{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T10:20:14Z","timestamp":1783592414696,"version":"3.55.0"},"reference-count":53,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>While forgiveness is linked to emotional and physical benefits at the end of life, little is known about how it is understood or addressed by palliative care professionals. Spiritual caregivers, especially in the Netherlands where formal training is growing, may be well-placed to support such conversations, yet their experiences remain underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To explore how Dutch spiritual caregivers perceive and engage with forgiveness at the end of life, including their potential role in facilitating it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This qualitative study used interpretative phenomenological analysis. In-person, semi-structured interviews were analyzed through reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Participants:<\/jats:title>\n                    <jats:p>\n                      Eleven interviews were conducted with spiritual caregivers from various hospitals across the Netherlands. Interviews took place in hospitals (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20096), caregivers\u2019 homes (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092), via Zoom (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092), and by phone (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091). Due to conceptual differences related to religious and existential backgrounds, nine interviews were finally selected, focusing on the Christian (Catholic\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20094, Protestant\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20094) and non-affiliated (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091) ones.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Four main themes emerged: (1) concept of forgiveness according to spiritual caregivers; (2) forgiveness as a theme in the conversation between spiritual caregivers and patients, (3) barriers to talking about forgiveness, and (4) the role of spiritual caregivers in addressing forgiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Spiritual caregivers acknowledged forgiveness as beneficial but noted challenges\u2014logistical, cultural, and personal\u2014that make direct conversations difficult. As a result, they often adopt a subtle, indirect approach, using rituals and attentive listening to address forgiveness with patients nearing the end of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163261431175","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T06:37:22Z","timestamp":1775803042000},"page":"1000-1016","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the hidden before the end: A phenomenological analysis of forgiveness at the end of life among spiritual caregivers"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0352-6510","authenticated-orcid":false,"given":"Claudia","family":"Rossy Par\u00e9s","sequence":"first","affiliation":[{"name":"Department of Psychology, Universitat Internacional de Catalunya, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8740-5822","authenticated-orcid":false,"given":"Niels","family":"van Poecke","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Amsterdam University Medical Centres, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Fern\u00e1ndez-Capo","sequence":"additional","affiliation":[{"name":"Department of Psychology, Universitat Internacional de Catalunya, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1212-4540","authenticated-orcid":false,"given":"Iris","family":"Crespo","sequence":"additional","affiliation":[{"name":"Department of Psychology, Universitat Internacional de Catalunya, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7652-8213","authenticated-orcid":false,"given":"Michael","family":"Scherer-Rath","sequence":"additional","affiliation":[{"name":"Institute for Science in Society, Radboud Universiteit, Nijmegen, Gelderland, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1274-5643","authenticated-orcid":false,"given":"Hanneke W. 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