{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:39:06Z","timestamp":1760575146859,"version":"build-2065373602"},"reference-count":69,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia","award":["UID\/05704\/2023"],"award-info":[{"award-number":["UID\/05704\/2023"]}]},{"name":"Scientific Employment Stimulus\u2014Institutional Call"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background\/Objectives: Legacy planning should respect te care preferences of people facing serious illness and integrate palliative care (PC). Legacy creation with the guidance of health professionals in PC assumes a therapeutic nature and aims to respond to the psychospiritual needs of patients and their families. To date, research on professional experiences to create legacy in PC remains scarce. Therefore, this study sought to explore the experiences of PC professionals in legacy creation with the ill person and their family during EoL care. Methods: A descriptive qualitative study was performed through in-person semi-structured interviews with PC professionals from Portugal. Data collection was conducted from February to May 2025. Transcripts from the interviews were thematically analyzed with qualitative data management software WebQDA. The study adhered to the Standards for Reporting Qualitative Research (SRQR) guidelines. Results: Sixteen PC professionals participated in the study. Most participants were nurses (n = 8), followed by six physicians and two psychologists. The mean age of participants was 44.93 \u00b1 10.46 years. Data analysis yielded three themes: (1) the worth of legacy in EoL; (2) enablers of legacy-building process; and (3) challenges of legacy-building process. Conclusions: Legacy is a meaningful resource that gives professionals the opportunity to connect with patients and their families, and to enact value-concordant person-centered care. By providing a greater grasp of legacy construction, our findings may help healthcare providers better understand how to provide dying patients and their families with dignity-conserving care.<\/jats:p>","DOI":"10.3390\/nursrep15100366","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T10:12:29Z","timestamp":1760523149000},"page":"366","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Legacy Building from the Perspective of Palliative Care Professionals in Portugal: A Qualitative Thematic Analysis"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-9535","authenticated-orcid":false,"given":"Carlos","family":"Laranjeira","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"},{"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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2026-9926","authenticated-orcid":false,"given":"Andr\u00e9a","family":"Marques","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing, Nursing School of University of Coimbra, 3000-075 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5110-6364","authenticated-orcid":false,"given":"Ana F\u00e1tima","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Department of Nursing, Federal University of Cear\u00e1, Fortaleza 60430-160, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6112-5902","authenticated-orcid":false,"given":"Maria Aparecida","family":"Domingos","sequence":"additional","affiliation":[{"name":"Department of Nursing, Federal University of Cear\u00e1, Fortaleza 60430-160, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6371-003X","authenticated-orcid":false,"given":"Isabel Borges","family":"Moreira","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing, Nursing School of University of Coimbra, 3000-075 Coimbra, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,15]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2025, July 10). New Data: Noncommunicable Diseases Cause 1.8 Million Avoidable Deaths and Cost US$ 514 Billion Every Year, Reveals New WHO\/Europe Report. Available online: https:\/\/www.who.int\/europe\/news\/item\/27-06-2025-new-data--noncommunicable-diseases-cause-1-8-million-avoidable-deaths-and-cost-us-514-billion-USD-every-year--reveals-new-who-europe-report."},{"key":"ref_2","unstructured":"World Health Organization (2025, July 20). Palliative Care. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"301","DOI":"10.2147\/CMAR.S395259","article-title":"Prognostic Awareness in Terminally Ill Cancer Patients: A Narrative Literature Review of the Processes Involved","volume":"15","author":"Chichua","year":"2023","journal-title":"Cancer Manag. Res."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"G\u00f3mez-V\u00edrseda, C., de Maeseneer, Y., and Gastmans, C. (2020). Relational autonomy in end-of-life care ethics: A contextualized approach to real-life complexities. BMC Med. Ethics, 21.","DOI":"10.1186\/s12910-020-00495-1"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Alanazi, M.A., Shaban, M.M., Ramadan, O.M.E., Mohammed, H.H., Amer, F.G.M., and Shaban, M. (2024). Navigating end-of-life decision-making in nursing: A systematic review of ethical challenges and palliative care practices. BMC Nurs., 23.","DOI":"10.1186\/s12912-024-02087-5"},{"key":"ref_6","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-a qualitative study. BMC Palliat. Care, 21.","DOI":"10.1186\/s12904-022-00950-3"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1017\/S1478951514000285","article-title":"An interpretative phenomenological analysis exploring the lived experience of individuals dying from terminal cancer in Ireland","volume":"13","author":"McTiernan","year":"2015","journal-title":"Palliat. Support. Care."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Prado, E., Marcon, S., Kalinke, L., da Silva, M., Barreto, M., Takemoto, A., Birolim, M., and Laranjeira, C. (2022). Meanings and Experiences of End-of-Life Patients and Their Family Caregivers in Hospital-to-Home Transitions: A Constructivist Grounded Theory Study. Int. J. Environ. Res. Public. Health, 19.","DOI":"10.3390\/ijerph192012987"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1017\/S1478951509990769","article-title":"Personal reflections on legacy making","volume":"8","author":"Foster","year":"2010","journal-title":"Palliat. Support. Care."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1177\/0009922820940808","article-title":"Defining Legacy: The Perceptions of Pediatric Health Care Providers","volume":"59","author":"Boles","year":"2020","journal-title":"Clin. Pediatr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1089\/jpm.2015.0527","article-title":"Care in the final month of life among adolescent and young adult cancer patients in Kaiser Permanente Southern California","volume":"19","author":"Mack","year":"2016","journal-title":"J. Palliat. Med."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Laranjeira, C., Dixe, M.A., Seme\u00e3o, I., Rijo, S., Faria, C., and Querido, A. (2022). \u201cKeeping the Light On\u201d: A Qualitative Study on Hope Perceptions at the End of Life in Portuguese Family Dyads. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19031561"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"179","DOI":"10.4103\/ijnmr.ijnmr_440_21","article-title":"Death with Dignity in End-of-Life Nursing Care: Concept Analysis by Rodgers\u2019 Evolutionary Method","volume":"28","author":"Rafii","year":"2023","journal-title":"Iran J. Nurs. Midwifery Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"167","DOI":"10.14475\/kjhpc.2020.23.4.167","article-title":"Existential Issues and Psychosocial Interventions in Palliative Care","volume":"23","author":"Lee","year":"2020","journal-title":"Korean J. Hosp. Palliat. Care"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"100272","DOI":"10.1016\/j.ijnsa.2024.100272","article-title":"Demoralization: A concept analysis through a scoping review methodology","volume":"8","author":"Hua","year":"2024","journal-title":"Int. J. Nurs. Stud. Adv."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1046\/j.1440-1614.2002.01086.x","article-title":"Demoralization: Its phenomenology and importance","volume":"36","author":"Clarke","year":"2002","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref_17","first-page":"662","article-title":"Spiritual Interventions Delivered by Nurses to Address Patients\u2019 Needs in Hospitals or Long-Term Care Facilities: A Systematic Review","volume":"25","author":"Macieira","year":"2022","journal-title":"J. Palliat. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1177\/02692163241287650","article-title":"Efficacy of spiritual interventions in palliative care: An umbrella review of systematic reviews","volume":"39","author":"Austin","year":"2025","journal-title":"Palliat. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1177\/0269216318772267","article-title":"The effects of spiritual care on quality of life and spiritual well-being among patients with terminal illness: A systematic review","volume":"32","author":"Chen","year":"2018","journal-title":"Palliat. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1016\/S0140-6736(21)02314-X","article-title":"Lancet Commission on the Value of Death. Report of the Lancet Commission on the Value of Death: Bringing death back into life","volume":"399","author":"Sallnow","year":"2022","journal-title":"Lancet"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/j.jpainsymman.2020.04.027","article-title":"Redefining Palliative Care-A New Consensus-Based Definition","volume":"60","author":"Radbruch","year":"2020","journal-title":"J. Pain. Symptom Manag."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Laranjeira, C. (2023). Dignity promotion in people with advanced chronic diseases: Contributions for a value-based healthcare practice. Front. Public Health, 11.","DOI":"10.3389\/fpubh.2023.1156830"},{"key":"ref_23","unstructured":"(2024, July 10). Cicely Saunders Quotes. Available online: https:\/\/www.azquotes.com\/author\/20332-Cicely_Saunders."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2884","DOI":"10.1200\/JCO.23.00042","article-title":"Intensive Caring: Reminding Patients They Matter","volume":"41","author":"Chochinov","year":"2023","journal-title":"J. Clin. Oncol."},{"key":"ref_25","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_26","doi-asserted-by":"crossref","first-page":"e2302","DOI":"10.1136\/spcare-2023-004439","article-title":"Personal legacy and treatment choices for serious illness: A scoping review","volume":"14","author":"Randall","year":"2024","journal-title":"BMJ Support. Palliat. Care"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Smith, M., and Liehr, P. (2018). Theory of Self-Transcendence. Middle Range Theory for Nursing, Springer Publishing Company. [4th ed.].","DOI":"10.1891\/9780826159922"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1080\/07481187.2018.1539053","article-title":"The most common end-of-life reflections: A survey of hospice and palliative nurses","volume":"44","author":"Ent","year":"2020","journal-title":"Death Stud."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1177\/0269216321989565","article-title":"Legacy perceptions and interventions for adults and children receiving palliative care: A systematic review","volume":"35","author":"Boles","year":"2021","journal-title":"Palliat. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e40791","DOI":"10.2196\/40791","article-title":"Conceptions of Legacy Among People Making Treatment Choices for Serious Illness: Protocol for a Scoping Review","volume":"11","author":"Banegas","year":"2022","journal-title":"JMIR Res. Protoc."},{"key":"ref_31","first-page":"116","article-title":"Creating a legacy\u2014A tool to support end-of-life patients","volume":"25","author":"Guedes","year":"2018","journal-title":"Eur. J. Palliat. Care"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1097\/NJH.0000000000000469","article-title":"Effects of Dignity Therapy on Family Members: A Systematic Review","volume":"20","author":"Scarton","year":"2018","journal-title":"J. Hosp. Palliat. Nurs."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1089\/jayao.2018.0048","article-title":"Balancing Hope and Risk Among Adolescent and Young Adult Cancer Patients with Late-Stage Cancer: A Qualitative Interview Study","volume":"7","author":"Ludman","year":"2018","journal-title":"J. Adolesc. Young Adult Oncol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1177\/0030222819839801","article-title":"Continuing Bonds in Bereavement: New Directions for Research and Practice","volume":"79","author":"DeGroot","year":"2019","journal-title":"OMEGA-J. Death Dying"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1177\/0030222820904877","article-title":"The Evolving Landscape: Funerals, Cemeteries, Memorialization, and Bereavement Support","volume":"84","author":"Rumbold","year":"2021","journal-title":"OMEGA-J. Death Dying"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1017\/S1478951522000451","article-title":"Leaving a lasting legacy: A scoping review of ethical wills","volume":"21","author":"Neller","year":"2023","journal-title":"Palliat. Support. Care"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1080\/14767430.2020.1734736","article-title":"Critical realism and the ontology of persons","volume":"19","author":"Bhaskar","year":"2020","journal-title":"J. Crit. Real."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1097\/ACM.0000000000000388","article-title":"Standards for reporting qualitative research: A synthesis of recommendations","volume":"89","author":"Harris","year":"2014","journal-title":"Acad. Med."},{"key":"ref_39","unstructured":"Garralda, E., Tripodoro, V.A., Ling, J., Brennan, J., Montero, \u00c1., Bastos, F.V., Monz\u00f3n, L., Su\u00e1rez, D., Pons-Izquierdo, J.J., and Centeno, C. (2025). EAPC Atlas of Palliative Care in the European region 2025, EUNSA."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"53","DOI":"10.35680\/2372-0247.1901","article-title":"\u201cYou May Not Appreciate This Now, But You May Later\u201d: A Qualitative Analysis of the Impact and Meaning of Legacy Interventions as Defined by Bereaved Parents","volume":"11","author":"Barta","year":"2024","journal-title":"Patient Exp. J."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1080\/07317110802677005","article-title":"The Legacy Project Intervention to Enhance Meaningful Family Interactions: Case Examples","volume":"32","author":"Allen","year":"2009","journal-title":"Clin. Gerontol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"16094069231205789","DOI":"10.1177\/16094069231205789","article-title":"A Step-by-Step Process of Thematic Analysis to Develop a Conceptual Model in Qualitative Research","volume":"22","author":"Naeem","year":"2023","journal-title":"Int. J. Qual. Methods"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1177\/1609406917733847","article-title":"Thematic Analysis: Striving to Meet the Trustworthiness Criteria","volume":"16","author":"Nowell","year":"2017","journal-title":"Int. J. Qual. Methods"},{"key":"ref_45","unstructured":"World Medical Association (WMA) (2025, July 01). WMA Declaration of Helsinki\u2014Ethical Principles for Medical Research Involving Human Subjects. Available online: https:\/\/www.wma.net\/policies-post\/wma-declaration-of-helsinki\/."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1177\/0022167821991376","article-title":"Autonomy, Meaning, and the Mediating Role of Symbolic Immortality","volume":"65","author":"Horner","year":"2021","journal-title":"J. Humanist. Psychol."},{"key":"ref_47","unstructured":"Frankl, V.E. (1992). Man\u2019s Search for Meaning: An Introduction to Logotherapy, Beacon Press. [4th ed.]."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"e599","DOI":"10.1136\/bmjspcare-2019-001834","article-title":"Dignity of the patient-family unit: Further understanding in hospice palliative care","volume":"12","author":"Guo","year":"2022","journal-title":"BMJ Support. Palliat. Care"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Sailian, S.D., Salifu, Y., and Preston, N. (2024). Dignity enhanced through faith & family support in palliative care: A qualitative study. BMC Palliat. Care, 23.","DOI":"10.1186\/s12904-024-01478-4"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1177\/02692163241280016","article-title":"\u2018A good ending but not the end\u2019: Exploring family preparations surrounding a relative\u2019s death and the Afterlife\u2014A qualitative study","volume":"38","author":"Liang","year":"2024","journal-title":"Palliat. Med."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.1177\/02692163231180926","article-title":"\u201cThey were here, and they still matter\u201d: A qualitative study of bereaved parents legacy experiences and perceptions","volume":"37","author":"Jones","year":"2023","journal-title":"Palliat. Med."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.jaging.2004.08.002","article-title":"Leaving a legacy: Toward a typology","volume":"19","author":"Hunter","year":"2005","journal-title":"J. Aging Stud."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1488","DOI":"10.1093\/geront\/gnad019","article-title":"Preparing for the Future While Living in the Present: Older Adults\u2019 Experiences Creating a Legacy of Values","volume":"63","author":"Neller","year":"2023","journal-title":"Gerontologist"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1037\/a0039905","article-title":"Passing on: Personal attributes associated with midlife expressions of intended legacies","volume":"52","author":"Newton","year":"2016","journal-title":"Dev. Psychol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1093\/geront\/gnp045","article-title":"Wisdom of generations: A pilot study of the values transmitted in ethical wills of nursing home residents and student volunteers","volume":"49","author":"Regier","year":"2009","journal-title":"Gerontologist"},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"O\u2019Sullivan, A., Alvariza, A., \u00d6hl\u00e9n, J., and Larsdotter, C. (2021). Support received by family members before, at and after an ill person\u2019s death. BMC Palliat. Care, 20.","DOI":"10.1186\/s12904-021-00800-8"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1089\/jpm.2022.0075","article-title":"The Platinum Rule: A New Standard for Person-Centered Care","volume":"25","author":"Chochinov","year":"2022","journal-title":"J. Palliat. Med."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Pei\u010dius, E., Urbonas, G., Harrison, W.D., Urbonien\u0117, A., Kuznecovien\u0117, J., Butkevi\u010dien\u0117, R., Astromsk\u0117, K., and Kal\u0117dien\u0117, R. (2022). Dignity Violations and Barriers to Dignity Assurance for Terminally Ill Patients at the End of Life: A Cross-Sectional Analysis. Medicina, 58.","DOI":"10.3390\/medicina58020294"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"108063","DOI":"10.1016\/j.pec.2023.108063","article-title":"The current state of empathy, compassion and person-centred communication training in healthcare: An umbrella review","volume":"119","author":"Byrne","year":"2024","journal-title":"Patient Educ. Couns."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"106543","DOI":"10.1016\/j.nedt.2024.106543","article-title":"Training healthcare professionals to dignity-in-care: A scoping review","volume":"146","author":"Buonaccorso","year":"2025","journal-title":"Nurse Educ. Today"},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"C\u00e1ceres-Titos, M.J., Porras-Santana, J.M., Cabillas-Romero, M.R., and Bego\u00f1a Garc\u00eda-Navarro, E. (2025). Managing cultural diversity in end-of-life care: A qualitative study. BMC Palliat. Care, 24.","DOI":"10.1186\/s12904-025-01759-6"},{"key":"ref_62","first-page":"e87960","article-title":"Understanding the Influence of Culture on End-of-Life, Palliative, and Hospice Care: A Narrative Review","volume":"17","author":"Hira","year":"2025","journal-title":"Cureus"},{"key":"ref_63","first-page":"166","article-title":"Maturing into gerotranscendence","volume":"43","author":"Tornstam","year":"2011","journal-title":"J. Transpers. Psychol."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"S135","DOI":"10.1093\/geronb\/62.2.S135","article-title":"End-of-life health care planning among young-old adults: An assessment of psychosocial influences","volume":"62","author":"Carr","year":"2007","journal-title":"J. Gerontol. B Psychol. Sci. Soc. Sci."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Sj\u00f6berg, M., Rasmussen, B.H., Edberg, A.K., and Beck, I. (2022). Existential aspects documented in older people\u2019s patient records in the context of specialized palliative care: A retrospective review. BMC Health Serv. Res., 22.","DOI":"10.1186\/s12913-022-08753-1"},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Monteiro, M., Vitorino, J., Salvetti, M.G., and Laranjeira, C. (2025). Seeking Something Beyond Themselves: A Concept Analysis of Spiritual Awakening Experiences at the End of Life. Nurs. Rep., 15.","DOI":"10.3390\/nursrep15100358"},{"key":"ref_67","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_68","doi-asserted-by":"crossref","unstructured":"Vitorino, J.V., Duarte, B.V., Ali, A.M., and Laranjeira, C. (2024). Compassionate engagement of communities in support of palliative and end-of-life care: Challenges in post-pandemic era. Front. Med., 11.","DOI":"10.3389\/fmed.2024.1489299"},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Laranjeira, C., Dixe, M.A., Querido, A., and Stritch, J.M. (2022). Death caf\u00e9s as a strategy to foster compassionate communities: Contributions for death and grief literacy. Front. Psychol., 13.","DOI":"10.3389\/fpsyg.2022.986031"}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/15\/10\/366\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T11:05:15Z","timestamp":1760526315000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/15\/10\/366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,15]]},"references-count":69,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10]]}},"alternative-id":["nursrep15100366"],"URL":"https:\/\/doi.org\/10.3390\/nursrep15100366","relation":{},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,15]]}}}