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Kula Sahin S, Bulbuloglu S. The Effects of the Spiritual Well-Being Levels of Surgical Nurses on Care Satisfaction in Liver Transplant Recipients After Transplantation: The Case of a Turkish Sample. JOURNAL OF RELIGION AND HEALTH 2024; 63:1732-1746. [PMID: 36645610 DOI: 10.1007/s10943-023-01739-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/05/2023] [Indexed: 06/17/2023]
Abstract
This study examined the effects of the spiritual well-being levels of surgical nurses on care satisfaction in liver transplant recipients after transplantation. The sample in this cross-sectional study consisted of 69 surgical nurses working in the organ transplant centre of a research and training hospital in Turkey and 79 liver transplant recipients. The data of this study were collected between 1 August 2020 and 30 August 2021. The "Three-Factor Spiritual Well-being Scale" and the "Newcastle Satisfaction with Nursing Scale" were used for data collection. A statistically significant relationship was found between the spiritual well-being levels of the surgical nurses and the care satisfaction levels of the transplant recipients. Surgical nurses should be capable of treating patients holistically and be knowledgeable enough to support the mental health of patients. High levels of spiritual well-being in surgical nurses contribute to increased satisfaction with care among organ transplant recipients.
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Affiliation(s)
- Sennur Kula Sahin
- Division of Surgical Nursing, Nursing Department, Faculty of Health Sciences, Istanbul Istinye University, Istanbul, Turkey.
| | - Semra Bulbuloglu
- Division of Surgical Nursing, Nursing Department, Faculty of Health Sciences, Istanbul Aydin University, Istanbul, Turkey
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2
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Matos J, Querido A, Laranjeira C. Spiritual Care through the Lens of Portuguese Palliative Care Professionals: A Qualitative Thematic Analysis. Behav Sci (Basel) 2024; 14:134. [PMID: 38392487 PMCID: PMC10886057 DOI: 10.3390/bs14020134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Revised: 02/11/2024] [Accepted: 02/12/2024] [Indexed: 02/24/2024] Open
Abstract
Providing spiritual care is paramount to patient-centered care. Despite the growing body of data and its recognized importance in palliative care, spiritual care continues to be the least advanced and most overlooked aspect. This study aims to explore the perceptions and experiences of spiritual care from the perspective of PC professionals and identify their strategies to address spiritual care issues. Data were collected through semi-structured personal interviews and managed using WebQDA software (Universidade de Aveiro, Aveiro, Portugal). All data were analyzed using thematic content analysis, as recommended by Clark and Braun. The study included 15 palliative care professionals with a mean age of 38.51 [SD = 5.71] years. Most participants identified as lacking specific training in spiritual care. Thematic analysis spawned three main themes: (1) spiritual care as key to palliative care, (2) floating between "shadows" and "light" in providing spiritual care, and (3) strategies for competent and spiritual-centered care. Spiritual care was considered challenging by its very nature and given the individual, relational, and organizational constraints lived by professionals working in palliative care. With support from healthcare institutions, spiritual care can and should become a defining feature of the type, nature, and quality of palliative care provision. Care providers should be sensitive to spiritual needs and highly skilled and capable of an in-the-moment approach to respond to these needs. Further research on educating and training in spiritual care competence is a priority.
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Affiliation(s)
- Juliana Matos
- Hospital Palliative Care Team, Local Health Unit of the Leiria Region, Hospital of Santo André, Rua das Olhalvas, 2410-197 Leiria, Portugal
- School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal
| | - Ana Querido
- School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal
- Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic University of Leiria, Campus 5, Rua de Santo André-66-68, 2410-541 Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, 4200-450 Porto, Portugal
| | - Carlos Laranjeira
- School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal
- Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic University of Leiria, Campus 5, Rua de Santo André-66-68, 2410-541 Leiria, Portugal
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-801 Évora, Portugal
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Fludra M, Gos E, Kobosko J, Karendys-Łuszcz K, Skarżyński H. The Role of Religiosity and Spirituality in Helping Polish Subjects Adapt to Their Tinnitus. JOURNAL OF RELIGION AND HEALTH 2023; 62:1251-1268. [PMID: 35226295 DOI: 10.1007/s10943-022-01527-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/08/2022] [Indexed: 06/14/2023]
Abstract
This study aims to assess whether religiosity and spirituality might be significant internal resources that help people with tinnitus to adapt to their condition. The study group comprised 256 Polish patients with tinnitus (123 women and 133 men) who answered the Tinnitus Handicap Inventory and Tinnitus Functional Index (both of which measure tinnitus annoyance) and the Self-Description Questionnaire (which measures: religious attitudes, ethical sensitivity, and harmony). Significant positive correlations between religious attitudes and tinnitus annoyance were found in subjects with tinnitus. The higher the religiosity, the higher tinnitus the annoyance, at least in the two TFI questionnaire dimensions: sense of control and quality of life (although these correlations were statistically significant only for men). Religiosity was found to be a positive predictor of tinnitus annoyance. Also, ethical sensitivity positively predicted tinnitus annoyance, whereas harmony was a negative predictor. We suggest that psychologists and audiologists should, in their diagnostic and therapeutic work with patients with tinnitus, pay attention to the religious and spiritual aspects of their patients' lives.
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Affiliation(s)
- M Fludra
- Tinnitus Clinic, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw, Poland.
| | - E Gos
- Teleaudiology and Screening Department, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw, Poland
| | - J Kobosko
- Department of Experimental Audiology, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw, Poland
| | - K Karendys-Łuszcz
- Tinnitus Clinic, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw, Poland
| | - H Skarżyński
- Oto-Rhino-Laryngology Surgery Clinic, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw, Poland
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Gronek P, Gronek J, Karpińska A, Dobrzyńska M, Wycichowska P. Is Dance Closer to Physical Activity or Spirituality? A Philosophical Exploration. JOURNAL OF RELIGION AND HEALTH 2023; 62:1314-1323. [PMID: 34370183 PMCID: PMC10042976 DOI: 10.1007/s10943-021-01354-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/16/2021] [Indexed: 06/13/2023]
Abstract
Dancing is inevitably associated with kinesthetics of the body, including movements, gestures, poses, jumps, turnings, transferring body weight, etcetera. Thus, dance is a manifestation of an amateur or the skilled behavior of a fully trained athletic performance. At the same time, dance is accompanied by emotions as an effect of expression, narration of choreography. Dance is also pre-planned and designed to produce numerous styles and techniques. It is a unique type of improvisation. However, in certain situations, styles and techniques that will be discussed below, the dancing body can bring the dancer closer to his/her emotionality and even spirituality. Thus, the aim of this philosophical exploration is to analyze the impact of spirituality on dance performance.
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Affiliation(s)
- Piotr Gronek
- Faculty of Sport Sciences, Department of Dance and Gymnastics, Poznań University of Physical Education, Poznań, Poland.
| | - Joanna Gronek
- Faculty of Sport Sciences, Department of Dance and Gymnastics, Poznań University of Physical Education, Poznań, Poland
| | - Aleksandra Karpińska
- Faculty of Sport Sciences, Department of Dance and Gymnastics, Poznań University of Physical Education, Poznań, Poland
| | - Małgorzata Dobrzyńska
- Department of Tourism and Recreation, Poznań University of Physical Education, Poznań, Poland
| | - Paulina Wycichowska
- Faculty of Sport Sciences, Department of Dance and Gymnastics, Poznań University of Physical Education, Poznań, Poland
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Digital Competencies for Nurses: Tools for Responding to Spiritual Care Needs. Healthcare (Basel) 2022; 10:healthcare10101966. [PMID: 36292414 PMCID: PMC9601534 DOI: 10.3390/healthcare10101966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 09/30/2022] [Accepted: 10/04/2022] [Indexed: 11/04/2022] Open
Abstract
Users show a growing interest in expanding the implementation of digital tools as a support of technical and management issues in healthcare. This medical care has focused on telemedicine but does not include the recognition of needs as an important part of patient-centred healthcare. Nurses interact with patients at critical times in their life journeys, including birth and death, which are historical events linked with religious beliefs. Furthermore, large migration flows have led to multicultural societies in which religion and spirituality are experienced in distinct ways by different people. Finally, most healthcare professionals lack the proper skills to handle the spiritual needs of their patients, especially for core and digital competences. This article shows the results of qualitative research applying as a research tool an open-ended questionnaire, which allows detecting the educational needs for nurses’ interventions aimed at providing spiritual support to their patients using digital tools. The results obtained reveal that nurses need education and training on fundamental spiritual concepts and digital competencies to meet the multiple demands of their patients’ spiritual needs. Finally, we present an open digital educational proposal for the development of competencies for nurses and other health professionals to provide spiritual care with the support of digital tools.
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Pasalar M, Bagheri Z, Hojati-Moghadam A, Büssing A, Parvizi MM. Psychometric Properties of a Persian Version of the SpREUK-P Questionnaire: An Instrument for Measuring the Importance and Frequency of Spiritual/Religious Practices in Iranian Patients with Chronic Gastrointestinal Diseases. JOURNAL OF RELIGION AND HEALTH 2022; 61:3458-3469. [PMID: 34546518 DOI: 10.1007/s10943-021-01427-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/10/2021] [Indexed: 06/13/2023]
Abstract
Attention to spiritual and religious issues is considered an important therapeutic method for patients with chronic disorders. This study aimed to assess the psychometric properties of a Persian version of the SpREUK-P questionnaire for evaluating spiritual and religious opinions among Iranian patients with chronic gastrointestinal diseases. This cross-sectional study was performed on 233 adult patients referring to the gastrointestinal clinic affiliated to Shiraz University of Medical Sciences, Shiraz, Iran, in 2017. The Persian version of the SpREUK-P questionnaire was prepared through the forward-backward translation method. The internal consistency of the questionnaire was evaluated by Cronbach's alpha coefficient. Furthermore, the construct validity of the instrument was assessed via exploratory factor analysis, while convergent and discriminant validity were investigated using Spearman correlation. Cultural adaptation, linguistic equivalency, and content validity of the Persian version of the SpREUK-P questionnaire were approved by a ten-member team of Shiraz University of Medical Sciences. Content validity indices were more than 0.8% across all items. Cronbach's alpha coefficients in terms of importance and practices were 0.81 and 0.71, respectively. Furthermore, the Persian version of the SpREUK-P showed excellent convergent validity and moderate to excellent discriminant validity. The results of exploratory factor analysis showed that all items were loaded properly on their own subscales, except for two items in the practice aspect and one item in the importance aspect. In conclusion, this study showed that the developed Persian SpREUK-P questionnaire is appropriate for assessing spiritual/religious opinions in Iranian patients with chronic diseases.
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Affiliation(s)
- Mehdi Pasalar
- Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Bagheri
- Department of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - Arndt Büssing
- Life, Spirituality and Coping, Faculty of Health, Witten/Herdecke University, Witten, Germany
| | - Mohammad Mahdi Parvizi
- Molecular Dermatology Research Center, Shiraz University of Medical Sciences, Zand Avenue, Shahid Faghihi Hospital, 7134844119, Shiraz, Iran.
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Snowden A, Telfer I, Vandenhoeck A, Verhoef J, Gibbon A. Chaplains Work in Primary Care. J Health Care Chaplain 2022; 29:211-228. [PMID: 35695021 DOI: 10.1080/08854726.2022.2077555] [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: 10/18/2022]
Abstract
Health is holistic, but health services are often not. Primary care is the first point of contact for patients in the UK, and at least two in every three present with complex bio-psycho-socio-economic issues. In Scotland, the Community Chaplaincy Listening (CCL) service was created to see if chaplains could help. CCL involves specially trained chaplains listening to patients referred to them by general practitioners (GP) for spiritual support. Between 2018 and 2019, 143 people used CCL and completed baseline and post-discharge outcome measures. Mean Scottish PROM scores rose from 7.94 (± 3.4) at baseline to 12 (± 3.5) post discharge, a statistically and clinically significant rise of 4.06 (95% CI, 3-5.12), t(50) = 7.7, p < 0.0001, d = 1.08. The improvement was seen whether patients self-described as religious, spiritual, both, or neither. Health-related quality of life outcomes were mixed but patients referred to the service scored some of the lowest baseline EQ-5D-3L scores ever seen in the literature. Together these results suggest that CCL worked in primary care, especially for patients historically considered "difficult to treat." Limitations of the study are considered alongside implications for commissioners and service developers.
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Affiliation(s)
- Austyn Snowden
- School of Health and Social Care, Edinburgh Napier University, Scotland, United Kingdom
| | - Iain Telfer
- National Health Service Education for Scotland (NES), Scotland, United Kingdom
| | - Anne Vandenhoeck
- European Research Institute for Chaplains in Healthcare, Ku Leuven University, Leuven, Belgium
| | - Joost Verhoef
- European Research Institute for Chaplains in Healthcare, Ku Leuven University, Leuven, Belgium
| | - Alan Gibbon
- The Wellbeing Centre, NHS Tayside, Dundee, United Kingdom
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Timmins F, Connolly M, Palmisano S, Burgos D, Juárez LM, Gusman A, Soriano V, Jewdokimow M, Sadłoń W, Serrano AL, Caballero DC, Campagna S, García-Peñuela JMV. Providing Spiritual Care to In-Hospital Patients During COVID-19: A Preliminary European Fact-Finding Study. JOURNAL OF RELIGION AND HEALTH 2022; 61:2212-2232. [PMID: 35511386 PMCID: PMC9069948 DOI: 10.1007/s10943-022-01553-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/26/2022] [Indexed: 05/27/2023]
Abstract
Historically, there has be a close relationship between the nursing services and spiritual care provision to patients, arising due to the evolvement of many hospitals and nursing programmes from faith-based institutions and religious order nursing. With increasing secularism, these relationships are less entwined. Nonetheless, as nurses typically encounter patients at critical life events, such as receiving bad news or dying, nurses frequently understand the need and requirement for both spiritual support and religious for patients and families during these times. Yet there are uncertainties, and nurses can feel ill-equipped to deal with patients' spiritual needs. Little education or preparation is provided to these nurses, and they often report a lack of confidence within this area. The development of this confidence and the required competencies is important, especially so with increasingly multicultural societies with diverse spiritual and religious needs. In this manuscript, we discuss initial field work carried out in preparation for the development of an Erasmus Plus educational intervention, entitled from Cure to Care Digital Education and Spiritual Assistance in Healthcare. Referring specifically to post-COVID spirituality needs, this development will support nurses to respond to patients' spiritual needs in the hospital setting, using digital means. This preliminary study revealed that while nurses are actively supporting patients' spiritual needs, their education and training are limited, non-standardised and heterogeneous. Additionally, most spiritual support occurs within the context of a Judeo-Christian framework that may not be suitable for diverse faith and non-faith populations. Educational preparation for nurses to provide spiritual care is therefore urgently required.
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Affiliation(s)
- Fiona Timmins
- School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
| | - Michael Connolly
- School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
- Education & Research Centre, Our Lady's Hospice and Care Services, Harold's Cross, Dublin, Ireland.
| | - Stefania Palmisano
- Department of Culture, Politics and Society, University of Turin, Turin, Italy
| | - Daniel Burgos
- Universidad Internacional de La Rioja (UNIR), Logroño, Spain
| | | | - Alessandro Gusman
- Department of Culture, Politics and Society, University of Turin, Turin, Italy
| | - Vicente Soriano
- Universidad Internacional de La Rioja (UNIR), Logroño, Spain
| | - Marcin Jewdokimow
- Faculty of Humanities, Cardinal Stefan Wyszynski University in Warsaw, Warsaw, Poland
| | - Wojciech Sadłoń
- Faculty of Humanities, Cardinal Stefan Wyszynski University in Warsaw, Warsaw, Poland
| | | | - David Conde Caballero
- Faculty of Nursing and Occupational Therapy, University of Extremadura, Cáceres, Spain
| | - Sara Campagna
- Department of Public Health and Pediatrics, University of Turin, Turin, Italy
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Fereydouni S, Forstmeier S. An Islamic Form of Logotherapy in the Treatment of Depression, Anxiety and Stress Symptoms in University Students in Iran. JOURNAL OF RELIGION AND HEALTH 2022; 61:139-157. [PMID: 35018526 PMCID: PMC8837512 DOI: 10.1007/s10943-021-01495-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/29/2021] [Indexed: 05/30/2023]
Abstract
Previous research demonstrated that spiritually sensitive psychotherapy is an effective treatment for clients with depression or anxiety, with outcomes equivalent to secular control interventions. The goal of this study was to evaluate the efficacy of spiritually sensitive logotherapy intervention in the treatment of depression, anxiety, and stress symptoms in university students in Iran. Sixty students with elevated depression symptoms (Beck Depression Inventory II, BDI-II, 22 or greater) were randomly assigned to either a twelve-session group logotherapy programme or a control group. Results showed that spiritually sensitive logotherapy significantly reduced depression, anxiety, and stress, and significantly more so than in the control group (e.g. interaction effect for BDI-II: F = 56.8, p < 0.001, with a large effect size).
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Affiliation(s)
- Shapour Fereydouni
- Developmental Psychology and Clinical Psychology of the Lifespan, Institute of Psychology, University of Siegen, Adolf-Reichwein-Str. 2a, 57068 Siegen, Germany
- Department of Educational Psychology, Islamic Azad University, Gachsaran Branch, Gachsaran, Iran
| | - Simon Forstmeier
- Developmental Psychology and Clinical Psychology of the Lifespan, Institute of Psychology, University of Siegen, Adolf-Reichwein-Str. 2a, 57068 Siegen, Germany
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