{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:36:47Z","timestamp":1785429407063,"version":"3.56.0"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"unspecified","delay-in-days":193,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526103034_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The intersection\u00a0of medicine and Buddhist spiritual care in institutional end-of-life settings remains underexplored, particularly regarding post-death rituals. This qualitative study examines how Buddhist assisted chanting (zhunian, \u52a9\u5ff5)\u00a0\u2013 a 24-hour continuous recitation of Amitabha Buddha\u2019s name \u2013 functions as a model of holistic end-of-life care that addresses the spiritual, emotional, psychological, and relational dimensions of dying.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103034_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi-structured, in-person interviews were conducted with 34 participants (18 volunteers, 8 patients, and 8 family caregivers) at the Lotus Assisted Chanting Association housed within Cihai Hospital in Shenzhen, China, between June 22 and July 5, 2025. Interviews were conducted in Mandarin, transcribed, and anonymized. Coding was performed in NVivo N15 using an iterative thematic framework developed by open-coding an initial subset of transcripts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103034_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three care frameworks emerged: (1)\n                      <jats:italic>spiritual care<\/jats:italic>\n                      , including adherence to end-of-life Buddhist practices, acceptance of death, belief in rebirth, and release of worldly attachments; (2)\n                      <jats:italic>emotional and psychological care<\/jats:italic>\n                      , encompassing companionship, peace and tranquility, and financial burden alleviation; and (3)\n                      <jats:italic>reverse care<\/jats:italic>\n                      , in which dying patients exercised personal agency and tended to those around them by resisting over-medicalization, expressing concern for caregivers, and transforming caregiving into an opportunity to practice filial piety and strengthen faith.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103034_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>These findings characterize Buddhist assisted chanting as a reciprocal model of end-of-life care that extends care beyond the moment of death. Dying patients act as moral agents who tend to those around them, challenging the unidirectional caregiver\u2013recipient model that underlies most palliative care research. These contributions show how culturally and spiritually informed palliative care prepares families for loss and shapes how patients find meaning at the end of life. More broadly, this study illustrates how Buddhist ritual frameworks can render dying as a humanistic and mindful process.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103034","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T09:40:22Z","timestamp":1783935622000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Assisted chanting and Buddhist end-of-life care in contemporary China"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4721-4689","authenticated-orcid":false,"given":"Sophia Lynn","family":"Li","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04c524341","id-type":"ROR","asserted-by":"publisher"}],"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Jing","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03cve4549","id-type":"ROR","asserted-by":"publisher"}],"name":"Tsinghua University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Zhang","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03cve4549","id-type":"ROR","asserted-by":"publisher"}],"name":"Tsinghua University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Kleinman","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03vek6s52","id-type":"ROR","asserted-by":"publisher"}],"name":"Harvard University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"S1478951526103034_ref7","unstructured":"Deng, S (2017) \u4f5b\u6559\u517b\u8001\u7ec4\u7ec7\u7684\u4f18\u52bf\u3001\u56f0\u5883\u4e0e\u53d1\u5c55\u7b56\u7565\u7814\u7a76\u2014\u2014\u4ee5\u6c99\u53bf\u4f5b\u6559\u517b\u8001\u9662\u4e3a\u4f8b [A research of Buddhism pension organization\u2019s advantages, difficulties and development strategy: Taking an example of Sha Xian Buddhist nursing home]. 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e194"}}