{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:15:40Z","timestamp":1777673740927,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"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":["Health&amp;#65533;Serv&amp;#65533;Insights"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Palliative care has been recognized as an essential component of a humanitarian response; however, it remains unavailable in most humanitarian crisis settings. Globally, healthcare workforce capacity represents a major barrier to implementing children\u2019s palliative care, and there is limited evidence to guide educators on the learning needs and preferences of healthcare professionals working in humanitarian settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The primary objective of this study was to explore the extent of training, experience, and confidence in children\u2019s palliative care among healthcare professionals working in humanitarian settings.\u2009Secondary objectives were to identify perceived educational needs, including priority learning topics and preferred methods of palliative care education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a cross-sectional survey of healthcare professionals with experience working in humanitarian settings. The survey assessed participants\u2019 self-reported knowledge, confidence, attitudes, prior training experiences, and learning preferences related to children\u2019s palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One\u2009hundred\u2009thirty\u2009four healthcare professionals participated, including nurses (37%), physicians (17%), and clinical officers (15%). Most participants provided clinical care (n\u2009=\u200982, 64%) and were locally recruited staff (83%). More than 70% of respondents reported having some palliative care training, either during their professional training (n\u2009=\u200952) or through continuing medical education (n\u2009=\u200941). Despite this, many participants reported discomfort with key palliative care situations, including forming a therapeutic relationship with families of dying children (61%) and discussing impending death with parents (61%). Nearly all respondents (98%) expressed interest in further training, with preferred learning modalities including online teaching sessions and web-based certificate courses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>There is strong interest and awareness for children\u2019s palliative care training amongst humanitarian healthcare professionals. Despite prior exposure to palliative care education, many participants report limited confidence and skill in providing children\u2019s palliative care, particularly in communication and psychosocial domains. Health educators should consider developing online training programs on children\u2019s palliative care to meet the educational needs of healthcare professionals in humanitarian settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11786329261445187","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:26:33Z","timestamp":1777029993000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Children\u2019s Palliative Care Knowledge, Attitudes, and Learning Preferences Among Healthcare Professionals Working in Humanitarian Crisis and Emergency Settings"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7043-7035","authenticated-orcid":false,"given":"Zachary","family":"Blatman","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, University of Ottawa, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2148-4732","authenticated-orcid":false,"given":"Spandana","family":"Rayala","sequence":"additional","affiliation":[{"name":"Two Worlds Cancer Collaboration Foundation, North Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Richardson","sequence":"additional","affiliation":[{"name":"Palliative Care in Humanitarian Aid Situations and Emergencies, Johannesburg, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9698-0589","authenticated-orcid":false,"given":"Mohammed Ilias Kamal","family":"Risat","sequence":"additional","affiliation":[{"name":"Department of Social Sciences and Humanities, Independent University Bangladesh, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4427-6028","authenticated-orcid":false,"given":"Rachel","family":"Yantzi","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3905-2169","authenticated-orcid":false,"given":"Megan","family":"Doherty","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, University of Ottawa, Canada"},{"name":"Two Worlds Cancer Collaboration Foundation, North Vancouver, BC, Canada"},{"name":"Children\u2019s Hospital of Eastern Ontario Research Institute, Ottawa, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.08.020"},{"key":"e_1_3_3_3_2","unstructured":"Connor S. 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