{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:17:48Z","timestamp":1787926668258,"version":"build-2784847793"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"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&amp;#65533;Care"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The increasing global elderly population raises concerns about palliative care. Healthcare quality objectives of Saudi Arabian Vision 2030 emphasize this matter as well. This study elaborates on nurses\u2019 self-reported knowledge and practices in home-based elderly palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and methods<\/jats:title>\n                    <jats:p>The current cross-sectional survey involved 148 nurses registered for home-based elderly palliative care in Saudi Arabia. Two validated instruments measured the knowledge, which included the Palliative Care Knowledge Test (PCKT, 20 items) and the PCKQ-Basic (PCKQ-B, 24 items). The assessment of practices was based on an 18-item Palliative Care Self-Reported Practices Scale (PCPS; score range 1\u20135). SPSS (v-29) was employed for the data analysis, which included descriptive statistics, independent t-tests, multiple linear regression analyses, and one-way ANOVA at a significance level of p &lt; 0.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants (n = 148) were predominantly female (72.3%), Saudi nationals (79.1%), aged 30\u201339 years (60.1%), and held a bachelor\u2019s degree (63.5%) with an 11.4 \u00b1 5.9 years of nursing experience. Mean knowledge scores remained low as PCKT 35.0% correct (SD=15.8), and PCKQ-B 44.3% correct (SD=17.6). Contrarily, a high mean self-reported practice score was noted (PCPS 4.1 \u00b1 0.7 out of 5). The total score of multiple linear regression for PCPS\u2019 predictors demonstrated PCKQ-B score, older age, higher education level, and more years of experience as significantly positive predictors. The overall model remained significant (p &lt; .001) and explained 22.1% of the variance (adjusted\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      <jats:sup>\n                        <jats:italic toggle=\"yes\">2<\/jats:italic>\n                      <\/jats:sup>\n                      = 0.221).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Saudi nurses offering home-based elderly palliative care expressed moderate self-report practices with significantly low knowledge of palliative care domains. Higher basic palliative care knowledge (PCKQ-B), higher educational level, older age, and more clinical experience presented an independent association with better self-report practices. The findings of this study highlight critical knowledge deficits and suggest that higher education and accumulated experience could facilitate better self-report palliative care practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524261481867","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T21:41:06Z","timestamp":1787694066000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurses\u2019 knowledge and practice towards home palliative care of elderly patients"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0370-2273","authenticated-orcid":false,"given":"Omar Ghazi","family":"Baker","sequence":"first","affiliation":[{"name":"King Saud University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9511-7152","authenticated-orcid":false,"given":"Fahda Hamdi","family":"Alrasheedi","sequence":"additional","affiliation":[{"name":"Home Healthcare Administration, Madinah Health Cluster"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asma Makid","family":"Almutairi","sequence":"additional","affiliation":[{"name":"Unaizah Public Health Sector, King Saud Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghad Saleh","family":"Alluhebi","sequence":"additional","affiliation":[{"name":"Model of Care, Design and Planning, Team-Based Care, Madinah Health Cluster, Al Madinah Region, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norah Ali","family":"Hamid Al Dhafer","sequence":"additional","affiliation":[{"name":"Nursing Office, Education Department, Ahad Rafidah General Hospital, Asir Health Cluster, Asir Region, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-85173-2.00005-9"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-10309-w"},{"key":"e_1_3_9_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2023.03.006"},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2022.07.008"},{"key":"e_1_3_9_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/SPC.0000000000000778"},{"key":"e_1_3_9_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-18428-9"},{"key":"e_1_3_9_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.2027"},{"key":"e_1_3_9_9_2","first-page":"e4319","article-title":"Development of Palliative and End of Life Care: The Current Situation in Saudi Arabia","volume":"11","author":"Alshammaray S","year":"2019","unstructured":"Alshammaray S, Duraisamy B, Albalawi Y, et al. Development of Palliative and End of Life Care: The Current Situation in Saudi Arabia. Cureus 2019; 11: e4319. https:\/\/doi.org\/10.7759\/cureus.4319","journal-title":"Cureus"},{"key":"e_1_3_9_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/10848223221085684"},{"key":"e_1_3_9_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/NHH.0000000000001255"},{"key":"e_1_3_9_12_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0289317"},{"key":"e_1_3_9_13_2","first-page":"82","article-title":"PALLIATIVE CARE Palliative care in the Eastern Mediterranean Region: An overview","author":"Osman H","year":"2022","unstructured":"Osman H, Al Saleh K. PALLIATIVE CARE Palliative care in the Eastern Mediterranean Region: An overview. Cancer Control: Eastern Mediterranean Region Special Report. Global Health Dynamics 2022: 82-89. Available from https:\/\/www.who.int\/","journal-title":"Cancer Control: Eastern Mediterranean Region Special Report. Global Health Dynamics"},{"key":"e_1_3_9_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/chp.47"},{"key":"e_1_3_9_15_2","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"e_1_3_9_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.03.012"},{"key":"e_1_3_9_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216309106871"},{"key":"e_1_3_9_18_2","doi-asserted-by":"publisher","DOI":"10.25259\/IJPC_80_2021"},{"key":"e_1_3_9_19_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2018.36.34_suppl.151"},{"key":"e_1_3_9_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/hpm.3074"},{"issue":"12","key":"e_1_3_9_21_2","first-page":"3090","article-title":"Healthcare Provider Knowledge, Attitudes, and Practices in Hospice Care and Their Influencing Factors: A Crosssectional Study in Shanghai","volume":"11","author":"Teng X","year":"2022","unstructured":"Teng X, Tang M, Jing L, et al. Healthcare Provider Knowledge, Attitudes, and Practices in Hospice Care and Their Influencing Factors: A Crosssectional Study in Shanghai. Int J Health Policy Manag 2022; 11(12): 3090\u20133100. https:\/\/doi.org\/10.34172\/ijhpm.2022.6525","journal-title":"Int J Health Policy Manag"},{"key":"e_1_3_9_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00014"},{"key":"e_1_3_9_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-17299-1_4086"},{"key":"e_1_3_9_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-071511"},{"key":"e_1_3_9_25_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15153858"},{"key":"e_1_3_9_26_2","doi-asserted-by":"publisher","DOI":"10.35691\/JBM.0202.0122"},{"key":"e_1_3_9_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-022-02184-6"},{"key":"e_1_3_9_28_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2025.1678462"},{"key":"e_1_3_9_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00874-4"},{"key":"e_1_3_9_30_2","doi-asserted-by":"publisher","DOI":"10.1080\/15360288.2024.2348620"},{"key":"e_1_3_9_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pbb.2023.173616"},{"issue":"6","key":"e_1_3_9_32_2","first-page":"432","article-title":"Palliative care for Muslim patients","volume":"3","author":"al-Shahri MZ","year":"2005","unstructured":"al-Shahri MZ, al-Khenaizan A. Palliative care for Muslim patients. J Support Oncol 2005; 3(6): 432\u2013436, PubMed PMID: 16350430.","journal-title":"J Support Oncol"},{"issue":"27","key":"e_1_3_9_33_2","first-page":"52","article-title":"The Need for Regulatory Reforms in the Use of Opioids for Pain Management and Palliative Care in the Middle East","volume":"1","author":"Al Bahrani BJ","year":"2018","unstructured":"Al Bahrani BJ, Mehdi I. The Need for Regulatory Reforms in the Use of Opioids for Pain Management and Palliative Care in the Middle East. Gulf J Oncolog 2018; 1(27): 52\u201359, PubMed PMID: 30145552.","journal-title":"Gulf J Oncolog"},{"key":"e_1_3_9_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resinv.2023.03.005"},{"key":"e_1_3_9_35_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.20.03465"},{"key":"e_1_3_9_36_2","volume-title":"WHO Analgesic Ladder","author":"Anekar AA","year":"2026","unstructured":"Anekar AA, Hendrix JM, Cascella M. WHO Analgesic Ladder. In: StatPearls [Internet]. Treasure Island (FL): StatPearls publishing, 2026. PubMed PMID: 32119322."},{"key":"e_1_3_9_37_2","doi-asserted-by":"publisher","DOI":"10.1353\/nib.2023.0017"},{"key":"e_1_3_9_38_2","doi-asserted-by":"publisher","DOI":"10.5539\/gjhs.v10n6p199"},{"key":"e_1_3_9_39_2","doi-asserted-by":"publisher","DOI":"10.2196\/26002"},{"key":"e_1_3_9_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2023.02.160"}],"container-title":["Palliative Care and Social Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26323524261481867","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26323524261481867","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26323524261481867","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T13:18:04Z","timestamp":1787923084000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26323524261481867"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":39,"alternative-id":["10.1177\/26323524261481867"],"URL":"https:\/\/doi.org\/10.1177\/26323524261481867","relation":{},"ISSN":["2632-3524","2632-3524"],"issn-type":[{"value":"2632-3524","type":"print"},{"value":"2632-3524","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"article-number":"26323524261481867"}}