Talking to children and adolescents with cancer about spirituality is a challenge. This study aimed to develop and evaluate a conversation model for a spiritual approach with children and adolescents with cancer. It was a methodological study with a systematic approach in three stages: (a) review of the literature for the selection of photographs and guiding questions, (b) using an expert committee to evaluate photographs and preselected questions, and (c) cognitive interview with children and adolescents to test the methodology. The expert committee evaluated and selected 20 photos and their respective guiding questions. Fifteen children and adolescents hospitalized with cancer tested the spirituality conversation model and expressed feelings, values, beliefs, fears, and the meaning they give to life and illness. The implementation of the conversation model can contribute both to the clinical practice, facilitating care for the spiritual dimension of pediatric patients, and to qualitative research on spirituality involving children.

中文翻译：

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如何与癌症儿童和青少年谈论灵性？建立对话模型

与患有癌症的儿童和青少年谈论灵性是一项挑战。本研究旨在开发和评估一种针对患有癌症的儿童和青少年的灵性方法的对话模型。这是一项系统方法研究，分为三个阶段：(a) 审查选择照片和指导性问题的文献，(b) 使用专家委员会评估照片和预选问题，以及 (c)儿童和青少年来测试该方法。专家委员会评估并选出了20张照片及其各自的指导性问题。15 名因癌症住院的儿童和青少年测试了灵性对话模型，并表达了感受、价值观、信仰、恐惧以及它们对生命和疾病的意义。