ArticleBMJ open2026
Spiritual wellbeing in advanced cancer patients receiving palliative care in a tertiary cancer centre in northern Kerala, India: a qualitative study.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesSpiritual well-being is an essential component of holistic palliative care. However, patients' lived experiences of spirituality in advanced cancer remain underexplored in low- and middle-income settings. This study aimed to explore spiritual well-being from the perspectives of patients with advanced cancer receiving palliative care in a tertiary cancer centre in Kerala.
designQualitative descriptive study using face-to-face, in-depth, semistructured interviews and conventional content analysis conducted between November 2022 and December 2024.
settingOutpatient palliative care services of a tertiary cancer centre in Kerala, India.
participants20 adults with advanced cancer receiving palliative care were recruited using purposive sampling. Interviews were conducted in Malayalam. Data were audiorecorded, transcribed verbatim, translated into English and analysed using conventional qualitative content analysis as described by Graneheim and Lundman. Data collection continued until saturation was achieved. Trustworthiness was ensured through credibility, dependability, confirmability and authenticity.
resultsA total of 127 codes were identified and organised into 18 subthemes and four overarching themes: (1)
conclusionsSpiritual wellbeing in advanced cancer extends beyond religious practices and is shaped by interconnected experiences of illness, relationships, spiritual beliefs and cultural context. Addressing these dimensions through holistic and culturally sensitive palliative care may enhance emotional resilience and overall quality of life.
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