1
|
Skalski-Bednarz SB, Konaszewski K, Toussaint LL, Büssing A, Surzykiewicz J. Positive religious coping acts through perception of nature and silence in its association with well-being and life satisfaction among Polish Catholics. Front Public Health 2022; 10:1020007. [PMID: 36420015 PMCID: PMC9678048 DOI: 10.3389/fpubh.2022.1020007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Accepted: 10/17/2022] [Indexed: 11/09/2022] Open
Abstract
Previous studies indicate that perceptions of nature and thought-provoking silence can have positive consequences for individual functioning. The purpose of the present study was to assess the relationships between religious coping (assessed with the Brief RCOPE), perceptions of nature and silence (a subscale of the Perception of Change Questionnaire), well-being (the World Health Organization's five-item Well-Being Index) and life satisfaction (the Brief Multidimensional Life Satisfaction Scale). An online questionnaire was completed between 2021-2022 by 1,010 Polish Catholics ages 18 to 73, 61% of whom were women. Structural equation modeling showed that positive religious coping was positively related to well-being (β = 0.08, p = 0.011) and life satisfaction (β = 0.22, p < 0.001). In contrast, negative religious coping was related to reduced well-being (β = -0.07, p = 0.040) and life satisfaction (β = -0.25). In addition, more frequent perceptions of nature and reflective times of silence partially mediated the associations of positive religious coping with well-being (β = 0.04, p = 0.011) and life satisfaction (β = 0.04, p = 0.008). The data might suggest that interventions that help people develop an ability or awareness for nature as an exceptional encounter and may help to strengthen the ways they can utilize their religiosity as a resource and thus contribute to well-being and life satisfaction among Catholics.
Collapse
Affiliation(s)
- Sebastian Binyamin Skalski-Bednarz
- Faculty of Philosophy and Education, Catholic University of Eichstätt-Ingolstadt, Eichstätt, Germany,Faculty of Education, Cardinal Stefan Wyszyński University in Warsaw, Warsaw, Poland,*Correspondence: Sebastian Binyamin Skalski-Bednarz
| | | | | | - Arndt Büssing
- Professorship Quality of Life, Spirituality and Coping, Witten/Herdecke University, Herdecke, Germany
| | - Janusz Surzykiewicz
- Faculty of Philosophy and Education, Catholic University of Eichstätt-Ingolstadt, Eichstätt, Germany,Faculty of Education, Cardinal Stefan Wyszyński University in Warsaw, Warsaw, Poland
| |
Collapse
|
2
|
Sabriseilabi S. The Color of Death; An Exploration of the Effect of Race and Religion Dimensions on Attitudes toward Euthanasia. OMEGA-JOURNAL OF DEATH AND DYING 2022:302228221135292. [PMID: 36264839 DOI: 10.1177/00302228221135292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
We examined the moderating role of race on the relationship between religion and euthanasia attitudes in the United States. Understanding the role of religion in attitudes toward euthanasia requires viewing religion as a multidimensional construct. In this study, four dimensions operationalized religion: religiosity, spirituality, afterlife beliefs (afterlife, heaven, and hell), and religious denomination. Using data from 1066 adults interviewed in the 2018 General Social Survey, a logistic regression showed that the impact of each dimension of religion varies across racial groups. Adding race as an interaction term moderated the effect of religion dimensions on people's attitudes toward euthanasia. Although most studies have shown a negative influence of religion, we found that not all dimensions of religion have a negative association with opposition to euthanasia and the role of each dimension differs based on individuals' race. We also found that any comprehensive understanding of the role of religion in shaping euthanasia attitudes should consider the moderating effect of race.
Collapse
Affiliation(s)
- Soheil Sabriseilabi
- Department of Anthropology, Sociology, and Criminology, Troy University, Troy, AL, USA
| |
Collapse
|
3
|
Pokpalagon P, Chaiviboontham S, Phinitkhajorndech N. Spiritual needs, spiritual well-being, and Buddhist practices of patients with terminal illness, Thailand. Palliat Support Care 2022:1-8. [PMID: 36177659 DOI: 10.1017/s1478951522001286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVES The purposes of this study were to describe and compare the spiritual needs and spiritual well-being among terminally ill patients receiving care in different palliative care settings and to investigate the differences in spiritual well-being in relation to the level of Buddhist practices. METHODS A cross-sectional multicenter study was carried out that included community/home-based care (Home), a faith-based organization for patients with AIDS (FB_AIDS), a faith-based organization for patients with cancer (FB_CA), and a hospice ward (Hospice). Descriptive statistics were used to analyze the participants' demographics, Buddhist practices, spiritual needs, and spiritual well-being. The analysis was performed using analysis of variance and Kruskal-Wallis tests to compare the spiritual needs and the spiritual well-being in the different settings. The Kruskal-Wallis test was used to investigate the differences in spiritual well-being in relation to the level of Buddhist practices. RESULTS A total of 170 patients with a terminal illness (30 Home, 33 FB_AIDS, 64 FB_CA, and 43 Hospice) participated. Patients with a terminal illness receiving care at the FB_CA and Home had significantly higher mean scores for spiritual needs than those in the other settings. Patients with a terminal illness receiving care at the FB_CA had a significantly higher mean score for spiritual well-being than those receiving care in the other settings. Participants having a higher frequency of Buddhist practice had significantly higher mean scores for spiritual well-being. SIGNIFICANCE OF RESULTS Spiritual needs and spiritual well-being differed significantly among participants in different palliative care settings. The more the patients engaged in Buddhist practices, the higher their scores were for spiritual well-being. Thus, religious-based strategies should be integrated into palliative care and should be more emphasized.
Collapse
Affiliation(s)
- Piyawan Pokpalagon
- Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Suchira Chaiviboontham
- Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Noppawan Phinitkhajorndech
- Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| |
Collapse
|
4
|
Pentaris P, Patlamazoglou L, Schaub J. The role of faith in the experience of grief among sexually diverse individuals: a systematic review. PSYCHOLOGY & SEXUALITY 2022. [DOI: 10.1080/19419899.2022.2057869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Panagiotis Pentaris
- School of Human Sciences & Institute for Lifecourse Development, University of Greenwich London United Kingdom
| | | | - Jason Schaub
- Department of Social Work and Social Care, University of Birmingham, Birmingham, UK
| |
Collapse
|
5
|
Büssing A, Kerdar SH, Akbari ME, Rassouli M. Perceptions of Spiritual Dryness in Iran During the COVID-19 Pandemic. JOURNAL OF RELIGION AND HEALTH 2021; 60:3347-3371. [PMID: 34327572 PMCID: PMC8321505 DOI: 10.1007/s10943-021-01360-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/19/2021] [Indexed: 06/13/2023]
Abstract
This study addresses perceptions of spiritual dryness (a specific form of spiritual struggle) during the COVID-19 pandemic among Iranian Muslims (n = 362), and how these perceptions can be predicted. Spiritual dryness was perceived often to regularly by 27% and occasionally by 35%. Regression models revealed that the best predictors of spiritual dryness (SDS-7) were usage of mood-enhancing medications, loneliness/social isolation and praying as positive predictors, and being restricted in daily life concerns as negative predictor. The pandemic challenges mental stability of people worldwide and may also challenge trust in God. Reliable and humble support of people experiencing these phases is required.
Collapse
Affiliation(s)
- Arndt Büssing
- Faculty of Health, Witten/Herdecke University, Gerhard-Kienle-Weg 4, 59313, Herdecke, Germany.
- Philosophical-Theological Academy, IUNCTUS - Competence Center for Christian Spirituality, Münster, Germany.
- Faculty of Health, Witten/Herdecke University, Herdecke, Germany.
| | | | | | - Maryam Rassouli
- Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| |
Collapse
|
6
|
Guidozzi F, Guidozzi D. God, spirituality and religion in women dying from gynecological cancer. Climacteric 2021; 25:215-219. [PMID: 34278909 DOI: 10.1080/13697137.2021.1948995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Thoughts of death and dying will prevail constantly in the minds of women with gynecologic cancer. Invariably, there is the hope that, when the end comes, there will be 'a good death'. End-of-life decisions, with particular emphasis on what the patient and her family constitute 'a good death' to be, will be influenced by emotional, psychological, mental, physical, spiritual and religious backgrounds. It is important to allow patients to resolve their despair by communicating their innermost thoughts. Spirituality and religious belief are important components that may play major roles in enabling patients to obtain peace and require the participation of all members of the health-care team managing the cases. Clinicians should appreciate the patient's concerns, beliefs, fears, spiritual and religious needs and be sensitive to comments that may indicate spiritual distress. Active listening and supportive dialogue may help patients work through existential issues and find peace. Patients who are in spiritual distress should be referred to certified and trained spiritual care professionals, chaplains, counselors and clergy.
Collapse
Affiliation(s)
- F Guidozzi
- Department of Obstetrics and Gynaecology, Parklane Clinic, Johannesburg, South Africa
| | - D Guidozzi
- Department of Obstetrics and Gynaecology, University of Witwatersrand, Johannesburg, South Africa
| |
Collapse
|
7
|
den Hollander D, Albertyn R, Ambler J. Palliation, end-of-life care and burns; practical issues, spiritual care and care of the family - A narrative review II. Afr J Emerg Med 2020; 10:256-260. [PMID: 33299759 PMCID: PMC7700979 DOI: 10.1016/j.afjem.2020.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 07/21/2020] [Accepted: 07/26/2020] [Indexed: 12/03/2022] Open
Abstract
Palliative care is the turn from cure as the priority of care to symptom relief and comfort care. Although very little is published in the burn literature on palliative care, guidelines can be gleaned from the general literature on palliative care, particularly for acute surgical and critical care patients. This second article discusses practical issues around palliative care for burn patients, such as pain and fluid management, withdrawal of ventilator support and wound care, as well as spiritual and family issues. This paper forms part two, of two narrative reviews on the topic of palliation, end-of-life care and burns. The first part considered concepts, decision-making and communication. It was published in volume 10, issue 2, June 2020, pages 95–98. Mortality of burns presented to a burns unit in Africa is about 10%. Resources in Africa to manage burn patients are scarce and patients with massive burns may not be offered curative burn care. There are no guidelines for palliative care in burn patients.
Collapse
Affiliation(s)
- Daan den Hollander
- Burns Unit, Inkosi Albert Luthuli Central Hospital, Durban, South Africa
- Department of Surgery, University of KwaZulu Natal, South Africa
- Corresponding author at: Red Cross Memorial Children's Hospital, Cape Town, South Africa.
| | - Rene Albertyn
- Red Cross Memorial Children's Hospital, Cape Town, South Africa
| | - Julia Ambler
- Palliative Care Practitioner, Department of Paediatrics, Inkosi Albert Luthuli Central Hospital, Durban, South Africa
| |
Collapse
|
8
|
Sabriseilabi S, Williams J. Dimensions of religion and attitudes toward euthanasia. DEATH STUDIES 2020; 46:1149-1156. [PMID: 32755292 DOI: 10.1080/07481187.2020.1800863] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Understanding the role of religion in attitudes toward euthanasia requires viewing religion as a multidimensional construct. In this study, four dimensions operationalized religion: religiosity, spirituality, afterlife beliefs (afterlife, heaven, and hell), and religious denomination. Using data from 1066 adults interviewed in the 2018 General Social Survey, a logistic regression showed religiosity, belief in afterlife and heaven, and religious denomination were significantly associated with opposition to euthanasia. Although most studies have shown a negative influence of religion, we found that not all dimensions of religion have a negative association with opposition to euthanasia and the role of each dimension differs.
Collapse
Affiliation(s)
| | - James Williams
- Department of Sociology, Texas Woman's University, Denton, Texas, USA
| |
Collapse
|
9
|
Soriano GP, Calong KAC. Religiosity, Spirituality, and Death Anxiety Among Filipino Older Adults: A Correlational Study. OMEGA-JOURNAL OF DEATH AND DYING 2020; 85:445-454. [DOI: 10.1177/0030222820947315] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The concept of death anxiety is expected of older persons as they age and are nearing their end-of-life. This study examined the relationship between religiosity, spirituality, and death anxiety among Filipino older adults. A convenience sample of 125 Filipino older adults were recruited in the study. Data were collected using the Spirituality Scale, Revised Death Anxiety Scale, and Dimensions of Religiosity Scale. Results of the study revealed that spirituality (r=-0.168, p = 0.061) and religiosity (r=-0.044, p = 0.623) had an inverse relationship with death anxiety. However, even with the inverse relationship, spirituality and religiosity were not significantly correlated with death anxiety, although participants were well aware of the importance of these concepts on their lives. It is suggested that assessing spirituality and religiosity of this age group can inform nurses to engage in quality nursing practice, by affirming the vulnerability, and preserving the personhood of older persons as they near their end-of-life.
Collapse
Affiliation(s)
- Gil P. Soriano
- College of Nursing, San Beda University, Manila, Philippines
| | | |
Collapse
|
10
|
Rambod M, Sharif F, Molazem Z, Khair K. Spirituality Experiences in Hemophilia Patients: A Phenomenological Study. JOURNAL OF RELIGION AND HEALTH 2019; 58:992-1002. [PMID: 29667073 DOI: 10.1007/s10943-018-0621-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Spirituality plays an important role in coping with chronic diseases. However, the meaning of spirituality is not known in hemophilia, as a chronic disease. This study aimed to explore the essence of spirituality in hemophilia patients. This qualitative study with a hermeneutic phenomenological approach was conducted on twelve Muslim adult hemophilia patients. The participants were selected using purposeful sampling. The data were gathered through interview. Then, the data were analyzed using thematic analysis and van Manen's methodological framework. MAX.QDA qualitative software package 2010 was used to import the transcripts and analyze the data. Four themes were identified: "relationship with God," "God as the fulcrum," "strong religious beliefs," and "spiritual satisfaction." "Relationship with God" meant "to ask God for help" and "praying for oneself and others." "God as the fulcrum" consisted of two subthemes, i.e., "hope in God" and "Trust in God." "Strong religious beliefs" also included "belief in openness of God's mercy," "belief in God and the omnipotence of God," and "belief in creation by God." Finally, "spiritual satisfaction" consisted of two subthemes, namely "accepting the providence" and "thanking the divine blessings." Spirituality in hemophilia patients meant having relationship with God who was considered as the fulcrum, strong religious beliefs, and spiritual satisfaction. By understanding the hemophilia patients' spirituality experiences, the nurses and healthcare workers could provide holistic care focused on spirituality. Yet, more studies are recommended to be conducted on hemophilia patients to explore spirituality in other religions.
Collapse
Affiliation(s)
- Masoume Rambod
- Community Based Psychiatric Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Farkhondeh Sharif
- Community Based Psychiatric Care Research Center, Department of Mental Health and Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Zand St., Nemazee Sq., Shiraz, 7193613119, Iran.
| | - Zahra Molazem
- Community Based Psychiatric Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Kate Khair
- Great Ormond Street Hospital for Children NHS Foundation Trust, London, WC1N 3JH, UK
- London South Bank University, London, UK
| |
Collapse
|
11
|
Affiliation(s)
- Shanil Ebrahim
- S Ebrahim (corresponding author): Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, and Joint Centre for Bioethics, University of Toronto, 155 College Street, Suite 754, Toronto, Ontario, Canada M5T 1P8
| | - Sheena Bance
- Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada
| | - Kerry W. Bowman
- Joint Centre for Bioethics, University of Toronto, and Department of Bioethics, Mount Sinai Hospital, Toronto, Ontario, Canada
| |
Collapse
|
12
|
Abstract
As patients face serious and chronic illness, they are confronted with the realities of dying. Spiritual and existential issues are particularly prominent near the end of life and can result in significant distress. It is critical that healthcare professionals know how to address patients' and families' spiritual concerns, diagnose spiritual distress and attend to the deep suffering of patients in a way that can result in a better quality of life for patients and families. Tools such as the FICA spiritual history tool help clinicians invite patients and families to share their spiritual or existential concerns as well as sources of hope and meaning which can help them cope better with their illness. This article presents ways to help clinicians listen to the whole story of the patient and support patients in their care.
Collapse
|
13
|
Pentaris P. The marginalization of religion in end of life care: signs of microaggression? INTERNATIONAL JOURNAL OF HUMAN RIGHTS IN HEALTH CARE 2018. [DOI: 10.1108/ijhrh-09-2017-0053] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeService users very often interpret and respond to their experiences of death, dying and bereavement through a religious or spiritual lens. However, recent trends in religion and belief have influenced how professionals respond to indicators such as faith. Since the post-war years in Britain, and due to the transfer of services from church to state, as well as the change in the religious landscape, language has largely secularized. When people start addressing religion and belief again, they lack the appropriate literacy to do so, this is termed religious literacy by Dinham (2015). The purpose of this paper is to explore how professionals in end of life (EOL) care respond to service users’ religious and spiritual indicators, through the lens of religious literacy.Design/methodology/approachThe paper draws from an ethnographic study undertaken across hospices in England, UK. In this study, healthcare professionals (HCPs) were observed for one calendar year.FindingsResults show that lack of religious literacy on the part of HCPs may lead to subtle and unintentional microaggression. Three types of indications of microinvalidation have been noted: verbal, non-verbal and environmental.Originality/valueThis paper innovates in offering a first-hand phenomenological interpretation of observations in the field. The research data capture visually the impact of lack of religious literacy, an achievement which adds to the dialogue about service user rights in EOL care.
Collapse
|
14
|
Pereira-Salgado A, Mader P, O'Callaghan C, Boyd L, Staples M. Religious leaders' perceptions of advance care planning: a secondary analysis of interviews with Buddhist, Christian, Hindu, Islamic, Jewish, Sikh and Bahá'í leaders. BMC Palliat Care 2017; 16:79. [PMID: 29282112 PMCID: PMC5745626 DOI: 10.1186/s12904-017-0239-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2017] [Accepted: 11/14/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND International guidance for advance care planning (ACP) supports the integration of spiritual and religious aspects of care within the planning process. Religious leaders' perspectives could improve how ACP programs respect patients' faith backgrounds. This study aimed to examine: (i) how religious leaders understand and consider ACP and its implications, including (ii) how religion affects followers' approaches to end-of-life care and ACP, and (iii) their implications for healthcare. METHODS Interview transcripts from a primary qualitative study conducted with religious leaders to inform an ACP website, ACPTalk, were used as data in this study. ACPTalk aims to assist health professionals conduct sensitive conversations with people from different religious backgrounds. A qualitative secondary analysis conducted on the interview transcripts focussed on religious leaders' statements related to this study's aims. Interview transcripts were thematically analysed using an inductive, comparative, and cyclical procedure informed by grounded theory. RESULTS Thirty-five religious leaders (26 male; mean 58.6-years-old), from eight Christian and six non-Christian (Jewish, Buddhist, Islamic, Hindu, Sikh, Bahá'í) backgrounds were included. Three themes emerged which focussed on: religious leaders' ACP understanding and experiences; explanations for religious followers' approaches towards end-of-life care; and health professionals' need to enquire about how religion matters. Most leaders had some understanding of ACP and, once fully comprehended, most held ACP in positive regard. Religious followers' preferences for end-of-life care reflected family and geographical origins, cultural traditions, personal attitudes, and religiosity and faith interpretations. Implications for healthcare included the importance of avoiding generalisations and openness to individualised and/ or standardised religious expressions of one's religion. CONCLUSIONS Knowledge of religious beliefs and values around death and dying could be useful in preparing health professionals for ACP with patients from different religions but equally important is avoidance of assumptions. Community-based initiatives, programs and faith settings are an avenue that could be used to increase awareness of ACP among religious followers' communities.
Collapse
Affiliation(s)
- Amanda Pereira-Salgado
- Centre for Nursing Research, Cabrini Institute, 154 Wattletree Road, Malvern, VIC, 3144, Australia. .,Faculty of Medicine, Nursing and Health Sciences, Monash University, Wellington Road, Clayton, VIC, 3800, Australia.
| | - Patrick Mader
- Centre for Nursing Research, Cabrini Institute, 154 Wattletree Road, Malvern, VIC, 3144, Australia
| | - Clare O'Callaghan
- Palliative and Supportive Care Research Department, 154 Wattletree Road, Malvern, VIC, 3144, Australia.,Departments of Psychosocial Cancer Care and Medicine, St Vincent's Hospital, The University of Melbourne, 41 Victoria Parade, Fitzroy, VIC, 3065, Australia.,Institute for Ethics and Society, The University of Notre Dame Sydney, L1, 104 Broadway, Sydney, NSW, 2007, Australia
| | - Leanne Boyd
- Centre for Nursing Research, Cabrini Institute, 154 Wattletree Road, Malvern, VIC, 3144, Australia.,Faculty of Medicine, Nursing and Health Sciences, Monash University, Wellington Road, Clayton, VIC, 3800, Australia.,Australian Catholic University, 115 Victoria Parade, Fitzroy, VIC, 3165, Australia
| | - Margaret Staples
- Monash Department of Clinical Epidemiology, Cabrini Institute, 154 Wattletree Road, Malvern, VIC, 3144, Australia
| |
Collapse
|
15
|
Ethical Issues and Dysphagia. Dysphagia 2017. [DOI: 10.1007/174_2017_133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
16
|
Psychometric testing of the Spiritual Well-Being Scale-Mandarin version in Taiwanese cancer patients. Palliat Support Care 2016; 15:336-347. [PMID: 27809949 DOI: 10.1017/s147895151600081x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE The spiritual well-being of terminally ill cancer patients is an important indicator of the quality of their lives and of the quality of hospice care, but no validated tools are available for assessing this indicator in Taiwan. METHOD The present cross-sectional study validated the Spiritual Well-Being Scale-Mandarin version (SWBS-M) by testing its psychometric properties in 243 cancer patients from five teaching hospitals throughout Taiwan. Construct validity was tested by factor analysis and hypothesis testing. Patients' spiritual well-being and quality of life were assessed using the SWBS-M and the McGill Quality of Life Questionnaire (MQoL), respectively. RESULTS Overall, the SWBS-M had an internal consistency/reliability of 0.89. Exploratory factor analysis showed that the SWBS-M had an underlying two-factor structure, explaining 46.94% of the variance. SWBS-M scores correlated moderately with MQoL scores (r = 0.48, p < 0.01). Terminally ill cancer patients' spiritual well-being was inversely related to their average pain level during the previous 24 hours (r = -0.183, p = 0.006). Cancer patients' spiritual well-being also differed significantly with their experience of pain (t = -3.67, p < 0.001); terminally ill cancer patients with pain during the previous 24 hours had a lower sense of spiritual well-being than those without pain. SIGNIFICANCE OF RESULTS Our findings support a two-factor model for the SWBS-M in terminally ill Taiwanese cancer patients. We recommend testing the psychometric properties of the SWBS-M in different patient populations to verify its factorial structure in other Asian countries.
Collapse
|
17
|
Caring for terminally ill Muslim patients: Lived experiences of non-Muslim nurses. Palliat Support Care 2016; 14:599-611. [DOI: 10.1017/s1478951516000249] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractObjective:The nursing profession demands knowledge, awareness, and experience regarding the ethnic, religious, cultural, and social constructs involved in patient care. Non-Muslim nurses must have theoretical and empirical insights into treatment methods and caring for terminally ill Muslim patients. In particular, non-Muslim nurses should acquire knowledge of Islamic rules and regulations. They should also be familiar with the unique religious and sociocultural practices that pertain to healthcare practices. Our study aimed to explore non-Muslim nurses' experiences in caring for terminally ill Muslim patients and their families regarding physical, social, cultural, spiritual, and religious practices. The study also sought to investigate the context or situations that influence these experiences as described by the nurses.Method:In this qualitative descriptive study, 10 nurses working in medical, oncology, and oncology/palliative care units in a tertiary care hospital in Saudi Arabia were interviewed. A modified Stevick–Colaizzi–Keen method was employed for data analysis.Results:Three main themes constituted the nurses' lived experiences: family matters, end-of-life practices, and nurse challenges. Cultural values, religious practices, and a family approach to the process of care influenced nurses' experiences. Issues related to an absence of palliative care integration and the unavailability of members in the interdisciplinary team also influenced their experiences. Nurses showed a lack of cultural knowledge of some practices due to a lack of awareness of cultural diversity and the unavailability of formal cultural education.Significance of Results:Provision of culturally competent care at the end of life for Muslim patients in Saudi Arabia requires a thoughtful understanding of religious and cultural practices as well as knowledge of the role of the family throughout the care process. The introduction of a cultural care nursing delivery model that incorporates a cultural education program with Islamic teachings and practices at its core is recommended.
Collapse
|
18
|
Jahn Kassim PN, Alias F. Religious, Ethical and Legal Considerations in End-of-Life Issues: Fundamental Requisites for Medical Decision Making. JOURNAL OF RELIGION AND HEALTH 2016; 55:119-134. [PMID: 25576401 DOI: 10.1007/s10943-014-9995-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Religion and spirituality have always played a major and intervening role in a person's life and health matters. With the influential development of patient autonomy and the right to self-determination, a patient's religious affiliation constitutes a key component in medical decision making. This is particularly pertinent in issues involving end-of-life decisions such as withdrawing and withholding treatment, medical futility, nutritional feeding and do-not-resuscitate orders. These issues affect not only the patient's values and beliefs, but also the family unit and members of the medical profession. The law also plays an intervening role in resolving conflicts between the sanctity of life and quality of life that are very much pronounced in this aspect of healthcare. Thus, the medical profession in dealing with the inherent ethical and legal dilemmas needs to be sensitive not only to patients' varying religious beliefs and cultural values, but also to the developing legal and ethical standards as well. There is a need for the medical profession to be guided on the ethical obligations, legal demands and religious expectations prior to handling difficult end-of-life decisions. The development of comprehensive ethical codes in congruence with developing legal standards may offer clear guidance to the medical profession in making sound medical decisions.
Collapse
Affiliation(s)
- Puteri Nemie Jahn Kassim
- Civil Law Department, Ahmad Ibrahim Kulliyyah of Laws, International Islamic University Malaysia, 53100, Kuala Lumpur, Malaysia.
| | - Fadhlina Alias
- Ahmad Ibrahim Kulliyyah of Laws, International Islamic University Malaysia, 53100, Kuala Lumpur, Malaysia
| |
Collapse
|
19
|
Sawicki NN. MANDATING DISCLOSURE OF CONSCIENCE-BASED LIMITATIONS ON MEDICAL PRACTICE. AMERICAN JOURNAL OF LAW & MEDICINE 2016; 42:85-128. [PMID: 27263264 DOI: 10.1177/0098858816644717] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Stakeholders in law, medicine, and religion are unable to reach consensus about how best to address conflicts between healthcare providers' conscientious objections to treatment and patients' rights to access medical care. Conscience laws that protect objecting providers and institutions from liability are criticized as too broad by patient advocates and as too narrow by defenders of religious freedom. This Article posits that some of the tension between these stakeholders could be mitigated by statutory recognition of a duty on the part of healthcare institutions or providers to disclose conscientiously motivated limitations on practice. While this solution would not guarantee a patient's access to treatment, referral, or information from any given provider, it would prevent some of the more egregious cases of denial of treatment--those where patients are not made aware that a legal and clinically defensible treatment option is excluded from a provider's or institution's scope of practice and so have no opportunity to seek care elsewhere.
Collapse
|
20
|
Lee CE, Tai IS, Yang GM, Akhileswaran R, Dignadice D, Lim A, Ng WR, Sarasvathy S, Neo SH. A retrospective audit of spirituality assessment in palliative care patients in Singapore. PROGRESS IN PALLIATIVE CARE 2014. [DOI: 10.1179/1743291x14y.0000000116] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
|
21
|
Dobríková P, Pčolková D, AlTurabi LK, West DJ. The Effect of Social Support and Meaning of Life on the Quality-of-Life Care for Terminally Ill Patients. Am J Hosp Palliat Care 2014; 32:767-71. [PMID: 25106419 DOI: 10.1177/1049909114546208] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
This study examines the effect of 2 indicators on quality of life (QOL): social support and meaning of life for terminally ill patients. These 2 indicators are very important from a psychological and spiritual point of view. The findings suggest that there is a statistically significant correlation between meaning of life and QOL (r = .610, P < .001). Results have also demonstrated that more frequent patient visits increase the sense of life fulfillment for dying patients. A significant relationship exists in survival of life meaningfulness and satisfaction with social support. In conclusion, experiencing one's life as meaningful is positively related to the well-being for dying patients. Social support provided by a close relative had a positive influence on the patient's meaning of life and overall life satisfaction.
Collapse
Affiliation(s)
- Patricia Dobríková
- Department of Healthcare and Social Work, Trnava University, Trnava, Slovakia
| | - Dušana Pčolková
- Department of Healthcare and Social Work, Trnava University, Trnava, Slovakia
| | - Layla Khalil AlTurabi
- Department of Health Administration and Human Resources, University of Scranton, Scranton, PA, USA
| | - Daniel J West
- Department of Health Administration and Human Resources, University of Scranton, Scranton, PA, USA
| |
Collapse
|
22
|
Chen E, McCann JJ, Lateef OB. Attitudes Toward and Experiences in End-of-life Care Education in the Intensive Care Unit: A Survey of Resident Physicians. Am J Hosp Palliat Care 2014; 32:738-44. [PMID: 24939207 DOI: 10.1177/1049909114539038] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Resident physicians provide the most physician care to intensive care unit (ICU) patients. The body of literature about residents' palliative and end-of-life care (PC/EOLC) experiences in the ICU is limited. To our knowledge, this is the first study to assess resident physicians in multiple specialties regarding PC/EOLC in the ICU. METHODS A Web-based survey was developed and administered to all resident physicians in a single academic institution who had completed at least 1 dedicated ICU rotation. RESULTS Residents reported moderate comfort in dealing with end-of-life (EOL) issues and felt somewhat prepared to care for critically ill patients at the EOL. Feedback should be provided to residents regarding their PC/EOLC skills, and education should be tailored to residents rotating in the ICU.
Collapse
Affiliation(s)
- Elaine Chen
- Department of Medicine, Division of Pulmonary and Critical Care Medicine, Rush University Medical Center, Chicago, IL, USA Department of Medicine, Division of Geriatrics, Section of Pain and Palliative Medicine, Rush University Medical Center, Chicago, IL, USA
| | - Judith J McCann
- Rush University College of Nursing, Rush University Medical Center, Chicago, IL, USA Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, IL, USA
| | - Omar B Lateef
- Department of Medicine, Division of Pulmonary and Critical Care Medicine, Rush University Medical Center, Chicago, IL, USA
| |
Collapse
|
23
|
Sörensen S, Hirsch JK, Lyness JM. Optimism and Planning for Future Care Needs among Older Adults. GEROPSYCH-THE JOURNAL OF GERONTOPSYCHOLOGY AND GERIATRIC PSYCHIATRY 2014; 27:5-22. [PMID: 26045699 DOI: 10.1024/1662-9647/a000099] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Aging is associated with an increase in need for assistance. Preparation for future care (PFC) is related to improved coping ability as well as better mental and physical health outcomes among older adults. We examined the association of optimism with components of PFC among older adults. We also explored race differences in the relationship between optimism and PFC. In Study 1, multiple regression showed that optimism was positively related to concrete planning. In Study 2, optimism was related to gathering information. An exploratory analysis combining the samples yielded a race interaction: For Whites higher optimism, but for Blacks lower optimism was associated with more planning. High optimism may be a barrier to future planning in certain social and cultural contexts.
Collapse
Affiliation(s)
- Silvia Sörensen
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
| | - Jameson K Hirsch
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA ; Department of Psychology, East Tennessee State University, Johnson City, TN, USA
| | - Jeffrey M Lyness
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
| |
Collapse
|
24
|
Saffari M, Zeidi IM, Pakpour AH, Koenig HG. Psychometric properties of the Persian version of the Duke University Religion Index (DUREL): a study on Muslims. JOURNAL OF RELIGION AND HEALTH 2013; 52:631-641. [PMID: 22968303 DOI: 10.1007/s10943-012-9639-0] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The aim of this study was translation and validation of the Duke University Religion Index in Iranian Muslims. The study was performed in two stages. In the first stage, 1,762 college students from Qazvin city with an average age of 21.2 years participated in the study. In the second phase, 796 college students with an average age of 23.7 were recruited from Tehran. A demographic questionnaire, Santa Clara Strength Faith questionnaire (SCSORF), and Duke Religion Index (DUREL) were administered. Cultural adaptation of these measures was performed by a forward-backward translation technique. Test-retest reliability and intraclass correlation coefficients (ICC) were used for assessing reliability. Convergent validity was measured by Spearman correlation between DUREL and SCSORF. Explanatory and confirmatory factor analyses (EFA and CFA) evaluated the factor structure. Results showed that the scale is reliable. Cronbach's alpha ranged from 0.866 to 0.921 and ICC ranged from 0.937 to 0.991. Correlations between DUREL and SCSORF were also strong (ranging from 0.62 to 0.79). Results obtained from CFA and EFA confirmed one-dimension for the DUREL. Thus, the DUREL appears to be a proper measure for assessing religiosity among Iranian Muslims. Further testing of the scale among minorities and those with special health-related conditions is suggested.
Collapse
Affiliation(s)
- Mohsen Saffari
- Department of Health Education, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | | | | | | |
Collapse
|
25
|
Abstract
Prognosis is poor and quantity of life is compromised for individuals with advanced cancer. Quality of life is impacted, for some, by psychological distress. According to Acceptance and Commitment Therapy (ACT), psychological distress is associated with emotional avoidance and lack of valued living. ACT aims to increase psychological health via acceptance of one’s “minding,” a focus on present-moment living, and a commitment to value-driven life. In this article, we introduce the advanced cancer patient, the theory behind ACT, and how ACT may be delivered. We present the hypothetical case of J.B., a 56-year-old woman with recurrent Stage III ovarian cancer who reports thoughts of hopelessness and worthlessness, and how ACT might be applied to help J.B. experience a rich and meaningful life irrespective of her time remaining.
Collapse
|
26
|
Abstract
OBJECTIVE The purpose of this study was to evaluate levels of spiritual well-being over time in populations with advanced congestive heart failure (CHF) or chronic obstructive lung disease (COPD). METHOD In a prospective, longitudinal study, patients with CHF or COPD (each n = 103) were interviewed at baseline and every 3 months for up to 30 months. At each interview, patients completed: the basic faith subscale of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) questionnaire, the Memorial Symptom Assessment Scale (MSAS), the Rand Mental Health Inventory (MHI), the Multidimensional Index of Life Quality (MILQ), the Sickness Impact Profile (SIP), and the Short Portable Mental Health Questionnaire (SPMSQ). RESULT The mean age was 65 years, 59% were male, 78% were Caucasian, 50% were married, 29% lived alone, and there was no significant cognitive impairment. Baseline median FACIT-Sp score was 10.0 on a scale of 0-16. FACIT-Sp scores did not change over time and multivariate longitudinal analysis revealed higher scores for black patients and lower scores for those with more symptom distress on the MSAS-Global Distress Index (GDI) (both p = 0.02). On a separate multivariate longitudinal analysis, MILQ scores were positively associated with the FACIT-Sp and the MHI, and negatively associated with the MSAS-GDI and the SIP (all p-values < 0.001). SIGNIFICANCE OF RESULTS In advanced CHF and COPD, spiritual well-being remains stable over time, it varies by race and symptom distress, and contributes to quality of life, in combination with symptom distress, mental health and physical functioning.
Collapse
|
27
|
Garfield CF, Isacco A, Sahker E. Religion and Spirituality as Important Components of Men’s Health and Wellness. Am J Lifestyle Med 2012. [DOI: 10.1177/1559827612444530] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Men’s health has been receiving increased attention in health care research and practice because of associated negative outcomes and men’s reluctance to seek help. Religion or religiosity, defined as involvement in an organized, structured community focused on moral code, and spirituality, defined as the subjective, mystical, and holistic interpretation of personal beliefs and behaviors, have been associated with positive health outcomes. Specifically, religion and spirituality mediate an increase in positive health outcomes and a decrease in risk factors through social and existential well-being. However, men seem to be less religious and spiritual compared with women, a potential problem as men may be missing an important pathway to health and wellness. This state-of-the-art review examines the intersections of religion, spirituality, and health and focuses on how religion and spirituality relate specifically to men’s health and health behaviors. Subsequently, 4 health problems with religious and spiritual implications are examined that have been identified in the literature as pertinent to men’s health: (a) prostate cancer screening and coping, (b) HIV/AIDS prevention and coping, (c) addictions, and (d) palliative care. Finally, suggestions are offered for clinicians to incorporate an understanding of religion and spirituality into their patient encounters.
Collapse
Affiliation(s)
- Craig F. Garfield
- Departments of Pediatrics and Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (CFG)
- Counseling Psychology Program, Chatham University, Pittsburgh, Pennsylvania (AI, ES)
| | - Anthony Isacco
- Departments of Pediatrics and Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (CFG)
- Counseling Psychology Program, Chatham University, Pittsburgh, Pennsylvania (AI, ES)
| | - Ethan Sahker
- Departments of Pediatrics and Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (CFG)
- Counseling Psychology Program, Chatham University, Pittsburgh, Pennsylvania (AI, ES)
| |
Collapse
|
28
|
Perkins HS, Cortez JD, Hazuda HP. Diversity of Patients’ Beliefs about the Soul after Death and Their Importance in End-of-Life Care. South Med J 2012; 105:266-72. [DOI: 10.1097/smj.0b013e3182549eda] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
29
|
Beyond descriptive research: advancing the study of spirituality and health. J Behav Med 2011; 34:409-13. [PMID: 21751040 DOI: 10.1007/s10865-011-9370-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2011] [Accepted: 06/29/2011] [Indexed: 10/18/2022]
Abstract
The past three decades have witnessed a surge in research on spirituality and health. This growing body of literature has linked many aspects of spirituality as well as religion to both positive and negative indices of human functioning. However, studies have primarily been descriptive, focusing on identifying associations between spirituality and health, rather than explanatory, focusing on identifying mechanisms underlying observed relationships. Earlier research is also limited by failure to control for salient covariates, apply prospective design, and use sophisticated measurements with well defined and empirically-validated factors. Recent research, however, is advancing the study of spirituality and health by examining not only whether religious factors are relevant to human health, but also how spirituality may functionally impact medical and psychological wellbeing and illness. This article introduces a special issue on Spirituality and Health containing 12 full-length research reports to further this welcomed, emerging trend.
Collapse
|
30
|
Thygesen LC, Hvidt NC, Juel K, Hoff A, Ross L, Johansen C. The Danish religious societies health study. Int J Epidemiol 2011; 41:1248-55. [PMID: 21676996 DOI: 10.1093/ije/dyr089] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Lau Caspar Thygesen
- Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark.
| | | | | | | | | | | |
Collapse
|
31
|
Self-Centeredness and Selflessness: A Theory of Self-Based Psychological Functioning and Its Consequences for Happiness. REVIEW OF GENERAL PSYCHOLOGY 2011. [DOI: 10.1037/a0023059] [Citation(s) in RCA: 175] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The theoretical model presented in this paper emerged from several different disciplines. This model proposes that the attainment of happiness is linked to the self, and more particularly to the structure of the self. We support the idea that the perception of a structured self, which takes the form of a permanent, independent and solid entity leads to self-centered psychological functioning, and this seems to be a significant source of both affliction and fluctuating happiness. Contrary to this, a selfless psychological functioning emerges when perception of the self is flexible (i.e., a dynamic network of transitory relations), and this seems to be a source of authentic-durable happiness. In this paper, these two aspects of psychological functioning and their underlying processes will be presented. We will also explore the potential mechanisms that shape them. We will conclude with an examination of possible applications of our theory.
Collapse
|
32
|
Gupta R. Death beliefs and practices from an Asian Indian American Hindu perspective. DEATH STUDIES 2011; 35:244-266. [PMID: 24501845 DOI: 10.1080/07481187.2010.518420] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The purpose of this article was to explore Asian Indian American Hindu (AIAH) cultural views related to death and dying. Three focus group interviews were conducted with AIAH persons living in the southern region of United States. The focus group consisted of senior citizens, middle-aged adults, and young adults. Both open-ended and semistructured questions were asked to elicit discussions that would uncover the meanings respondents attribute to death, as well as their pre- and post-death practices. All the sessions were tape recorded. Two independent researchers examined the transcripts of the 3 sessions and generated common themes. The results of this qualitative study indicate that all 3 generations were believers in the afterlife and the karmic philosophy. However, they exhibited differences in the degree to which Hindu traditions surrounding death and bereavement have been influenced by the fact that they live in the United States. Implications for service providers are included.
Collapse
Affiliation(s)
- Rashmi Gupta
- School of Social Work, San Francisco State University, California, 94132, USA.
| |
Collapse
|
33
|
Festic E, Wilson ME, Gajic O, Divertie GD, Rabatin JT. Perspectives of physicians and nurses regarding end-of-life care in the intensive care unit. J Intensive Care Med 2011; 27:45-54. [PMID: 21257636 DOI: 10.1177/0885066610393465] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
CONTEXT The delivery of end-of-life care (EOLC) in the intensive care unit (ICU) varies widely among medical care providers. The differing opinions of nurses and physicians regarding EOLC may help identify areas of improvement. OBJECTIVE To explore the differences of physicians and nurses on EOLC in the ICU and how these differences vary according to self-reported proficiency level and primary work unit. DESIGN Cross-sectional survey of 69 ICU physicians and 629 ICU nurses. SETTING Single tertiary care academic medical institution. RESULTS A total of 50 physicians (72%) and 331 nurses (53%) participated in the survey. Significant differences between physicians and nurses were noted in the following areas: ability to safely raise concerns, do not resuscitate (DNR) decision making, discussion of health care directives, timely hospice referral, spiritual assessment documentation, utilization of social services, and the availability of EOLC education. In every domain of EOLC, physicians reported a more positive perception than nurses. Additional differences were noted among physicians based on experience, as well as among nurses based on their primary work unit and self-reported proficiency level. CONCLUSIONS Even with an increased focus on improving EOLC, significant differences continue to exist between the perspectives of nurses and physicians, as well as physicians among themselves and nurses among themselves. These differences may represent significant barriers toward providing comprehensive, consistent, and coordinated EOLC in the ICU.
Collapse
Affiliation(s)
- Emir Festic
- Critical Care Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.
| | | | | | | | | |
Collapse
|
34
|
Thomas JC, Burton M, Griffin MTQ, Fitzpatrick JJ. Self-transcendence, spiritual well-being, and spiritual practices of women with breast cancer. J Holist Nurs 2010; 28:115-22. [PMID: 20644178 DOI: 10.1177/0898010109358766] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
UNLABELLED As women recover from the experience of breast cancer and its treatment, it is important for them to find meaning in their lives and to understand their experiences from a holistic perspective. PURPOSE This study was designed to provide additional information about how women and their experiences recovering from breast cancer. The specific purpose was to describe the relationship between self-transcendence and spiritual well-being, and to identify the spiritual practices used by older women recovering from breast cancer. The theoretical framework for this study was Reed's theory of self-transcendence. SAMPLE A total of 87 community-residing women who had been diagnosed with breast cancer within the past 5 years participated in the study. RESULTS There was a significant positive relationship between self-transcendence and spiritual well-being. The women used a mean of 9.72 spiritual practices with the most frequent being exercise, visiting a house of worship, and praying alone. CONCLUSIONS The study results provide further support for the theory of self-transcendence. Future research recommendations are to expand the research to include a larger, more diverse group of women of all ages and backgrounds who have been diagnosed with breast cancer.
Collapse
|
35
|
Monedero P, Navia J. [Limiting therapeutic intervention and euthanasia: making decisions and resolving conflicts in end-of-life-care]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2010; 57:586-593. [PMID: 21155340 DOI: 10.1016/s0034-9356(10)70286-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Affiliation(s)
- P Monedero
- Departamento de Anestesiología y Reanimación, Facultad de Medicina, Universidad de Navarra.
| | | |
Collapse
|
36
|
Religious Coping and Cancer: Proposing an Acceptance and Commitment Therapy Approach. COGNITIVE AND BEHAVIORAL PRACTICE 2010. [DOI: 10.1016/j.cbpra.2009.08.003] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
37
|
Health-Related Quality of Life in Iranian Breast Cancer Survivors: A Qualitative Study. APPLIED RESEARCH IN QUALITY OF LIFE 2010. [DOI: 10.1007/s11482-010-9097-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
|
38
|
Considine J, Miller K. The dialectics of care: communicative choices at the end of life. HEALTH COMMUNICATION 2010; 25:165-174. [PMID: 20390682 DOI: 10.1080/10410230903544951] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Communication at the end of life poses important challenges for patients, families, and caregivers. Previous research on end-of-life communication has concentrated on areas including the provision of bad news and clinical and personal decision making. In this study, we turn our attention to the processes through which caregivers provide comfort in palliative care. Our ethnographic and interview study of spiritual communication among hospice workers and their patients is guided by a dialectical framework. We find a central dialectic in which hospice workers recognize the tension between "leading" and "following" patients and families in discussions of spirituality at the end of life. Our analysis reveals that though some care providers choose one pole of this dialectic, most workers try to manage the dialectic by shifting between leading and following in different situations or different points in time or by transcending the dialectic and addressing the multiple goals of interaction.
Collapse
|
39
|
Grassman EJ, Pessi AB, Whitaker A, Juntunen E. Spiritual care in the last phase of life: a comparison between the Church of Sweden and the Church of Finland. THE JOURNAL OF PASTORAL CARE & COUNSELING : JPCC 2010; 64:1-10. [PMID: 21404732 DOI: 10.1177/154230501006400303] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
This article deals with the Church of Sweden and the Church of Finland and their spiritual support for parishioners during their end-of-life phase. Support for the dying seemed uncommon in both countries, while most parishes offered support for the bereaved. The Finnish respondents expressed more confidence in their spiritual role than did the Swedes. This may have to do with the role of the churches in their respective countries and the varying geographies of death.
Collapse
Affiliation(s)
- Eva Jeppsson Grassman
- National Institute for the Study of Ageing and Later Life, Linköping University, Norrköping, Sweden.
| | | | | | | |
Collapse
|
40
|
Pelleg G, Leichtentritt RD. Spiritual Beliefs among Israeli Nurses and Social Workers: A Comparison Based on Their Involvement with the Dying. OMEGA-JOURNAL OF DEATH AND DYING 2009; 59:239-52. [DOI: 10.2190/om.59.3.d] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The purpose of the study was to compare spiritual beliefs and practices between nurses and health care social workers based on their involvement with dying patients. Exposure to the dying was identified by two indicators: the percentage of terminally ill patients in the provider's care and the work environment. On the basis of the literature, differences were expected between the two types of professionals and the three degrees of involvement with the dying. Nurses were expected to have a higher spiritual perspective than social workers; and health care providers with high involvement in care for the dying were expected to hold the highest levels of spiritual beliefs. Contrary to expectations, no differences in spirituality were found between nurses and social workers; both groups exhibited medium levels of spirituality. Furthermore, health care providers who were highly involved with dying patients had the lowest spiritual perspectives. Tentative explanations of these unexpected results are presented and discussed.
Collapse
|
41
|
Perkins HS, Cortez JD, Hazuda HP. Cultural beliefs about a patient's right time to die: an exploratory study. J Gen Intern Med 2009; 24:1240-7. [PMID: 19798539 PMCID: PMC2771244 DOI: 10.1007/s11606-009-1115-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2008] [Revised: 06/01/2009] [Accepted: 08/24/2009] [Indexed: 01/27/2023]
Abstract
BACKGROUND Generalist physicians must often counsel patients or their families about the right time to die, but feel ill-prepared to do so. Patient beliefs may help guide the discussions. OBJECTIVE Because little prior research addresses such beliefs, we investigated them in this exploratory, hypothesis-generating study. DESIGN AND SUBJECTS Anticipating culture as a key influence, we interviewed 26 Mexican Americans (MAs), 18 Euro-Americans (EAs), and 14 African Americans (AAs) and content-analyzed their responses. MAIN RESULTS Nearly all subjects regardless of ethnic group or gender said God determines (at least partially) a patient's right time to die, and serious disease signals it. Yet subjects differed by ethnic group over other signals for that time. Patient suffering and dependence on "artificial" life support signaled it for the MAs; patient acceptance of death signaled it for the EAs; and patient suffering and family presence at or before the death signaled it for the AAs. Subjects also differed by gender over other beliefs. In all ethnic groups more men than women said the time of death is unpredictable; but more women than men said the time of death is preset, and family suffering signals it. Furthermore, most MA women--but few others--explicitly declared that family have an important say in determining a patient's right time to die. No confounding occurred by religion. CONCLUSIONS Americans may share some beliefs about the right time to die but differ by ethnic group or gender over other beliefs about that time. Quality end-of-life care requires accommodating such differences whenever reasonable.
Collapse
Affiliation(s)
- Henry S Perkins
- Division of General Medicine, Department of Medicine, The University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78229-3900, USA.
| | | | | |
Collapse
|
42
|
Waller A, Girgis A, Currow D, Lecathelinais C. Development of the palliative care needs assessment tool (PC-NAT) for use by multi-disciplinary health professionals. Palliat Med 2008; 22:956-64. [PMID: 18952754 DOI: 10.1177/0269216308098797] [Citation(s) in RCA: 70] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Needs assessment strategies can facilitate prioritisation of resources. To develop a needs assessment tool for use with advanced cancer patients and caregivers, to prompt early intervation. A convenience sample of 103 health professionals viewed three videotaped consultations involving a simulated patient, his/her caregiver and a health professional, completed the Palliative Care Needs Assessment Tool (PC-NAT) and provided feedback on clarity, content and acceptability of the PC-NAT. Face and content validity, acceptability and feasibility of the PC-NAT were confirmed. Kappa scores indicated adequate inter-rater reliability for the majority of domains; the patient spirituality domain and the caregiver physical and family and relationship domains had low reliability. The PC-NAT can be used by health professionals with a range of clinical expertise to identify individuals' needs, thereby enabling early intervention. Further psychometric testing and an evaluation to assess the impact of the systematic use of the PC-NAT on quality of life, unmet needs and service utilisation of patients and caregivers are underway.
Collapse
Affiliation(s)
- A Waller
- Centre for Health Research & Psycho-oncology, School of Medicine & Public Health, The Cancer Council NSW, University of Newcastle & Hunter Medical Research Institute, Newcastle, NSW, Australia.
| | | | | | | | | |
Collapse
|
43
|
Woll ML, Hinshaw DB, Pawlik TM. Spirituality and Religion in the Care of Surgical Oncology Patients with Life-Threatening or Advanced Illnesses. Ann Surg Oncol 2008; 15:3048-57. [DOI: 10.1245/s10434-008-0130-9] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2008] [Revised: 07/22/2008] [Accepted: 07/22/2008] [Indexed: 11/18/2022]
|
44
|
Benefits of religious beliefs for cancer patients: A response to Dawkins and Hitchens. Curr Oncol Rep 2008; 10:185-7. [DOI: 10.1007/s11912-008-0028-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
45
|
Abstract
Conversations between physicians and their patients concerning terminal conditions are undoubtedly an uneasy process. These conversations are referred in this article as death-talks. Death-talks are social engagements among meaning-making human beings, and such encounters comprise complex grief dynamics as well as opportunities for personal insight. Towards preparing for and improving upon such sensitive and crucial talks, physicians must become growingly informed of their own existential standpoints in order to exude a more authentic presence. Transformative Learning is a theory of adult learning offering a rationale for physicians to exercise critically reflexive learning towards formulating a more meaningful medical and human care for those who are dying and their grieving relations.
Collapse
Affiliation(s)
- Paul J Moon
- Adult Education, University of Georgia; and Bereavement Coordinator, Odyssey Healthcare, Athens, Georgia, USA.
| |
Collapse
|
46
|
Sessanna L, Finnell D, Jezewski MA. Spirituality in nursing and health-related literature: a concept analysis. J Holist Nurs 2008; 25:252-62; discussion 263-4. [PMID: 18029966 DOI: 10.1177/0898010107303890] [Citation(s) in RCA: 79] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Spirituality has become an increasingly popular concept among the nursing and health-related literature. The purpose for conducting this concept analysis, guided by Walker and Avant's methodology, was to (a) examine how spirituality has been used within the current body of nursing and health-related literature, (b) clarify the meaning of spirituality by discovering what this concept's current critical attributes/characteristics are, and (c) propose a definition of spirituality based on the concept analysis findings. A total of 90 references were reviewed, including 73 nursing and health-related references. Concept analysis findings revealed that spirituality was defined within four main themes in the nursing and health-related literature: (a) spirituality as religious systems of beliefs and values (spirituality = religion); (b) spirituality as life meaning, purpose, and connection with others; (c) spirituality as nonreligious systems of beliefs and values; and (d) spirituality as metaphysical or transcendental phenomena.
Collapse
Affiliation(s)
- Loralee Sessanna
- The State University of New York, School of Nursing, University at Buffalo, USA.
| | | | | |
Collapse
|
47
|
DesHarnais S, Carter RE, Hennessy W, Kurent JE, Carter C. Lack of concordance between physician and patient: reports on end-of-life care discussions. J Palliat Med 2007; 10:728-40. [PMID: 17592985 DOI: 10.1089/jpm.2006.2543] [Citation(s) in RCA: 68] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To study the effectiveness of patient physician communications regarding health care choices at the end of life. We studied communications occurring between physicians and their patients who had either terminal cancer or congestive heart failure, with less than 6 months to live. METHODS This pilot study used in-person interviews with 22 physicians and 71 of their (matched) patients. Subjects provided paired responses to questions regarding their conversations related to end-of-life care, including resources, attitudes, and preferences. We calculated the concordance of patient and physician reports about these discussions. We examined the physicians' and the patients' agreement on the patient's diagnosis, and on whether a variety of care options were discussed. We then measured whether physicians' were aware of their patients' preferences for pain management and for place of death. Finally, we measured physicians' knowledge of whether religious/spiritual concerns or financial concerns had affected their patients' decisions regarding end-of-life care. Both bivariate and multivariate models were used. RESULTS As a whole, the concordance scores were poor; however, concordance varied across domains of issues discussed. Patients with less education had significantly lower concordance scores. DISCUSSION We have identified domains in which the physicians and patients may be least effective in discussing end-of-life care options. Findings may help in designing interventions to improve communication, especially for patients with less education.
Collapse
Affiliation(s)
- Susan DesHarnais
- Penn State Hershey, Department of Health Evaluation Sciences, The Milton S. Hershey Medical Center College of Medicine, Hershey, Pennsylvania 17033-0855, USA.
| | | | | | | | | |
Collapse
|
48
|
Shi Q, Langer G, Cohen J, Cleeland CS. People in Pain: How Do They Seek Relief? THE JOURNAL OF PAIN 2007; 8:624-36. [PMID: 17586099 DOI: 10.1016/j.jpain.2007.03.006] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2006] [Revised: 03/05/2007] [Accepted: 03/21/2007] [Indexed: 11/16/2022]
Abstract
UNLABELLED Little is known about how people with pain seek relief. To estimate the proportion of the population reporting recent pain, to identify ways people seek pain relief, and to report the perceived effectiveness of pain relief methods, we conducted a secondary analysis of results from a nationwide survey of the general U.S. population. Of the 1204 respondents, 31% had experienced moderate to very severe pain within the past 2 weeks and 75% of these had sought medical attention. Only 56% of those who sought medical attention got significant pain relief. Although seeking medical attention was the primary pain relief strategy, almost all of those with pain had tried multiple alternative methods for pain control, with 92% of pain sufferers having tried 3 or more alternative strategies. People who did not seek medical attention were more likely to report pain relief from prayer and going to a chiropractor than were those who sought medical attention. Factors leading to inadequate pain relief included difficulty communicating with a health professional and lack of health insurance. People who perceive that their pain is not understood by medical providers and those without health care insurance coverage are at greater risk for poor pain control. PERSPECTIVE This article presents an analysis of data from a national survey on pain and the effectiveness of ways people seek pain relief. Difficulty communicating with health professionals and lack of health insurance contributed to inadequate pain relief. Almost all people with pain used multiple methods to control their pain.
Collapse
Affiliation(s)
- Qiuling Shi
- Department of Symptom Research, The University of Texas M D Anderson Cancer Center, Houston, TX 77030, USA
| | | | | | | |
Collapse
|
49
|
Cartwright C, Onwuteaka-Philipsen BD, Williams G, Faisst K, Mortier F, Nilstun T, Norup M, van der Heide A, Miccinesi G. Physician discussions with terminally ill patients: a cross-national comparison. Palliat Med 2007; 21:295-303. [PMID: 17656406 DOI: 10.1177/0269216307079063] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
A major issue in the care of terminally ill patients is communication and information provision. This paper reports the extent to which physicians in Australia, Belgium, Denmark, Italy, the Netherlands, Sweden and Switzerland discuss topics relevant to end of life care with terminally ill patients and their relatives (without first informing the patient), and possible associations between physician-specific characteristics and such discussions. Response rates to the postal survey ranged from 39% to 68% (n =10139). Physicians in most of the countries except Italy ;in principle, always' discuss issues related to terminal illness with their patients but not with patients' relatives without first informing the patient, unless the relatives ask. Cross-national differences remained strong after controlling for physician characteristics. The majority of physicians appeared to support the principle of patient-centred care to terminally ill patients, consistent with palliative care philosophy and with the law and/or professional guidelines in most of the countries studied.
Collapse
Affiliation(s)
- Colleen Cartwright
- Aged Services Learning & Research Collaboration, Southern Cross University, Coffs Harbour, NSW, Australia.
| | | | | | | | | | | | | | | | | |
Collapse
|
50
|
Mystakidou K, Tsilika E, Parpa E, Pathiaki M, Patiraki E, Galanos A, Vlahos L. Exploring the relationships between depression, hopelessness, cognitive status, pain, and spirituality in patients with advanced cancer. Arch Psychiatr Nurs 2007; 21:150-61. [PMID: 17556108 DOI: 10.1016/j.apnu.2007.02.002] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2006] [Revised: 01/28/2007] [Accepted: 02/03/2007] [Indexed: 10/23/2022]
Abstract
The growing interest in the psychological morbidity of patients with cancer has been the major reason for conducting this study. The measurements used were the Beck Depression Inventory, the Beck Hopelessness Scale, the Mini Mental State Examination, the Greek Brief Pain Inventory, and the Spiritual Involvement and Beliefs Scale. The analysis was conducted in 82 patients with advanced cancer. Significant associations were found between pain interference in "mood" and in "enjoyment of life" and hopelessness, as well as between worse pain and pain interference items with depression and cognitive status. Significant correlations were found between hopelessness, depression, and cognitive condition. These findings demonstrate the physical, psychological, and cognitive aspects of patients with cancer.
Collapse
Affiliation(s)
- Kyriaki Mystakidou
- Pain Relief and Palliative Care Unit, Department of Radiology, Areteion Hospital, School of Medicine, University of Athens, Athens, Greece.
| | | | | | | | | | | | | |
Collapse
|