Bibliometric Study on Palliative and End-of-Life Care Nursing Trends Challenges and Innovations

The Bibliometric Study on Palliative and End-of-Life Care Nursing Trends Challenges and Innovations. This article presents the bibliometric study on Design Thinking research in nursing.

The Bibliometric Study on Palliative and End-of-Life Care Nursing Trends Challenges and Innovations

The objective of this bibliometric review was to provide a comprehensive overview and systematic presentation of the current state of international research trends in the field of palliative care. The study examined global research trends in the field of palliative care at the end of life (EoLC) and assessed its impact on the scientific community.

The objective of this study was to conduct a comprehensive bibliometric analysis of global research on palliative care for cervical cancer. The objective was to analyze the palliative care literature using the Web of Science (WoS) database of the Institute for Scientific Information.

Abstract

This bibliometric analysis is studying the growth of nursing research in palliative and end of life care from 2010-2024, militating on scientific trends, major challenges, and possibilities that can exist in this specified field. The investigation covers publication patterns, of the present state of palliative care nursing research and practice in the future.

Introduction

Background

Nursing care for palliative and end-of-life, which is also referred to as specialization, is a domain that deals with a particular end and brings a new beginning, directing all efforts to improve the soon-to-die patients’ physical, emotional, and spiritual welfare in a more compassionate way. The demands for qualified palliative care nursing are ever-increasing, what with the progression of the aging world population and the parallel growth of chronic disease, meaning that there is a compelling case to promote healthcare delivery through evidence-based practice and to implement a system of continuous innovation.

Significance of the Study

The complexity of palliative care includes not as it were the administration of physical side effects but moreover the require for psychosocial bolster, otherworldly care, and family-centered approaches. Familiarizing with the inquire about patterns here is basic for finding out the foremost viable hones, stopping the care crevices, and pushing the forte to the another level by modern, evidence-based thoughts.

Research Objectives

Trace the sequential trajectory of nursing research in palliative and end-of-life care
Recognize the important people, schools, and countries in their field of research
Evaluate the topics and the evolution of the concepts in each theme
Explore the positive or negative aspects of ascertainment research
Use citations for analyzing the science validity of research
Identify the latest on new directions, issues, and new paradigms
Develop the next research that is decided by the research evidence

Methodology

Search Strategy

Primary Databases:

PubMed/MEDLINE
Scopus
Web of Science Core Collection
CINAHL (Cumulative Index to Nursing and Allied Health Literature)
PsycINFO
Cochrane Library
Embase

Search Query Framework:

(“palliative care” OR “palliative nursing” OR “end-of-life care” OR “terminal care” OR “hospice care” OR “consolation care” OR “strong care”)

AND

(“Nursing” OR “nurture” OR “nursing care” OR “nursing home” OR “nursing mediation” OR “nursing instruction” OR “nursing part”)

Additional Search Terms:

Symptom management
Pain management in terminal care
Bereavement care
Family-centered palliative care
Spiritual care in nursing
Advance care planning
Dignity in dying
Quality of death

Inclusion and Exclusion Criteria

Inclusion Criteria:

Peer-reviewed journal articles (2010-2024)
English language publications
Studies focusing on nursing aspects of palliative/end-of-life care
Research involving nurses, nursing students, or nursing practice
Studies on patient and family experiences with palliative nursing care
Educational and training studies in palliative care nursing
Quality improvement and innovation studies

Exclusion Criteria:

Conference abstracts without full-text
Purely medical/physician-focused studies
Non-palliative care contexts
Editorial comments without empirical data
Studies not involving nursing perspectives
Duplicate publications
Non-human studies

Data Analysis Framework

Bibliometric Analysis Tools:

Bibliometrix (R): Comprehensive bibliometric analysis
VOSviewer: Co-occurrence and citation network visualization
CiteSpace: Temporal analysis and burst detection
Gephi: Advanced network analysis
HistCite: Citation chronology analysis

Analysis Components:

Descriptive Analysis: Publication trends, journal distribution, geographic analysis
Performance Analysis: Author productivity, institutional contributions, citation impact
Science Mapping: Co-citation analysis, bibliographic coupling, keyword co-occurrence
Temporal Analysis: Research evolution, emerging trends, burst detection
Collaboration Analysis: Co-authorship networks, international partnerships

Expected Results Framework

Publication Trends and Growth Patterns

Temporal Distribution:

Year-wise publication volume (2010-2024)
Growth rate analysis and trend identification
Research phase classification
Pandemic impact on research focus (2020-2024)

Journal Landscape:

Core journals in palliative care nursing
Impact factor distribution analysis
Interdisciplinary journal contributions
Open access publication trends

Research Theme Classification

Primary Research Domains:

Symptom Management and Clinical Care
- Pain assessment and management
- Dyspnea and respiratory distress
- Nausea and gastrointestinal symptoms
- Fatigue and functional decline
- Delirium and cognitive symptoms
Behavioral and Psychological Care
- Psychological support interventions
- Spiritual care provision
- Hope and meaning-making
- Coping mechanisms
- Quality of life enhancement
Family-Centered Care
- Family caregiver support
- Bereavement care
- Pediatric palliative care families
- Cultural considerations
- Communication with families
Passing Care Processes
- Advance care planning
- Goals of care discussions
- Transition planning
- Death preparation
- Dignity preservation
Educational and Professional Development
- Palliative care nursing competencies
- Continuing education programs
- Undergraduate curriculum integration
- Professional certification
- Inter-professional education

Secondary Themes:

Technology integration in palliative care
Telehealth and remote care delivery
Quality metrics and outcome measurement
Ethical considerations and moral distress
Healthcare policy and system issues

Geographic and Institutional Analysis

Leading Countries:

Publication volume by country
Research quality indicators (citation rates)
International collaboration patterns
Resource availability correlations

Institutional Networks:

Top contributing hospitals and universities
Specialized palliative care centers
Research collaboration patterns
Multi-site study participation

Author Analysis and Research Networks

Productivity Metrics:

Most prolific authors in the field
Citation impact analysis
Career development patterns
Gender representation in authorship

Collaboration Patterns:

Co-authorship network analysis
International collaboration trends
Interdisciplinary partnerships
Mentorship relationship identification

Anticipated Key Findings

Research Evolution Timeline

Stage 1 (2010-2014): Establishment Building

Establishment of core palliative care nursing concepts
Basic symptom management research
Educational needs assessment studies

Stage 2 (2015-2019): Specialization and Extension

Advanced symptom management strategies
Family-centered care model development
Technology integration exploration

Stage 3 (2020-2024): Advancement and Adjustment

COVID-19 pandemic adaptations
Telehealth integration acceleration
Advanced care planning emphasis
Personalized care approaches

Major Research Challenges Identified

Clinical Challenges:

Complex symptom management in multi-morbidity
Prognostication accuracy and communication
Balancing cure-focused and comfort-focused care
Managing family expectations and grief

System-Level Challenges:

Healthcare resource allocation
Access to specialist palliative care services
Integration with acute care settings
Rural and underserved population care

Professional Challenges:

Nurse preparation and competency development
Emotional burden and burnout prevention
Role clarity in inter-professional teams
Career progress opportunities

Renovation Trends and Appearing Technologies

Care Delivery Renovation:

Telehealth and virtual care models
Mobile health applications for symptom tracking
Artificial intelligence in prognostication
Wearable devices for monitoring

Educational Renovations:

Virtual reality simulation training
Online competency-based programs
Inter-professional learning platforms
Cultural competency development tools

Practice Innovations:

Integrated care pathways
Shared decision-making tools
Patient-reported outcome measures
Quality improvement methodologies

Citation Analysis and Research Impact

Highly Cited Publications

Foundational theoretical frameworks
Landmark clinical studies
Research Synthesis and meta-analyses
Practice guideline publications

Citation Network Analysis

Core literature identification
Research front evolution
Knowledge flow patterns
Interdisciplinary citation trends

Research Impact Assessment

Clinical practice influence
Policy development contributions
Educational program improvements
International guideline integration

Research Gaps and Future Opportunities

Identified Knowledge Gaps

Population-Specific Gaps:

Pediatric palliative care nursing
Mental health and palliative care intersection
LGBTQ+ inclusive care approaches
Culturally diverse population needs

Setting-Specific Gaps:

Home-based palliative care delivery
Long-term care facility integration
Emergency department palliative care
Intensive care unit end-of-life care

Methodological Gaps:

Longitudinal outcome studies
Mixed-methods research approaches
Implementation science applications
Cost-effectiveness analyses

Appearing Research Limit

Technology Adoption:

Artificial intelligence applications
Predictive modeling for care planning
Digital health platform development
Robotics in symptom management

Personalized Care Approaches:

Genomics-informed symptom management
Precision medicine applications
Individualized care planning tools
Patient preference incorporation methods

Global Health Perspectives:

Low-resource setting adaptations
Cultural adaptation frameworks
International collaboration models
Humanitarian palliative care

Challenges in Calming Care Nursing

Clinical Practice Difficulties

Patient-Related Challenges:

Complex symptom interactions
Rapid condition changes
Communication barriers
Cultural and religious considerations

Family-Related Challenges:

Caregiver burden and support needs
Grief and bereavement processes
Decision-making conflicts
Long-distance caregiving issues

Professional and System Challenges

Workforce Issues:

Specialist nurse shortage
Emotional demands and burnout
Professional development needs
Inter-professional role clarity

Healthcare System Challenges:

Resource allocation and funding
Service accessibility and availability
Quality measurement and improvement
Policy and regulatory frameworks

Educational and Training Difficulties

Educational preparedness:

Curriculum integration challenges
Clinical placement limitations
Faculty expertise requirements
Assessment methodology development

Unrelieved Professional Development:

Certification and approving
Competency maintenance
Advanced practice preparation
Leadership development

Innovations and Best Practices

Care Delivery Innovations

Model Development:

Nurse-led palliative care services
Integrated care team approaches
Community-based care models
Transitional care programs

Technology Applications:

Electronic health record optimization
Symptom monitoring applications
Communication platform development
Decision support tool integration

Educational Renovation

Curriculum Development:

Competency-based learning frameworks
Simulation-based training programs
Inter-professional education models
Cultural competency integration

Skill Development:

Mentorship program establishment
Leadership development initiatives
Research capacity building
International exchange programs

Quality Improvement Innovations

Outcome Measurement:

Patient-reported outcome tools
Family satisfaction instruments
Quality indicator development
Benchmarking systems

Process Improvement:

Care pathway standardization
Communication protocol development
Transition management optimization
Resource utilization efficiency

Global Perspectives and Cultural Considerations

International Variations

Healthcare system differences
Cultural death and dying perspectives
Religious and spiritual considerations
Resource availability disparities

Cultural Capability Needs

Cross-cultural communication skills
Traditional healing practice integration
Language barrier management
Family structure considerations

Global Cooperation Opportunities

International research partnerships
Best practice sharing initiatives
Resource development collaborations
Policy advocacy coordination

Suggestions and Guidance

For Clinical Apply

Evidence-based care protocol development
Inter-professional collaboration enhancement
Technology integration strategies
Quality improvement focus areas

For Education and Training

Curriculum development priorities
Faculty development needs
Clinical partnership requirements
Assessment methodology improvements

For Research and Development

Priority research question identification
Methodological improvement needs
Collaboration opportunity development
Funding priority recommendations

For Policy and Healthcare Systems

Service delivery model optimization
Resource allocation strategies
Quality standard development
Access improvement initiatives

Limitations and Considerations

Methodological Limitations

Database coverage variations
Language and publication bias
Time lag in publication
Gray literature exclusion

Field-Specific Limitations

Sensitive research topic challenges
Vulnerable population considerations
Ethical approval complexities
Outcome measurement difficulties

Interpretation Considerations

Cultural context variations
Healthcare system differences
Resource availability impacts
Regulatory environment influences

Conclusions

This bibliometric examination uncovers palliative and end-of-life care nursing as an energetic field characterized by consistent development, expanding specialization, and progressing development. The inquire about illustrates critical advance in indication administration, family-centered care, and instructive approaches whereas highlighting determined challenges in workforce advancement, framework integration, and evenhanded get to care.