Open research questions in Palliative Care and End-of-Life Issues
340 unresolved questions extracted from the limitations and future-work sections of 2,780 Palliative Care and End-of-Life Issues papers in our library. Each links back to the study that raised it.
What the literature leaves open
The paper identifies the challenge of nursing students exhibiting suboptimal attitudes toward end-of-life care. It highlights the need for effective interventions to improve students' readiness for end-of-life care.
Recognizing and managing unconscious bias in clinician-patient encounters - Integrating structured psychological assessment and clinician support into assisted dying practices - Balancing the need for rapid decision-making with the need for thoughtful, reflective practice in assisted dying
Further study on the psychological toll on clinicians providing assisted dying - Investigation into how unconscious dynamics shape the practice of assisted dying
The prevailing approach to dementia care is heavily oriented toward pharmacological and task-driven symptom management, leaving insufficient space for the continuing human need for meaning, connection, and recognition. There is a need for an ethical and philosophical reorientation of dementia care that attends not only to symptoms but also to the existential and relational dimensions of suffering.
Meaning Beyond Memory, Meaning Beyond Alleviation: A Logotherapeutic and Attentional Ethics focus upon Dementia Care · 2026 · DOIFurther research is needed to examine support for EAS in relation to religiosity in majority-Buddhist countries, - Studies should specifically analyse levels of religiosity within individual denomination or religious groups
Conceptions of Medical Assistance in Dying and Euthanasia: A Literature Review on the Role of Religious Affiliation and Religiosity · 2026 · DOIFew studies have examined the relationship between religiosity and support for euthanasia within individual denomination or religious groups. There is a lack of direct evidence comparing views between devout and nominal Buddhists. The current literature does not provide a comprehensive analysis of the relationship between religious affiliation and views on euthanasia.
Conceptions of Medical Assistance in Dying and Euthanasia: A Literature Review on the Role of Religious Affiliation and Religiosity · 2026 · DOIThe study does not provide a comprehensive analysis of the educational system, - The study relies on self-reported data from health professionals, - The study has a limited sample size, - The study only examines the attitudes of health professionals in Greece
Individual, Professional Characteristics and Religiosity Predict Attitudes of Health Professionals Toward Euthanasia in Greece · 2026 · DOIThere is a lack of understanding of health professionals' attitudes toward euthanasia in Greece. There is a need to explore the main characteristics that affect health professionals' attitudes toward euthanasia. There is a gap in investigating the specific academic education of health professionals on the sensitive and ethical medical issue of euthanasia.
Individual, Professional Characteristics and Religiosity Predict Attitudes of Health Professionals Toward Euthanasia in Greece · 2026 · DOIThe study identifies the challenge of integrating palliative care into routine clinical practice in Saudi Arabia. The study notes the problem of wrong beliefs about opioids among healthcare professionals in Saudi Arabia. The study highlights the need for confidence in end-of-life care and ethical decision-making among healthcare professionals in Saudi Arabia.
A systematic review of palliative care knowledge, attitudes, and practices in Saudi Arabia: a global comparative analysis · 2026 · DOIInvestigation of the effectiveness of structured and mandatory palliative care education, - Comparison of different educational interventions, - Exploration of the impact of palliative care education on patient outcomes
A systematic review of palliative care knowledge, attitudes, and practices in Saudi Arabia: a global comparative analysis · 2026 · DOISmall sample size, - Limited to community-dwelling persons at risk of or living with dementia and their care partners, - Care partners were required to be 18 years or older
Engaging in the Life-planning in Early Alzheimer’s and other Dementias advance care planning intervention is associated with perceived advance care planning concordance and interpersonal connectedness · 2025 · DOIFurther study on the process by which dementia care dyads achieve perceived ACP, - Examination of the effects of ACP on end-of-life outcomes
Engaging in the Life-planning in Early Alzheimer’s and other Dementias advance care planning intervention is associated with perceived advance care planning concordance and interpersonal connectedness · 2025 · DOIStaffing shortages were identified as a challenge. The need to resort to agency staff was identified as a challenge. Staff workload and experience of burnout were identified as challenges.
Little is known about the operation of Transitional Care Units in Ontario, Canada. There is a lack of understanding about the structural characteristics and care processes of TCUs.
There is a lack of understanding about the factors influencing nursing students' attitudes toward caring for dying patients. The impact of gender and religiosity on these attitudes is not well understood.
Their lived experiences, potentially inclusive of ethical, emotional and other challenges, remain underexplored in Australia.
The findings also suggest that some ATE items may carry context-dependent meanings and should be further examined in future content-validity studies.
A medicolegal evaluation of attitudes toward euthanasia: psychometric validation of the ATE scale in Türkiye · 2026 · DOISix themes were identified, demonstrating that the disclosure of cancer progression is a process that is not limited to a single consultation.
However, there is limited evidence available from India on the development and implementation of such a training program.
Future research should explore longitudinal interventions which might better reinforce confidence in end-of-life care.
Enhancing thai fifth-year medical students’ knowledge and attitudes toward palliative care through active learning methods · 2025 · DOIOBJECTIVE: A scoping review was conducted in order to systematically map the research done in patient's right awareness, as well as to identify any existing gaps in knowledge.
Patient’s awareness of their right and factors associated with it: a scoping review, 2024 · 2025 · DOIHowever, the timely recognition of palliative home care needs remains a clinical challenge, and few studies have described the characteristics of palliative care needs and quality of life at home.
Identifying palliative home care needs of patients with advanced cancer: a cross-sectional study · 2025 · DOIDespite its recognized benefits, research on its implementation in PC, particularly in Portugal, remains scarce.
Perceptions and Practices of Interdisciplinary Action in an Intra-Hospital Support Team for Palliative Care: A Qualitative Study · 2025 · DOICONCLUSIONS: Despite limited evidence, the NAT: PD-HF shows particular promise for identifying palliative care needs in patients with heart failure.
Evaluating Palliative Care Needs in Patients with Advanced Non-Malignant Chronic Conditions: An Umbrella Review of Needs Assessment Tools · 2025 · DOIIdentifying individuals with potential palliative care needs is complex, and although multiple tools exist, the most appropriate approach for assessing needs in this population remains unclear.
Evaluating Palliative Care Needs in Patients with Advanced Non-Malignant Chronic Conditions: An Umbrella Review of Needs Assessment Tools · 2025 · DOI
Most-cited papers in Palliative Care and End-of-Life Issues
- Early Palliative Care for Patients with Metastatic Non–Small-Cell Lung Cancer · New England Journal of Medicine · 2010 · 6,392 citations
- Associations Between End-of-Life Discussions, Patient Mental Health, Medical Care Near Death, and Caregiver Bereavement Adjustment · JAMA · 2008 · 2,420 citations
- Factors Considered Important at the End of Life by Patients, Family, Physicians, and Other Care Providers · JAMA · 2000 · 2,052 citations
- Effects of a Palliative Care Intervention on Clinical Outcomes in Patients With Advanced Cancer · JAMA · 2009 · 1,531 citations
- Early palliative care for patients with advanced cancer: a cluster-randomised controlled trial · The Lancet · 2014 · 1,530 citations
- Family Perspectives on End-of-Life Care at the Last Place of Care · JAMA · 2004 · 1,237 citations
- Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage: the Lancet Commission report · The Lancet · 2017 · 1,143 citations
- Association Between Palliative Care and Patient and Caregiver Outcomes · JAMA · 2016 · 1,048 citations
- Quality End-of-Life Care · JAMA · 1999 · 990 citations
- End-of-Life Practices in European Intensive Care Units · JAMA · 2003 · 879 citations
Most recent work
- Gastrointestinal and Breast Cancer Survivor’s Unmet Needs During Survivorship Journey: A Reliability and Validity Study · Journal of Nursology · 2026
- The End of Life With Dementia in Asian Countries: Barriers, Facilitators and a Research Agenda for Advancing a Palliative Approach · Journal of the American Geriatrics Society · 2026
- Nurses’ Experience in Providing End-of-Life Care in Intensive Care Unit: A Scoping Review · Healthcare · 2026
- Using large language models to assist qualitative thematic analysis of student reflections on advance care planning education · BMC Medical Education · 2026
- Near-death experiences · Canadian Medical Association Journal · 2026
- Psychosocial oncology: The Omega Project · Death Studies · 2026
- Between Safeguard and Constraint: Navigating Patient Autonomy in Protective Laws for Medical Assistance in Dying · Bioethics · 2026
- Accounting for Death: Economising (the End of) Life · Sociology · 2026
- Authors’ Reply: Posttrial Withdrawal Ethics in the Healthy Ageing Ecosystem for People With Dementia (HAAL) Study · JMIR Research Protocols · 2026
- The surrogate decision-making experience of family members for patients with acute stroke: a qualitative meta-synthesis · European Journal of Cardiovascular Nursing · 2026
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