Evidence map›Paper›PMID 40824396›Full record

ReviewSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Spiritual suffering in palliative care: a concept analysis.

Paula Jaman-Mewes, Mayara Caetano da Silva de Oliveira, Vinicius Geraldo Ruas, Vera Lúcia Mendes de Paula Pessoa, Geana Paula Kurita, Marina de Góes Salvetti

Abstract readReview
PubMed Publisher
In one paragraph

Review in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Paula Jaman-MewesUniversidad de los Andes, Chile, Santiago, Chile. pjaman@uandes.cl.ORCID http://orcid.org/0000-0002-9601-0953
Mayara Caetano da Silva de OliveiraEscola de Enfermagem, Universidade de São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0009-0002-5942-2681
Vinicius Geraldo RuasEscola de Enfermagem, Universidade de São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0009-0009-3637-1528
Vera Lúcia Mendes de Paula PessoaUniversidade Estadual Do Ceará, Fortaleza, CE, Brazil.ORCID http://orcid.org/0000-0002-5441-5311
Geana Paula KuritaDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-5390-6963
Marina de Góes SalvettiEscola de Enfermagem, Universidade de São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-4274-8709

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe concept of spiritual suffering in palliative care lacks clarity, which hinders appropriate therapeutic response. This study aims to clarify and define the concept of spiritual suffering within the context of palliative care. The research questions guiding this study are: What are the attributes, antecedents, and consequences of spiritual suffering in palliative care? How is it defined within that setting?

methodsA concept analysis was conducted using Walker and Avant's eight-step approach: (1) selecting the concept; (2) determining the aim; (3) identifying all uses of the concept; (4) defining attributes; (5) constructing a model case; (6) identifying borderline, related, and contrary cases; (7) specifying antecedents and consequences; and (8) identifying empirical referents.

resultsSpiritual suffering in palliative care is a personal and transcendental phenomenon, marked by a profound disruption in existential meaning, personal identity, and deterioration of relational connection. This experience may include internal conflict within belief systems, hopelessness, existential questioning, multiple concerns, and significant difficulty accepting circumstances that threaten one's sense of integrity. Emotional responses are also present and may intensify distress, hindering the pursuit of inner peace.

conclusionThis analysis offers a clear and operational definition of spiritual suffering in the context of palliative care and identifies its core components. It can assist professionals in recognising and addressing this form of suffering, fostering more compassionate, person-centred care. These findings offer valuable insights for ongoing efforts to integrate spiritual care into holistic palliative care practice and for future research on development of effective spiritual care interventions.

Indexed as

Palliative CareSpiritualityStress, PsychologicalHumansConcept analysisPainPalliative carePsychological distressSpiritualitySpiritual suffering

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.