{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T10:00:57Z","timestamp":1780826457063,"version":"3.54.1"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"HRSA of HHS"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Palliative care should be available to all patients and families dealing with serious illness. Hence, the American Association of Colleges of Nursing has called for palliative care to be an integral part of nursing education. Students report a lack of competence and confidence with this subject.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine preparedness of undergraduate nursing students to provide primary palliative care while evaluating for differences in preparedness based on healthcare and palliative care experience and determining if there was a change in preparedness when students receive palliative care education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A longitudinal, multi-site study used a newly developed tool to measure self-perceived preparedness to provide primary palliative care. Multiple linear regression was used to determine the influence of independent variables on preparedness to provide primary palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      The baseline survey was completed by 294 students. Participants with previous experience in healthcare and\/or palliative care had significantly higher total preparedness to provide palliative care than those without these experiences\n                      <jats:italic toggle=\"yes\">(P<\/jats:italic>\n                      &lt; 0.001). Past palliative care experience and clinical courses significantly influenced preparedness to provide palliative care (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). From the start to end of the nursing program, 38 students completed both the pre- and post-test survey which demonstrated a substantial increase in readiness to provide primary palliative care (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Clinical experiences exposing students to primary palliative care supports students\u2019 preparedness to provide this care, which is especially important for students who lack previous experiences in these areas.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091261457888","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T10:37:07Z","timestamp":1780569427000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["How Experiences and Education Impact Undergraduate Nursing Student Preparedness to Provide Primary Palliative Care: A Longitudinal, Multi-Site Study in the United States"],"prefix":"10.1177","author":[{"given":"Theresa","family":"Garren-Grubbs","sequence":"first","affiliation":[{"name":"College of Nursing, South Dakota State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandi","family":"Pravecek","sequence":"additional","affiliation":[{"name":"College of Nursing, South Dakota State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"He","sequence":"additional","affiliation":[{"name":"South Dakota State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3432-660X","authenticated-orcid":false,"given":"Sarah","family":"Mollman","sequence":"additional","affiliation":[{"name":"College of Nursing, South Dakota State University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2021.1099"},{"key":"e_1_3_4_3_2","unstructured":"World Health Organization. Palliative care. 2020. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care (Accessed 20 April 2026)."},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2021.06.011"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2021.06.018"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.17226\/18748"},{"key":"e_1_3_4_7_2","unstructured":"American Nurses Association. Call for action: nurses lead and transform palliative care. 2017. https:\/\/www.nursingworld.org\/\u223c497158\/globalassets\/practiceandpolicy\/health-policy\/palliativecareprofessionalissuespanelcallforaction.pdf (Accessed 20 April 2026)."},{"key":"e_1_3_4_8_2","volume-title":"The Essentials: Core Competencies for Professional Nursing Education","author":"American Association of Colleges of Nursing","year":"2026","unstructured":"American Association of Colleges of Nursing. The Essentials: Core Competencies for Professional Nursing Education. AACN; 2026. https:\/\/www.aacnnursing.org\/Portals\/42\/AcademicNursing\/pdf\/Essentials-2021.pdf (Accessed 20 April 2026)."},{"key":"e_1_3_4_9_2","volume-title":"Clinical Practice Guidelines for Quality Palliative Care","author":"National Consensus Project for Quality Palliative Care","year":"2018","unstructured":"National Consensus Project for Quality Palliative Care. Clinical Practice Guidelines for Quality Palliative Care. 4th ed. National Coalition for Hospice and Palliative Care; 2018. https:\/\/www.nationalcoalitionhpc.org\/ncp (Accessed 20 April 2026).","edition":"4"},{"key":"e_1_3_4_10_2","volume-title":"Primary Palliative Care Competency (CARES\/G-CARES) Alignment with the 2021 AACN Essentials","author":"American Association of Colleges of Nursing","year":"2022","unstructured":"American Association of Colleges of Nursing. Primary Palliative Care Competency (CARES\/G-CARES) Alignment with the 2021 AACN Essentials, 2022. https:\/\/www.aacnnursing.org\/Portals\/0\/PDFs\/ELNEC\/Alignment-CARES-G-CARES-Essentials.pdf (Accessed 20 April 2026)."},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/NNE.0000000000000497"},{"key":"e_1_3_4_12_2","volume-title":"Burns and Grove\u2019s the Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence","author":"Gray JR","year":"2021","unstructured":"Gray JR, Grove SK. Burns and Grove\u2019s the Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence. Elsevier; 2021."},{"issue":"11","key":"e_1_3_4_13_2","first-page":"505","article-title":"The state of palliative care in South Dakota","volume":"77","author":"Sedlacek A","year":"2024","unstructured":"Sedlacek A, Mollman S, Snyders M, Gierach M. The state of palliative care in South Dakota. S D Med. 2024;77(11):505-509.","journal-title":"S D Med"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/njh.0000000000001185"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/10966218251361499"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd21.230267"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd17.200130"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2025.102810"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2016.08.046"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chbr.2022.100206"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/0193841X18807719"},{"key":"e_1_3_4_22_2","volume-title":"Gaining in higher-paying Occupations","author":"Cheeseman Day J","year":"2019","unstructured":"Cheeseman Day J, Christnacht C. Women hold 76% of all health care jobs. In: Gaining in higher-paying Occupations. US Census Bureau; 2019. https:\/\/www.census.gov\/library\/stories\/2019\/08\/your-health-care-in-womens-hands.html (Accessed 20 April 2026)."},{"key":"e_1_3_4_23_2","volume-title":"American Community Survey 1-Year Estimates","author":"US Census Bureau","year":"2021","unstructured":"US Census Bureau. 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