{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T20:21:51Z","timestamp":1784751711000,"version":"3.55.0"},"reference-count":51,"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-nc\/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"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["Grant number 20-155."],"award-info":[{"award-number":["Grant number 20-155."]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat&amp;#65533;Care"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Little is known about how people experiencing homelessness discuss their end-of-life aspirations or the extent to which these align with current models of Advance Care Planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To explore how people with lived experience of homelessness discuss their end-of-life aspirations and identify implications for Advance Care Planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A qualitative study was undertaken underpinned by a social constructionist framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In-depth interviews were conducted with 16 participants with lived experiences of homelessness living in a major city in Aotearoa New Zealand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Participants had difficulty in formulating aspirations and these were magnified when considering end-of life due to the challenges of predicting future resources, including shelter, food, and sources of social support and connection. End-of-life aspirations discussed involved basic needs being met, for example, through warm and dry shelter, access to a safe, non-chaotic space, and having access to food and showers. A good relationship with a trusted supporter was identified as an important enabler of end-of-life aspirations being realised. However, participants were unable to identify who would support them at end-of-life. Experiences of healthcare shared indicated that people were not provided with appropriate information, and the relational characteristcs were not present, to enable them to make decisions about their care and treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Mainstream approaches to Advance Care Planning do not meet the needs of people with lived experience of Homelessness. New professional approaches are needed that are responsive to experiential knowledge and context, connect different care networks, and recognise the injustices linked to structural disadvantage. Approaches must be developed in partnership with people with lived experience of homelessness. Supporting aspirations for living is a necessary first step to consider aspirations when dying for people experiencing structural disadvantage and discrimination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524261445576","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T05:36:27Z","timestamp":1784525787000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018I dream of the airplane, but I cannot board it\u2019: Exploring end-of-life aspirations with people who have lived experiences of homelessness"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4399-962X","authenticated-orcid":false,"given":"Merryn","family":"Gott","sequence":"first","affiliation":[{"name":"Te \u0100rai Palliative Care and End of Life Research Group, Te Kura Tapuhi\/School of Nursing, Waipapa Taumata Rau\/The University of Auckland, Aotearoa, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stella","family":"Black","sequence":"additional","affiliation":[{"name":"Te \u0100rai Palliative Care and End of Life Research Group, Te Kura Tapuhi\/School of Nursing, Waipapa Taumata Rau\/The University of Auckland, Aotearoa, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janine","family":"Wiles","sequence":"additional","affiliation":[{"name":"Te \u0100rai Palliative Care and End of Life Research Group, School of Population Health, Waipapa Taumata Rau\/The University of Auckland, Aotearoa, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Williams","sequence":"additional","affiliation":[{"name":"Te \u0100rai Palliative Care and End of Life Research Group, Te Kura Tapuhi\/School of Nursing, Waipapa Taumata Rau\/The University of Auckland, Aotearoa, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tess","family":"Moeke-Maxwell","sequence":"additional","affiliation":[{"name":"Te \u0100rai Palliative Care and End of Life Research Group, Te Kura Tapuhi\/School of Nursing, Waipapa Taumata Rau\/The University of Auckland, Aotearoa, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9678-2005","authenticated-orcid":false,"given":"Jackie","family":"Robinson","sequence":"additional","affiliation":[{"name":"Te \u0100rai Palliative Care and End of Life Research Group, Te Kura Tapuhi\/School of Nursing, Waipapa Taumata Rau\/The University of Auckland, Aotearoa, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2024-004883"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.112585"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2024.0426"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01598-x"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-019-1004-4"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-025-01835-x"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216317717101"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163231164729"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/09699260.2019.1702334"},{"key":"e_1_3_3_11_2","article-title":"Gender and palliative care: a call to arms","volume":"14","author":"Gott M","year":"2020","unstructured":"Gott M, Morgan T, Williams L. 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