{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:04:02Z","timestamp":1790186642504,"version":"4.1.0"},"reference-count":46,"publisher":"Mark Allen Group","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Palliat Nurs"],"published-print":{"date-parts":[[2026,9,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Nurses working in primary health centres have limited access to palliative care education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of an online palliative care learning programme for primary health centre nurses in Indonesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A randomised controlled trial with a parallel design was conducted at four time points (pre\u2013post, 4 and 8 weeks). The intervention group received online modules, videos and five group meetings; the control group received only e-modules. Double-blinded randomisation with consecutive sampling was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 61 primary health centre nurses participated (intervention=34; control=27) from Java, Bali, Sumatra, Kalimantan and Sulawesi. The control group had higher knowledge scores at 8 weeks. Perceived difficulty was significantly lower in the intervention group immediately post-intervention, with no significant group differences in reported practice perceptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The SPARK programme reduced perceived difficulty and supported reported practice among primary health centre nurses, offering a promising online education model for similar health systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/ijpn.2025.0107","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:20:22Z","timestamp":1790184022000},"page":"442-456","source":"Crossref","is-referenced-by-count":0,"title":["Strengthening palliative care in primary health centres through knowledge enhancement (SPARK) for nurses in Indonesia: a randomised controlled study"],"prefix":"10.12968","volume":"32","author":[{"given":"Martina Sinta","family":"Kristanti","sequence":"first","affiliation":[{"name":"Associate Professor, Department of Basic and Emergency Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suis Galischa","family":"Wati","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Basic and Emergency Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia, and Doctoral Programme of Medical and Health Sciences, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sri","family":"Setiyarini","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Basic and Emergency Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ema","family":"Madyaningrum","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Mental Health and Community Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kusrini Semarwati","family":"Kadar","sequence":"additional","affiliation":[{"name":"Assistant Professor, Nursing Department, College of Pharmacy and Health Sciences, Ajman University, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Made Rini","family":"Damayanti","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Nursing, Faculty of Medicine, Universitas Udayana, Denpasar, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agus","family":"Supingant","sequence":"additional","affiliation":[{"name":"Associate Professor, YARSI Institute of Health Science, Mataram Nusa Tenggara Barat, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yodang","family":"Yodang","sequence":"additional","affiliation":[{"name":"Associate Professor, School of Nursing, Faculty of Science and Technology, Universitas Sembilanbelas November Kolaka, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wahyu Dewi","family":"Sulistyarini","sequence":"additional","affiliation":[{"name":"Assistant Professor, Institute of Health Technology and Science Wiyata Husada Samarinda, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmud Ady","family":"Yuwanto","sequence":"additional","affiliation":[{"name":"Assistant Professor, School of Nursing, Universitas dr. 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