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Implications for practice and research
Patients with cancer in the USA who receive spiritual support from religious communities alone may receive more aggressive end-of-life (EOL) medical interventions and are less likely to access hospice care.
Additional spiritual care and EOL discussions by the medical team may reduce aggressive treatments.
Research is needed outside the USA to validate these findings in more secular cultures and establish the efficacy of spiritual needs interventions.
Evidence-based training is essential to allow healthcare professionals (HCPs) to implement guidelines to ensure appropriate EOL care.
The provision of spiritual care by HCPs during the palliative phase …
Competing interests None.