{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T08:11:50Z","timestamp":1779264710597,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:00:00Z","timestamp":1778889600000},"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":["Am J Hosp Palliat Care"],"abstract":"<jats:p>This qualitative descriptive study explored nursing perspectives on end-of-life care quality across 3 distinct community settings: long-term care facilities, patients\u2019 homes, and social model hospice homes. Nurses provide most of the direct end-of-life care in these settings, yet their perspectives remain understudied. Their perspective is essential for improving end-of-life care quality and supporting patients and families during this critical time. Semi-structured interviews were conducted with 11 licensed nurses who had provided end-of-life care across all 3 settings. Participants were recruited through the Omega Home Network and professional nursing networks. Thematic analysis using constant comparative methods was employed. Member checking and independent secondary analysis ensured trustworthiness. Analysis revealed 4 major themes: (1) setting-based care disparities, (2) nurses as educators and translators, (3) mediation of caregiver burden across settings, and (4) relationship-based care as foundational for peaceful deaths. Care setting profoundly influenced these nurses\u2019 ability to deliver quality end-of-life care. Findings may have global relevance for hospice and palliative care practice, highlighting the need for systemic changes in institutional long-term care, enhanced support for family caregivers and staff caregivers across settings and recognition of social model hospice homes as a viable alternative for patients lacking adequate home resources.<\/jats:p>","DOI":"10.1177\/10499091261452647","type":"journal-article","created":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T18:29:15Z","timestamp":1778956155000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurse Perceptions of End-of-Life Care Quality Across Long-Term Care, Home, and Social Model Hospice Home Settings: A Qualitative Descriptive Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6392-3107","authenticated-orcid":false,"given":"Helen Mavis","family":"Farrar","sequence":"first","affiliation":[{"name":"Rogers State University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelley","family":"Easterling Scott","sequence":"additional","affiliation":[{"name":"Clarehouse and Omega Home Network"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,16]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Trilliant Health. 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