Understanding Sleep Challenges in Pediatric Palliative Care: A Patient-Focused Scoping Review and Implications for Practice.

Sleep disturbances are prevalent among children receiving pediatric palliative care (PPC) and have a substantial negative impact on the quality of life of both patients and their families. This scoping review aims to examine further key factors contributing to sleep disturbances in PPC by analyzing available clinical studies, focusing on child-related aspects such as pain, repositioning, and epilepsy, as well as environmental factors such as light, noise, and the care setting. In addition, we discuss the critical role of interdisciplinary collaboration in improving sleep outcomes for this population and provide clinical implications. Future research should prioritize developing evidence-based interventions to optimize sleep and enhance the well-being of children with PPC needs and their caregivers.