{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T05:58:36Z","timestamp":1776491916058,"version":"3.51.2"},"reference-count":78,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","award":["UID\/05704\/2023"],"award-info":[{"award-number":["UID\/05704\/2023"]}]},{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","award":["https:\/\/doi.org\/10.54499\/CEECINST\/00051\/2018\/CP1566\/CT0012"],"award-info":[{"award-number":["https:\/\/doi.org\/10.54499\/CEECINST\/00051\/2018\/CP1566\/CT0012"]}]},{"name":"Scientific Employment Stimulus\u2014Institutional Call","award":["UID\/05704\/2023"],"award-info":[{"award-number":["UID\/05704\/2023"]}]},{"name":"Scientific Employment Stimulus\u2014Institutional Call","award":["https:\/\/doi.org\/10.54499\/CEECINST\/00051\/2018\/CP1566\/CT0012"],"award-info":[{"award-number":["https:\/\/doi.org\/10.54499\/CEECINST\/00051\/2018\/CP1566\/CT0012"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background\/Objectives: End-of-life (EoL) experiences are critically important for everyone involved, giving rise to a set of needs that extend far beyond bio-physiological aspects, to encompass the spiritual dimension as the core of human beings. Understanding the processes of spiritual awakening (SA) assists palliative care professionals in enhancing the quality of care provided to individuals with life-threatening illnesses, as well as to their families. SA is a fundamental occurrence linked to the fulfilment of our spiritual needs when facing an existential crisis, such as the proximity of death. However, its conceptual boundaries need to be clarified to provide qualified and humanized palliative care. Therefore, this study aims to identify the key attributes, antecedents, consequents, and empirical referents of SA at EoL, as well as to clarify the concept\u2019s existing ambiguities. Methods: Walker and Avant\u2019s eight-step concept analysis was used. A literature search was conducted in May 2025 across three databases (PubMed, CINAHL and Scopus). Results: Following the review, 21 articles were included for analysis. The concept analysis revealed four main attribute domains: (1) sensory\u2013perceptual domain; (2) affective\/cognitive domain; (3) relational domain; and (4) transcendental domain. Moreover, spiritual consciousness and the existential matrix were antecedents to this concept; revaluation of beliefs, finding spiritual serenity and inner freedom, fostering spiritual growth, and the desire to leave a legacy were its consequences. Conclusions: The concept of SA at the EoL reveals itself to be a complex and multifactorial phenomenon, with a profound impact on a person\u2019s confrontation with finitude. Recognizing and integrating SA into palliative care allows for a more comprehensive understanding of human consciousness. To deal with SA experiences in healthcare settings, a multifaceted approach is needed. This encompasses acknowledging spirituality as a determinant of health, including spiritual care in standard practice, and offering education and training on spiritual care competence for healthcare practitioners. Further transdisciplinary research should be undertaken to explore SA phenomenological variations, guide clinical interventions, and evaluate SA impacts on spiritual well-being and spiritual growth.<\/jats:p>","DOI":"10.3390\/nursrep15100358","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T08:22:08Z","timestamp":1759911728000},"page":"358","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Seeking Something Beyond Themselves: A Concept Analysis of Spiritual Awakening Experiences at the End of Life"],"prefix":"10.3390","volume":"15","author":[{"given":"Manuela","family":"Monteiro","sequence":"first","affiliation":[{"name":"School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4921-9677","authenticated-orcid":false,"given":"Joel","family":"Vitorino","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic University of Leiria, Campus 5, Rua das Olhalvas, 2414-016 Leiria, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4274-8709","authenticated-orcid":false,"given":"Marina G.","family":"Salvetti","sequence":"additional","affiliation":[{"name":"Medical-Surgical Nursing Department, School of Nursing, University of S\u00e3o Paulo, S\u00e3o Paulo 05403-000, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-9535","authenticated-orcid":false,"given":"Carlos","family":"Laranjeira","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic University of Leiria, Campus 5, Rua das Olhalvas, 2414-016 Leiria, Portugal"},{"name":"Comprehensive Health Research Centre (CHRC), University of \u00c9vora, 7000-801 \u00c9vora, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1177\/0898010119880361","article-title":"Spirituality: The Missing Link for Holistic Health Care","volume":"38","author":"Southard","year":"2020","journal-title":"J. Holist. Nurs."},{"key":"ref_2","unstructured":"Young, J.S., and Cashwell, C.S. (2020). Human and spiritual development and transformation. Integrating Spirituality and Religion into Counseling: A Guide to Competent Practice, American Counseling Association. [3rd ed.]."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1097\/00004650-200503000-00006","article-title":"Assessing a patient\u2019s spiritual needs: A comprehensive instrument","volume":"19","author":"Galek","year":"2005","journal-title":"Holist. Nurs. Pract."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1037\/pag0000133","article-title":"Personality stability from age 14 to age 77 years","volume":"31","author":"Harris","year":"2016","journal-title":"Psychol. Aging"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Shi, X., Wang, F., Xue, L., Gan, Z., Wang, Y., Wang, Q., and Luan, X. (2023). Current status and influencing factors of spiritual needs of patients with advanced cancer: A cross-sectional study. BMC Nurs., 22.","DOI":"10.1186\/s12912-023-01306-9"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1097\/01.NAJ.0000919748.95749.e5","article-title":"Spiritual Care as a Core Component of Palliative Nursing","volume":"123","author":"Miller","year":"2023","journal-title":"Am. J. Nurs."},{"key":"ref_7","unstructured":"European Association for Palliative Care (2025, July 18). Spiritual Care Reference Group. EAPC. Available online: https:\/\/eapcnet.eu\/eapc-groups\/reference\/spiritual-care\/."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Jung, C.G. (2014). Psychology and Alchemy, Routledge.","DOI":"10.4324\/9781315725369"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Choi, S.H., McClintock, C.H.-Y., Lau, E., and Miller, L. (2020). The Dynamic Universal Profiles of Spiritual Awareness: A Latent Profile Analysis. Religions, 11.","DOI":"10.3390\/rel11060288"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.explore.2022.08.016","article-title":"Spiritual awakening and transformation in scientists and academics","volume":"19","author":"Woollacott","year":"2023","journal-title":"Explore"},{"key":"ref_11","unstructured":"Taylor, S. (2017). The Leap: The Psychology of Spiritual Awakening, New World Library."},{"key":"ref_12","first-page":"45","article-title":"Exploring awakening experiences: A study of awakening experiences in terms of their triggers, characteristics, duration and after-effects","volume":"49","author":"Taylor","year":"2017","journal-title":"J. Transpers. Psychol."},{"key":"ref_13","unstructured":"Taylor, S. (2023). DisConnected: The Roots of Human Cruelty and How Connection Can Heal the World, Iff Books."},{"key":"ref_14","unstructured":"Gallup, G.H. (2025, July 10). Religious Awakenings Bolster Americans\u2019 Faith, Gallup, Available online: https:\/\/news.gallup.com\/poll\/7582\/religious-awakenings-bolster-americans-faith.aspx."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1097\/HRP.0000000000000232","article-title":"Current Understanding of Religion, Spirituality, and Their Neurobiological Correlates","volume":"27","author":"Rim","year":"2019","journal-title":"Harv. Rev. Psychiatry"},{"key":"ref_16","first-page":"1","article-title":"Clusters of Individuals Experiences Form. a Continuum of Persistent Non-Symbolic Experiences in Adults","volume":"8","author":"Martin","year":"2020","journal-title":"Conscious. Ideas Res. Twenty-First Century"},{"key":"ref_17","first-page":"9","article-title":"Spiritual Awakening Experiences: A Phenomenological Study in Transpersonal Psychology","volume":"49","author":"Stokke","year":"2021","journal-title":"Self Soc."},{"key":"ref_18","unstructured":"Maslow, A.H. (1964). Religions, Values, and Peak-Experiences, Ohio State University Press."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1510","DOI":"10.1007\/s10943-019-00896-6","article-title":"Spiritual Dimension at the End of Life: A Phenomenological Study from the Caregiver\u2019s Perspective","volume":"59","year":"2020","journal-title":"J. Relig. Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1097\/ANS.0000000000000323","article-title":"A Philosophical Analysis of Spiritual Coping","volume":"43","author":"Dunn","year":"2020","journal-title":"Adv. Nurs. Sci."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Meeprasertsagool, N., Anuraktham, P., Chaithanasarn, A., and Wongprom, I. (2025). Future directions of spiritual care where spiritual care providers do not exist: A qualitative study. BMC Palliat. Care, 24.","DOI":"10.1186\/s12904-025-01658-w"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e12177","DOI":"10.1111\/nup.12177","article-title":"Person-centred care dialectics: Inquired in the context of palliative care","volume":"18","author":"Astle","year":"2017","journal-title":"Nurs. Philos."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e12622","DOI":"10.1111\/nin.12622","article-title":"Deconstructing spiritual care: Discursive underpinnings within palliative care research","volume":"31","author":"Lundberg","year":"2024","journal-title":"Nurs. Inq."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Matos, J., Querido, A., and Laranjeira, C. (2024). Spiritual Care through the Lens of Portuguese Palliative Care Professionals: A Qualitative Thematic Analysis. Behav. Sci., 14.","DOI":"10.3390\/bs14020134"},{"key":"ref_25","unstructured":"Helming, M.A.B., Shields, D., Avino, K., and Rosa, W. (2021). Holistic nursing: Scope and standards of practice. Dossey and Keegan\u2019s Holistic Nursing: A Handbook for Practice, Jones and Bartlett Learning. [8th ed.]."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.jpainsymman.2015.10.009","article-title":"Compassion in Health Care: An Empirical Model","volume":"51","author":"Sinclair","year":"2016","journal-title":"J. Pain Symptom Manag."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"3740","DOI":"10.1007\/s10943-025-02408-1","article-title":"Spiritual Care Competence in Palliative Care: A Concept Analysis","volume":"64","author":"Coelho","year":"2025","journal-title":"J. Relig. Health"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1177\/10499091231213628","article-title":"The Importance of Spiritual Mindfulness in Palliative Care","volume":"41","author":"Corpuz","year":"2023","journal-title":"Am. J. Hosp. Palliat. Med."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Alshakhshir, N.S., Hendricks-Ferguson, V.L., Ward, E., Ersig, A.L., and Montgomery, K.E. (Cancer Nurs., 2025). Awakening the Spiritual Identity in Adolescents with Cancer: A Phenomenological Study, Cancer Nurs., Advance online publication.","DOI":"10.1097\/NCC.0000000000001470"},{"key":"ref_30","unstructured":"Walker, L.O., and Avant, K.C. (2019). Strategies for Theory Construction in Nursing, Pearson. [6th ed.]."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e074256","DOI":"10.1136\/bmj-2022-074256","article-title":"Practical thematic analysis: A guide for multidisciplinary health services research teams engaging in qualitative analysis","volume":"381","author":"Saunders","year":"2023","journal-title":"BMJ"},{"key":"ref_32","unstructured":"Cambridge Dictionary (2025, August 20). Spiritual Awakening. Available online: https:\/\/dictionary.cambridge.org\/spellcheck\/english\/?q=%22spiritual+awakening%22."},{"key":"ref_33","unstructured":"YourDictionary (2025, August 20). Spiritual-Awakening Definition & Meaning. Available online: https:\/\/www.yourdictionary.com\/spiritual-awakening."},{"key":"ref_34","unstructured":"Collins English Dictionary (2025, August 20). Spiritual Awakening Definition and Meaning. Available online: https:\/\/www.collinsdictionary.com\/dictionary\/english\/spiritual-awakening."},{"key":"ref_35","unstructured":"Merriam-Webster (2025, August 20). Awakening and Spiritual Definition & Meaning. Available online: https:\/\/www.merriam-webster.com\/dictionary\/awakening."},{"key":"ref_36","first-page":"131","article-title":"Two modes of sudden spiritual awakening? Ego-dissolution and explosive energetic awakening","volume":"37","author":"Taylor","year":"2018","journal-title":"Int. J. Transpers. Stud."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1177\/10783903231174464","article-title":"Self-Transcendence as a Mediator of the Relationship Between Reminiscence Functions and Death Anxiety: Implications for Psychiatric Nurses","volume":"30","author":"Menger","year":"2024","journal-title":"J. Am. Psychiatr. Nurses Assoc."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Corneille, J.S., and Luke, D. (2021). Spontaneous Spiritual Awakenings: Phenomenology, Altered States, Individual Differences, and Well-Being. Front. Psychol., 12.","DOI":"10.3389\/fpsyg.2021.720579"},{"key":"ref_39","first-page":"73","article-title":"Spontaneous Awakening Experiences: Beyond Religion and Spiritual Practice","volume":"44","author":"Taylor","year":"2019","journal-title":"Int. J. Transpers. Stud."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1177\/1049909117725271","article-title":"Fear, Pain, Denial, and Spiritual Experiences in Dying Processes","volume":"35","author":"Renz","year":"2018","journal-title":"Am. J. Hosp. Palliat. Med."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1016\/j.explore.2020.07.005","article-title":"Investigation of the Phenomenology, Physiology and Impact of Spiritually Transformative Experiences\u2014Kundalini Awakening","volume":"17","author":"Woollacott","year":"2021","journal-title":"EXPLORE"},{"key":"ref_42","first-page":"1445","article-title":"\u201cTo Cherish Each Day as It Comes\u201d: A Qualitative Study of Spirituality among Persons Receiving Palliative Care","volume":"21","author":"Asgeirsdottir","year":"2013","journal-title":"Support. Care Cancer"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1177\/17423953231178236","article-title":"A Qualitative Study with Italian Patients Exploring the Spiritual Dimension during a Chronic Disease","volume":"20","author":"Tanzi","year":"2024","journal-title":"Chronic Illn."},{"key":"ref_44","first-page":"431","article-title":"The Effectiveness of Reminiscence Therapy on the Symptom Management, the Life Satisfaction, and the Self-Transcendence in Palliative Care Patients: A Randomized Controlled Trial","volume":"32","author":"Bozkurt","year":"2024","journal-title":"Support. Care Cancer"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1002\/capr.12618","article-title":"Evolution and Process of Spiritual Awakening: A Grounded Theory Study","volume":"23","author":"Maurya","year":"2023","journal-title":"Couns. Psychother. Res."},{"key":"ref_46","first-page":"6","article-title":"Joy, Not Elsewhere Classified\u2014Towards a Contemporary Psychological Understanding of Spiritual (and Secular) Awakening","volume":"37","author":"Kilrea","year":"2018","journal-title":"Int. J. Transpers. Stud."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1111\/j.1365-2648.2009.05193.x","article-title":"The Meaning of Spirituality and Spiritual Care among the Hong Kong Chinese Terminally Ill","volume":"66","author":"Mok","year":"2010","journal-title":"J. Adv. Nurs."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"384","DOI":"10.12968\/ijpn.2012.18.8.384","article-title":"The Search for a Higher Power among Terminally Ill People with No Previous Religion or Belief","volume":"18","author":"Collin","year":"2012","journal-title":"Int. J. Palliat. Nurs."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"McClintock, C.H., Lau, E., and Miller, L. (2016). Phenotypic Dimensions of Spirituality: Implications for Mental Health in China, India, and the United States. Front. Psychol., 7.","DOI":"10.3389\/fpsyg.2016.01600"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"103030","DOI":"10.1016\/j.explore.2024.103030","article-title":"Long-Term Transformational Effects of near-Death Experiences","volume":"20","author":"Long","year":"2024","journal-title":"Explore"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1177\/1049909113490821","article-title":"Harnessing Complex Emergent Metaphors for Effective Communication in Palliative Care: A Multimodal Perceptual Analysis of Hospice Patients\u2019 Reports of Transcendence Experiences","volume":"31","author":"Arnold","year":"2014","journal-title":"Am. J. Hosp. Palliat. Care"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1080\/07481187.2016.1200160","article-title":"Where Is God in My Dying? A Qualitative Investigation of Faith Reflections among Hospice Patients in a Secularized Society","volume":"40","author":"Moestrup","year":"2016","journal-title":"Death Stud."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1177\/1049909119883835","article-title":"Definition of a Good Death, Attitudes Toward Death, and Feelings of Interconnectedness Among People Taking Care of Terminally Ill Patients with Cancer: An Exploratory Study","volume":"37","author":"Bovero","year":"2020","journal-title":"Am. J. Hosp. Palliat. Care"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1177\/0030222817693142","article-title":"Receiving Spiritual Care: Experiences of Dying and Grieving Individuals","volume":"76","author":"Bonavita","year":"2018","journal-title":"Omega"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"E41","DOI":"10.1188\/12.ONF.E41-E48","article-title":"Self-Transcendence in Stem Cell Transplantation Recipients: A Phenomenologic Inquiry","volume":"39","author":"Williams","year":"2012","journal-title":"Oncol. Nurs. Forum"},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Kukla, H., Herrler, A., Strupp, J., and Voltz, R. (2022). \u201cMy Life Became More Meaningful\u201d: Confronting One\u2019s Own End of Life and Its Effects on Well-Being\u2014A Qualitative Study. BMC Palliat. Care, 21.","DOI":"10.1186\/s12904-022-00950-3"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1037\/hum0000359","article-title":"Living transcendence: A phenomenological study of spiritual exemplars","volume":"53","author":"Freimann","year":"2025","journal-title":"Humanist. Psychol."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Milli\u00e8re, R., Carhart-Harris, R.L., Roseman, L., Trautwein, F.-M., and Berkovich-Ohana, A. (2018). Psychedelics, Meditation, and Self-Consciousness. Front. Psychol., 9.","DOI":"10.3389\/fpsyg.2018.01475"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1124\/pharmrev.121.000508","article-title":"Neural Mechanisms and Psychology of Psychedelic Ego Dissolution","volume":"74","author":"Stoliker","year":"2022","journal-title":"Pharmacol. Rev."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Markov, S. (2023). Love as Consolidation of the Self-in-the-World: Martin d\u2019Arcy\u2019s Speculation on Love as a Metaphysical Supplement to Phenomenology. Religions, 14.","DOI":"10.3390\/rel14040454"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"niac013","DOI":"10.1093\/nc\/niac013","article-title":"Beyond the Veil of Duality\u2014Topographic Reorganization Model of Meditation","volume":"2022","author":"Cooper","year":"2022","journal-title":"Neurosci. Conscious."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1037\/teo0000202","article-title":"The Philosophy and Social Science of Agape Love","volume":"42","author":"Enright","year":"2022","journal-title":"J. Theor. Philos. Psychol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1177\/0022167820917484","article-title":"When Seconds Turn Into Minutes: Time Expansion Experiences in Altered States of Consciousness","volume":"62","author":"Taylor","year":"2022","journal-title":"J. Humanist. Psychol."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1188\/16.ONF.772-780","article-title":"Factors associated with post-traumatic growth, quality of life, and spiritual well-being in outpatients undergoing bone marrow transplantation: A pilot study","volume":"43","author":"Sinclair","year":"2016","journal-title":"Oncol. Nurs. Forum"},{"key":"ref_65","first-page":"30","article-title":"Understanding the roles of religiosity and spirituality in emerging adults in the United States","volume":"10","author":"Nadal","year":"2018","journal-title":"Psychol. Relig. Spirit."},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Josipovic, Z., and Miskovic, V. (2020). Nondual Awareness and Minimal Phenomenal Experience. Front. Psychol., 11.","DOI":"10.3389\/fpsyg.2020.02087"},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"De Luca, E., Sena, B., Butcher, K., and de Wal, L.J. (2025). Spirituality and Palliative Care: International Models and New Perspectives. Front. Sociol., 10.","DOI":"10.3389\/fsoc.2025.1523685"},{"key":"ref_68","doi-asserted-by":"crossref","unstructured":"Nissen, R.D., Viftrup, D.T., and Hvidt, N.C. (2021). The Process of Spiritual Care. Front. Psychol., 12.","DOI":"10.3389\/fpsyg.2021.674453"},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Jos\u00e9 C\u00e1ceres-Titos, M., Miguel Porras-Santana, J., Cabillas-Romero, M.R., and Garc\u00eda-Navarro, E.B. (2025). Correction: Managing Cultural Diversity in End-of-Life Care: A Qualitative Study. BMC Palliat. Care, 24.","DOI":"10.1186\/s12904-025-01823-1"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1089\/jpm.2019.0375","article-title":"Interprofessional Spiritual Care Education Curriculum: A Milestone toward the Provision of Spiritual Care","volume":"23","author":"Puchalski","year":"2020","journal-title":"J. Palliat. Med."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/978-3-031-29923-0_20","article-title":"Spiritual Care","volume":"187","author":"Lewicki","year":"2023","journal-title":"Cancer Treat. Res."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"2385","DOI":"10.3390\/nursrep14030177","article-title":"Legacy in End-of-Life Care: A Concept Analysis","volume":"14","author":"Vitorino","year":"2024","journal-title":"Nurs. Rep."},{"key":"ref_73","doi-asserted-by":"crossref","unstructured":"Best, M.C., Vivat, B., and Gijsberts, M.-J. (2023). Spiritual Care in Palliative Care. Religions, 14.","DOI":"10.3390\/rel14030320"},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Costeira, C., Querido, A., Ventura, F., Loureiro, H., Coelho, J., Benito, E., Nabal, M., Dones, M., Specos, M., and Laranjeira, C. (2024). Spiritual Care[Givers] Competence in Palliative Care: A Scoping Review. Healthcare, 12.","DOI":"10.3390\/healthcare12111059"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1080\/09699260.2024.2320451","article-title":"On Spiritual Health and Spiritual Care: Care of the Spirit as Everyone\u2019s Business","volume":"32","author":"Mills","year":"2024","journal-title":"Prog. Palliat. Care"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"e042142","DOI":"10.1136\/bmjopen-2020-042142","article-title":"What Is Spiritual Care? Professional Perspectives on the Concept of Spiritual Care Identified through Group Concept Mapping","volume":"10","author":"Hvidt","year":"2020","journal-title":"BMJ Open"},{"key":"ref_77","doi-asserted-by":"crossref","unstructured":"Mateus, M.J., Sim\u00f5es, L., Ali, A.M., and Laranjeira, C. (2024). Family Experiences of Loss and Bereavement in Palliative Care Units during the COVID-19 Pandemic: An Interpretative Phenomenological Study. Healthcare, 12.","DOI":"10.3390\/healthcare12171763"},{"key":"ref_78","doi-asserted-by":"crossref","unstructured":"Laranjeira, C., and Querido, A. (2023). An in-depth introduction to arts-based spiritual healthcare: Creatively seeking and expressing purpose and meaning. Front. 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