Objective: To analyze the concept of spiritual-based nursing (SBN) for adolescents with emotional disorders by identifying its attributes, antecedents, consequences, and empirical references.

Methods: A systematic literature search was conducted in Scopus, CINAHL, PubMed/MEDLINE, and Google Scholar for studies published between 1995 and 2025. The study selection process was reported using PRISMA, and the included literature was analyzed using Rodgers’ evolutionary concept analysis to identify related terms, contexts, attributes, antecedents, consequences, and empirical references.

Results: SBN is defined as a nursing practice that deliberately integrates spiritual dimensions into therapeutic care to support adolescents' emotional health in accordance with cultural-religious contexts. Key attributes: (1) spiritual integration in practice, (2) a holistic bio-psycho-socio-spiritual approach, (3) empathetic therapeutic relationships, (4) strengthening emotional resilience, and (5) contextual-personal interventions. Antecedents: increasing adolescent emotional disorders, limitations of conventional approaches, the existence of spiritual values/beliefs, nurse competence, and service system support. Consequences: improvement in adolescents' emotional-spiritual well-being and family functioning, strengthening of professional nursing identity, and improvement in the quality of health services. Empirical references include measures of spiritual well-being, spiritual involvement, religious coping, anxiety, depression, stress, and self-concept.

Implications for Nursing: Integration of SBN enhances nurses’ roles as holistic care providers, strengthens spiritual care competencies, and improves the effectiveness and cultural relevance of adolescent mental health interventions. Consistent implementation requires training, institutional support, and culturally adapted strategies.

Conclusion: SBN is a dynamic concept with relevance for nursing practice, education, and policy. Future empirical studies are needed to test its implementation across settings, cultures, and delivery formats, including digitally supported care.