{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T18:46:37Z","timestamp":1764873997269,"version":"build-2065373602"},"reference-count":61,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,8,13]],"date-time":"2022-08-13T00:00:00Z","timestamp":1660348800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia, I.P.","award":["UIDB\/05704\/2020","UIDP\/05704\/2020","CEECINST\/00051\/2018"],"award-info":[{"award-number":["UIDB\/05704\/2020","UIDP\/05704\/2020","CEECINST\/00051\/2018"]}]},{"name":"Scientific Employment Stimulus-Institutional Call","award":["UIDB\/05704\/2020","UIDP\/05704\/2020","CEECINST\/00051\/2018"],"award-info":[{"award-number":["UIDB\/05704\/2020","UIDP\/05704\/2020","CEECINST\/00051\/2018"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Oncology nurses often face complex end-of-life issues, underlining their need for specific training in palliative care. In this context, nurses experience several emotional and psychological dilemmas, which are often difficult to manage and result in high levels of workplace stress. This study aimed to determine the levels and work-related factors of workplace stress among oncology nurses. A descriptive baseline study was performed as part of a large four-phase study based on quantitative data collected from Portuguese oncology nurses. Of the 32 participating nurses, most were women, and the mean age was 42.69 \u00b1 10.04 years. Overall, nurses revealed moderate levels of stress. Younger nurses with less professional experience had difficulties dealing with issues related to death and dying. This pilot study supported the development of a program of six Stress Management Training Workshops (SMTW) to reduce stress and increase adaptative strategies. Assessing workplace stress among oncology nurses should be the focus of intervention by managers and institutional leaders.<\/jats:p>","DOI":"10.3390\/nursrep12030059","type":"journal-article","created":{"date-parts":[[2022,8,15]],"date-time":"2022-08-15T03:33:20Z","timestamp":1660534400000},"page":"597-609","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Workplace Stress in Portuguese Oncology Nurses Delivering Palliative Care: A Pilot Study"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4648-355X","authenticated-orcid":false,"given":"Cristina","family":"Costeira","sequence":"first","affiliation":[{"name":"School of Health Sciences of Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal"},{"name":"The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5722-5612","authenticated-orcid":false,"given":"Filipa","family":"Ventura","sequence":"additional","affiliation":[{"name":"The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal"}]},{"given":"Nelson","family":"Pais","sequence":"additional","affiliation":[{"name":"Portuguese Oncologic Institute of Coimbra\u2014Pain Unit, 3004-011 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0761-6548","authenticated-orcid":false,"given":"Paulo","family":"Santos-Costa","sequence":"additional","affiliation":[{"name":"The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9035-8548","authenticated-orcid":false,"given":"Maria Anjos","family":"Dixe","sequence":"additional","affiliation":[{"name":"School of Health Sciences of Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-773X","authenticated-orcid":false,"given":"Ana","family":"Querido","sequence":"additional","affiliation":[{"name":"School of Health Sciences of Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal"},{"name":"Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-9535","authenticated-orcid":false,"given":"Carlos","family":"Laranjeira","sequence":"additional","affiliation":[{"name":"School of Health Sciences of Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal"},{"name":"Research in Education and Community Intervention (RECI I&D), Piaget Institute, 3515-776 Viseu, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1177\/2165079915576931","article-title":"Occupational Stress Management and Burnout Interventions in Nursing and Their Implications for Healthy Work Environments","volume":"63","author":"Nowrouzi","year":"2015","journal-title":"Workplace Health Saf."},{"unstructured":"Bakusic, J., Lenderink, A., Lambreghts, C., Vandenbroeck, S., Verbeek, J., Curti, S., Mattioli, S., and Godderis, L. (2018). Methodologies to Identify Work-Related Diseases\u2014Review of Sentinel and Alert Approaches, European Risk Observatory Report; Publications Office of the European Union.","key":"ref_2"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1186\/s12960-020-00469-9","article-title":"Burnout in nursing: A theoretical review","volume":"18","author":"Ball","year":"2020","journal-title":"Hum. Resour. Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2153","DOI":"10.1002\/nop2.780","article-title":"The nurses\u2019 occupational stress components and outcomes, findings from an integrative review","volume":"8","author":"Okuhara","year":"2021","journal-title":"Nurs. Open"},{"doi-asserted-by":"crossref","unstructured":"Lukan, J., Bolliger, L., Pauwels, N.S., Lu\u0161trek, M., Bacquer, D., and Clays, E. (2022). Work environment risk factors causing day-to-day stress in occupational settings: A systematic review. BMC Public Health, 22.","key":"ref_5","DOI":"10.1186\/s12889-021-12354-8"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2692","DOI":"10.4103\/jfmpc.jfmpc_222_21","article-title":"Prevalence and associated factors of stress among primary health care nurses in Saudi Arabia, a multi-center study","volume":"10","author":"Abdoh","year":"2021","journal-title":"J. Fam. Med. Prim. Care"},{"key":"ref_7","first-page":"647","article-title":"The Relationship between Stress and Job Satisfaction: An Evidence from Malaysian Peacekeeping Mission","volume":"6","author":"Ismail","year":"2015","journal-title":"Mediterr. J. Soc. Sci."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1111\/jan.13842","article-title":"Job satisfaction, job stress and nurses\u2019 turnover intentions: The moderating roles of on-the-job and off-the-job embeddedness","volume":"75","author":"Fasbender","year":"2019","journal-title":"J. Adv. Nurs."},{"doi-asserted-by":"crossref","unstructured":"Zandi, G., Shahzad, I., Farrukh, M., and Kot, S. (2020). Supporting Role of Society and Firms to COVID-19 Management among Medical Practitioners. Int. J. Environ. Res. Public Health, 17.","key":"ref_9","DOI":"10.3390\/ijerph17217961"},{"doi-asserted-by":"crossref","unstructured":"Li, J., Liu, H., van der Heijden, B., and Guo, Z. (2021). The Role of Filial Piety in the Relationships between Work Stress, Job Satisfaction, and Turnover Intention: A Moderated Mediation Model. Int. J. Environ. Res. Public Heal., 18.","key":"ref_10","DOI":"10.3390\/ijerph18020714"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1177\/1078390319886369","article-title":"Substance Use in Registered Nurses: \u201cI Heard About a Nurse Who \u2026\u201d","volume":"26","author":"Foli","year":"2020","journal-title":"J. Am. Psychiatr. Nurses Assoc."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"27","DOI":"10.4103\/ijoem.IJOEM_123_20","article-title":"Depression, anxiety, stress and workplace stressors among nurses in tertiary health care settings","volume":"25","author":"Acharya","year":"2021","journal-title":"Indian J. Occup. Environ. Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e049787","DOI":"10.1136\/bmjopen-2021-049787","article-title":"Impact of stress and coping strategies on insomnia among Polish novice nurses who are employed in their field while continuing their education: A cross-sectional study","volume":"11","author":"Serafin","year":"2021","journal-title":"BMJ Open"},{"doi-asserted-by":"crossref","unstructured":"Havaei, F., Ji, X.R., MacPhee, M., and Straight, H. (2021). Identifying the most important workplace factors in predicting nurse mental health using machine learning techniques. BMC Nurs., 20.","key":"ref_14","DOI":"10.1186\/s12912-021-00742-9"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/j.jad.2020.07.095","article-title":"Suicidal ideation among nurses: Unique and cumulative effects of different subtypes of sleep problems","volume":"276","author":"Wang","year":"2020","journal-title":"J. Affect. Disord."},{"doi-asserted-by":"crossref","unstructured":"Grandinetti, P., Gooney, M., Scheibein, F., Testa, R., Ruggieri, G., Tondo, P., Corona, A., Boi, G., Floris, L., and Profeta, V.F. (2021). Stress and Maladaptive Coping of Italians Health Care Professionals during the First Wave of the Pandemic. Brain Sci., 11.","key":"ref_16","DOI":"10.3390\/brainsci11121586"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1177\/0013916518823041","article-title":"Does Work Stress Lead to Office Clutter, and How? Mediating Influences of Emotional Exhaustion and Indecision","volume":"52","author":"Roster","year":"2019","journal-title":"Environ. Behav."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"102","DOI":"10.29332\/ijssh.v3n1.268","article-title":"Millennial generation in accepting mutations: Impact on work stress and employee performance","volume":"3","author":"Yunita","year":"2019","journal-title":"Int. J. Soc. Sci. Humanit."},{"doi-asserted-by":"crossref","unstructured":"Mart\u00ednez-Zaragoza, F., Benavides-Gil, G., Rovira, T., Mart\u00edn-Del-R\u00edo, B., Edo, S., Garc\u00eda-Sierra, R., Solanes-Puchol, \u00c1., and Fern\u00e1ndez-Castro, J. (2020). When and how do hospital nurses cope with daily stressors? A multilevel study. PLoS ONE, 15.","key":"ref_19","DOI":"10.1371\/journal.pone.0240725"},{"doi-asserted-by":"crossref","unstructured":"Betke, K., Basi\u0144ska, M.A., and Andruszkiewicz, A. (2021). Sense of coherence and strategies for coping with stress among nurses. BMC Nurs., 20.","key":"ref_20","DOI":"10.1186\/s12912-021-00631-1"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"708696","DOI":"10.3389\/fpsyg.2021.708696","article-title":"Individual-Level Interventions for Decreasing Job-Related Stress and Enhancing Coping Strategies Among Nurses: A Systematic Review","volume":"12","author":"Velana","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1177\/0193945919839189","article-title":"Nurses\u2019 Fatigue, Job Stress, Organizational Culture, and Turnover Intention: A Culture-Work-Health Model","volume":"42","author":"Lee","year":"2019","journal-title":"West. J. Nurs. Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1080\/17521882.2020.1831563","article-title":"The impact of cognitive-behavioural stress management coaching on changes in cognitive appraisal and the stress response: A field experiment","volume":"14","author":"Junker","year":"2021","journal-title":"Coach. Int. J. Theory Res. Pract."},{"unstructured":"Waqas, M., Anjum, Z.-U.-Z., Naeem, B., Qammar, A., and Anwar, F. (2019). Personal Demands and Personal Resources as Facilitators to Reduce Burnout: A Lens of Self Determination Theory. Paradigms, University of Central Punjab. Available online: https:\/\/link.gale.com\/apps\/doc\/A603360452\/AONE?u=anon~6bb22d5c&sid=googleScholar&xid=29e2c349.","key":"ref_24"},{"doi-asserted-by":"crossref","unstructured":"Jetha, A., Kernan, L., and Kurowski, A. (2017). Pro-Care Research Team Conceptualizing the dynamics of workplace stress: A systems-based study of nursing aides. BMC Health Serv. Res., 17.","key":"ref_25","DOI":"10.1186\/s12913-016-1955-8"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"655839","DOI":"10.3389\/fpsyg.2021.655839","article-title":"Work Stress Hampering Employee Performance During COVID-19: Is Safety Culture Needed?","volume":"12","author":"Saleem","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.apnr.2018.06.003","article-title":"Burnout, compassion fatigue and psychological capital: Findings from a survey of nurses delivering palliative care","volume":"43","author":"Frey","year":"2018","journal-title":"Appl. Nurs. Res."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e19404","DOI":"10.12957\/reuerj.2018.19404","article-title":"Estresse ocupacional em profissionais de enfermagem","volume":"26","author":"Neto","year":"2018","journal-title":"Rev. Enferm. UERJ"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e20023","DOI":"10.12707\/RV20023","article-title":"Efetividade de um programa de forma\u00e7\u00e3o na gest\u00e3o emocional dos enfermeiros perante a morte do doente","volume":"5","author":"Pais","year":"2020","journal-title":"Rev. Enferm. Ref."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1097\/NJH.0000000000000624","article-title":"Palliative Cancer Care Stress and Coping Among Clinical Nurses Who Experience End-of-Life Care","volume":"22","author":"Kim","year":"2020","journal-title":"J. Hosp. Palliat. Nurs."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1177\/0030222820903221","article-title":"Patterns of Suffering in Palliative Care: A Descriptive Study","volume":"84","author":"Beng","year":"2020","journal-title":"Omega J. Death Dying"},{"doi-asserted-by":"crossref","unstructured":"Bailey, A.K., Sawyer, A.T., and Robinson, P.S. (2021). A Psychoeducational Group Intervention for Nurses: Rationale, Theoretical Framework, and Development. J. Am. Psychiatr. Nurses Assoc.","key":"ref_32","DOI":"10.1177\/10783903211001116"},{"unstructured":"Santos, J., and Teixeira, Z. (2009). O stresse profissional dos enfermeiros. Revista da Faculdade de Ci\u00eancias Da Sa\u00fade, Universidade Fernando Pessoa.","key":"ref_33"},{"key":"ref_34","first-page":"e39","article-title":"How nurses cope with patient death: A systematic review and qualitative meta-synthesis","volume":"27","author":"Zheng","year":"2017","journal-title":"J. Clin. Nurs."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1177\/10499091211038501","article-title":"Effectiveness of Educational Programs on Palliative and End-of-life Care in Promoting Perceived Competence Among Health and Social Care Professionals","volume":"39","author":"Wong","year":"2021","journal-title":"Am. J. Hosp. Palliat. Med."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"3597","DOI":"10.1111\/jocn.15276","article-title":"Nursing resilience interventions\u2014A way forward in challenging healthcare territories","volume":"29","author":"Henshall","year":"2020","journal-title":"J. Clin. Nurs."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1186\/s13054-020-2784-z","article-title":"Burnout and Joy in the Profession of Critical Care Medicine","volume":"24","author":"Kerlin","year":"2020","journal-title":"Crit. Care"},{"key":"ref_38","first-page":"84","article-title":"The Impact of Work Stress on Turnover Intentions among Palliative Care Nurses in Saudi Arabia","volume":"6","author":"Miligi","year":"2019","journal-title":"Int. J. Nurs."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1007\/s13142-017-0473-5","article-title":"The implementation and evaluation of a communication skills training program for oncology nurses","volume":"7","author":"Banerjee","year":"2017","journal-title":"Transl. Behav. Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.anr.2016.07.002","article-title":"Role of Emotional Intelligence in Conflict Management Strategies of Nurses","volume":"10","year":"2016","journal-title":"Asian Nurs. Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"100","DOI":"10.21315\/mjms2018.25.6.10","article-title":"The Relationship between Emotional Intelligence and Job Stress among Nurses in Shiraz, Iran","volume":"25","author":"Rakhshani","year":"2018","journal-title":"Malays. J. Med Sci."},{"key":"ref_42","first-page":"128","article-title":"The Effect of Spiritual Intelligence Training on Job Satisfaction of Psychiatric Nurses","volume":"12","author":"Heydari","year":"2017","journal-title":"Iran. J. Psychiatry"},{"doi-asserted-by":"crossref","unstructured":"Cocchiara, R.A., Peruzzo, M., Mannocci, A., Ottolenghi, L., Villari, P., Polimeni, A., Guerra, F., and La Torre, G. (2019). The Use of Yoga to Manage Stress and Burnout in Healthcare Workers: A Systematic Review. J. Clin. Med., 8.","key":"ref_43","DOI":"10.3390\/jcm8030284"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1177\/2165079918801633","article-title":"The Effects of a Modified Mindfulness-Based Stress Reduction Program for Nurses: A Randomized Controlled Trial","volume":"67","author":"Lin","year":"2018","journal-title":"Workplace Health Saf."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.iccn.2019.07.007","article-title":"Effects of progressive muscle relaxation combined with music on stress, fatigue, and coping styles among intensive care nurses","volume":"54","author":"Ozgundondu","year":"2019","journal-title":"Intensiv. Crit. Care Nurs."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"273","DOI":"10.3928\/01484834-20190422-05","article-title":"Effects of a Stress Management Training Program With Mindfulness-Based Stress Reduction","volume":"58","author":"Karaca","year":"2019","journal-title":"J. Nurs. Educ."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.nedt.2018.03.018","article-title":"The effectiveness of mindfulness meditation for nurses and nursing students: An integrated literature review","volume":"65","year":"2018","journal-title":"Nurse Educ. Today"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1097\/NNA.0000000000000792","article-title":"Intervention Effects of the MINDBODYSTRONG Cognitive Behavioral Skills Building Program on Newly Licensed Registered Nurses\u2019 Mental Health, Healthy Lifestyle Behaviors, and Job Satisfaction","volume":"49","author":"Sampson","year":"2019","journal-title":"JONA J. Nurs. Adm."},{"key":"ref_49","first-page":"185","article-title":"An innovative program to promote health promotion, quality of life, and wellness for School of Nursing faculty, staff, and students: Facilitators, barriers, and opportunities for broad system-level and cultural change","volume":"35","year":"2020","journal-title":"Arch. Psychiatr. Nurs."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"373","DOI":"10.3928\/00220124-20170712-10","article-title":"Structured Coaching Programs to Develop Staff","volume":"48","author":"Dyess","year":"2017","journal-title":"J. Contin. Educ. Nurs."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1037\/str0000058","article-title":"Coaching as stress-management intervention: The mediating role of self-efficacy in a framework of self-management and coping","volume":"25","author":"Ebner","year":"2018","journal-title":"Int. J. Stress Manag."},{"doi-asserted-by":"crossref","unstructured":"Suikkala, A., Tohmola, A., Rahko, E.K., and H\u00f6kk\u00e4, M. (2021). Future palliative competence needs\u2014A qualitative study of physicians\u2019 and registered nurses\u2019 views. BMC Med. Educ., 21.","key":"ref_52","DOI":"10.1186\/s12909-021-02949-5"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"932","DOI":"10.12968\/bjon.2017.26.16.932","article-title":"Research into experiential learning in nurse education","volume":"26","author":"Hill","year":"2017","journal-title":"Br. J. Nurs."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"589698","DOI":"10.3389\/fpsyg.2020.589698","article-title":"Stress Reduction Techniques for Health Care Providers Dealing With Severe Coronavirus Infections (SARS, MERS, and COVID-19): A Rapid Review","volume":"11","author":"Callus","year":"2020","journal-title":"Front. Psychol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"534","DOI":"10.3928\/01484834-20190819-07","article-title":"Effects of Relaxation Techniques on Nursing Students\u2019 Academic Stress and Test Anxiety","volume":"58","author":"Manansingh","year":"2019","journal-title":"J. Nurs. Educ."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"e22429","DOI":"10.1097\/MD.0000000000022429","article-title":"Cognitive-behavioural reflective training for improving critical thinking disposition of nursing students","volume":"99","author":"Abiogu","year":"2020","journal-title":"Medicine"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"667821","DOI":"10.3389\/fpubh.2021.667821","article-title":"Care for Joy: Evaluation of a Humor Intervention and Its Effects on Stress, Flow Experience, Work Enjoyment, and Meaningfulness of Work","volume":"9","author":"Bartzik","year":"2021","journal-title":"Front. Public Health"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1080\/01612840.2020.1838008","article-title":"Assertiveness Training of Novice Psychiatric Nurses: A Necessary Approach","volume":"42","author":"Laranjeira","year":"2020","journal-title":"Issues Ment. Heal. Nurs."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"361","DOI":"10.4103\/jehp.jehp_549_20","article-title":"Promoting the psychosocial and communication aspects of nursing care quality using time management skills training","volume":"9","author":"Shahrbaaki","year":"2020","journal-title":"J. Educ. Health Promot."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1186\/s12904-021-00804-4","article-title":"Learning to care for the spirit of dying patients: The impact of spiritual care training in a hospice-setting","volume":"20","author":"Chahrour","year":"2021","journal-title":"BMC Palliat. Care"},{"doi-asserted-by":"crossref","unstructured":"Mills, J., Wand, T., and Fraser, J.A. (2018). Exploring the meaning and practice of self-care among palliative care nurses and doctors: A qualitative study. BMC Palliat. 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