{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T08:03:01Z","timestamp":1784620981083,"version":"3.55.0"},"reference-count":53,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"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":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients with dementia at the end-of-life frequently visit the emergency department. These visits can be distressing for patients and families and challenging for staff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To explore the perspectives of emergency department health care professionals about end-of-life care for patients with dementia in the emergency department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>\n                      Qualitative study using semi-structured focus groups interviews (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 23). Interviews took place in-person after recruitment via a contact person and were transcribed verbatim. Reflexive thematic analysis was used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Participants:<\/jats:title>\n                    <jats:p>Physicians, nurses, and health care assistants who regularly work at the emergency department of a tertiary hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Participants\u2019 views on end-of-life care for patients with dementia in the emergency department produced five main themes: (1) the cultural context and perceived place of patients with dementia in the emergency department and in society; (2) the person with dementia\u2014their dignity and multidimensional needs; (3) end-of-life care in the emergency department\u2014managing uncertainty, setting goals, and meeting specific care needs; (4) conditions for supporting the palliative care needs of patients with dementia at the end of life in the emergency department; and (5) ethics and moral distress of health professionals in caring for patients with dementia at the end of life in the emergency department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Health care professionals identify strengthening dementia awareness, implementing structured training programs, and improving the physical environment and care models within emergency departments as key priorities for practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261441207","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T09:16:04Z","timestamp":1775726164000},"page":"912-920","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["End-of-Life Care for Patients with Dementia in the Emergency Department\u2014Reflexive Thematic Analysis of the Perspective of Health Care Professionals"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4463-6732","authenticated-orcid":false,"given":"Sara","family":"Vieira Silva","sequence":"first","affiliation":[{"name":"Palliative Care Service, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Porto, Portugal."},{"name":"Faculdade de Medicina da Universidade do Porto, Universidade do Porto, Porto, Portugal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Bert\u00e3o","sequence":"additional","affiliation":[{"name":"Palliative Care Service, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Porto, Portugal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade do Porto, Universidade do Porto, Porto, Portugal."},{"name":"Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Porto, Portugal."},{"name":"Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar, Universidade do Porto, Porto, Portugal."},{"name":"CINTESIS.RISE, Porto, Portugal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1655-7391","authenticated-orcid":false,"given":"B\u00e1rbara","family":"Antunes","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"1.World Heath Organization. Dementia\u2014Key facts. World Heath Organization; 2021. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/dementia"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2019.0549"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hct136"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909114562947"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2009.10.004"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0218426"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.12021"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610214002713"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951524001627"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-020-01835-x"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/0284186X.2022.2062681"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17833"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.09.005"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/WAD.0000000000000118"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afz052"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.01.035"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0281158"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216315576309"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac332"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2024.0447"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2024.0447"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2021.06.012"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.5306\/wjco.v7.i2.227"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12710"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2011.0011"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2013.0285"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.12215"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-002515"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2011.06.011"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.10.494"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2009.0111"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2016.0213"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/trc2.12261"},{"key":"e_1_3_3_35_1","first-page":"26","volume-title":"Research design: Qualitative, quantitative, and mixed methods approaches","author":"Jw C","year":"2009","unstructured":"34.Jw C. Research design: Qualitative, quantitative, and mixed methods approaches, 3rd ed. SAGE Publication: Thousand Oaks, CA; 2009; p. 26.","edition":"3"},{"key":"e_1_3_3_36_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692163241234800"},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733017724354"},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/00302228221142430"},{"key":"e_1_3_3_40_1","volume-title":"World Alzheimer Report 2024. Global changes in attitudes to dementia","author":"Evans-Lacko SA","year":"2024","unstructured":"39.Evans-Lacko SA, , Aguzzoli E, , Read S, et al. World Alzheimer Report 2024. Global changes in attitudes to dementia. Alzheimer\u2019s Disease International: London; 2024."},{"key":"e_1_3_3_41_1","volume-title":"BGS Position Statement: Person-centred acute hospital care for people with dementia","author":"Harwood R","year":"2022","unstructured":"40.Harwood R. BGS Position Statement: Person-centred acute hospital care for people with dementia. BGS: London; 2022."},{"key":"e_1_3_3_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13083"},{"key":"e_1_3_3_43_1","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/13-103"},{"key":"e_1_3_3_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12922"},{"key":"e_1_3_3_45_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12020133"},{"issue":"8","key":"e_1_3_3_46_1","first-page":"afac188","article-title":"Total uncertainty: A systematic review and thematic synthesis of experiences of uncertainty in older people with advanced multimorbidity, their informal carers and health professionals","volume":"51","author":"Etkind SN","year":"2022","unstructured":"45.Etkind SN, , Li J, , Louca J, et al. Total uncertainty: A systematic review and thematic synthesis of experiences of uncertainty in older people with advanced multimorbidity, their informal carers and health professionals. Age Ageing 2022;51(8):afac188.","journal-title":"Age Ageing"},{"key":"e_1_3_3_47_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000002902"},{"key":"e_1_3_3_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313493685"},{"key":"e_1_3_3_49_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare7030083"},{"key":"e_1_3_3_50_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951521001012"},{"key":"e_1_3_3_51_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2018-208278"},{"key":"e_1_3_3_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2011.02.023"},{"key":"e_1_3_3_53_1","doi-asserted-by":"publisher","DOI":"10.37464\/2008.252.1848"},{"key":"e_1_3_3_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2015.08.008"}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261441207","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218261441207","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261441207","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T07:18:42Z","timestamp":1784618322000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218261441207"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,9]]},"references-count":53,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7,1]]}},"alternative-id":["10.1177\/10966218261441207"],"URL":"https:\/\/doi.org\/10.1177\/10966218261441207","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,9]]}}}