Domain 5: spiritual, Religious, and Existential Aspects of CareThis domain has evolved to include a spirituality definition. While simultaneously stressing interdisciplinary responsibility and collaboration in assessment and management of spiritual issues and concerns, there is emphasis on the use of an appropriately trained chaplain. Requirements for staff training and education in spiritual care are described. Finally, the domain promotes spiritual and religious rituals and practices for comfort and relief? Palliative nurses need to understand the range of the spiritual component, whether it is ritualized or not, and its impact on care. In addition, they need to collaborate with spiritual care providers and integrate the expertise of their chaplain and spiritual leader colleagues.