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Wang Z, Tang X, Li L, Zhou H, Zhu Y, Chen L, Su T, Liu M, Pang X, Yi X, Liu L, Liu J, Liu M. Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional study. BMC Palliat Care 2024; 23:50. [PMID: 38388378 PMCID: PMC10882906 DOI: 10.1186/s12904-024-01377-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 02/05/2024] [Indexed: 02/24/2024] Open
Abstract
BACKGROUND Numerous previous research have established the need for spiritual care among patients with cancer globally. Nevertheless, there was limited research, primarily qualitative, on the spiritual care needs of Chinese inpatients with advanced breast cancer. Furthermore, the need for spiritual care was rarely explored using the Kano model. To better understand the spiritual care needs and attributes characteristics of inpatients with advanced breast cancer, this study examined the Kano model. METHODS A descriptive cross-sectional design study was conducted in the oncology departments of three tertiary grade-A hospitals in China from October 2022 to May 2023. To guarantee high-quality reporting of the study, the Strengthening the Reporting of Observational Studies in Epidemiology Checklist was used. Data on the demographic characteristics questionnaire, the Nurse Spiritual Therapeutics Scale (NSTS), and the Kano model-based Nurse Spiritual Therapeutics Attributes Scale (K-NSTAs) were collected through convenience sampling. The Kano model, descriptive statistics, two independent samples t-tests, and one-way analysis of variance were used to analyze the data. RESULTS The overall score for spiritual care needs was 31.16 ± 7.85. The two dimensions with the highest average scores, "create a good atmosphere" (3.16 ± 0.95), and the lowest average scores, "help religious practice" (1.72 ± 0.73). The 12 items were distributed as follows: three attractive attributes were located in Reserving Area IV; five one-dimensional attributes were distributed as follows: three one-dimensional attributes were located in Predominance Area I, and two were found in Improving Area II; two must-be attributes were located in Improving Area II; and two indifference attributes were located in Secondary Improving Area III. CONCLUSION The Chinese inpatients with advanced breast cancer had a middle level of spiritual care needs, which need to be further improved. Spiritual care needs attributes were defined, sorted, categorized, and optimized accurately and perfectly by the Kano model. And "create a good atmosphere" and "share self-perception" were primarily one-dimensional and must-be attributes. In contrast, the items in the dimensions of "share self-perception" and "help thinking" were principally attractive attributes. Nursing administrators are advised to optimize attractive attributes and transform indifference attributes by consolidating must-be and one-dimensional attributes, which will enable them to take targeted spiritual care measures based on each patient's characteristics and unique personality traits.
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Affiliation(s)
- Zhangyi Wang
- Nursing Department, Central Hospital of Hengyang, No.10, Yancheng Road, Yanfeng District, Hengyang, 421001, Hunan, China
| | - Xiaochun Tang
- Nursing Department, Central Hospital of Hengyang, No.10, Yancheng Road, Yanfeng District, Hengyang, 421001, Hunan, China.
| | - Liping Li
- Nursing Department, Central Hospital of Hengyang, No.10, Yancheng Road, Yanfeng District, Hengyang, 421001, Hunan, China
| | - Huifang Zhou
- Nursing Department, Central Hospital of Hengyang, No.10, Yancheng Road, Yanfeng District, Hengyang, 421001, Hunan, China
| | - Yue Zhu
- School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Lamei Chen
- Nursing Department, Central Hospital of Hengyang, No.10, Yancheng Road, Yanfeng District, Hengyang, 421001, Hunan, China
| | - Tao Su
- School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Mengru Liu
- Kidney Transplantation Department, Shandong Provincial Hospital, Shandong First Medical University, Jinan, Shandong, China
| | - Xiaoli Pang
- School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Xiaoke Yi
- Nursing Department, Central Hospital of Hengyang, No.10, Yancheng Road, Yanfeng District, Hengyang, 421001, Hunan, China
| | - Li Liu
- Blood Purification Center, The Second Affiliated Hospital of University of South China, Hengyang, Hunan, China
| | - Jingjing Liu
- Nursing Department, Central Hospital of Hengyang, No.10, Yancheng Road, Yanfeng District, Hengyang, 421001, Hunan, China
| | - Mengsu Liu
- Nursing Department, Central Hospital of Hengyang, No.10, Yancheng Road, Yanfeng District, Hengyang, 421001, Hunan, China
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Spiritual care needs among Chinese elders hospitalized for severe chronic heart failure: An observational study. Palliat Support Care 2023; 21:108-117. [PMID: 36254699 DOI: 10.1017/s1478951522001237] [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 To investigate the spiritual care needs and their attributes among Chinese elders hospitalized for severe chronic heart failure (CHF) based on the Kano model, in order to provide a reference for improving the quality and satisfaction of spiritual care. METHODS An observational design was implemented, and the STROBE Checklist was used to ensure quality reporting of the study. The demographic characteristics questionnaire, the Nurse Spiritual Therapeutics Scale, and the Kano model-based Nurse Spiritual Therapeutics Attributes Scale were used. A convenience sample of 451 patients were selected from 2 hospitals. Descriptive statistics, and Kano model were used to analyze the data. RESULTS The total score of spiritual care needs was 29.95 ± 7.51. Among the 12 items, 3 items were attractive attributes, all of which were located in Reserving Zone IV; 5 items were one-dimensional attributes, of which 3 were located in Predominance Zone I and 2 were located in Improving Zone II; 2 items were must-be attributes, all of which were located in Improving Zone II; and 2 items were indifference attributes, all of which were located in Secondary Improving Zone III. SIGNIFICANCE OF RESULTS The spiritual care needs among Chinese elders hospitalized for severe CHF were moderate. The must-be and one-dimensional attributes mainly focus on "creating a good atmosphere" and "sharing self-perception" dimensions, while attractive attributes mainly focus on "sharing self-perception" and "helping thinking" dimensions. It is suggested that hospital authority should develop and innovate attractive attributes on the basis of maintaining and perfecting must-be and one-dimensional attributes, and objectively analyze and optimize indifference attributes.
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