{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T20:19:37Z","timestamp":1788293977646,"version":"build-2803163510"},"reference-count":29,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background: Specialized palliative care requires nursing professionals to address the complex physical, psychological, social and spiritual needs of patients with advanced incurable illness. This study aimed to assess the perceived adequacy of formal educational preparation among nurses working in specialized palliative care services in the Republic of Croatia and examine its association with self-assessed knowledge and the perceived need for additional education. Methods: A nationwide cross-sectional survey was conducted among nursing professionals employed in specialized palliative care services across Croatia. Data were collected using a structured questionnaire assessing sociodemographic characteristics, perceived adequacy of formal education, self-assessed knowledge, as well as the need for additional education in physical, psychological, social and spiritual care domains. An Educational Sufficiency Discrepancy Index (ESDI) was calculated to quantify the difference between perceived educational sufficiency and continuing education needs. For inferential statistics significance was set at p &lt; 0.05 (two-tailed). Results: Among the 194 nursing professionals who participated in the study, perceived educational sufficiency was highest in the physical domain (87.5%), where it exceeded the reported need for additional education (31.6%). Negative discrepancies were observed in social (\u221212.9) and spiritual care (\u221217.6), indicating perceived educational deficits. Representation of physical care content in formal education was significantly associated with higher self-assessed knowledge across several domains (physical p &lt; 0.001; psychological p = 0.008; social p &lt; 0.001; spiritual p = 0.008). No significant associations were found between self-assessed knowledge and age, work experience or level of education. Conclusions: Formal nursing education alone may not fully meet the multidimensional competency requirements of specialized palliative care practice. Strengthening structured continuing professional development, particularly in psychosocial and spiritual care, may support holistic palliative care delivery and sustained professional competence.<\/jats:p>","DOI":"10.3390\/nursrep16050175","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T16:07:26Z","timestamp":1779206846000},"page":"175","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Formal Educational Preparation and Continuing Professional Development Needs in Specialized Palliative Care Nursing: A Nationwide, Cross-Sectional Study"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0248-227X","authenticated-orcid":false,"given":"Tina","family":"Ko\u0161anski","sequence":"first","affiliation":[{"name":"University Centre Vara\u017edin, University North, 42000 Vara\u017edin, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1850-3808","authenticated-orcid":false,"given":"Marijana","family":"Neuberg","sequence":"additional","affiliation":[{"name":"University Centre Vara\u017edin, University North, 42000 Vara\u017edin, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mateja","family":"Kri\u017eaj Grabant","sequence":"additional","affiliation":[{"name":"University Centre Vara\u017edin, University North, 42000 Vara\u017edin, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8751-8149","authenticated-orcid":false,"given":"Tomislav","family":"Me\u0161trovi\u0107","sequence":"additional","affiliation":[{"name":"University Centre Vara\u017edin, University North, 42000 Vara\u017edin, Croatia"},{"name":"Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA 98105, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"79102","DOI":"10.21037\/apm-22-894","article-title":"Complexity of patient care needs in palliative care: A scoping review","volume":"12","author":"Cerullo","year":"2023","journal-title":"Ann. Palliat. Med."},{"key":"ref_2","unstructured":"(2026, March 06). Palliative Care. Available online: https:\/\/www.who.int\/europe\/news-room\/fact-sheets\/item\/palliative-care."},{"key":"ref_3","first-page":"e2021006","article-title":"The specialist palliative care nurses\u2019 role, competences, and activities in an Italian hospital","volume":"92","author":"Autelitano","year":"2021","journal-title":"Acta Biomed."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1177\/0269216320956817","article-title":"Nursing education on palliative care across Europe: Results and recommendations from the EAPC taskforce on preparation for practice in palliative care nursing across the EU","volume":"35","author":"Pasman","year":"2021","journal-title":"Palliat. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1097\/01.NAJ.0000897124.77291.7d","article-title":"Integrating palliative care into nursing care","volume":"122","author":"Levoy","year":"2022","journal-title":"Am. J. Nurs."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"S39","DOI":"10.21037\/apm.2018.06.01","article-title":"Pediatric palliative care nursing","volume":"8","author":"Akard","year":"2019","journal-title":"Ann. Palliat. Med."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Durojaiye, A., Ryan, R., and Doody, O. (2023). Student nurse education and preparation for palliative care: A scoping review. PLoS ONE, 18.","DOI":"10.1371\/journal.pone.0286678"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"E5","DOI":"10.1097\/NJH.0000000000000540","article-title":"End-of-Life Nursing and Education Consortium communication curriculum for nurses","volume":"21","author":"Buller","year":"2019","journal-title":"J. Hosp. Palliat. Nurs."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1177\/0269216317734954","article-title":"Patients\u2019 and caregivers\u2019 needs, experiences, preferences and research priorities in spiritual care: A focus group study across nine countries","volume":"32","author":"Selman","year":"2018","journal-title":"Palliat. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/j.profnurs.2021.03.001","article-title":"The development of the nursing profession and nursing education in Croatia","volume":"37","author":"Stievano","year":"2021","journal-title":"J. Prof. Nurs."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Ko\u0161anski, T., and Neuberg, M. (2024). Proficiency and practices of nursing professionals in meeting patients\u2019 spiritual needs within palliative care services: A nationwide cross-sectional study. Healthcare, 12.","DOI":"10.3390\/healthcare12070725"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Almaraz, D., Saiz, J., Moreno Mart\u00edn, F., S\u00e1nchez-Iglesias, I., Molina, A.J., and Goldsby, T.L. (2022). What aspects of religion and spirituality affect the physical health of cancer patients? A systematic review. Healthcare, 10.","DOI":"10.3390\/healthcare10081447"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Caldeira, S., Sim\u00f5es Figueiredo, A., Da Concei\u00e7\u00e3o, A., Ermel, C., Mendes, J., and Chaves, E. (2016). Spirituality in the undergraduate curricula of nursing schools in Portugal and S\u00e3o Paulo-Brazil. Religions, 7.","DOI":"10.3390\/rel7110134"},{"key":"ref_14","first-page":"9998480","article-title":"Spiritual care in advanced dementia from the perspective of health providers: A qualitative systematic review","volume":"2021","year":"2021","journal-title":"Occup. Ther. Int."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"439","DOI":"10.12968\/ijpn.2024.0063","article-title":"Basic knowledge and understanding of palliative care among nurses working in a group of tertiary care hospitals","volume":"31","author":"Pruthi","year":"2025","journal-title":"Int. J. Palliat. Nurs."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"552","DOI":"10.12968\/ijpn.2019.25.11.552","article-title":"Does post-registration palliative care education for nurses improve practice? A systematic review","volume":"25","author":"Thavaraj","year":"2019","journal-title":"Int. J. Palliat. Nurs."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/NJH.0000000000001151","article-title":"Implementing education for community adult hospice nurses to expand pediatric hospice and palliative care","volume":"28","author":"Wenzel","year":"2026","journal-title":"J. Hosp. Palliat. Nurs."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1017\/S1478951520000413","article-title":"\u201cTruly holistic?\u201d Differences in documenting physical and psychosocial needs and hope in Portuguese palliative patients","volume":"19","author":"Sobral","year":"2021","journal-title":"Palliat. Support. Care"},{"key":"ref_19","unstructured":"Blaszko Helming, M.A., Shields, D.A., Avino, K.M., and Rosa, W.E. (2020). Nursing history and the evolution of holistic nursing. Dossey & Keegan\u2019s Holistic Nursing: A Handbook for Practice, Jones & Bartlett Learning."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"189","DOI":"10.12968\/ijpn.2024.0034","article-title":"7C model: An easy way to understand the role of palliative nurses","volume":"31","author":"Hinduja","year":"2025","journal-title":"Int. J. Palliat. Nurs."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1017\/S1478951523001165","article-title":"Effective communication in palliative care from the perspectives of patients and relatives: A systematic review","volume":"21","author":"Engel","year":"2023","journal-title":"Palliat. Support. Care"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1097\/HNP.0000000000000479","article-title":"Implementing holistic care in isolated patients during COVID-19 pandemic: A case study using nursing outcomes (NOC) and interventions (NIC) classifications","volume":"35","year":"2021","journal-title":"Holist. Nurs. Pract."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"3746","DOI":"10.1111\/jocn.16583","article-title":"Dimensions of good palliative nursing care: Expert panel consensus and perceptions of palliative professionals","volume":"32","year":"2023","journal-title":"J. Clin. Nurs."},{"key":"ref_24","first-page":"64","article-title":"Addressing spiritual needs in palliative care: Proposal for a narrative and interfaith spiritual care intervention for chaplaincy","volume":"29","author":"Wierstra","year":"2023","journal-title":"J. Health Care Chaplain."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1111\/jocn.15638","article-title":"Hospice palliative care nurses\u2019 perceptions of spiritual care and their spiritual care competence: A mixed-methods study","volume":"30","author":"Kang","year":"2021","journal-title":"J. Clin. Nurs."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Quinn, B., and Connolly, M. (2023). Spirituality in palliative care. BMC Palliat. Care, 22.","DOI":"10.1186\/s12904-022-01116-x"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1080\/10376178.2024.2445276","article-title":"Competence to expertise in nursing practice","volume":"61","author":"Welch","year":"2025","journal-title":"Contemp. Nurse"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"23779608241271653","DOI":"10.1177\/23779608241271653","article-title":"Gender bias and perceptions of the nursing profession in Croatia: A cross-sectional study comparing patients and the general population","volume":"10","author":"Neuberg","year":"2024","journal-title":"SAGE Open Nurs."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Vandenbroucke, J.P., von Elm, E., Altman, D.G., G\u00f8tzsche, P.C., Mulrow, C.D., Pocock, S.J., Poole, C., Schlesselman, J.J., Egger, M., and for the STROBE Initiative (2007). Strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. 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