{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T08:44:36Z","timestamp":1791794676598,"version":"4.3.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"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":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>End-of-life dreams and visions (ELDVs) are vivid, often subjective experiences that occur during the dying process. Even though the patient and family experiences of ELDVs are well documented, there is limited knowledge regarding the perspectives, preparedness, and perceived needs of health care professionals. ELDVs also remain insufficiently addressed in clinical care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe how frequently clinicians encounter ELDVs, perceived preparedness\/training, and approaches to clinician and family education and communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We conducted a survey to explore health care professional\u2019s perspectives and experiences surrounding ELDVs. The\n                      <jats:italic toggle=\"yes\">Checklist for Reporting Results of internet E-Surveys<\/jats:italic>\n                      was followed. Our survey included 30 items across 7 sections. Professionals that take care of patients with serious or terminal illness were eligible for the study. We utilized a structured multimodal dissemination to achieve maximum diversity in participants.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Briefly, 247 participants were eligible for analysis. Frequent encounters for ELDVs were reported by participants. Participants perceived positive effects on patients more frequently than negative effects (W = 446.0,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001, r = 0.64). Clinical challenges were rated differently across categories (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 160.97,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001, Kendall\u2019s W = 0.13). The most commonly endorsed clinical challenges were lack of institutional protocols and lack of standardized diagnostic criteria, both rated significantly higher than all other challenges (Bonferroni-corrected Wilcoxon tests: All\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Participants endorsed multidisciplinary involvement and formal policy implementation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>ELDVs are common, but clinicians feel underprepared to respond to them. There is a need for structured training and institutional protocols. Future studies should include patients and their families and analyze how their experiences are shaped by physician responses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261463311","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T03:15:26Z","timestamp":1782357326000},"page":"1526-1534","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding Clinicians\u2019 Perspectives on End-of-Life Dreams and Visions: An International Survey"],"prefix":"10.1177","volume":"29","author":[{"given":"Muhammad","family":"Hamza Habib","sequence":"first","affiliation":[{"name":"Department of Medicine, Rutgers Cancer Institute, Robert Wood Johnson University Hospital, New Brunswick, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Fontanesi","sequence":"additional","affiliation":[{"name":"Institute of Interactive Technologies (IIT), University of Applied Sciences and Arts Northwestern Switzerland (FHNW), Windisch, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9659-6181","authenticated-orcid":false,"given":"Zainab Yusufali","family":"Motiwala","sequence":"additional","affiliation":[{"name":"Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arzu","family":"\u00c7\u00f6ltekin","sequence":"additional","affiliation":[{"name":"Institute of Interactive Technologies (IIT), University of Applied Sciences and Arts Northwestern Switzerland (FHNW), Windisch, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidharth","family":"Misra","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Texas Southwestern, Dallas, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alasdair","family":"MacLullich","sequence":"additional","affiliation":[{"name":"Edinburgh Delirium Research Group, Ageing and Health, Usher Institute, University of Edinburgh, Edinburgh, Scotland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0490-5697","authenticated-orcid":false,"given":"Rasita","family":"Vinay","sequence":"additional","affiliation":[{"name":"Institute of Biomedical Ethics and History of Medicine, University of Zurich, Zurich, Switzerland."},{"name":"Institute for Implementation Science in Health Care, University of Zurich, Zurich, Switzerland."},{"name":"Department of Management, Technology, and Economics, ETH Zurich, Zurich, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Hertler","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Competence Center Palliative Care, Universit\u00e4tsSpital Zurich, Zurich, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Blum","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Competence Center Palliative Care, Universit\u00e4tsSpital Zurich, Zurich, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrin","family":"Singler","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Klinikum F\u00fcrth, F\u00fcrth, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catarina","family":"Sim\u00f5es","sequence":"additional","affiliation":[{"name":"Escola Superior de Sa\u00fade de Santa Maria, Porto, Portugal."},{"name":"Hospital da Luz Arr\u00e1bida, Porto, Portugal."},{"name":"Centro de Investiga\u00e7\u00e3o Interdisciplinar em Sa\u00fade, Universidade Cat\u00f3lica Portuguesa, Porto, Portugal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenza","family":"Frisardi","sequence":"additional","affiliation":[{"name":"Geriatric Department and Frailty Research Unit, Casa di Cura Villa Verde, Taranto, Italy."},{"name":"IRCCS-AOUBO, Bologna, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Boccardi","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Perugia, Perugia, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5430-0947","authenticated-orcid":false,"given":"Giuseppe","family":"Bellelli","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery, Acute Geriatric Unit, IRCCS San Gerardo Hospital, Milano-Bicocca University, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meltem","family":"Koca","sequence":"additional","affiliation":[{"name":"Department of 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