Office","year":"2007","unstructured":"General Affairs Division Cancer Control Promotion Office. Cancer Control Act [Internet]. Japanese Ministry of Health, Labor and Welfare; 2007. https:\/\/www.mhlw.go.jp\/shingi\/2007\/06\/dl\/s0615-1a.pdf. Accessed 26 March 2024."},{"key":"e_1_3_5_20_2","volume-title":"ICU Liberation","author":"Society of Critical Care Medicine","unstructured":"Society of Critical Care Medicine. ICU Liberation. Mumbai: Society of Critical Care Medicine. https:\/\/www.sccm.org\/Clinical-Resources\/ICULiberation-Home. 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