Spirituality in Pediatric Palliative Care: A Narrative Literature Review
Spirituality in pediatric palliative care: A narrative literature review
Keywords:
pediatrická paliativní péče, spiritualita, život ohrožující onemocnění, děti, spirituální hodnoceníAbstract
Background: Pediatric palliative care encompasses the physical, psychological, social, and spiritual needs of children. Spiritual needs are often overlooked.
Aim: To summarize the literature on spirituality in terminally ill children and identify clinical implications.
Methods: A narrative literature review was conducted across the databases PubMed, Scopus, Web of Science, CINAHL, PsycINFO, Google Scholar, JSTOR, ERIC, and Clinical Key. Studies included children aged 0–18 years with life-limiting or terminal diagnoses, focusing on spiritual, religious, or existential needs. Evidence was synthesized thematically.
Results: Key spiritual themes include hope, meaning-making, relationships, legacy, and transcendence. Interventions (Godly Play, storytelling, narrative therapy, chaplaincy support, legacy projects) improve coping, resilience, and quality of life. Barriers include lack of clinical training, cultural differences, and limited pediatric resources.
Conclusion: Spiritual care is a crucial component of pediatric palliative care. Tailored interventions, a family-centered approach, and multidisciplinary integration support well-being, hope, and legacy creation.
