{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T11:40:59Z","timestamp":1792410059557,"version":"4.4.0"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"unspecified","delay-in-days":291,"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=\"S1478951526103575_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Family caregivers play a fundamental role in addressing the spiritual needs of patients receiving palliative care, particularly in cultures where spirituality is deeply embedded in daily life. This study explored how Hindu family caregivers perceived spiritual care, the ways they incorporated spiritual practices into caregiving, and the challenges they experienced while supporting relatives with palliative care needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103575_sec2b\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive qualitative study was undertaken with 12 Hindu family caregivers recruited through purposive and snowball sampling in Kuantan, Malaysia. Individual semi-structured interviews were conducted, and the data were analyzed using Braun and Clarke\u2019s thematic analysis to identify recurring patterns across participants\u2019 experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103575_sec3c\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three interconnected themes emerged: Perceiving Spiritual Care as a Source of Meaning and Hope, Integrating Spiritual Practices into Family Caregiving, and Navigating Emotional and Practical Challenges in Spiritual Caregiving. Participants described spiritual care as fostering inner peace, hope, and acceptance through practices such as prayer, temple worship, chanting, and family support. Caregivers viewed themselves as facilitators of both spiritual and emotional well-being while simultaneously facing emotional exhaustion, caregiving demands, and limited access to spiritual support services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103575_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>The findings demonstrate that spiritual care is a shared responsibility between healthcare professionals and family caregivers in palliative care. Recognizing and supporting culturally grounded spiritual practices may strengthen holistic nursing care, promote family-centered care, and enhance the quality of palliative services for culturally diverse populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103575","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T10:49:31Z","timestamp":1792406971000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Exploring spiritual care: Insights from Hindu family caregivers in palliative care"],"prefix":"10.1017","volume":"24","author":[{"given":"Nurul Syakila Izzati","family":"Mohd Romzi","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05jy8y643","id-type":"ROR","asserted-by":"publisher"}],"name":"Pantai Hospital Batu Pahat"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2629-6412","authenticated-orcid":false,"given":"Mohamad Firdaus","family":"Mohamad Ismail","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03s9hs139","id-type":"ROR","asserted-by":"publisher"}],"name":"International Islamic University Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferry","family":"Efendi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ctejd88","id-type":"ROR","asserted-by":"publisher"}],"name":"Universitas Airlangga"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siti Zuhaidah","family":"Shahadan","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03s9hs139","id-type":"ROR","asserted-by":"publisher"}],"name":"International Islamic University Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"S1478951526103575_ref11","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167.2016690324i"},{"key":"S1478951526103575_ref20","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20126121"},{"key":"S1478951526103575_ref31","doi-asserted-by":"publisher","DOI":"10.25259\/IJPC_381_20"},{"key":"S1478951526103575_ref18","doi-asserted-by":"publisher","DOI":"10.55242\/JPSW.2024.5207"},{"key":"S1478951526103575_ref4","doi-asserted-by":"publisher","DOI":"10.3390\/rel14030320"},{"key":"S1478951526103575_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163241287650"},{"key":"S1478951526103575_ref23","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01350-5"},{"key":"S1478951526103575_ref27","unstructured":"Razzaq, T and Basharat, T (2020) Spiritual purification in Hinduism-an analytical review. Al-Adw\u0101 35(53), 259\u2013270."},{"key":"S1478951526103575_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15411"},{"key":"S1478951526103575_ref9","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12111059"},{"key":"S1478951526103575_ref24","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000586"},{"key":"S1478951526103575_ref6","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318772267"},{"key":"S1478951526103575_ref25","doi-asserted-by":"publisher","DOI":"10.4103\/ijoy.IJOY_110_20"},{"key":"S1478951526103575_ref15","volume-title":"Spiritual Care in Palliative Care: A Physician\u2019s Perspective","author":"Gijsberts","year":"2022"},{"key":"S1478951526103575_ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s44155-025-00214-4"},{"key":"S1478951526103575_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-025-01759-6"},{"key":"S1478951526103575_ref1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0159488"},{"key":"S1478951526103575_ref26","first-page":"171","volume-title":"Spirituality in palliative care \u2013 a Hindu perspective. In A Time for Listening and Caring: Spirituality and the Care of the Chronically Ill and Dying. New York, NY: Oxford University Press,","author":"Puchalski","year":"2006"},{"key":"S1478951526103575_ref12","doi-asserted-by":"publisher","DOI":"10.1134\/S2079057022020060"},{"key":"S1478951526103575_ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-025-02408-1"},{"key":"S1478951526103575_ref29","doi-asserted-by":"publisher","DOI":"10.1177\/0269216317734954"},{"key":"S1478951526103575_ref33","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01589-y"},{"key":"S1478951526103575_ref16","doi-asserted-by":"publisher","DOI":"10.61211\/mjqr110101"},{"key":"S1478951526103575_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-020-00577-2"},{"key":"S1478951526103575_ref30","first-page":"87","article-title":"Rituals in Hinduism as related to spirituality","volume":"4","author":"Srivastava","year":"2013","journal-title":"Indian Journal of Positive Psychology"},{"key":"S1478951526103575_ref34","doi-asserted-by":"publisher","DOI":"10.1504\/WREMSD.2014.058049"},{"key":"S1478951526103575_ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-021-01292-9"},{"key":"S1478951526103575_ref28","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"S1478951526103575_ref10","article-title":"Spirituality in patient care under palliative care: A study with nurses","volume":"20","author":"Evangelista","year":"2016a","journal-title":"Escola Anna Nery - Revista de Enfermagem"},{"key":"S1478951526103575_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-018-0716-x"},{"key":"S1478951526103575_ref22","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.674453"},{"key":"S1478951526103575_ref17","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000880"},{"key":"S1478951526103575_ref32","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2024.0007"},{"key":"S1478951526103575_ref8","doi-asserted-by":"publisher","DOI":"10.1177\/10499091231213628"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951526103575","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T10:49:33Z","timestamp":1792406973000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951526103575\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":34,"alternative-id":["S1478951526103575"],"URL":"https:\/\/doi.org\/10.1017\/s1478951526103575","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. 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":"e275"}}