{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T20:44:47Z","timestamp":1785703487804,"version":"3.56.0"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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":["Global Qualitative Nursing Research"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    Expressions of a wish to die among patients with advanced illness represent a complex and ethically challenging phenomenon within palliative care. Nurses working in advanced healthcare in patients\u2019 homes are often at the forefront of responding to such expressions in a setting characterized by close relationships and prolonged engagement. The aim of this study was to examine nurses\u2019 experiences of caring for end-of-life patients who express a wish to die. A qualitative descriptive design was adopted. Semi-structured interviews were conducted with nine registered nurses working in advanced healthcare in patients\u2019 homes in Sweden. Data were analysed using qualitative content analysis, combining an initial deductive phase informed by the Six S model of person-centred palliative care with a subsequent inductive analysis. One overarching theme was identified:\n                    <jats:italic toggle=\"yes\">Alleviating suffering by engaging with the patient\u2019s lifeworld<\/jats:italic>\n                    . Nurses interpreted expressions of a wish to die primarily as communicative acts reflecting multidimensional suffering, including physical pain, anxiety, existential distress, and loss of meaning. Four generic categories described how nurses responded through symptom relief, support for meaning-making, collaboration with relatives and the interdisciplinary team, and preservation of patient autonomy. Rather than indicating a stable desire to end life, nurses understood patients\u2019 expressions of a wish to die as manifestations of suffering that could be alleviated through person-centred, relational, and symptom-focused care. The findings highlight the central role of nurses in palliative home care and contribute nursing-specific knowledge to the international literature on end-of-life care.\n                  <\/jats:p>","DOI":"10.1177\/23333936261474967","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:54:01Z","timestamp":1785437641000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Palliative Home Care Nurses\u2019 Experiences of End-of-Life Patients Expressing a Wish to Die: A Qualitative Content Analysis"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2610-4237","authenticated-orcid":false,"given":"Mattias","family":"Fernberg","sequence":"first","affiliation":[{"name":"Department of Nursing, Sophiahemmet University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisbeth","family":"Kristiansen","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02087-5"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951509990666"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0037117"},{"key":"e_1_3_5_8_1","volume-title":"Qualitative research & evaluation methods","author":"Patton M. Q.","year":"2015","unstructured":"Patton M. Q. (2015). Qualitative research & evaluation methods (4th ed.). Sage.","edition":"4"},{"issue":"4","key":"e_1_3_5_9_1","first-page":"411","article-title":"Understanding patients\u2019 experiences of the wish to hasten death: An updated and expanded systematic review","volume":"7","author":"Rodr\u00edguez-Prat A.","year":"2017","unstructured":"Rodr\u00edguez-Prat A., Balaguer A., Booth A., Monforte-Royo C. (2017). Understanding patients\u2019 experiences of the wish to hasten death: An updated and expanded systematic review. BMJ Supportive & Palliative Care, 7(4), 411\u2013420. https:\/\/doi.org\/10.1136\/bmjopen-2017-016659","journal-title":"BMJ Supportive & Palliative Care"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2024.04.023"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20362"},{"key":"e_1_3_5_13_1","volume-title":"The Six S: A model for person-centred palliative care [De 6 s:n: En modell f\u00f6r personcentrerad palliativ v\u00e5rd]","author":"Ternestedt B. M.","year":"2017","unstructured":"Ternestedt B. M. (2017). The Six S: A model for person-centred palliative care [De 6 s:n: En modell f\u00f6r personcentrerad palliativ v\u00e5rd] (2nd ed.). 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