Evidence map›Paper›PMID 42334605›Full record

ArticleEuropean journal of pediatrics2026

Not just there by chance: a qualitative study on continuity and quality of spiritual care in paediatric palliative care.

L Oes Berkhout, Marije P Hennus, Anne C E Helms, Marjorie A C P de Man, Wim Smeets, Adri Spelt, Marijke C Kars

Abstract read
In one paragraph

Article in European journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

L Oes BerkhoutDepartment of Spiritual Care, University Medical Center Utrecht, 3508 AB, Utrecht, The Netherlands. l.berkhout@umcutrecht.nl.
Marije P HennusPaediatric Intensive Care, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-1508-0456
Anne C E HelmsAssociation of Spiritual Caregivers (VGVZ), Zeist, The Netherlands.
Marjorie A C P de ManPaediatric Intensive Care, University Medical Center Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-0248-0370
Wim SmeetsDepartment of Spiritual and Pastoral Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Adri SpeltDepartment of Spiritual Care, University Medical Center Groningen, Groningen, The Netherlands.
Marijke C KarsJulius Center for Health Sciences and Primary Care, Center of Expertise in Palliative Care Utrecht, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0001-5680-4559

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Children with life-limiting conditions and their families face profound existential and spiritual challenges throughout the paediatric palliative care (PPC) trajectory. While spiritual care (SC) is a recognised component of PPC, its continuity and quality across care settings remain underexplored. This study examined how SC can be organised and safeguarded across the PPC continuum, from the perspectives of parents, healthcare professionals, and spiritual care providers. An exploratory qualitative study was conducted using multidisciplinary peer consultation groups. Two groups met online in 2022-2023, discussing six PPC cases over seven sessions. Participants included spiritual care professionals, clinicians from hospital and home settings, and parents. Data sources included audio-recorded transcripts, structured case descriptions, and field notes. A modified QUAGOL approach was used for narrative-informed thematic analysis. Coding was supported with team discussions. Continuity of care (relational, informational, and managerial) informed interpretation as a sensitising framework. Two themes were identified: (1) challenges in ensuring continuity of spiritual care, including fragmented referrals, lack of coordination, and cultural disconnects; and (2) defining and delivering quality SC, emphasising relational consistency, cultural and linguistic fit, and interprofessional collaboration. Parents valued providers who "knew their story", while professionals stressed clearer referral pathways and role alignment. Gaps in coordination and information transfer constrained support across transitions.

conclusionContinuity of spiritual care in PPC is not merely a logistical task but a relational and interpretive process. Embedding SC into proactive care planning and interprofessional practice may improve coordination, enhance cultural responsiveness, and support families throughout the illness trajectory. WHAT IS KNOWN: • Spiritual care is an essential dimension of paediatric palliative care but is often fragmented across settings. Traditionally, SC has been hospital-centred. • Families frequently lack consistent support during transitions between hospital, home, and community care. WHAT IS NEW: • This study suggests that continuity in spiritual care relies on sustained relationships, cultural attunement, and clear coordination. • Embedding spiritual care in proactive planning may support consistency and family-centred support throughout the illness trajectory.

Indexed as

Continuity of Patient CarePalliative CareQuality of Health CareSpiritualityAttitude of Health PersonnelChildFemaleHumansMaleParentsPediatricsQualitative ResearchContinuityInterdisciplinary consultationPaediatric palliative careSpiritual care

Identifiers

PMID42334605
PMCPMC13291044

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Registered trials

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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.