{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:17:46Z","timestamp":1779380266674,"version":"3.53.1"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"crossref","award":["JP 20K19088 and 23K09977"],"award-info":[{"award-number":["JP 20K19088 and 23K09977"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>As the global incidence of cancer rises, high-quality palliative care is increasingly needed. Early-career nurses often find symptom management and communication challenging. Although role-playing is a promising educational approach, its effectiveness in fully online formats remains underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to examine the feasibility and preliminary effectiveness of a fully online, role-play-based palliative care education program and to explore participants\u2019 experiences with this program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This prospective observational study included 31 nurses with 2\u20134 years of practice. Participants completed assessments before, right after, and one month after the intervention. These assessments included the Palliative Care Difficulties Scale, Nurses\u2019 Difficulty with Cancer Care, Palliative Care Self-reported Practices Scale, confidence, practice level (with reference to the Objective Structured Clinical Examination), and satisfaction. Furthermore, qualitative feedback was collected one month after the program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Perceived difficulty in alleviating symptoms and communicating with the patient and family significantly decreased one month after the intervention. Confidence and selected practical communication behaviors (e.g., \u201cSupport\u201d and \u201cExplore\u201d) also improved. Participants reported high satisfaction, and over half of them described applying skills in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Online role-play-based training is a feasible and acceptable strategy to help early-career nurses develop palliative care competencies. Further research using randomized controlled trials is warranted to establish its effectiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218251371124","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T13:42:33Z","timestamp":1758202953000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Online Role-Play in Palliative Care Education for Early-Career Nurses in Japan: A Pre\u2013Post Evaluation of Perceived Impact and Feasibility"],"prefix":"10.1177","volume":"6","author":[{"given":"Anri","family":"Inumaru","sequence":"first","affiliation":[{"name":"Department of Nursing, Graduate School of Medicine, Mie University, Tsu, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoko","family":"Tamaki","sequence":"additional","affiliation":[{"name":"Department of Fundamental Nursing, Shiga University of Medical Science, Otsu, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayumi","family":"Tsujikawa","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Suzuka University of Medical Science, Suzuka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6875-6275","authenticated-orcid":false,"given":"Jun","family":"Kako","sequence":"additional","affiliation":[{"name":"Department of Nursing, Graduate School of Medicine, Mie University, Tsu, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30415-7"},{"key":"e_1_3_7_4_2","first-page":"209","volume-title":"Guidance on Cancer Services Improving Supportive and Palliative Care for Adults with Cancer the Manual","author":"National Institute for Clinical Excellence","year":"2004","unstructured":"National Institute for Clinical Excellence. 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