{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T15:47:37Z","timestamp":1781020057224,"version":"3.54.1"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"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":["WORK: A Journal of Prevention, Assessment &amp; Rehabilitation"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nurses working in palliative units are repeatedly exposed to death, complex symptom management and emotionally intense interactions with patients and families. These conditions may lead to emotional exhaustion and physical strain, which in turn can compromise care processes and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to explore the challenges and lived experiences of palliative care nurses through a descriptive qualitative approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative research design employing a descriptive qualitative method was utilized. Semi-structured in-depth interviews were conducted with 18 palliative care nurses working in state hospitals in a province in northern Turkey. The sample was selected using criterion sampling, a purposive method. Data collection continued until saturation was reached. All interviews were recorded, transcribed, and analyzed thematically following the COREQ checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The thematic analysis revealed two major themes and five sub-themes, highlighting the burdens of palliative nursing and the reflections of this profession on both individuals and care quality. Emotional, physical, and psychosocial strains were frequently mentioned, along with issues of burnout and the overall impact on care quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results indicate that palliative care nurses experience emotional and physical burdens due to caring for palliative patients, and these situations cause burnout in individuals from time to time. In addition, it was determined that psychosocial difficulties can affect the quality of care in palliative units.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10519815251405818","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T09:35:16Z","timestamp":1768556116000},"page":"353-363","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Burnout syndrome and quality of care: Palliative care nurses\u2019 experiences and challenges"],"prefix":"10.1177","volume":"84","author":[{"given":"Fatma","family":"GENC","sequence":"first","affiliation":[{"name":"Giresun University, Faculty of Health Sciences, Department of Medical Nursing, Giresun, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevda","family":"UZUN","sequence":"additional","affiliation":[{"name":"K\u0131r\u015fehir Ahi Evran University, Faculty of Health Sciences, Department of Psychiatric Nursing, K\u0131rsehir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Global Atlas of Palliative Care at the End of Life","author":"Connor SR","year":"2014","unstructured":"Connor SR, Sepulveda C (eds) Global Atlas of Palliative Care at the End of Life. 1st ed. Worldwide Hospice Palliative Care Alliance, World Health Organization; ISBN: 978-0-9928277-0-0.2014.","edition":"1"},{"key":"e_1_3_3_3_2","first-page":"81","article-title":"Palliative care education and organization in the world and Turkey","volume":"4","author":"Uslu F\u015e","year":"2015","unstructured":"Uslu F\u015e, Terzio\u011flu F. Palliative care education and organization in the world and Turkey. Cumhur Nurs J 2015; 4: 81\u201390.","journal-title":"Cumhur Nurs J"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13912"},{"key":"e_1_3_3_5_2","first-page":"483","article-title":"The difficulties that palliative care unit nurses have while caring the dying patient","volume":"6","author":"Cura \u015e\u00dc","year":"2020","unstructured":"Cura \u015e\u00dc, Ate\u015f E. The difficulties that palliative care unit nurses have while caring the dying patient. JAREN 2020; 6: 483\u2013490.","journal-title":"JAREN"},{"key":"e_1_3_3_6_2","first-page":"67","article-title":"Perceptions of palliative care patients and nurses regarding individualized care","volume":"33","author":"Cerit B","year":"2024","unstructured":"Cerit B, Uzun LN. Perceptions of palliative care patients and nurses regarding individualized care. J Heal Sci 2024; 33: 67\u201373.","journal-title":"J Heal Sci"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12395"},{"key":"e_1_3_3_8_2","article-title":"Association of 12\u2005h shifts and nurses\u2019 job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries","volume":"5","author":"Dall\u2019Ora C","unstructured":"Dall\u2019Ora C, Griffiths P, Ball J, et al. Association of 12\u2005h shifts and nurses\u2019 job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open 2015;23; 5: e008331.","journal-title":"BMJ Open"},{"key":"e_1_3_3_9_2","first-page":"274","article-title":"Determination of the correlation of job stress and burnout levels of nurses with their job and life satisfaction levels","volume":"24","author":"Camci GB","year":"2021","unstructured":"Camci GB, Kavuran E. Determination of the correlation of job stress and burnout levels of nurses with their job and life satisfaction levels. J Anatolia Nurs Heal Sci 2021; 24: 274\u2013283.","journal-title":"J Anatolia Nurs Heal Sci"},{"key":"e_1_3_3_10_2","first-page":"396","article-title":"The importance of qualitative studies in nursing research","volume":"9","author":"\u00c7opur E\u00d6","year":"2020","unstructured":"\u00c7opur E\u00d6, Can Z, \u00c7am HH, et al. The importance of qualitative studies in nursing research. G\u00fcm\u00fc\u015fhane Univ J Heal Sci 2020; 9: 396\u2013401.","journal-title":"G\u00fcm\u00fc\u015fhane Univ J Heal Sci"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_3_12_2","first-page":"62","article-title":"A qualitative research about mobbing implications in educational institutions","volume":"4","author":"Altunay E","year":"2014","unstructured":"Altunay E, Oral G, Yal\u00e7\u0131nkaya M. A qualitative research about mobbing implications in educational institutions. Sak Univ J Educ 2014; 4: 62\u201380.","journal-title":"Sak Univ J Educ"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2022.12.007"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_3_3_15_2","first-page":"643","article-title":"Colaizzi\u2019s descriptive phenomenological method","volume":"28","author":"Morrow R","year":"2015","unstructured":"Morrow R, Rodriguez A, King N. Colaizzi\u2019s descriptive phenomenological method. Psychologist 2015; 28: 643\u2013644.","journal-title":"Psychologist"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0030222819890457"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2015.11.026"},{"key":"e_1_3_3_18_2","first-page":"21","article-title":"Palliative oncological treatments and care","volume":"1","author":"Sen S","year":"2016","unstructured":"Sen S, Aygin D, Sert H. Palliative oncological treatments and care. Online Turkish J Med Sci 2016; 1: 21\u201335.","journal-title":"Online Turkish J Med Sci"},{"key":"e_1_3_3_19_2","first-page":"47","article-title":"Case management based multidisc\u0131plinary care protocol in the palliative care of cancer patients","volume":"26","author":"Ozcelik H","year":"2014","unstructured":"Ozcelik H, Fadiloglu C, Karabulut B, et al. Case management based multidisc\u0131plinary care protocol in the palliative care of cancer patients. Pain 2014; 26: 47\u201356.","journal-title":"Pain"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2000.6.5.8926"},{"key":"e_1_3_3_21_2","first-page":"69","article-title":"Nurses\u2019 views on palliative care and death: a qualitative study","volume":"4","author":"Al\u0131ncak G","year":"2022","unstructured":"Al\u0131ncak G, Acavut G, Soyaslan BD, et al. Nurses\u2019 views on palliative care and death: a qualitative study. Univ Heal Sci J Nurs 2022; 4: 69\u201376.","journal-title":"Univ Heal Sci J Nurs"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.14689\/issn.2148-2624.1.3c3s2m"},{"key":"e_1_3_3_23_2","first-page":"368","article-title":"The qualitative research process: how to conduct a qualitative research?","volume":"5","author":"Baltaci A","year":"2019","unstructured":"Baltaci A. The qualitative research process: how to conduct a qualitative research? Ahi Evran Univ Soc Sci Inst J 2019; 5: 368\u2013388.","journal-title":"Ahi Evran Univ Soc Sci Inst J"},{"key":"e_1_3_3_24_2","first-page":"79","article-title":"Are signs of burnout and stress in palliative care workers different from other clinic workers?","volume":"32","author":"Tertemiz OF","year":"2020","unstructured":"Tertemiz OF, T\u00fcyl\u00fco\u011flu E. Are signs of burnout and stress in palliative care workers different from other clinic workers? Agri 2020; 32: 79\u201384.","journal-title":"Agri"},{"key":"e_1_3_3_25_2","first-page":"222","article-title":"Fad\u0131lo\u011flu \u00c7. Examination perception death and affecting factors of nursing","volume":"17","author":"Menekli T","year":"2014","unstructured":"Menekli T. Fad\u0131lo\u011flu \u00c7. Examination perception death and affecting factors of nursing. Anatol J Nurs Heal Sci 2014; 17: 222\u2013229.","journal-title":"Anatol J Nurs Heal Sci"},{"key":"e_1_3_3_26_2","first-page":"99","article-title":"Experience and attitude toward death in nurses who give terminal stage patient care","volume":"3","author":"Koku F","year":"2016","unstructured":"Koku F, Ate\u015f M. Experience and attitude toward death in nurses who give terminal stage patient care. ournal Heal Nurs Manag 2016; 3: 99\u2013104.","journal-title":"ournal Heal Nurs Manag"},{"key":"e_1_3_3_27_2","first-page":"49","article-title":"Intensive care and palliative care nurse\u2019s advice to increasing employee motivation and improvement of nursing services","volume":"16","author":"Avc\u0131 K","year":"2012","unstructured":"Avc\u0131 K, Sorucuo\u011flu AY, Mercan \u015e, et al. Intensive care and palliative care nurse\u2019s advice to increasing employee motivation and improvement of nursing services. J Intensive Care Nurs 2012; 16: 49\u201356.","journal-title":"J Intensive Care Nurs"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.explore.2021.08.001"}],"container-title":["WORK: A Journal of Prevention, Assessment &amp; Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10519815251405818","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10519815251405818","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10519815251405818","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T21:46:31Z","timestamp":1780091191000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10519815251405818"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,16]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/10519815251405818"],"URL":"https:\/\/doi.org\/10.1177\/10519815251405818","relation":{},"ISSN":["1051-9815","1875-9270"],"issn-type":[{"value":"1051-9815","type":"print"},{"value":"1875-9270","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,16]]}}}