{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:43:13Z","timestamp":1783950193548,"version":"3.55.0"},"reference-count":135,"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":["Palliat\ufffdCare"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Nursing and medical schools and universities are increasingly integrating palliative and end-of-life care education in their curricula. However, research on the impacts of training and education on future nurses and physicians remains sparse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim of the review:<\/jats:title>\n                    <jats:p>The aim of this review was to systematically appraise existing research evidence on undergraduate nursing and medical students\u2019 knowledge, perception, and orientation towards palliative and end-of-life care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This international systematic review was conducted between April and May 2021 and was updated in May 2024. A systematic search was conducted in four databases: Hinari \u2018Research4Life\u2019, Cumulated Index to Nursing and Allied Health Literature (CINAHL), Google scholar and PubMed. Methodological quality of the included studies was assessed using the Mixed-Methods Appraisal Tool. A data extraction sheet was developed for this review. A convergent integrated approach to mixed-method data synthesis and integration was used to analyse and report the evidence. Braun and Clarke\u2019s inductive and deductive thematic analysis approach was used to identify main themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 64 peer-reviewed research articles met eligibility criteria and were included in the review. Of the 64 eligible research articles, 34 employed a descriptive quantitative cross-sectional design, 11 studies were qualitative, 14 used a quantitative non-randomised design and 5 were mixed methods. The review identified three major thematic categories: (1) students\u2019 knowledge of palliative and end-of-life care, (2) attitude, perception and orientation towards palliative and end-of-life care and (3) predictors of knowledge, orientation, attitude and perception towards palliative and end-of-life care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Findings suggest inadequacy and variability in knowledge levels, self-efficacy, willingness, perception and orientation towards palliative care and end-of-life care. Surprisingly, this is common across studies, including those from high-resource countries. Inadequate, limited and\/or inconsistent curricula and training content about palliative and end-of-life care is a common theme in the literature.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524261433191","type":"journal-article","created":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T16:07:58Z","timestamp":1775405278000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Palliative and end-of-life care from an education lens. An international systematic review of undergraduate medical and nursing students\u2019 knowledge, perceptions, and orientation towards palliative and end-of-life care"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4474-4063","authenticated-orcid":false,"given":"Germanus","family":"Natuhwera","sequence":"first","affiliation":[{"name":"Clinical Department, Hospice Africa Uganda, Kampala, Uganda"},{"name":"Institute of Hospice and Palliative Care in Africa, Kampala, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Ellis","sequence":"additional","affiliation":[{"name":"Canterbury Christ Church University, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eve","family":"Namisango","sequence":"additional","affiliation":[{"name":"African Palliative Care Association, Kampala, Uganda"},{"name":"Cicely Saunders Institute, King\u2019s College London, UKCurrent affiliation: Peter Ellis is now affiliated to Independent Nursing Writer, Educator and Researcher, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,5]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.44.0248"},{"key":"e_1_3_3_3_2","article-title":"Barriers to access to palliative care","volume":"10","author":"Hawley P.","year":"2017","unstructured":"Hawley P. 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