{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T06:24:20Z","timestamp":1787293460127,"version":"build-2736575974"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To assess the knowledge, attitudes, and practices (KAP) of healthcare professionals (HP) regarding palliative care family meetings and to identify factors independently associated with practice level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multicenter cross-sectional study was conducted among 401 healthcare professionals across four institutions in Fujian Province between January and February 2026. Data were collected using a validated self-designed questionnaire encompassing demographic characteristics and KAP scores. Multivariable logistic regression identified factors independently associated with practice level, and structural equation modeling (SEM) examined whether attitude mediated the knowledge-practice relationship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean scores were 14.35\u202f\u00b1\u202f5.95 for perceived knowledge (55.2% of maximum), 42.63\u202f\u00b1\u202f5.92 for attitude (85.3%), and 24.96\u202f\u00b1\u202f8.93 for practice (71.3%). Multivariable analysis identified knowledge score (OR\u202f=\u202f1.088, 95%CI: 1.046\u20131.132,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), attitude score (OR\u202f=\u202f1.063, 95%CI: 1.023\u20131.104,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.002), and monthly income &amp;lt;5,000 RMB versus &amp;gt;10,000 RMB (OR\u202f=\u202f0.448, 95%CI: 0.217\u20130.923,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.029) as independent associates of proactive practice. SEM indicated that attitude partially mediated the perceived knowledge-practice relationship (indirect effect\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.052,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.003), with knowledge also showing a significant direct association with practice (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.277,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.010).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Healthcare professionals in Fujian Province demonstrated limited perceived knowledge but positive attitudes and proactive practices toward palliative care family meetings. Both perceived knowledge and attitude were independently associated with practice, with attitude serving as a partial mediator. Targeted training programs and institutional support are needed to translate positive attitudinal endorsement into consistent, high-quality practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1902540","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T05:37:20Z","timestamp":1787290640000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitudes, and practices of healthcare professionals regarding palliative care family meetings: a multicenter cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Chunjin","family":"Lin","sequence":"first","affiliation":[{"name":"Shengli Clinical Medical College of Fujian Medical University","place":["Fuzhou, Fujian, China"]},{"name":"Department of Geriatric Medicine, Fuzhou University Affiliated Provincial Hospital","place":["Fuzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaona","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Fuzhou University Affiliated Provincial Hospital","place":["Fuzhou, Fujian, China"]},{"name":"Department of Nursing Science, Faculty of Medicine, University Malaya","place":["Kuala Lumpur, Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital","place":["Fuzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengying","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Oncology, The First Affiliated Hospital of Fujian Medical University","place":["Fuzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifang","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Oncology, Xiamen Haicang Hospital","place":["Xiamen, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fan","family":"Lin","sequence":"additional","affiliation":[{"name":"Shengli Clinical Medical College of Fujian Medical University","place":["Fuzhou, Fujian, China"]},{"name":"Department of Geriatric Medicine, Fuzhou University Affiliated Provincial Hospital","place":["Fuzhou, Fujian, China"]},{"name":"Fujian Provincial Center for Geriatrics, Fuzhou University Affiliated Provincial Hospital","place":["Fuzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pengli","family":"Zhu","sequence":"additional","affiliation":[{"name":"Shengli Clinical Medical College of Fujian Medical University","place":["Fuzhou, Fujian, China"]},{"name":"Department of Geriatric Medicine, Fuzhou University Affiliated Provincial Hospital","place":["Fuzhou, Fujian, China"]},{"name":"Fujian Key Laboratory of Geriatrics","place":["Fuzhou, Fujian, China"]},{"name":"Fujian Provincial Institute of Clinical Geriatrics","place":["Fuzhou, Fujian, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1016\/j.jpainsymman.2020.04.027","article-title":"Redefining palliative care-a new consensus-based definition","volume":"60","author":"Radbruch","year":"2020","journal-title":"J Pain Symptom Manag"},{"key":"ref2","volume-title":"Global Atlas of Palliative Care","year":"2020"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"131","DOI":"10.14475\/jhpc.2025.28.4.131","article-title":"Shared decision-making with palliative care specialist","volume":"28","author":"Huang","year":"2025","journal-title":"J Hosp Palliat 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