The World Health Organization approximates that around 56.8 million individuals require palliative care annually, with 25.7 million of them being in the final stage of life. Ensuring high-quality care, particularly towards the end of life, can significantly enhance the quality of dying and death (QODD) for terminally ill patients. This, in turn, may alleviate grief among their loved ones following their passing. This descriptive study seeks to explore the correlation between the quality of end-of-life care (EOLC), QODD, and the experience of grief among bereaved family caregivers. A total of 318 participants, the primary family caregivers of patients who died within 3–12 months, were recruited for this study by the purposive sampling method. The instruments used for collecting data included (1) the participant demographic data form, (2) the family APGAR questionnaire, (3) The Family Satisfaction with the End-of-Life Care (4) the quality of dying and death questionnaire (QODD), and (5) the inventory of complicated grief. The data were analyzed by using descriptive statistics, and Spearman rank-order correlation coefficient. The results showed that bereaved family caregivers had satisfaction with the quality of care and their perceptions of QODD at a moderate level. Bereaved family caregivers had 74.8% of normal grief. The quality of EOLC and QODD had a significant negative correlation with grief in bereaved family caregivers. The quality of EOLC also had a significant positive correlation with the QODD. Improving the quality of EOLC, can improve the QODD and help bereaved family caregivers cope with grief.

Background: Sexual satisfaction is vital for the sexual health and well-being of both cervical cancer patients and their spouses. Sexual dissatisfaction can arise from negative treatment, making it important to examine the factors that influence sexual satisfaction. Objective: The purpose of this study was to explore the factors affecting the sexual satisfaction of Thai women with cervical cancer after complete treatment and their spouses. Materials and Methods: A predictive correlational study was conducted with 100 couples using convenience sampling. The study was based on the ecological theory framework. Data were collected from April 2023 to January 2024 in two tertiary hospitals through five questionnaires: a demographic questionnaire, the Thai Hospital Anxiety and Depression Scale, the Charlson Comorbidity Index, the Couple Relationship Scale, Natsal 2000, and the New Sexual Satisfaction Scale. Data analysis was performed using multiple linear regression. Results: The multiple regression analysis showed that sexual difficulties and duration of marriage predicted 25.6% of the variance in sexual satisfaction among women with cervical cancer. The duration of marriage (b = −0.48, p = 0.012) had a stronger impact than sexual difficulties (b = −2.82, p = 0.005). Sexual difficulties and couple relationships accounted for 34.9% of the variance in sexual satisfaction for spouses. Sexual difficulties (b = −3.13, p = 0.004) had a greater effect than couple relationships (b = 0.30, p = 0.003). Conclusions: Healthcare providers should promote constructive communication between couples through open, respectful, and supportive dialogue to strengthen their relationship, improve mutual understanding, address sexual difficulties, and enhance sexual satisfaction for women with cervical cancer after treatment and their spouses. The findings results can inform future intervention research aimed at improving sexual satisfaction in this population one-year post treatment.

Aim: This study sought to elucidate the conditions associated with sarcopenia among older, formerly homeless people residing in supportive housing in Thailand. Design: This study employed a qualitative design. Methods: Eight comprehensive interviews ( n = 8) and four focus group discussions ( n = 20) were conducted. The data collection spanned from March 2024 to June 2024 and was subsequently analysed utilising content analysis methodologies. Results: All participants (age range: 31–83 years, female participants: 52.38%) were selected from a shelter for the economically disadvantaged in Nonthaburi. The analysis revealed two overarching themes: (1) insufficiency, encompassing five subthemes: deficient knowledge, limited dietary intake, poor oral health, insufficient physical activity and substandard sarcopenia care system and (2) the price of plenty, which includes four subthemes: carbohydrate consumption, poorly prepared food (characterised by hard, undercooked, or burnt items and excessive salt and spice usage), comorbid health conditions and excessive periods of inactivity. Implications for the Profession: Absence of nursing roles in supportive housing limits the delivery of people‐centred care for formerly homeless older adults. Integrating nurses into these settings is essential to meet complex health needs and improve care quality. Patient or Public Contribution: This represents the inaugural Thai research conducted within a shelter for the impoverished, underserved and marginalised population. The rich insights from this study provided a foundation for understanding and guiding the management, local policy formulation and prevention strategies related to sarcopenia for this population.

Patients with advanced-stage cancer undergoing chemotherapy are highly susceptible to infections due to immunosuppression. Inappropriate behaviors further increase their risk of infection and severe complications such as not washing hands, consuming unsafe food, or exposure to contaminated environments. Consequently, nursing interventions are essential in promoting preventive behaviors and reducing infection risks. This study, therefore, examined the predictive power of infection prevention knowledge, distress, perceived self-efficacy, and social support on infection prevention behaviors in patients with advanced-stage cancer receiving chemotherapy. Bandura's Self-efficacy Theory was also integrated into the study's framework. This predictive study used a cross-sectional design that included 100 patients with advanced solid malignancy receiving outpatient chemotherapy at the King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Thailand. Participants were selected through purposive sampling. Data were collected using the Knowledge of Infection Prevention in Cancer Patients Receiving Chemotherapy Questionnaire, the Thai version of the Distress Thermometer, the Thai Version of the General Self-Efficacy Questionnaire, the Social Support Questionnaire, and the Infection Prevention Behaviors in Cancer Patients Receiving Chemotherapy Questionnaire. Descriptive and multiple regression statistics with the Enter method were used for data analysis. Notably, this study received Institutional Review Board approval from two university hospitals in Bangkok, Thailand. The participants showed a high mean infection prevention knowledge score of 17.09 (SD=2.49), low distress (M=3.17, SD=2.78), moderate self-efficacy (M=30.40, SD=6.99), high social support (M=56.24, SD=6.71), and high infection prevention behaviors (M=105.85, SD=7.89). Regression analysis indicated that self-efficacy (β=0.244, p<0.05), distress (β=-0.233, p<0.05), knowledge (β=0.212, p<0.05), and social support (β=0.192, p<0.05) significantly predicted infection prevention behaviors, explaining 30.6% of the variance (p<0.05). These findings underscore that infection prevention behaviors are influenced by self-efficacy, distress, knowledge, and social support. Specifically, higher self-efficacy improves adherence to prevention and greater knowledge equips patients for effective infection control. Additionally, strong social support reinforces healthy behaviors. Conversely, high distress negatively impacts compliance with preventive behaviors. These insights can guide nurses in promoting effective infection prevention strategies for reducing infection risks. Keywords: Advanced-stage cancer, cancer care, chemotherapy, infection prevention behaviors, nursing care

Nurses are essential in coordinating palliative care among healthcare teams, yet nursing education still lacks explicit focus on this area. This study aims to explore nursing students’ competencies including palliative care knowledge (PCKN), attitudes toward death and end-of-life care (ADEoLC), perceived self-efficacy in EOL care (PSEC), ethical understanding in palliative care (EUPC), and fear and stress related to providing EOL care (FSEC), as well as the relationships among these variables. A cross-sectional descriptive correlational design was employed to examine the relationships among those variables. The sample consisted of 355 fourth-year undergraduate nursing students. Data were collected using six questionnaires: Personal Information Questionnaire (PIQ), PCKN Questionnaire, ADEoLC Questionnaire, PSEC Questionnaire, EUPC Questionnaire, and FSEC Scale. The study found that nearly half of the students (51%) exhibited low PCKN, with a mean score of 19.59/32. The average score for ADEoLC was 94.75/125, with 64.2% demonstrating a positive attitude. The mean score for PSEC was 69.90/100, while the mean score for EUPC was 3.30/5. Fear and stress related to providing end-of-life care scored 3.78 and 5.11 out of 10, respectively. PCKN was positively correlated with ADEoLC and EUPC but not with PSEC. ADEoLC was positively correlated with both PSEC and EUPC. PSEC was positively correlated with EUPC. Fear was correlated with stress related to end-of-life care, but neither was associated with other variables. The results provide the basic information for appropriate planning to enhance nursing student competencies to provide quality palliative and end-of-life care.

Background/Objectives: Sexual activity (SA) in heart failure (HF) is frequently impaired by physiological, psychological, and relational factors, often overlooked despite its impact on sexual life. This study identified predictors of SA in HF patients, specifically metabolic equivalents (METs), age, mental health, and partner communication. Methods: A cross-sectional study involved 144 married Thai patients with congestive HF from two tertiary hospitals. Participants completed questionnaires on demographics, METs (Duke Activity Status Index), mental health (DASS-21), and partner communication (Dyadic Sexual Communication Scale). Binary logistic regression analyzed the predictive value of these variables on SA. Results: Most participants reported some SA, but often with de-creased frequency and duration, and a lack of professional guidance. Significant predictors of SA included lower METs (OR = 0.362), depression (OR = 0.002), and effective partner communication (OR = 1.156). Age, anxiety, and stress were not significant predictors. Conclusions: The study concludes that lower METs and depression and enhanced partner communication are associated with reduced SA in HF patients. These findings emphasize integrating physical, psychological, and relational assessments into HF care. Routine evaluation of METs, depression, and partner communication should be incorporated into clinical protocols to facilitate targeted interventions and educational support for patients' sexual well-being.