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Nurses' Experiences with Spiritual Care in Paediatric Palliative Care: A Systematic Review
Sergej Kmetec1, Anja Veber2, Irena Maguša3
1Faculty of Health Sciences, University of Maribor, Žitna Ulica 15, 2000 Maribor, Slovenia.
Healthcare (Basel, Switzerland)
|July 15, 2026
Summary
Nurses find spiritual care vital in pediatric palliative care but often lack training and support. Enhancing nurse education in spiritual assessment and communication is crucial for better patient and family support.
Area of Science:
- Palliative Care
- Nursing
- Spirituality
Background:
- Spiritual care is integral to holistic pediatric palliative care.
- Nurses frequently report inadequate preparation for addressing spiritual needs of critically ill children and families.
Purpose of the Study:
- To explore nurses' experiences providing spiritual care to seriously ill/dying children.
- To identify facilitators and barriers to spiritual care provision in pediatric palliative care.
Main Methods:
- Systematic review following PRISMA 2020 guidelines.
- Searched CINAHL, PubMed, Web of Science, SAGE up to November 2025.
- Thematic synthesis of ten included qualitative, quantitative, and mixed-methods studies.
Main Results:
- Identified nurses' engagement with spirituality as a core theme.
- Sub-themes included managing emotional responses and maintaining family-centered support.
- Nurses recognize spiritual care's importance but face challenges in consistent delivery.
Conclusions:
- Nurses acknowledge the essential role of spiritual care in pediatric palliative settings.
- Competence and institutional support are often lacking for consistent spiritual care.
- Recommendations include enhanced education on spiritual assessment, communication, ethics, and debriefing.
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