Perspectives in Palliative & Home Care, Year 2025 Issue 4(3)

Telerehabilitation in Nursing Research: Bibliometric Analysis

Kamile TopçuMerve Gözde Sezgin ,Hicran Bektaş — 2026-07-16

Background/Objective: Telerehabilitation has emerged as an innovative approach to enhance accessibility and continuity of care in healthcare services. Bibliometric analyses provide valuable insights into research trends and scientific output in nursing studies within this field. This study aimed to explore trends, research domains, and international collaborations on telerehabilitation in nursing research through a bibliometric analysis.

Material and Method: Data were retrieved from the Web of Science Core Collection in September 2025 using the keywords “telerehabilitation” and “nursing.” Analyses were conducted with R Studio and VOSviewer software. Publication and citation trends, journal and country contributions, collaboration networks, and keyword co-occurrence patterns were examined.

Results: A total of 126 articles published between 2003 and 2025 were analyzed. The number of publications showed a marked increase after 2020. Citation analysis highlighted themes such as patient satisfaction, chronic disease management, and digital health. China, the United States, and Australia were the most productive countries, with Australia-centered collaborations forming strong international networks.

Conclusion: Telerehabilitation has become a rapidly expanding and multidisciplinary field in nursing research. However, the limited representation of low- and middle-income countries remains a critical gap in achieving global equity. Future studies should adopt more inclusive, long-term, and cross-system approaches to strengthen the sustainability and generalizability of telerehabilitation practices.

Individualized Care Perceptions of Home Care Nurses in Turkey and Germany: An International Comparative Study

Hamdiye ARDA SÜRÜCÜSüleyman DONMA — 2026-07-16

Abstract

Objective: The aim of this study was to compare the perceptions of individualized care among nurses working in home care settings in Turkey and Germany.

Methods: This comparative descriptive study was conducted with a total of 64 participants, including 34 nurses from Turkey and 30 nurses from Germany. Data were collected using a sociodemographic information form and the Individualized Care Scale (ICS). Descriptive statistics and independent samples t-tests were used for data analysis. Ethical approval was obtained from the relevant institutions, and informed consent was secured from all participants.

Results: In Turkey, 55.9% of nurses were female and all were employed full-time; in Germany, 73.3% were female and 66.7% worked part-time. The mean years of experience in home care were 2.79 ± 1.93 in Turkey and 7.00 ± 6.86 in Germany. Ethical issues were reported “occasionally” by 44.1% and “frequently” by 26.5% of Turkish nurses, compared to 26.7% and 36.7% of German nurses, respectively.

In terms of individualized care perceptions, the subscale supporting patient individuality scored 3.96 ± 1.07 in Turkey and 3.93 ± 1.09 in Germany, while individualization of care scored 4.15 ± 1.09 and 3.95 ± 1.07, respectively. No statistically significant differences were found between the two groups in either subscale (p > .05).

Conclusion: The findings highlight the need for educational and policy-level interventions to enhance individualized care competencies among home care nurses in both countries.

Being Prepared for Death and End-of-Life Care: Does it Affect Nursing Students' Willingness to Provide Palliative Care?

Ayşe Gül PARLAKAlev AĞCA — 2026-07-16

Aims: Due to the rapidly aging population and increasing chronic diseases, particularly cancer, there is a growing need for palliative care globally. The aim of this study was to examine the effect of preparedness for death and end-of-life care on nursing students' willingness to provide palliative care in their professional lives.

Methods: This descriptive cross-sectional study was conducted with 370 university nursing students. Data were collected using the Student Information Form, Death Attitudes Profile-Revised (DAP-R) and End-of-Life and Post Mortem Care Self-Efficacy Scale (EOLPMSS). Data analysis included descriptive statistical methods, chi-square analysis, independent groups t-test, one-way analysis of variance (ANOVA), Pearson correlation analysis, and multiple linear regression analysis.

Results: The students scored 117.65±20.8 on the “DAP-R” and 58.08±17.31 on the "EOLPMSS". EOLPMSS was predicted by gender, grade level, terminal patient care experience, and willingness to work in palliative care. A positive weak correlation was found between the EOLPMSS and the DAP-R’s subscale of "neutral acceptance and approach acceptance," while a negative weak correlation was found between the subscale of "fear of death and avoidance of death."

Conclusion: It is important that appropriate arrangements are made in the nursing education curriculum to prepare nursing students academically and emotionally to provide end-of-life care, and that nurses and nursing educators guide students in clinical practice areas.

Care Burden Due To Enteral Nutrition In Care Givers Of Patients Receiving Palliative Care

Serkan BUDAKHicran YILDIZ ,Sibel KARACA SİVRİKAYA — 2026-07-16

Aim: This study was carried out to examine the care burden and quality of life of those who give care for patients with percutaneous endoscopic gastrostomy (PEG) and nasogastric (NG) tubes who receive palliative care.
Materials and Methods: The cross-sectional study was performed on primary caregivers of 56 patients who underwent PEG or NG tubes. The data were collected by means of general information form, Zarit Care Burden Scale (ZCBS) and SF-36 Quality of Life Scale (QOL).
Results: It was found that 82.1% of patients are PEG-tube fed. The total QOL score was 49.78±19.92 and also it was observed that ZCBS score was 45.50±13.77, and that the caregiver burden was excessive in 17.9% of them.
Conclusion: In order to reduce the burden of caregiving and improve QOL, it is recommended that care burden be evaluated, that caregivers receive training in tube care, and that resources (formula and equipment) be provided.

Nurse–Patient Interaction and Ethics in Palliative Care

Kerime AYDINŞule ECEVİT ALPAR — 2026-07-16

ABSTRACT
Introduction and Aim: Palliative care nurses provide holistic care aimed at improving the quality of life for individuals facing life-threatening illnesses and their families. This process is not limited to meeting physiological needs, but also involves an ethically grounded interaction between the nurse and the patient. Nurses, who are at the center of this process, directly influence the quality of care through their communication with patients and families as well as their ethical sensitivity. However, various ethical issues may arise in palliative care, such as autonomy, treatment decisions, and end-of-life practices. Being aware of these issues and making decisions in line with ethical principles are important for strengthening nurse–patient communication and ensuring that the care process is carried out on a more humane basis. This review aims to highlight the ethical challenges experienced by palliative care nurses in the care process, their interactions with patients, and the role of ethical principles in care practices, while offering awareness and possible solutions for nursing practice.
Conclusion: Palliative care nurses, by taking into account professional ethical principles such as autonomy, beneficence–nonmaleficence, justice, and honesty, are responsible for alleviating the patient’s pain and suffering; ensuring that the patient feels safe, comfortable, and respected; helping them maintain their sense of dignity and hope for life; and, with a holistic perspective, providing individualized care while maintaining interaction with the patient and their family.