<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-0754</journal-id>
<journal-title><![CDATA[Nascer e Crescer]]></journal-title>
<abbrev-journal-title><![CDATA[Nascer e Crescer]]></abbrev-journal-title>
<issn>0872-0754</issn>
<publisher>
<publisher-name><![CDATA[Centro Hospitalar do Porto]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-07542021000400226</article-id>
<article-id pub-id-type="doi">10.25753/birthgrowthmj.v30.i4.20898</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Needs and concerns of siblings in pediatric palliative care: scoping review]]></article-title>
<article-title xml:lang="pt"><![CDATA[Necessidades e preocupações dos irmãos em cuidados paliativos pediátricos: scoping review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Filipa Martins]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar e Universitário do Porto Department of Child &amp; Adolescent Psychiatry, Centro Materno-Infantil do Norte ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Faculdade de Medicina da Universidade do Porto  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>30</volume>
<numero>4</numero>
<fpage>226</fpage>
<lpage>233</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-07542021000400226&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-07542021000400226&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-07542021000400226&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Understanding the needs of each family member in the setting of Pediatric Palliative Care is crucial. Sibling support is still an emerging area, with recommendations based on clinical experience and adaptation from other contexts. The aim of this study was to assess and describe the needs and concerns of siblings of children in Pediatric Palliative Care.  Methods:  A literature search was conducted in Medline database. Only research articles with reports of siblings of children in Palliative Care were included. The main characteristics and results of studies included were summarized, and a narrative synthesis was performed. Results: Nine studies were included showing that, although siblings&#8217; needs vary over the course of the disease, these generally include the need for self-support, access to information, and engagement in brother/sister care. Bereaved siblings are usually resilient, but poor-quality support can have a negative psychosocial impact.  Discussion and Conclusion:  Siblings need informational, instrumental, appraisal, and emotional support. Quantitative prospective studies are needed, as well as accurate clinical practice recommendations taking into account the specificities of each child, family, and sibling.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  Compreender as necessidades de cada membro da família em contexto de Cuidados Paliativos Pediátricos é crucial. O suporte aos irmãos ainda é uma área emergente, com recomendações baseadas sobretudo na experiência clínica e adaptadas de outros contextos. O objetivo deste estudo foi analisar e descrever as necessidades e preocupações de irmãos de crianças em Cuidados Paliativos Pediátricos.  Métodos:  Foi efetuada uma pesquisa bibliográfica na base de dados Medline. Apenas artigos originais com relatos de irmãos de crianças em Cuidados Paliativos foram incluídos. As principais características e resultados dos estudos foram sintetizados, procedendo-se à sua descrição narrativa.  Resultados:  Foram incluídos nove artigos, cuja análise demonstrou que, embora as necessidades dos irmãos variem ao longo do curso da doença, geralmente incluem a necessidade de suporte para o próprio, acesso a informação e envolvimento no cuidado ao irmão. Os irmãos enlutados são geralmente resilientes, mas um suporte de baixa qualidade pode ter um impacto psicossocial negativo.  Discussão e Conclusão:  Os irmãos necessitam de suporte informacional, instrumental, de aprovação e emocional. São necessários estudos prospetivos quantitativos, bem como recomendações precisas para a prática clínica que considerem as especificidades de cada criança, família e irmão.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[adolescent]]></kwd>
<kwd lng="en"><![CDATA[child]]></kwd>
<kwd lng="en"><![CDATA[emotional adjustment]]></kwd>
<kwd lng="en"><![CDATA[palliative care]]></kwd>
<kwd lng="en"><![CDATA[sibling]]></kwd>
<kwd lng="pt"><![CDATA[adolescente]]></kwd>
<kwd lng="pt"><![CDATA[ajustamento emocional]]></kwd>
<kwd lng="pt"><![CDATA[criança]]></kwd>
<kwd lng="pt"><![CDATA[cuidados paliativos]]></kwd>
<kwd lng="pt"><![CDATA[irmão]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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