{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T17:39:15Z","timestamp":1761932355540,"version":"build-2065373602"},"reference-count":68,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014840","name":"Gemeinsame Bundesausschuss","doi-asserted-by":"publisher","award":["01VSF19033"],"award-info":[{"award-number":["01VSF19033"]}],"id":[{"id":"10.13039\/501100014840","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Most people in European countries die in hospitals outside of specialist palliative care wards. Healthcare professionals of all disciplines are therefore often involved in the care for dying patients. Healthcare professionals\u2019 perception of quality of care in the dying phase as well as its predictors are of interest to improve quality of care on non-palliative care hospital wards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Identification of personal and organizational predictors of healthcare professionals\u2019 perceived quality of care in the dying phase.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross-sectional online survey with healthcare professionals of ten non-palliative care hospital wards of two university medical centers. Descriptive statistics were used to describe the data. A hierarchical linear regression model with ten theoretically derived personal (gender, age, profession, palliative care training, spirituality, two self-care items, general self-efficacy, thanatophobia, burden factors when caring for dying patients) and two organizational predictors (type of ward, interprofessional patient-centered teamwork) was developed. The dependent variable was an eleven-point Likert-scaled item (0\u2009=\u2009extremely bad, 10\u2009=\u2009ideal) measuring the quality of care in the dying phase at the respective ward, perceived by healthcare professionals. Predictors were categorized as modifiable and non-modifiable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most of the n\u2009=\u2009201 participants were female (64.7%), nurses (57.2%) and 30\u201350 years old (53.2%). The regression model was statistically significant (p\u2009&lt;\u20090.001) and explained 30.7% of the total variance. Lower perceived quality of care in the dying phase was associated with younger age (\u03b2\u2009=\u20090.15, \u03c1\u2009=\u20090.020), being a nurse (\u03b2\u2009=\u20090.29, \u03c1\u2009&lt;\u20090.001), and lower perception of interprofessional patient-centered teamwork on their ward (\u03b2\u2009=\u20090.37, \u03c1\u2009&lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Perceived quality of interprofessional patient-centered teamwork was the most clinically relevant predictor in this model, as it had the strongest association and was modifiable. Age and profession were significant, non-modifiable predictors but can be considered when implementing interventions. As improving the perceived quality of care in the dying phase could be beneficial for dying patients, interventions strengthening interprofessional patient-centered teamwork should be implemented on non-palliative care hospital wards.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0334650","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T17:23:31Z","timestamp":1761931411000},"page":"e0334650","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["How do healthcare professionals on non-palliative care wards perceive quality of care in the dying phase? Personal and organizational predictors identified in a cross-sectional study"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0644-3676","authenticated-orcid":true,"given":"Nikolas","family":"Oubaid","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukhvir","family":"Kaur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Oechsle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viola","family":"Milke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anneke","family":"Ullrich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aneta","family":"Schieferdecker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerstin","family":"Kremeike","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Meesters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christin","family":"Herrmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond","family":"Voltz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Schulz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"issue":"3","key":"pone.0334650.ref001","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1136\/bmjspcare-2014-000810","article-title":"How well do we currently care for our dying patients in acute hospitals: the views of the bereaved relatives?","volume":"7","author":"CR Mayland","year":"2017","journal-title":"BMJ Support Palliat Care"},{"issue":"11","key":"pone.0334650.ref002","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-035988","article-title":"Improving regional care in the last year of life by setting up a pragmatic evidence-based Plan-Do-Study-Act cycle: results from a cross-sectional survey","volume":"10","author":"R Voltz","year":"2020","journal-title":"BMJ Open"},{"issue":"1","key":"pone.0334650.ref003","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1186\/s12904-022-00960-1","article-title":"Dying in hospital in Germany - optimising care in the dying phase: study protocol for a multi-centre bottom-up intervention on ward level","volume":"21","author":"K Kremeike","year":"2022","journal-title":"BMC Palliat Care"},{"issue":"7","key":"pone.0334650.ref004","doi-asserted-by":"crossref","first-page":"2094","DOI":"10.1007\/s11606-020-05796-0","article-title":"Does provider gender affect the quality of primary care?","volume":"35","author":"JL Jackson","year":"2020","journal-title":"J Gen Intern Med"},{"issue":"1","key":"pone.0334650.ref005","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1186\/s12904-022-00961-0","article-title":"Predictors of end-of-life care stress, calling, and resilience on end-of-life care performance: a descriptive correlational study","volume":"21","author":"J-Y Kim","year":"2022","journal-title":"BMC Palliat Care"},{"issue":"3","key":"pone.0334650.ref006","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/JXX.0000000000000394","article-title":"Comparing quality of care in medical specialties between nurse practitioners and physicians","volume":"33","author":"AN Carranza","year":"2020","journal-title":"J Am Assoc Nurse Pract"},{"key":"pone.0334650.ref007","doi-asserted-by":"crossref","first-page":"21501319221101845","DOI":"10.1177\/21501319221101845","article-title":"Burnout, Professional Self-Efficacy, and Life Satisfaction as Predictors of Job Performance in Health Care Workers: The Mediating Role of Work Engagement","volume":"13","author":"D Bernales-Turpo","year":"2022","journal-title":"J Prim Care Community Health"},{"issue":"4","key":"pone.0334650.ref008","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1111\/j.1365-2648.2009.05244.x","article-title":"Effects of self-efficacy, affectivity and collective efficacy on nursing performance of hospital nurses","volume":"66","author":"TW Lee","year":"2010","journal-title":"J Adv Nurs"},{"issue":"5","key":"pone.0334650.ref009","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/j.aorn.2017.03.008","article-title":"Self-Care Promotes Safer Patient Care","volume":"105","author":"JL Fencl","year":"2017","journal-title":"AORN J"},{"issue":"7","key":"pone.0334650.ref010","doi-asserted-by":"crossref","first-page":"409","DOI":"10.14423\/SMJ.0000000000001277","article-title":"Physicians\u2019 Total Burden of Occupational Stressors: More than Threefold Increased Odds of Burnout","volume":"114","author":"P Goyal","year":"2021","journal-title":"South Med J"},{"issue":"3","key":"pone.0334650.ref011","doi-asserted-by":"crossref","first-page":"1780","DOI":"10.3390\/ijerph19031780","article-title":"Burnout: A Review of Theory and Measurement","volume":"19","author":"S Ed\u00fa-Valsania","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"6","key":"pone.0334650.ref012","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1097\/SLA.0b013e3181bfdab3","article-title":"Burnout and medical errors among American surgeons","volume":"251","author":"TD Shanafelt","year":"2010","journal-title":"Ann Surg"},{"issue":"10","key":"pone.0334650.ref013","article-title":"Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies","volume":"12","author":"DAJ Salvagioni","year":"2017","journal-title":"PLoS One"},{"issue":"3","key":"pone.0334650.ref014","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1177\/00302228221085468","article-title":"An Integrative Review of Interprofessional Teamwork and Required Competence in Specialized Palliative Care","volume":"89","author":"P Kesonen","year":"2024","journal-title":"Omega (Westport)"},{"key":"pone.0334650.ref015","doi-asserted-by":"crossref","first-page":"2644","DOI":"10.1111\/jocn.16192","article-title":"Patients and family members\u2019 perceptions of interprofessional teamwork in palliative care: A qualitative descriptive study","volume":"31","author":"P Kesonen","year":"2022","journal-title":"J Clin Nurs"},{"issue":"1","key":"pone.0334650.ref016","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s12875-021-01595-6","article-title":"What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: an integrative review","volume":"23","author":"AR Davidson","year":"2022","journal-title":"BMC Prim Care"},{"issue":"1","key":"pone.0334650.ref017","doi-asserted-by":"crossref","DOI":"10.1097\/PTS.0000000000000695","article-title":"The Effects of Interdisciplinary Bedside Rounds on Patient Centeredness, Quality of Care, and Team Collaboration: A Systematic Review","volume":"18","author":"T Heip","year":"2022","journal-title":"J Patient Saf"},{"issue":"1061","key":"pone.0334650.ref018","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1136\/postgradmedj-2012-131168","article-title":"Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare","volume":"90","author":"J Weller","year":"2014","journal-title":"Postgrad Med J"},{"issue":"29","key":"pone.0334650.ref019","doi-asserted-by":"crossref","first-page":"4457","DOI":"10.1200\/JCO.2009.26.3863","article-title":"Place of death: correlations with quality of life of patients with cancer and predictors of bereaved caregivers\u2019 mental health","volume":"28","author":"AA Wright","year":"2010","journal-title":"J Clin Oncol"},{"key":"pone.0334650.ref020","article-title":"End-of-life care in the intensive care unit: can we do better?","volume":"29","author":"MM Levy","year":"2001","journal-title":"Crit Care Med"},{"issue":"6","key":"pone.0334650.ref021","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1016\/j.iccn.2014.07.004","article-title":"Caring for the dying patient in the ICU--the past, the present and the future","volume":"30","author":"I Fridh","year":"2014","journal-title":"Intensive Crit Care Nurs"},{"issue":"12","key":"pone.0334650.ref022","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1093\/qjmed\/hcv059","article-title":"Relatives\u2019 and staff\u2019s experience of patients dying in ICU","volume":"108","author":"SM Donnelly","year":"2015","journal-title":"QJM"},{"issue":"3","key":"pone.0334650.ref023","first-page":"503","article-title":"Physicians\u2019 religiosity and attitudes towards patients","volume":"19","author":"J Pawlikowski","year":"2012","journal-title":"Ann Agric Environ Med"},{"issue":"4","key":"pone.0334650.ref024","doi-asserted-by":"crossref","first-page":"260","DOI":"10.7326\/0003-4819-142-4-200502150-00008","article-title":"Systematic review: the relationship between clinical experience and quality of health care","volume":"142","author":"NK Choudhry","year":"2005","journal-title":"Ann Intern Med"},{"issue":"7","key":"pone.0334650.ref025","doi-asserted-by":"crossref","first-page":"2070","DOI":"10.1111\/jgs.18939","article-title":"Association between physician age and patterns of end-of-life care among older Americans","volume":"72","author":"H Gotanda","year":"2024","journal-title":"J Am Geriatr Soc"},{"key":"pone.0334650.ref026","doi-asserted-by":"crossref","first-page":"14","DOI":"10.2174\/1874434601307010014","article-title":"How death anxiety impacts nurses\u2019 caring for patients at the end of life: a review of literature","volume":"7","author":"L Peters","year":"2013","journal-title":"Open Nurs J"},{"issue":"2","key":"pone.0334650.ref027","doi-asserted-by":"crossref","first-page":"399","DOI":"10.21037\/apm-22-947","article-title":"Outcome measures in palliative care training interventions: a systematic review of trial-based studies","volume":"12","author":"H Seow","year":"2023","journal-title":"Ann Palliat Med"},{"issue":"5","key":"pone.0334650.ref028","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1177\/02692163241238903","article-title":"\u201cHow long do you think?\u201d Unresponsive dying patients in a specialist palliative care service: A consecutive cohort study","volume":"38","author":"T O\u2019Connor","year":"2024","journal-title":"Palliat Med"},{"issue":"3","key":"pone.0334650.ref029","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/SPC.0b013e32830baebf","article-title":"Cognitive failure in end of life","volume":"2","author":"C Ostgathe","year":"2008","journal-title":"Curr Opin Support Palliat Care"},{"issue":"2","key":"pone.0334650.ref030","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1007\/s40271-018-0328-2","article-title":"Tools measuring quality of death, dying, and care, completed after death: systematic review of psychometric properties","volume":"12","author":"N Kupeli","year":"2019","journal-title":"Patient Patient Center Out Res"},{"issue":"12","key":"pone.0334650.ref031","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1513\/AnnalsATS.201804-284OC","article-title":"Dying Patient and Family Contributions to Nurse Distress in the ICU","volume":"15","author":"L Lief","year":"2018","journal-title":"Ann Am Thorac Soc"},{"issue":"6","key":"pone.0334650.ref032","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1002\/nur.21503","article-title":"Nurse reported quality of care: a measure of hospital quality","volume":"35","author":"MD McHugh","year":"2012","journal-title":"Res Nurs Health"},{"issue":"3","key":"pone.0334650.ref033","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/j.cnur.2016.05.009","article-title":"Pain Assessment in Noncommunicative Adult Palliative Care Patients","volume":"51","author":"DB McGuire","year":"2016","journal-title":"Nurs Clin North Am"},{"issue":"4","key":"pone.0334650.ref034","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/j.pmn.2011.10.002","article-title":"Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations","volume":"12","author":"K Herr","year":"2011","journal-title":"Pain Manag Nurs"},{"key":"pone.0334650.ref035","unstructured":"Leitlinienprogramm Onkologie (Deutsche Krebsgesellschaft DK, AWMF). Palliativmedizin f\u00fcr Patienten mit einer nicht-heilbaren Krebserkrankung, Langversion 2.2, 2020, AWMF-Registernummer: 128\/001OL. 2020. Available from: https:\/\/www.leitlinienprogramm-onkologie.de\/leitlinien\/palliativmedizin\/"},{"key":"pone.0334650.ref036","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/978-3-662-70947-4_18","article-title":"Palliativbehandlung alter Menschen im Krankenhaus.","volume-title":"Krankenhaus-Report 2025: Versorgung Hochbetagter","author":"B-O. Maier","year":"2025"},{"issue":"6","key":"pone.0334650.ref037","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1007\/s00482-009-0845-y","article-title":"Wie viel Tod vertr\u00e4gt das Team?","volume":"23","author":"M M\u00fcller","year":"2009","journal-title":"Der Schmerz"},{"key":"pone.0334650.ref038","doi-asserted-by":"crossref","unstructured":"Schwarzer R, Jerusalem M, Weinman J, Wright S, Johnston M. Generalized Self-Efficacy Scale. Measures in Health Psychology: A User\u2019s Portfolio Causal and control beliefs Windsor. 1995.","DOI":"10.1037\/t00393-000"},{"key":"pone.0334650.ref039","volume-title":"Skalen zur Erfassungvon Lehrer- und Sch\u00fclermerkmalen. Dokumentation der psychometrischen Verfahren im Rahmen der Wissenschaftlichen Begleitung des Modellversuchs Selbstwirksame Schulen","author":"R Schwarzer","year":"1999"},{"key":"pone.0334650.ref040","article-title":"Nachhaltige Qualifizierung des Ehrenamtes: in der ambulanten Hospizarbeit und Palliativversorgung in Niedersachsen","author":"V Begemann","year":"2015"},{"issue":"1","key":"pone.0334650.ref041","doi-asserted-by":"crossref","first-page":"123","DOI":"10.2466\/pr0.1998.83.1.123","article-title":"Caring for terminally ill persons: comparative analysis of attitudes (thanatophobia) of practicing physicians, student nurses, and medical students","volume":"83","author":"J Merrill","year":"1998","journal-title":"Psychol Rep"},{"issue":"6","key":"pone.0334650.ref042","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1002\/pon.6132","article-title":"Association between oncologists\u2019 death anxiety and their end-of-life communication with advanced cancer patients","volume":"32","author":"N Harnischfeger","year":"2023","journal-title":"Psychooncology"},{"issue":"1","key":"pone.0334650.ref043","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1186\/s12904-020-00568-3","article-title":"Evaluation of a communication skills training to facilitate addressing palliative care related topics in advanced cancer patients: study protocol of a multicenter randomized controlled trial (PALLI-KOM)","volume":"19","author":"N Harnischfeger","year":"2020","journal-title":"BMC Palliat Care"},{"key":"pone.0334650.ref044","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1186\/1472-6963-13-374","article-title":"Development and psychometric properties of a scale for measuring internal participation from a patient and health care professional perspective","volume":"13","author":"M K\u00f6rner","year":"2013","journal-title":"BMC Health Serv Res"},{"key":"pone.0334650.ref045","doi-asserted-by":"crossref","first-page":"302228251353548","DOI":"10.1177\/00302228251353548","article-title":"Healthcare Professionals\u2019 Perceived Burden Related to Care in the Dying Phase - Results of a Cross-Sectional Explorative Study on General Wards and Intensive Care Units","author":"N Oubaid","year":"2025","journal-title":"Omega (Westport)"},{"issue":"1","key":"pone.0334650.ref046","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.2042","article-title":"Correction: Improving the Quality of Web Surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES)","volume":"14","author":"G Eysenbach","year":"2012","journal-title":"J Med Internet Res"},{"issue":"4","key":"pone.0334650.ref047","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"61","author":"E von Elm","year":"2008","journal-title":"J Clin Epidemiol"},{"key":"pone.0334650.ref048","doi-asserted-by":"crossref","DOI":"10.7717\/peerj.3323","article-title":"Regression assumptions in clinical psychology research practice-a systematic review of common misconceptions","volume":"5","author":"AF Ernst","year":"2017","journal-title":"PeerJ"},{"issue":"6","key":"pone.0334650.ref049","doi-asserted-by":"crossref","first-page":"558","DOI":"10.4097\/kja.19087","article-title":"Multicollinearity and misleading statistical results","volume":"72","author":"JH Kim","year":"2019","journal-title":"Korean J Anesthesiol"},{"issue":"3","key":"pone.0334650.ref050","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1177\/0844562120932054","article-title":"Multivariate Outliers: A Conceptual and Practical Overview for the Nurse and Health Researcher","volume":"53","author":"MM El-Masri","year":"2021","journal-title":"Can J Nurs Res"},{"issue":"2","key":"pone.0334650.ref051","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1037\/a0027127","article-title":"Model selection and psychological theory: a discussion of the differences between the Akaike information criterion (AIC) and the Bayesian information criterion (BIC)","volume":"17","author":"SI Vrieze","year":"2012","journal-title":"Psychol Methods"},{"key":"pone.0334650.ref052","volume-title":"Statistical power analysis for the behavioral sciences","author":"J Cohen","year":"1988","edition":"2"},{"issue":"2","key":"pone.0334650.ref053","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1080\/13607860802459831","article-title":"Secrets to psychological success: why older doctors might have lower psychological distress and burnout than younger doctors","volume":"13","author":"C Peisah","year":"2009","journal-title":"Aging Ment Health"},{"issue":"3","key":"pone.0334650.ref054","article-title":"Healthcare Professionals\u2019 Work-Related Stress in Palliative Care: A Cross-Sectional Survey","volume":"62","author":"A-FQ Dijxhoorn","year":"2021","journal-title":"J Pain Symptom Manage"},{"issue":"8","key":"pone.0334650.ref055","doi-asserted-by":"crossref","first-page":"1971","DOI":"10.1177\/13591053211014586","article-title":"Moral distress in medicine: An ethical analysis","volume":"27","author":"A Kherbache","year":"2022","journal-title":"J Health Psychol"},{"key":"pone.0334650.ref056","doi-asserted-by":"crossref","first-page":"107","DOI":"10.2147\/PRBM.S191037","article-title":"Prevalence of severe moral distress among healthcare providers in Saudi Arabia","volume":"12","author":"AF Almutairi","year":"2019","journal-title":"Psychol Res Behav Manag"},{"key":"pone.0334650.ref057","doi-asserted-by":"crossref","first-page":"100982","DOI":"10.1016\/j.ienj.2021.100982","article-title":"Moral distress and its contributing factors among emergency department nurses: A cross-sectional study in Iran","volume":"56","author":"H Babamohamadi","year":"2021","journal-title":"Int Emerg Nurs"},{"issue":"2","key":"pone.0334650.ref058","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1097\/01.CCM.0000254722.50608.2D","article-title":"Nurse-physician perspectives on the care of dying patients in intensive care units: collaboration, moral distress, and ethical climate","volume":"35","author":"AB Hamric","year":"2007","journal-title":"Crit Care Med"},{"issue":"2","key":"pone.0334650.ref059","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1111\/j.1547-5069.2002.00173.x","article-title":"Patients, nurses, and physicians have differing views of quality of critical care","volume":"34","author":"SE Shannon","year":"2002","journal-title":"J Nurs Scholarsh"},{"issue":"8","key":"pone.0334650.ref060","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjmed.2018.03.015","article-title":"Estimating Time Physicians and Other Health Care Workers Spend with Patients in an Intensive Care Unit Using a Sensor Network","volume":"131","author":"R Butler","year":"2018","journal-title":"Am J Med"},{"issue":"447","key":"pone.0334650.ref061","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1177\/000271628044700107","article-title":"Nursing the dying: implications of K\u00fcbler-Ross\u2019 staging theory","author":"CP Germain","year":"1980","journal-title":"Ann Am Acad Pol Soc Sci"},{"key":"pone.0334650.ref062","doi-asserted-by":"crossref","first-page":"104666","DOI":"10.1016\/j.ijnurstu.2023.104666","article-title":"How clinicians recognise people who are dying: An integrative review","volume":"151","author":"E Colquhoun-Flannery","year":"2024","journal-title":"Int J Nurs Stud"},{"key":"pone.0334650.ref063","doi-asserted-by":"crossref","first-page":"3974","DOI":"10.1111\/jocn.13832","article-title":"Nurse-physician communication - An integrated review","volume":"26","author":"T-C Tan","year":"2017","journal-title":"J Clin Nurs"},{"key":"pone.0334650.ref064","article-title":"\u00c4rztliche 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