Webhowever, nurses trained in the principles and core competencies of palliative care with the goals of alleviating distress, assisting in complex decision. Webduring a time when families are stressed and looking for guidance, hospice nurses report feeling uncomfortable, unprepared, and sometimes unwilling to care for. Webthis paper explores the leadership roles of the pediatric palliative aprn, offers resources to support leadership development, and showcases the importance of. Webnurses form trusting relationships with pediatric oncology patients and their families and are in a position to advocate for best palliative care practices as disease progresses to. Families of children living with serious illness confront a hidden world of experiences and stresses, including anticipatory grief,.