Digital Interventions for Palliative Care Education for Nursing Students: A Systematic Review.

Background/Objectives: Palliative care education is a core component of undergraduate nursing preparation; however, many nursing students report limited exposure and confidence in providing end-of-life care. Digital and web-based educational approaches have increasingly been adopted to address gaps...

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Published in:Nursing Reports Vol. 16; no. 1; pp. 16 - 40
Main Authors: Alanazi, Abdulelah, Mitchell, Gary, Al Halaiqa, Fadwa Naji, Khraim, Fadi, Craig, Stephanie
Format: research systematic review tables/charts Journal Article
Published: MDPI Jan2026
Online Access:View this record in EBSCOhost
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      dt: Jan2026
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        atl: Digital Interventions for Palliative Care Education for Nursing Students: A Systematic Review.
      aug:
        au:
          Alanazi, Abdulelah
          Mitchell, Gary
          Al Halaiqa, Fadwa Naji
          Khraim, Fadi
          Craig, Stephanie
        affil: School of Nursing and Midwifery, Queen's University Belfast, Belfast BT7 1NN, UK
      sug:
        subj:
          Palliative Care Education
          Students, Nursing, Baccalaureate Psychosocial Factors
          Education, Nursing, Baccalaureate
          Digital Technology Utilization
          Outcomes of Education
          Human
          Systematic Review
          Medline
          Embase
          CINAHL Database
          Psycinfo
          Checklists
          Multimethod Studies
          Computer-Assisted Instruction
          Teaching Methods
          Storytelling Education
          Self-Efficacy
          Student Knowledge
          Virtual Reality
          Attitude to Death
          Education, Non-Traditional
          Teaching Materials
          Narratives
          Curriculum
      ab: Background/Objectives: Palliative care education is a core component of undergraduate nursing preparation; however, many nursing students report limited exposure and confidence in providing end-of-life care. Digital and web-based educational approaches have increasingly been adopted to address gaps in palliative care training and to provide flexible, scalable learning opportunities. This mixed-methods systematic review examined the use of digital and web-based approaches in palliative care education for pre-registration nursing students. The aim was to synthesize existing evidence on educational outcomes, confidence development, practice preparation, and acceptability to guide future design and implementation of technology-enhanced learning in this field. Methods: The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. The search was conducted across Medline (Ovid), Embase, CINAHL, Scopus and PsycINFO in October 2025. Studies employing qualitative, quantitative, or mixed-methods designs were eligible if they evaluated fully digital or web-based palliative care educational interventions for nursing students. Screening, quality appraisal, and data extraction were undertaken independently by multiple reviewers. Methodological quality was assessed using the Mixed Methods Appraisal Tool (MMAT). Extracted data were synthesized narratively to integrate qualitative and quantitative findings. Results: The search yielded 1826 records; after removing duplicates and applying eligibility criteria, 12 studies were included in the final synthesis. Considerable heterogeneity in design and outcomes was observed. Most included studies reported improvements in students' knowledge, self-efficacy, and reflective capacity, alongside high levels of acceptability. Conclusions: Digital and technology-enhanced learning appears feasible and acceptable for palliative care education; however, the current evidence base is limited by methodological heterogeneity, reliance on self-reported outcomes, and predominantly short-term evaluations. Further rigorous, large-scale studies with objective outcome measures are required to determine sustained educational and practice impact.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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