Nurses’ perspectives on implementing pediatric palliative care: a qualitative participatory study on the emerging role of the advanced practice nurse

• This qualitative study provides in-depth insight into nurses' experiences during the early implementation of Pediatric Palliative Care in a tertiary pediatric hospital. • Although nurses had prior informal experience caring for children with life-limiting conditions, PPC was perceived as both familiar and novel due to the absence of a shared conceptual framework, leading to emotional burden, conceptual uncertainty, and unmet needs for structured support, including accessible advanced nursing expertise.