{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:09:32Z","timestamp":1777882172092,"version":"3.51.4"},"reference-count":80,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Guangzhou Municipal Health Commission\u2019s Research Project on the Construction of Palliative Care System","award":["J2427X002"],"award-info":[{"award-number":["J2427X002"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat&amp;#65533;Care"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Nowadays, effective communication has become indispensable with the increasing prevalence of advanced life-limiting diseases. Goals of care discussion (GOCD) align care with patients\u2019 preferences and improve care quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This paper probes deep into the dilemmas and summarizes strategies of medical staff conducting GOCD from the viewpoint of human-environment interaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Qualitative study comprising semi-structured in-depth interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Eighteen medical staff (6 doctors, 12 nurses) were recruited from five palliative care units in Guangzhou, China, from December 2023 to March 2024. Data were analyzed by carrying out Braun and Clarke\u2019s thematic analysis and guided by Bourdieu\u2019s theory of practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Three themes and 11 sub-themes emerged: (1) The palliative care environment as a complex and sensitive field characterized by highly sensitive life-related issues, intricate ethical dilemmas, and ambiguous role responsibilities; (2) Multiple forms of capital employed in communication, including informational capital, economic capital, social capital, symbolic capital, and emotional capital; (3) Common communication habitus, including risk aversion, euphemistic expression, emotional restraint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>By drawing on Bourdieu\u2019s theory of practice, this study offers revolutionary standpoints on the dilemmas in GOCD within palliative care, which underscores the significance of both individual and environmental factors. Grounded in these insights, we recommend implementing the following strategies: fostering a positive ethical climate and a conducive environment for open dialogue; enhancing ethical awareness and sensitivity through tailored training programs; clarifying relational frameworks to bolster team collaboration; improving communication approaches by leveraging diverse forms of capital; and proactively confronting implicit biases that persist in clinical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524251400803","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T12:18:26Z","timestamp":1766405906000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Navigating goals of care discussion in palliative care: A qualitative study applying Bourdieu\u2019s theory of practice"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9524-1477","authenticated-orcid":false,"given":"Haiyang","family":"Lin","sequence":"first","affiliation":[{"name":"School of Nursing, Guangzhou Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiyong","family":"Tan","sequence":"additional","affiliation":[{"name":"School of Nursing, Guangzhou Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yufei","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Nursing, Guangzhou Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haojie","family":"Duan","sequence":"additional","affiliation":[{"name":"School of Nursing, Guangzhou Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Surgery, Guangzhou Institute of Cancer Research, The Affiliated Cancer Hospital of Guangzhou Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5240-3129","authenticated-orcid":false,"given":"Yanping","family":"Hao","sequence":"additional","affiliation":[{"name":"School of Nursing, Guangzhou Medical University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(23)00211-6"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-023-02358-w"},{"key":"e_1_3_4_4_2","unstructured":"World Health Organization. Palliative care https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care (2020 accessed 5 September 2024)."},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.19.00128"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951523001165"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.5271"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2020.06.002"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2020.0207"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2014.0031"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1200\/EDBK_431352"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05522-5"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0b013e3182533a7f"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2017.0374"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1188\/13.CJON.E45-E51"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.1679"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0825859718777361"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/imj.14817"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.12927\/cjnl.2019.25975"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-016-0107-6"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.34400"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05580-9"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.987485"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2011.00941.x"},{"key":"e_1_3_4_25_2","first-page":"146","article-title":"A brief analysis of Bourdiu\u2019s field theory","volume":"15","author":"sheng LQ.","year":"2002","unstructured":"sheng LQ. A brief analysis of Bourdiu\u2019s field theory. J Yantai Univ 2002; 15: 146\u2013150.","journal-title":"J Yantai Univ"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12467"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1704846"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316665344"},{"key":"e_1_3_4_30_2","first-page":"77","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun V","year":"2008","unstructured":"Braun V, Clarke V. Using thematic analysis in psychology. Qual Health Psychol 2008; 3: 77\u2013101.","journal-title":"Qual Health Psychol"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0274922"},{"key":"e_1_3_4_32_2","article-title":"How does Medical Assistance in Dying affect end-of-life care planning discussions? Experiences of Canadian multidisciplinary palliative care providers","volume":"15","author":"Ho A","year":"2021","unstructured":"Ho A, Norman JS, Joolaee S, et al. How does Medical Assistance in Dying affect end-of-life care planning discussions? Experiences of Canadian multidisciplinary palliative care providers. Palliat Care Soc Pract 2021; 15: 26323524211045996.","journal-title":"Palliat Care Soc Pract"},{"key":"e_1_3_4_33_2","first-page":"1189","article-title":"Enhancing the quality and credibility of qualitative analysis","volume":"34","author":"Patton MQ.","year":"1999","unstructured":"Patton MQ. Enhancing the quality and credibility of qualitative analysis. Health Serv Res 1999; 34: 1189\u20131208.","journal-title":"Health Serv Res"},{"key":"e_1_3_4_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)05627-6"},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2018-001643"},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2022.08.012"},{"key":"e_1_3_4_37_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733009352048"},{"key":"e_1_3_4_38_2","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_891_20"},{"key":"e_1_3_4_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10551-006-9084-7"},{"key":"e_1_3_4_40_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733013493215"},{"key":"e_1_3_4_41_2","doi-asserted-by":"publisher","DOI":"10.1177\/09697330231222595"},{"key":"e_1_3_4_42_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-01861-9"},{"key":"e_1_3_4_43_2","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13848"},{"key":"e_1_3_4_44_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-020-0408-1"},{"key":"e_1_3_4_45_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733016646155"},{"key":"e_1_3_4_46_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733017720846"},{"key":"e_1_3_4_47_2","doi-asserted-by":"publisher","DOI":"10.1177\/09697330211005103"},{"key":"e_1_3_4_48_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijnmr.IJNMR_22_20"},{"key":"e_1_3_4_49_2","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyaa131"},{"key":"e_1_3_4_50_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33467"},{"key":"e_1_3_4_51_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2019-002166"},{"key":"e_1_3_4_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2014.08.011"},{"key":"e_1_3_4_53_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0269034"},{"key":"e_1_3_4_54_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2023.01.024"},{"key":"e_1_3_4_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2017.09.006"},{"key":"e_1_3_4_56_2","doi-asserted-by":"publisher","DOI":"10.1097\/SPC.0000000000000318"},{"key":"e_1_3_4_57_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-015-0035-x"},{"key":"e_1_3_4_58_2","doi-asserted-by":"publisher","DOI":"10.1188\/13.CJON.152-158"},{"key":"e_1_3_4_59_2","doi-asserted-by":"crossref","unstructured":"Fettig L Tang Q Newton E et al. A communication skills training workshop to improve ICU team relational coordination about goals of care: a pilot study. Am J Hosp Palliat Care 2022; 39: 1157\u20131164.","DOI":"10.1177\/10499091211069994"},{"key":"e_1_3_4_60_2","doi-asserted-by":"publisher","DOI":"10.1080\/02701960.2021.1893171"},{"key":"e_1_3_4_61_2","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000542"},{"key":"e_1_3_4_62_2","doi-asserted-by":"publisher","DOI":"10.1080\/15524256.2021.1897922"},{"key":"e_1_3_4_63_2","doi-asserted-by":"publisher","DOI":"10.1089\/pmr.2020.0063"},{"key":"e_1_3_4_64_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05349-0"},{"key":"e_1_3_4_65_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-022-00321-2"},{"key":"e_1_3_4_66_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2022.04.007"},{"key":"e_1_3_4_67_2","first-page":"192","article-title":"Communication of costs and financial burdens between cancer patients and healthcare providers: a qualitative systematic review and meta-synthesis","volume":"31","author":"Kuang Y","year":"2023","unstructured":"Kuang Y, Zhang T, Ma Y, et al. Communication of costs and financial burdens between cancer patients and healthcare providers: a qualitative systematic review and meta-synthesis. Support Care Cancer 2023; 31: 192.","journal-title":"Support Care Cancer"},{"key":"e_1_3_4_68_2","doi-asserted-by":"publisher","DOI":"10.1200\/OP.21.00042"},{"key":"e_1_3_4_69_2","doi-asserted-by":"publisher","DOI":"10.4103\/singaporemedj.SMJ-2023-166"},{"key":"e_1_3_4_70_2","doi-asserted-by":"publisher","DOI":"10.1108\/IJBM-10-2019-0355"},{"key":"e_1_3_4_71_2","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2016.018796"},{"key":"e_1_3_4_72_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909119891996"},{"key":"e_1_3_4_73_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2019.06.007"},{"key":"e_1_3_4_74_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1478-5153.2011.00456.x"},{"key":"e_1_3_4_75_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5570"},{"key":"e_1_3_4_76_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-022-00935-2"},{"key":"e_1_3_4_77_2","doi-asserted-by":"publisher","DOI":"10.1177\/10499091211063820"},{"key":"e_1_3_4_78_2","doi-asserted-by":"publisher","DOI":"10.1177\/104365960101200408"},{"key":"e_1_3_4_79_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2024.04.012"},{"key":"e_1_3_4_80_2","first-page":"515","article-title":"Cultural diversity at the end of life: issues and guidelines for family physicians","volume":"71","author":"Searight HR","year":"2005","unstructured":"Searight HR, Gafford J. Cultural diversity at the end of life: issues and guidelines for family physicians. Am Fam Physician 2005; 71: 515\u2013522.","journal-title":"Am Fam Physician"},{"key":"e_1_3_4_81_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2020.0633"}],"container-title":["Palliative Care and Social Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26323524251400803","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26323524251400803","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26323524251400803","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:04:16Z","timestamp":1777597456000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26323524251400803"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":80,"alternative-id":["10.1177\/26323524251400803"],"URL":"https:\/\/doi.org\/10.1177\/26323524251400803","relation":{},"ISSN":["2632-3524","2632-3524"],"issn-type":[{"value":"2632-3524","type":"print"},{"value":"2632-3524","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"article-number":"26323524251400803"}}