{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T18:02:27Z","timestamp":1784916147081,"version":"3.55.0"},"reference-count":42,"publisher":"Mark Allen Group","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Palliat Nurs"],"published-print":{"date-parts":[[2026,1,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite the increasing recognition of palliative care in the management of heart failure (HF), many patients continue to experience unmet care needs due to the delayed integration of supportive services. Identifying these needs is crucial for enhancing patient-centered care and informing healthcare policies. This qualitative study aimed to explore the palliative care needs of patients with HF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This qualitative study employed a directed content analysis approach. Semi-structured in-depth interviews were conducted with 22 adult patients with heart failure in Ahvaz, Iran. Data collection continued until saturation, ensuring no new themes emerged. To ensure the trustworthiness of the findings, Lincoln and Guba's criteria were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 22 adult patients with heart failure participated in the study, with a mean age of 58.45\u00b118.07 years. Data analysis revealed eight main categories of needs, including \u2018care structures and processes\u2019, \u2018physical aspects\u2019, \u2018psychological aspects\u2019, \u2018social aspects\u2019, \u2018cultural aspects\u2019, \u2018end-of-life care\u2019, \u2018ethical and legal aspects\u2019 and \u2018spiritual and existential aspects\u2019 with 30 subcategories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study highlights the urgent need for early and thorough palliative care in heart failure management. By meeting patients\u2019 diverse needs with team-based, patient-focused methods, we can enhance quality of life, manage symptoms better and reduce healthcare challenges. These results are important for clinical practices and policies, supporting the creation of specialised palliative care programmes for heart failure patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/ijpn.2025.0013","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T09:31:02Z","timestamp":1774603862000},"page":"29-41","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the palliative care needs of patients with heart failure: A qualitative study"],"prefix":"10.12968","volume":"32","author":[{"given":"Sima Sadat","family":"Ghaemizade Shushtari","sequence":"first","affiliation":[{"name":"PhD candidate, Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahin","family":"Gheibizadeh","sequence":"additional","affiliation":[{"name":"Associate Professor, Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Rassouli","sequence":"additional","affiliation":[{"name":"Professor, Cancer, Research Center, Shahid Beheshti University of Medical Sciences, Iran; College of Health Sciences, School of Nursing, University of Nizwa, Sultanate of Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dariush","family":"Rokhafroz","sequence":"additional","affiliation":[{"name":"Associate Professor, Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simin","family":"Jahani","sequence":"additional","affiliation":[{"name":"Associate Professor, Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekhlas","family":"Torfi","sequence":"additional","affiliation":[{"name":"Assistant professor, Atherosclerosis Research Center, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz,  Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_3_1_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1130-8621(18)30168-2"},{"key":"e_1_3_3_2_1","first-page":"180","article-title":"Heart Failure, the Outcomes, Predictive and Related Factors in Iran","volume":"24","author":"Ahmadi A","year":"2014","unstructured":"Ahmadi A, Soori H, Mobasheri M, Etemad K, Khaledifar A. 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