Page 254 - EJMO-9-3

Eurasian Journal of
Medicine and Oncology Nursing students’ views on advance directives

deeper ethical engagement—overall, the results indicate Project administration: Emanuela Morenghi, Beatrice
that structured, active-learning strategies may strengthen Mazzoleni
students’ ability to support patient self-determination. Supervision: Sarah Scollo, Giovanni Cangelosi
Writing–original draft: Diego Lopane, Sara Morales
These results carry meaningful implications for the
Palomares
broader academic and professional nursing community. Writing–review & editing: Alessandra Dacomi, Daniela
Educators and curriculum developers should consider Cattani, Chiara Provasoli, Sarah Scollo, Mauro
integrating AHD content longitudinally within palliative Parozzi, Emanuela Morenghi, Beatrice Mazzoleni,
care pathways, using interactive strategies such as
simulation, case-based learning, and interprofessional Ethics approval and consent to participate
collaboration. Institutions should also invest in training
frameworks that address cultural and spiritual diversity, The study received ethical approval from the Humanitas
promote ethical reflection, and build emotional resilience University Ethics Committee in Milan (Protocol CLI_
among students facing the challenges of end-of-life care. RIC_14). All participants provided informed consent,
and confidentiality was maintained in accordance with
This study highlights the urgent need for further the Declaration of Helsinki. Data privacy and participant
multicenter, longitudinal research to evaluate the long-term anonymity were strictly ensured throughout the research
impact of AHD education on clinical practice and to explore process.
how these educational interventions translate into real-world
behaviors, such as documentation of patient preferences Consent for publication
and the quality of end-of-life communication. By aligning All participants provided written informed consent before
educational innovation with empirical validation, the enrollment in the study. No identifiable personal data or
nursing profession can strengthen its role in safeguarding images were collected or published.
patient autonomy and dignity across care settings.
Availability of data
Acknowledgments
The datasets generated and analyzed during the current
The authors thank the 3 -year nursing students of study are available from the corresponding author upon
rd
Humanitas University for their participation and reasonable request.
thoughtful contributions to the study. The authors also
acknowledge the faculty and administrative staff for their References
logistical support during data collection. 1. World Health Organization. World Report on Ageing and
Funding Health. World Health Organization; 2021. Available from:
https://www.who.int/publications/i/item/9789241565042
None. [Last accessed on 2025 May 01].
2. European Union. Health at a Glance: Europe 2022. State
Conflict of interest of Health in the EU Cycle, OECD. Available from: https://
Giovanni Cangelosi and Stefano Mancin are Guest Editors www.oecd.org/en/publications/health-at-a-glance-europe-
of this special issue. The authors declared that they have 2022_507433b0-en.html [Last accessed on 2025 May 01].
no known competing financial interests or personal 3. Abarshi E, Echteld M, Van den Block L, et al. Use of palliative
relationships that could have influenced the work reported care services and general practitioner visits at the end of life
in this paper. in The Netherlands and Belgium. J Pain Symptom Manage.
2011;41(2):436-448.
Author contributions doi: 10.1016/j.jpainsymman.2010.04.016

Conceptualization: Simone Cosmai, Sarah Scollo, Stefano 4. Governo Italiano. Ministero della Salute. Disposizioni
Mancin, Giovanni Cangelosi, Emanuela Morenghi, Anticipate di Trattamento - DAT. Available from: https://
Beatrice Mazzoleni, www.salute.gov.it/new/it/faq/faq-disposizioni-anticipate-
Formal analysis: Sarah Scollo, Mauro Parozzi, Emanuela di-trattamento [Last accessed on 2025 May 01].
Morenghi 5. Governo Italiano. Ministero Della Salute. Banche Dati Delle
Investigation: Sarah Scollo, Giovanni Cangelosi, Emanuela DAT. Available from: https://www.salute.gov.it/new/it/tema/
Morenghi, Beatrice Mazzoleni disposizioni-anticipate-di-trattamento-dat/banca-dati-
Methodology: Simone Cosmai, Stefano Mancin, Emanuela delle-dat/?paragraph=4 [Last accessed on 2025 May 01].
Morenghi, Beatrice Mazzoleni 6. Teno JM, Sabatino C, Parisier L, Rouse F, Lynn J. The impact

Volume 9 Issue 3 (2025) 246 doi: 10.36922/EJMO025250263