RT Journal Article SR Electronic T1 Bioethics and hospital palliative care: a systematic review JF BMJ Supportive & Palliative Care JO BMJ Support Palliat Care FD British Medical Journal Publishing Group SP spcare-2024-005021 DO 10.1136/spcare-2024-005021 A1 Pinto, Klinger Ricardo Dantas A1 Ertler, Laila Zelkcovicz A1 Rego, Francisca A1 Nunes, Rui YR 2025 UL http://spcare.bmj.com/content/early/2025/04/11/spcare-2024-005021.abstract AB Background The finitude of life presents various bioethical challenges, especially when palliative care is the therapeutic option. The hospital environment for palliative care has ethical peculiarities that need to be better understood, since the literature presents research that is commonly carried out at home.Objectives This study aims to investigate the fundamental bioethical perspectives for hospital palliative care and to compare these perspectives with those existing in home care.Methods A systematic review of the literature was conducted between March and April 2024. This included observational studies that addressed bioethical perspectives in hospital palliative care. No restrictions were placed on the date of publication or language of the article. This review excluded editorials, intervention studies and articles developed in a home environment.Results Seven databases and other sources were searched, and 3976 articles were found. Eight studies were selected for qualitative synthesis. A paired review was conducted at all stages. The results indicated that respect for cultural beliefs and values, effective communication and empathy were the most significant bioethical perspectives for hospital palliative care, among the nine other ethical aspects present in the studies. The comparison with bioethical perspectives in the home environment highlighted differences such as privacy and autonomy in the patient’s home.Conclusions The conclusion allows us to understand that aspects of caring for the person and understanding the illness should be the focus of bioethics in hospital palliative care.All data relevant to the study are included in the article or uploaded as supplementary information.