BACKGROUND: Spirituality and spiritual care are well recognized as important facets of @entity1 care, particularly in the palliative care population. Challenges remain, however, in the provision of such care. This study sought to compare @entity1 and @entity283 ( @entity283 ) views on spirituality/spiritual care, originally with a view to exploring a simple question(s) @entity283 's could use to identify @entity147 , but evolved further to a comparison of how @entity1 and HCPs were both concordant and discordant in their thoughts, and how this could lead to @entity283 's 'missing' opportunities to both identify spirituality/ @entity147 and to providing meaningful spiritual care. METHODS: @entity1 (n=16) with advanced illnesses and @entity283 's (n=21) with experience providing care to those with advanced disease were interviewed using a semi-structured interview guide. Qualitative analysis distress and spiritual care, and screening for @entity147 ). RESULTS: Within each category there were areas of both concordance and discordance. Most notably, @entity283 's struggled to articulate definitions of spirituality whereas @entity1 generally spoke with much more ease, giving rich examples. Equally, @entity283 's had difficulty relating stories of @entity1 who had experienced @entity147 while @entity1 gave ready responses. Key areas where @entity283 's and @entity1 differed were identified and set up the strong possibility for an @entity283 to 'miss the moment' in providing spiritual care. These key misses include the perception that spiritual care is simply not something they can provide, the challenge in defining/ recognizing spirituality (as @entity283 and @entity1 definitions were often very different), and the focus on spiritual care, even for those interested in providing, as 'task oriented' often with emphasis on meaning making or finding purpose, whereas @entity1 much more commonly described spiritual care as listening deeply, being present and helping them live in the moment. CONCLUSIONS: Several discrepancies in perception of spirituality, @entity147 and spiritual care may hinder the ability of @entity283 's to effectively offer meaningful spiritual care. A focus on active listening, being led by the @entity1 , and by providing presence may help limit the risk of a disconnect, or a 'miss', in the provision of spiritual care.

XXXX versus health care provider perspectives on spirituality and spiritual care: the potential to miss the moment.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity147 :: ('MESH:D005316', 'Disease') :: ['spiritual distress'] @entity283 :: ('OMIM:603663', 'Disease') :: ['health care professional', 'HCP']
@entity1 :: (9606,Species) :: ['Patient']
