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Martins H, Romeiro J, Casaleiro T, Vieira M, Caldeira S. Insights on spirituality and bereavement: A systematic review of qualitative studies. J Clin Nurs 2024; 33:1593-1603. [PMID: 38345102 DOI: 10.1111/jocn.17052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 01/11/2024] [Accepted: 01/23/2024] [Indexed: 04/04/2024]
Abstract
AIM To describe a synthesis of the experience related to the spirituality of those living a bereavement journey in primary qualitative studies. DESIGN A systematic review of qualitative studies. DATA SOURCE A systematic review was carried out in March 2019 and was updated in January 2023. Searching was accomplished by an online database, such as CINAHL, MEDLINE, PsycINFO, MedicLatina, LILACS, SciELO and Academic Search Complete. The search strategy did not consider a timeline as an eligibility criterion. The quality of the studies was assessed, and a thematic synthesis was performed in this review. METHODS A systematic review of qualitative studies was conducted according to Saini and Shlonsky's methodology. REPORTING METHOD PRISMA checklist. RESULTS The review included 33 articles. Most of the studies were phenomenological and focused on parents' and family experiences of bereavement. Seven significant categories emerged, which match unmet spiritual needs during the grieving process. Two major categories were identified regarding the role of spirituality in bereavement: Spirituality as a process and spirituality as an outcome. CONCLUSION In clinical practice, attention to spirituality and providing spiritual care is critical to guarantee a holistic approach for those experiencing bereavement. IMPLICATIONS The findings of our study could foster awareness that healthcare professionals should include the spiritual dimension in their clinical practice to provide holistic care to individuals, enhancing the healing process in bereavement. NO PATIENT OR PUBLIC CONTRIBUTION This is a systematic review.
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Affiliation(s)
- Helga Martins
- Post Doctoral Program in Integral Human Development, CADOS, Universidade Católica Portuguesa, Lisbon, Portugal
- Polytechnic Institute of Beja, Beja, Portugal
- Centre for Interdisciplinary Research in Health, Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Joana Romeiro
- Post Doctoral Program in Integral Human Development, CADOS, Universidade Católica Portuguesa, Lisbon, Portugal
- Centre for Interdisciplinary Research in Health, Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Tiago Casaleiro
- Centre for Interdisciplinary Research in Health, Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Margarida Vieira
- Centre for Interdisciplinary Research in Health, Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, Porto, Portugal
| | - Sílvia Caldeira
- Centre for Interdisciplinary Research in Health, Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, Lisbon, Portugal
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Batzler YN, Stricker N, Bakus S, Schallenburger M, Schwartz J, Neukirchen M. Implementing spiritual care education into the teaching of palliative medicine: an outcome evaluation. BMC Med Educ 2024; 24:411. [PMID: 38622620 PMCID: PMC11017578 DOI: 10.1186/s12909-024-05415-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 04/11/2024] [Indexed: 04/17/2024]
Abstract
BACKGROUND The concept of "total pain" plays an important role in palliative care; it means that pain is not solely experienced on a physical level, but also within a psychological, social and spiritual dimension. Understanding what spirituality entails, however, is a challenge for health care professionals, as is screening for the spiritual needs of patients. OBJECTIVE This is a novel, interprofessional approach in teaching undergraduate medical students about spiritual care in the format of a seminar. The aim of this study is to assess if an increase in knowledge about spiritual care in the clinical context is achievable with this format. METHODS In a mandatory seminar within the palliative care curriculum at our university, both a physician and a hospital chaplain teach strategies in symptom control from different perspectives (somatic domain - spiritual domain). For evaluation purposes of the content taught on the spiritual domain, we conducted a questionnaire consisting of two parts: specific outcome evaluation making use of the comparative self-assessment (CSA) gain and overall perception of the seminar using Likert scale. RESULTS In total, 52 students participated. Regarding specific outcome evaluation, the greatest gain was achieved in the ability to define total pain (84.8%) and in realizing its relevance in clinical settings (77.4%). The lowest, but still fairly high improvement was achieved in the ability to identify patients who might benefit from spiritual counselling (60.9%). The learning benefits were all significant as confirmed by confidence intervals. Overall, students were satisfied with the structure of the seminar. The content was delivered clearly and comprehensibly reaching a mean score of 4.3 on Likert scale (4 = agree). The content was perceived as overall relevant to the later work in medicine (mean 4.3). Most students do not opt for a seminar solely revolving around spiritual care (mean 2.6). CONCLUSIONS We conclude that implementing spiritual care education following an interprofessional approach into existing medical curricula, e.g. palliative medicine, is feasible and well perceived among medical students. Students do not wish for a seminar which solely revolves around spiritual care but prefer a close link to clinical practice and strategies.
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Affiliation(s)
- Yann-Nicolas Batzler
- Interdisciplinary Center for Palliative Care, University Hospital, Heinrich Heine University, Duesseldorf, Germany
| | - Nicola Stricker
- Evangelical Church in the Rhineland, Duesseldorf, Germany
- Institut Protestant de Théologie, Paris, France
| | - Simone Bakus
- Evangelical Hospital Chaplaincy (Pastoral Care), University Hospital, Heinrich Heine University, Duesseldorf, Germany
| | - Manuela Schallenburger
- Interdisciplinary Center for Palliative Care, University Hospital, Heinrich Heine University, Duesseldorf, Germany.
- Interdisciplinary Centre for Palliative Medicine, Medical Faculty, Heinrich Heine University Duesseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.
| | - Jacqueline Schwartz
- Interdisciplinary Center for Palliative Care, University Hospital, Heinrich Heine University, Duesseldorf, Germany
| | - Martin Neukirchen
- Interdisciplinary Center for Palliative Care, University Hospital, Heinrich Heine University, Duesseldorf, Germany
- Department of Anesthesiology, University Hospital, Heinrich Heine University, Düsseldorf, Germany
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Vitorino LM, Machado Teixeira PH, Dominato PC, de Azevedo MPC, Resende MM, Lucchetti G. The effectiveness of spiritual care training on medical students' self-reported competencies: A quasi-experimental study. Palliat Support Care 2024; 22:251-257. [PMID: 37042249 DOI: 10.1017/s1478951523000408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
Abstract
OBJECTIVES To evaluate the effectiveness of spiritual care training on medical students' self-reported competencies. METHODS This is a quasi-experimental (controlled and non-randomized) study including 115 Brazilian medical students. Participants were enrolled into 2 groups: fourth-year students (n = 64) who received spiritual care training and sixth-year students (n = 51) who did not receive this training - control group (i.e., usual teaching). Participants answered a self-reported Spiritual Care Competence Scale. Comparisons between groups were performed and effect sizes were reported. RESULTS Providing a spiritual care training resulted in significantly higher self-reported scores for the dimensions of "Assessment" (d = 0.99), "Improvement of care" (d = 0.69), "Counseling (d = 0.88)," "Referral" (d = 0.75), and "Total Spiritual Care" (d = 1.044) as compared to the control group. Likewise, 21 out of 27 items of the Spiritual Care Competence Scale were significantly higher for the intervention group, presenting effect sizes (d) ranging between 0.428 and 1.032. SIGNIFICANCE OF RESULTS Medical students receiving spiritual care training showed greater self-reported competencies as compared to those in the usual teaching. These results reinforce the importance of promoting spirituality teaching in medical schools.
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Affiliation(s)
| | | | | | | | | | - Giancarlo Lucchetti
- School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil
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4
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Özdemir EZ, Özdemir T, Bektaş M. Psychometric Properties of the Spiritual Care Needs Scale for the 9-18 Age Group in Turkey. J Relig Health 2024; 63:1596-1608. [PMID: 38015275 DOI: 10.1007/s10943-023-01920-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/07/2023] [Indexed: 11/29/2023]
Abstract
This methodological study aimed to establish the validity and reliability of the Spiritual Care Needs Scale in the 9-18 age group within the Turkish context. Expert opinions were considered in the analysis of the study, which was completed with the participation of 840 children. The content validity index and Cronbach's alpha coefficients were examined, along with the results of the Shapiro-Wilk normality test and the explanatory and confirmatory factor analyses. The scale had 21 items under two subdimensions: "meaning and hope" and "caring and respect." According to the EFA, the scale explained 57.5% of the total variance. The meaning and hope subdimension explained 53.3% of the total variance, whereas the care and respect subdimension explained 4.16%. The total Cronbach's alpha value of the scale was 0.96, and the fit indexes were as follows: X2 = 513.807, df = 184, X2/df = 2.792, RMSEA = 0.065, GFI = 0.89, IFI = 0.94, NFI = 0.91, TLI = 0.93, CFI = 0.94, AGFI = 0.87, and GFI = 0.89. Therefore, the Spiritual Care Needs Scale is a valid and reliable measurement tool for the 9-18 age group in the Turkish population.
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Affiliation(s)
- Emine Zahide Özdemir
- Department of Pediatric Nursing, Faculty of Nursing, Dokuz Eylul University, İzmir, Turkey.
| | - Tuğba Özdemir
- Faculty of Health Sciences, Kocaeli Health and Technology University, Kocaeli, Turkey
| | - Murat Bektaş
- Department of Pediatric Nursing, Faculty of Nursing, Dokuz Eylul University, İzmir, Turkey
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Abstract
OBJECTIVES Despite there being many models for how spiritual care should be provided, the way nurses actually provide spiritual care often differs from these models. Based on the premise that the way a person enacts their work role is related to how they understand that role, this study aims to describe the qualitatively different ways that nurses understand their spiritual care role. METHODS A convenience sample of 66 American nurses completed an anonymous, online questionnaire about what spiritual care means for them and what they generally do to provide spiritual care. Their responses were analyzed phenomenographically. RESULTS Four qualitatively different ways of understanding emerged: active management of the patient's experience, responsive facilitation of patient's wishes, accompaniment on the patient's dying journey, and empowering co-action with the patient. Each understanding was found to demonstrate a specific combination of 5 attributes that described the spiritual care role: nurse directivity, the cues used for spiritual assessment, and the nurse's perception of intimacy, the patient, and the task. SIGNIFICANCE OF RESULTS The findings of this study may explain why nurses vary in their spiritual care role and can be used to assess and develop competence in spiritual care.
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Affiliation(s)
- Rita Mascio
- Institute of Ethics and Society, University of Notre Dame, Broadway, NSW, Australia
| | - Sandra Lynch
- Institute of Ethics and Society, University of Notre Dame, Broadway, NSW, Australia
| | - Jane L Phillips
- School of Nursing, Queensland University of Technology, Brisbane, QLD, Australia
| | - Annmarie Hosie
- Palliative Care Nursing, University of Notre Dame, Broadway, NSW, Australia
| | - Megan Best
- Institute of Ethics and Society, University of Notre Dame, Broadway, NSW, Australia
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Neves NM, Queiroz LA, Cuck G, Dzik C, Pereira FMT. Prostate Cancer and Spirituality: A Systematic Review. J Relig Health 2024; 63:1360-1372. [PMID: 37314598 DOI: 10.1007/s10943-023-01845-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/30/2023] [Indexed: 06/15/2023]
Abstract
The diagnosis, treatment, and sequels of cancer are relevant sources of stress, conflicts, and suffering, but spirituality may be a positive coping element. However, studies involving the correlation between prostate cancer patients and spirituality are few and heterogeneous. MEDLINE (PUBMED), SCOPUS, and EMBASE were the databases used for this review with the keywords "spirituality," "religion," and "prostate cancer." The review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. About 250 articles were found, and 30 were eligible. Most studies (N = 26; 86.6%) reported the relationship between spirituality and better health findings such as 80% being positively associated with more screening for prostate cancer and better patients' quality of life. More interventional, randomized, and multicentric trials are needed to clarify this relationship.
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Affiliation(s)
- Nathália M Neves
- Department of Medicine, Faculdade Santa Marcelina, São Paulo, SP, Brazil.
| | - Leticia A Queiroz
- Department of Medicine, Faculdade Santa Marcelina, São Paulo, SP, Brazil
| | - Gustavo Cuck
- Department of Medicine, Faculdade São Camilo, São Paulo, SP, Brazil
| | - Carlos Dzik
- Oncology Department, Hospital Nove de Julho, São Paulo, SP, Brazil
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Carey LB, Hill T, Koenig HG, Gabbay E, Cohen J, Drummond D, Aiken C, Carey JR. Tribal Healing, Suicide, Ethical Issues, Cancer and Measuring Religiosity and Spirituality. J Relig Health 2024; 63:853-856. [PMID: 38430383 DOI: 10.1007/s10943-024-02021-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/03/2024]
Abstract
This issue of JORH considers the 'good, the bad and the ugly' of tribal or traditional healers, as well as articles relating to ethical challenges due to contemporary medicine and environmental issues. The concluding series on suicide (Part 2) is also finalized in this issue, as well as a number of research articles from multiple countries relating to cancer. Similar to previous issues, JORH once again adds to its increasing collection of articles relating to the empirical measurement of religion, spirituality and health. Readers are also reminded of the European Congress on Religion, Spirituality and Health (ECRSH) (Salzburg, Austria, May 2024), as well as the inaugural International Moral Injury and Wellbeing Conference (IMIWC) (Brisbane, Australia, September 2024).
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Affiliation(s)
- Lindsay B Carey
- School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
| | - Terrence Hill
- The University of Texas at San Antonio, San Antonio, TX, USA
| | - Harold G Koenig
- Department of Psychiatry and Behavioral Sciencese, Durham, North Carolina, USA
- Department of Medicine, Duke University Health Systems, Durham, North Carolina, USA
- Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Ezra Gabbay
- Division of of General Internal Medicine, Department of Medicine, Hospital Medicine Section, Weill Cornell Medicine, Weill Cornell Medicine, New York, NY, USA
| | - Jeffery Cohen
- School of Medicine (Sydney), University of Notre Dame Australia and St Vincent's Private Hospital, Sydney, NSW, Australia
| | - David Drummond
- McKellar Centre, Barwon Health, Geelong, Victoria, Australia
| | - Carl Aiken
- Emeritus Chaplain, Women's and Children's Hospital, Adelaide and Alumni, Drew University, Madison, USA
| | - Jacinda R Carey
- School of Psychology and Public Health, La Trobe University, Melbourne, Australia
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8
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Kırca K, Özveren H, Bağcı S. Evaluation of the Spiritual Care Needs of Patients with Cancer in a Chemotherapy Unit in Turkey. J Relig Health 2024; 63:1457-1474. [PMID: 37794297 DOI: 10.1007/s10943-023-01876-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/17/2023] [Indexed: 10/06/2023]
Abstract
This study was conducted to determine the spiritual care needs of cancer patients receiving chemotherapy. A cross-sectional descriptive design was used to analyze a total of 104 patients at a university hospital in Turkey. The data were collected using the Spiritual Care Needs Scale. The mean age of the patients participating in the study was 61.0 (10.2). It was determined that 31.7% of the patients stated that the concepts of spirituality and spiritual care are related to religion and worship. As a result, it was found that the patients receiving chemotherapy had high-spiritual care needs. The dimensions in which the spiritual needs of the patients were remarkably high were belief and spiritual practices, being in peace and security, the love and support of their relatives and being informed about health. The spiritual care need score of the patients increased significantly with marital status (p = 0.001), having children (p = 0.002), having a chronic disease (p = 0.04) and having an undergraduate/graduate level education (p = 0.01). Nurses should be aware of patient's spiritual needs, plan patient-specific spiritual care practices, conduct more studies on the effects of spiritual care on the patient and family and create guidelines for spiritual care practices in patients receiving chemotherapy in Turkey.
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Affiliation(s)
- Kamile Kırca
- Faculty of Health Sciences, Nursing Department, Kırıkkale University, Kırıkkale, Turkey
| | - Hüsna Özveren
- Faculty of Health Sciences, Nursing Department, Kırıkkale University, Kırıkkale, Turkey.
| | - Sema Bağcı
- Medical Oncology Clinic, Chemotherapy Unit, Kırıkkale University Faculty of Medicine Hospital, Kırıkkale, Turkey
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Moreira-Almeida A, Hood RW. Methodological Exclusion of the Transcendent? Implications for Theory and Research in Religion, Spirituality and Health. J Relig Health 2024; 63:1554-1566. [PMID: 37639164 DOI: 10.1007/s10943-023-01896-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/13/2023] [Indexed: 08/29/2023]
Abstract
Early in the founding of psychology of religion, a debated issue was the methodological exclusion of the transcendent (MET). While cautiously endorsed by Theodore Flournoy, others, notable William James and Frederic Myers, refused to be limited by this principle. This paper discusses (a) what is MET as proposed by Flournoy and the reasons he provided to adopt it, (b) problems with MET, implications for research and theory in religion/spirituality and health, and why the transcendent should be included in psychological, medical and other academic research and theory on spiritual experiences (SE), and (c) some methodological guidelines perform it fruitfully.
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Affiliation(s)
- Alexander Moreira-Almeida
- Research Center in Spirituality and Health (NUPES), School of Medicine, Federal University of Juiz de Fora (UFJF), Av. Eugênio Do Nascimento S/nº - Dom Bosco, Juiz de Fora, MG, 36038-330, Brazil.
| | - Ralph W Hood
- Department of Psychology, University of Tennessee at Chattanooga, Chattanooga, TN, USA
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Schultz M, Baziliansky S, Mitnik I, Ulitzur N, Campisi-Pinto S, Givoli S, Bar-Sela G, Zalman D. Some differences between social work, spiritual care, and psychology: Content variance in end-of-life conversations. Palliat Support Care 2024; 22:306-313. [PMID: 37605972 DOI: 10.1017/s1478951523000652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Abstract
OBJECTIVES Within the multidisciplinary team, there can sometimes be lack of clarity as to the specific different contributions of each of the psycho-social-spiritual professionals: social workers, psychologist, and spiritual caregivers. This study examined the content of their end-of-life conversations with patients. METHODS A total of 180 patients with terminal cancer received standard multidisciplinary care, including conversations with a social worker, psychologist, and spiritual caregiver. After each patient's death, these professionals reported using a structured tool which content areas had arisen in their conversations with that patient. RESULTS Across all content areas, there were significant differences between social work and spiritual care. The difference between social work and psychology was slightly smaller but still quite large. Psychology and spiritual care were the most similar, though they still significantly differed in half the content areas. The differences persisted even among patients who spoke with more than 1 kind of professional. The 6 content areas examined proved to subdivide into 2 linked groups, where patients speaking about 1 were more likely to speak about the others. One group, "reflective" topics (inner and transpersonal resources, interpersonal relationships, one's past, and end of life), included all those topics which arose more often with spiritual caregivers or psychologists. The second group, "decision-making" topics (medical coping and life changes), was comprised of those topics which arose most commonly with social workers, bridging between the medical and personal aspects of care and helping patients navigate their new physical, psychological, and social worlds. SIGNIFICANCE OF RESULTS These findings help shed light on the differences, in practice, between patients' conversations with social workers, psychologists, and spiritual caregivers and the roles these professionals are playing; can aid in formulating individualized care plans; and strengthen the working assumption that all 3 professions contribute in unique, complementary ways to improving patients' and families' well-being.
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Affiliation(s)
- Michael Schultz
- Division of Oncology, Rambam Health Care Campus, Haifa, Israel
| | | | - Inbal Mitnik
- Division of Oncology, Rambam Health Care Campus, Haifa, Israel
| | - Nirit Ulitzur
- Division of Oncology, Rambam Health Care Campus, Haifa, Israel
| | | | - Simon Givoli
- Statistical Department, Midot Ltd., Tel Aviv, Israel
| | - Gil Bar-Sela
- Cancer Center, Emek Medical Center, Afula, Israel
- Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
| | - Daniela Zalman
- Division of Oncology, Rambam Health Care Campus, Haifa, Israel
- Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
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Keten Edis E, Kurtgöz A. The Role of Spirituality for Coping with Cancer and the Spiritual Care Needs of Women with Breast Cancer and their Family Caregivers in Turkey: A Qualitative Study. J Relig Health 2024; 63:1475-1489. [PMID: 38198107 DOI: 10.1007/s10943-023-01984-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/04/2023] [Indexed: 01/11/2024]
Abstract
This study aims at determining the spiritual care needs of women with breast cancer and their family caregivers, as well as the effect of spirituality on coping with this illness. This qualitative research utilized a phenomenological design. In-depth individual interviews were conducted with breast cancer women and family caregivers. A total of 26 participants (13 women with breast cancer and 13 family caregivers) were involved. The data were examined using inductive thematic analysis. Three main themes were identified: "Being diagnosed with breast cancer; its emotional and life-related impacts;" "Spirituality in fighting with cancer;" and "Caring period and needs". The results showed that the diagnosis and treatment of breast cancer have multifaceted effects on women and their family caregivers. Spirituality was found to be an essential factor in coping with cancer for women with cancer and their family caregivers. In addition, the results showed that women and family caregivers have some unmet spiritual care needs.
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Affiliation(s)
- Elif Keten Edis
- Department of Nursing, Faculty of Health Sciences, Amasya University, Amasya, Turkey.
| | - Aslı Kurtgöz
- Sabuncuoglu Serefeddin Health Services Vocational School, Amasya University, Amasya, Turkey
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McEvoy S, Hyrkäs EK. Confirmatory Factor Analysis of the Spirituality and Spiritual Care Rating Scale: A Cross-Sectional Study in Eight US Nursing Homes. J Relig Health 2024; 63:1677-1697. [PMID: 37891397 DOI: 10.1007/s10943-023-01925-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/19/2023] [Indexed: 10/29/2023]
Abstract
The aim of this study was to test a modified Spirituality and Spiritual Care Rating Scale (SSCRS) and report initial findings, based on a cross-sectional descriptive survey from eight nursing homes in the USA. This study examined the psychometric properties of a modified version of the SSCRS for assessing the perceptions of staff (i.e. nurses, rehabilitation staff, food and nutrition service staff, activities staff, social workers, and administrative staff) who work in nursing homes. The modified version of the SSCRS is measuring respondents' perceptions of spirituality, spiritual care, religiosity, and personalized care. Confirmatory factor analysis showed satisfactory goodness of fit for the original four-factor structure of the SSCRS. The modified version demonstrated good internal consistency and reliability (Cronbach's alpha ranging from 0.71 to 0.90). Initial findings showed statistically significant differences across all four sub-scales. Further research is needed to psychometrically test the modified tool.
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Affiliation(s)
| | - Eira Kristiina Hyrkäs
- Center for Nursing Research and Quality Outcomes, Maine Medical Center, Portland, ME, 04102, USA
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Vasconcelos APSL, Lucchetti ALG, Cavalcanti APR, da Silva Conde SRS, Gonçalves LM, Moriguchi EH, Chazan ACS, Tavares RLC, da Silva Ezequiel O, Lucchetti G. Comparison of the Role of Different Levels of Religiousness and Spirituality in Controversial Ethical Issues and Clinical Practice among Brazilian Resident Physicians: Results from the Multicenter SBRAMER Study. J Relig Health 2024; 63:1268-1284. [PMID: 36449250 DOI: 10.1007/s10943-022-01702-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/17/2022] [Indexed: 06/17/2023]
Abstract
This study compares clinical practice and objections to controversial ethical issues among 836 Brazilian resident physicians according to levels of religiousness/spirituality. Residents with low religiousness/spirituality (s/r) believed less in the influence of spirituality on clinical practice, were less comfortable addressing this issue, tended to listen less carefully and try to change the subject more than other groups. Residents with high spirituality and low religiousness (S/r) inquired more about religious/spiritual issues, while those with high religiousness/spirituality (S/R) were more supportive and reported fewer barriers to addressing these issues. Concerning ethical issues (e.g., physician-assisted suicide, withdrawal of life support, abortion), S/R had more objections than others.
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Affiliation(s)
| | | | | | | | - Lidia Maria Gonçalves
- School of Medicine, Universidade de São Paulo, Av. Dr. Enéas Carvalho de Aguiar, 155 - Setor Azul, São Paulo, Brazil
| | - Emilio Hideyuki Moriguchi
- School of Medicine, Universidade Federal Do Rio Grande Do Sul, R. Ramiro Barcelos, 2400 - Santa Cecilia, Porto Alegre, Brazil
| | - Ana Cláudia Santos Chazan
- School of Medicine, Universidade Do Estado Do Rio de Janeiro, Avenida Professor Manoel de Abreu 444 - 2Nd Floor - Vila Isabel, Rio de Janeiro, Brazil
| | - Rubens Lene Carvalho Tavares
- School of Medicine, Universidade Federal de Minas Gerais, Av. Prof. Alfredo Balena, 190 - Santa Efigênia, Belo Horizonte, Brazil
| | - Oscarina da Silva Ezequiel
- School of Medicine, Universidade Federal de Juiz de Fora, Av. Eugênio Do Nascimento, S/N° - Dom Bosco, Juiz de Fora, Brazil
| | - Giancarlo Lucchetti
- School of Medicine, Universidade Federal de Juiz de Fora, Av. Eugênio Do Nascimento, S/N° - Dom Bosco, Juiz de Fora, Brazil.
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de Diego-Cordero R, Martínez-Herrera A, Coheña-Jiménez M, Luchetti G, Pérez-Jiménez JM. Ecospirituality and Health: A Systematic Review. J Relig Health 2024; 63:1285-1306. [PMID: 38289427 DOI: 10.1007/s10943-023-01994-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/21/2023] [Indexed: 03/27/2024]
Abstract
Environmental changes are affecting human health. A renewal of the way we understand and relate to the planet is needed. Ecospirituality brings together the terms spirituality and environment and is born as a means of solution to this dilemma. This systematic review aimed to find out the influence of ecospirituality on global health. A search of scientific literature was carried out in the main health science databases. A review was conducted to critically evaluate the studies that identified relevant ecospiritual aspects regarding health care for communities. After a systematic search and screening, and following specified methodological criteria, a total of 14 articles were selected in the review. The findings of the review suggest that a new perspective in our worldview such as ecospirituality will provide us with the necessary keys to improve health. To understand ecospirituality, we must keep in mind the indigenous way of life, which is the clear example to follow to achieve environmental health and global health. Ecospirituality leads to a healthier environment, and as this is directly related to health, there is also an improvement in global health.
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Affiliation(s)
- Rocío de Diego-Cordero
- Research Group PAIDI‑CTS 969 Innovation in HealthCare and Social Determinants of Health, Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain
| | - Alicia Martínez-Herrera
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain
| | - Manuel Coheña-Jiménez
- Research Group PAIDI-CTS589: Advances in Podiatric Surgery, Department of Podiatry, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, C/Avenzoar, 6, 41009, Seville, Spain.
| | - Giancarlo Luchetti
- School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - José Miguel Pérez-Jiménez
- Research Group PAIDI‑CTS 969 Innovation in HealthCare and Social Determinants of Health, Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain
- Institute of Biomedicine of Seville (IBiS), Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain
- Institute of Biomedicine of Seville (IBiS), Universitary Hospital Virgen Macarena, University of Seville, Seville, Spain
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Guo W, Liu X, Zhang Y, Chen R, Qi W, Deng J, Cui J. Competence and perceptions of spiritual care among clinical nurses: A multicentre cross-sectional study. J Clin Nurs 2024; 33:1432-1443. [PMID: 37994280 DOI: 10.1111/jocn.16932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Revised: 10/16/2023] [Accepted: 11/01/2023] [Indexed: 11/24/2023]
Abstract
AIMS To identify latent profiles of competence and perceptions of spiritual care among clinical nurses and explore the possible influencing factors. BACKGROUND Understanding nurses' level of spiritual care competence and their perceptions and acceptance of such care is important, which could help devise nurse training programmes to address such competence in clinical nurses. However, research addressing interindividual variability in competence and perceptions among Chinese nurses is lacking. DESIGN Multicentre cross-sectional study. METHODS Nurses working in departments with critically ill patients from 12 community, 5 secondary and 10 tertiary hospitals in Shanghai completed a demographic information questionnaire and the Chinese versions of the Spiritual Care Competence Scale, Spiritual Care-Giving Scale and Spiritual Perspectives Scale. The data were analysed using IBM SPSS v26.0 and Mplus version 8.3. Latent profile analysis identified subgroups with different levels of spiritual care competence. RESULTS In total, 1277 Chinese nurses were recruited. Four profiles of competence and perceptions of spiritual care were revealed: Low ability (23.8%), High ability (6.4%), High acceptance (34.9%) and Moderate (34.9%). The level of job position, spiritual care-related education, hospital grade and nurses' perceptions and perspectives of spiritual care predicted the probability of profile memberships in their competence. CONCLUSIONS There was heterogeneity in the characteristics of spiritual care competence. Nursing managers can implement individualised interventions, including relevant training, according to the influencing factors of different competence profiles to improve the level of such competence among nurses. RELEVANCE TO CLINICAL PRACTICE The results provide a new and expanded view of improving nurses' spiritual care competence. Interprofessional collaboration with clinicians, administrators, educators and spiritual leaders can contribute to the development of related education and training. REPORTING METHOD EQUATOR guidelines, STROBE checklist: cross-sectional studies. PATIENT OR PUBLIC CONTRIBUTION All participants were clinical nurses. Participants were informed they could withdraw from the study at any time.
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Affiliation(s)
- Wei Guo
- Department of Nursing, Naval Medical University, Shanghai, China
| | - Xue Liu
- Department of Nursing, Naval Medical University, Shanghai, China
| | - Yi Zhang
- Department of Nursing, Naval Medical University, Shanghai, China
| | - Runan Chen
- Department of Nursing, Naval Medical University, Shanghai, China
| | - Wenqian Qi
- Department of Nursing, Naval Medical University, Shanghai, China
| | - Jiajia Deng
- Department of Nursing, Naval Medical University, Shanghai, China
| | - Jing Cui
- Department of Nursing, Naval Medical University, Shanghai, China
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Torabi M, Yousofvand V, Mohammadi R, Karbin F, Ranjbaran H. Effectiveness of Group Spiritual Care on Leukemia Patients' Hope and Anxiety in Iran: A Randomized Controlled Trial. J Relig Health 2024; 63:1413-1432. [PMID: 37432586 DOI: 10.1007/s10943-023-01866-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/21/2023] [Indexed: 07/12/2023]
Abstract
This study examined the effectiveness of a group spiritual care program on leukemia patients' hope and anxiety. This randomized controlled trial involved 94 leukemia patients hospitalized in the two oncology departments of Shahid Beheshti Hospital, Hamadan, Iran. This study was carried out from November 2022 to April 2023. The participants were selected based on the study inclusion criteria using the convenience sampling method then they were randomized to either the experimental (N = 46) or the control group (N = 48). The participants completed the written informed consent form, the demographic information form, and Beck's anxiety and Snyder's hope questionnaires. The spiritual care program was provided in six sessions (one 45-60 min per week), including a spiritual needs assessment, religious care, spiritual care, psychological-spiritual care, supportive-spiritual care, and evaluation. The participants then completed Beck's anxiety and Snyder's hope questionnaires immediately, one and two months after the intervention. At baseline, there was no significant between-group difference in leukemia patients' mean scores of hope (P = 0.313) and anxiety (P = 0.141); however, immediately, one and two months after the intervention, a significant between-group difference in the mean scores of hope and anxiety was observed (P < 0.001). Also, from baseline to two months after the intervention, a significant decrease and increase in anxiety and hope mean scores, respectively, were observed in the experimental group (within-group difference) (P < 0.001). However, in the control group, from baseline to two months after the intervention, a significant increase and decrease in mean scores of anxiety and hope, respectively, were observed (within-group difference) (P < 0.001). As a result, it is recommended that nurses should consider providing spiritual care to leukemia patients as a part of holistic care.
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Affiliation(s)
- Mohammad Torabi
- Chronic Diseases (Home Care) Research Centre, Malayer School of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Vahid Yousofvand
- Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
| | - Reza Mohammadi
- Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Fatemeh Karbin
- Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Hamid Ranjbaran
- Deputy of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
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17
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Üstündağ S, Çekiç Y, Kurtoğlu Y, Ünver G. A Comparative Analysis of Spiritual Care Needs Among Cancer Patients Receiving Home Care and Their Caregivers in Turkey. J Relig Health 2024; 63:1490-1503. [PMID: 38305825 DOI: 10.1007/s10943-023-01988-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/14/2023] [Indexed: 02/03/2024]
Abstract
This study was conducted to determine and compare the spiritual care needs of cancer patients and their caregivers. A comparative descriptive, cross-sectional design was employed in this study. The study comprised 102 patients who were registered in the hospital's home care unit, as well as their caregivers (total number = 204). The data were collected using a personal information form and the Spiritual Care Needs Inventory. The cancer patients had a mean age of 69.5 years, while their caregivers' mean age was 53.1 years. According to the results, the cancer patients needed more spiritual care than their caregivers (p < 0.01). Patients' spiritual care needs differed significantly by employment status (p < 0.05). However, gender, educational level, and marital status did not have a significant difference in the spiritual care needs of the patients and their caregivers (p > 0.05). Moderately positive and significant (p < 0.05) correlations between patients and their caregivers were found for the total Spiritual Care Needs Inventory scores (r = 0.449), the meaning and hope subscale (r = 0.378), and the caring and respect subscale (r = 0.546). It is important to evaluate the spiritual needs of patients with cancer and their caregivers. In this evaluation, it is essential to elicit the perspectives of cancer patients and their caregivers concerning spiritual needs and religion. Effective spiritual care for patients and their caregivers can only be provided if their beliefs and priorities are taken into consideration.
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Affiliation(s)
- Sema Üstündağ
- Nursing Department, Faculty of Health Sciences, Kütahya Health Sciences University, Kütahya, Turkey.
| | - Yasemin Çekiç
- Psychiatric Nursing Department, Ankara University, Ankara, Turkey
| | - Yasemin Kurtoğlu
- Department of Family Medicine, Faculty of Medicine, Kütahya Health Sciences University, Kütahya, Turkey
| | - Gamze Ünver
- Nursing Department, Faculty of Health Sciences, Kütahya Health Sciences University, Kütahya, Turkey
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18
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Affiliation(s)
- Jeff Clyde G Corpuz
- Department of Theology and Religious Education, De La Salle University, Manila, Philippines
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19
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Malla S, Ghimire A. Attitude towards Spirituality and Spiritual Care among Nurses of Bharatpur Hospital. J Nepal Health Res Counc 2024; 21:393-399. [PMID: 38615209 DOI: 10.33314/jnhrc.v21i3.4447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 03/22/2024] [Indexed: 04/15/2024]
Abstract
BACKGROUND Understanding spirituality and spiritual care is a prerequisite for holistic care in nursing. Spirituality is an important dimension of human existence with a crucial role in health promotion. The objective of this study was to assess the level of attitude towards spirituality and spiritual care among nurses. METHODS A cross-sectional analytical study design was used among 208 nurses to assess attitude toward spirituality and spiritual care among nurses of Bharatpur Hospital. A pretested semi-structured, self-administered questionnaire was used to collect data from the respondents. The instrument spirituality and spiritual care rating scales were used. Collected data were coded and entered in Microsoft office excel and SPSS version 22 was used for analysis. RESULTS The finding of the study revealed that, out of 208 respondents, the majority (74.0%) of respondents were of age 20-29 years with a mean and SD of 28.2±5.510. Among all, 125(60.1%) respondents had a moderate attitude score of 32-62, 83(39.9%) had a high level of attitude score of 63-92, whereas 0.5% had a low level of attitude towards spirituality and spiritual care score (0-31).There is no statistically significant relationship between the level of attitude and socio-demographic variables. CONCLUSIONS It is concluded that most of the respondents had a moderate level of attitude. In-service education and awareness on providing spiritual care among nurses needs to be focused.
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Affiliation(s)
- Shubhekshya Malla
- Shree Medical and Technical College, Chitwan, Bagmati Province, Nepal
| | - Anita Ghimire
- Shree Medical and Technical College, Chitwan, Bagmati Province, Nepal
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20
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Tso A. Spiritual Care in Hong Kong Home Care Nursing. Home Healthc Now 2024; 42:118-119. [PMID: 38437049 DOI: 10.1097/nhh.0000000000001222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2024]
Affiliation(s)
- Alice Tso
- Alice Tso, RN, Florence Nightingale Home Health Nursing, Hong Kong
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21
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Grabenweger R, Völz D, Bumes E, Weck C, Best M, Paal P. Vignettes as a novel research tool in spiritual care: A methods paper. J Adv Nurs 2024; 80:1232-1240. [PMID: 37864358 DOI: 10.1111/jan.15908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Revised: 10/05/2023] [Accepted: 10/10/2023] [Indexed: 10/22/2023]
Abstract
AIMS To discuss the construction and use of vignettes as a novel approach in spiritual care research and education. DESIGN Methods paper. METHODS In this methods paper, the authors introduce the use of vignettes in spiritual care research and provide insight into the construction of vignettes. The vignette presented was part of a study of neurosurgical nurses' attitudes and responses to the spiritual needs of neuro-oncology patients. The development process, consisting of four steps, is explained in this paper. RESULTS Using a vignette to explore nurses' attitudes towards spiritual care is an innovative way to understand what behaviours nurses consider appropriate in situations where the patient is seeking meaning and connection. Transparent description of the development process is crucial to ensure reproducibility. CONCLUSION The use of theoretically constructed and validated vignettes in spiritual care research is new. Vignettes used in surveys have the potential to elicit nurses' responses to patients' search for meaning and connectedness. IMPLICATIONS In order to investigate nurses' attitudes and behaviours towards patients' spiritual needs, carefully constructed and validated vignettes are valuable research tools. IMPACT Vignettes have proven to be a valuable research tool in the social and health sciences. So far, their use as a survey instrument in spiritual care research has not been investigated. Therefore, this method paper introduces vignettes as a novel approach to spiritual care research. Our findings contribute to the further development of vignettes in nursing science, as there are similarities with case development and simulation training in nursing education. REPORTING METHOD Reporting guideline is not applicable. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Reinhard Grabenweger
- Institute of Nursing Science and Practice, Paracelsus Medical University, Salzburg, Austria
| | - Daniela Völz
- Department of Neurology and Wilhelm Sander - NeuroOncology Unit, Regensburg University Hospital, Regensburg, Germany
| | - Elisabeth Bumes
- Department of Neurology and Wilhelm Sander - NeuroOncology Unit, Regensburg University Hospital, Regensburg, Germany
| | - Christiane Weck
- Institute of Palliative Care, Paracelsus Medical University, Salzburg, Austria
| | - Megan Best
- Institute for Ethics and Society, University of Notre Dame Australia, Broadway, Australia
| | - Piret Paal
- Institute of Palliative Care, Paracelsus Medical University, Salzburg, Austria
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22
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Dos Santos FC, Macieira TGR, Yao Y, Ardelt M, Keenan GM. The impact of spiritual care delivered by nurses on patients' comfort: A propensity score matched cohort utilizing electronic health record data. Int J Med Inform 2024; 183:105319. [PMID: 38163394 DOI: 10.1016/j.ijmedinf.2023.105319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 12/06/2023] [Accepted: 12/10/2023] [Indexed: 01/03/2024]
Abstract
BACKGROUND Spiritual care has been associated with better health outcomes. Despite increasing evidence of the benefits of spiritual care for older patients coping with illness and aggressive treatment, the role of spirituality is not well understood and implemented. Nurses, as frontline holistic healthcare providers, are in a position to address patients' spiritual needs and support them in finding meaning in life. This study aimed to identify spiritual care by analyzing nursing data and to compare the psychological and physical comfort between older chronically ill patients who received spiritual care versus those who did not receive spiritual care. MATERIAL AND METHODS A propensity score matched cohort utilizing nursing care plan data was used to construct balanced groups based on patient characteristics at admission. 45 older patients (≥65 years) with chronic illnesses received spiritual care with measured psychological or physical comfort and 90 matched controls. To ensure the robustness of our results, two sensitivity analyses were performed. Group comparisons were performed to assess the average treatment effect of spiritual care on psychological and physical comfort outcomes. RESULTS The mean psychological comfort was 4.3 (SD = 0.5) for spiritual care receivers and 3.9 (SD = 0.9) for non-receivers. Regression analysis showed that spiritual care was associated with better psychological comfort (estimate = 0.479, std. error = 0.225, p = 0.041). While its effect on physical comfort was not statistically significant (estimate = -0.265, std. error = 0.234, p = 0.261). This study provides suggestive evidence of the positive impact of nurses' spiritual care in improving psychological comfort for older patients with chronic illnesses. CONCLUSION Using interoperable nursing data, our findings suggest that spiritual care improves psychological comfort in older patients facing illness. This finding suggests that nurses may integrate spiritual care into their usual care to support patients experiencing distress.
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Affiliation(s)
| | - Tamara G R Macieira
- Department of Family, Community, and Health Systems Science, College of Nursing, University of Florida, Gainesville, FL, United States
| | - Yingwei Yao
- Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL, United States
| | - Monika Ardelt
- Department of Sociology and Criminology & Law, University of Florida, Gainesville, FL, United States
| | - Gail M Keenan
- Department of Family, Community, and Health Systems Science, College of Nursing, University of Florida, Gainesville, FL, United States
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Abstract
A call for a comprehensive practice that treats the whole person.
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Affiliation(s)
- Augustine Cassis Obeng Boateng
- Augustine Cassis Obeng Boateng is a Hillman Scholar in Nursing Innovation and a Penn Injury Science Scholar at the University of Pennsylvania School of Nursing, as well as a Fellow at the Yale Program for Medicine, Spirituality and Religion. Contact author: . The author has disclosed no potential conflicts of interest, financial or otherwise
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24
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Linda NSB, Klopper HC, Phetlhu DR. Development of a conceptual framework for teaching-learning of spiritual care in nursing education. Curationis 2024; 47:e1-e8. [PMID: 38426793 PMCID: PMC10912879 DOI: 10.4102/curationis.v47i1.2461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 12/07/2023] [Accepted: 12/19/2023] [Indexed: 03/02/2024] Open
Abstract
BACKGROUND Conceptual frameworks are not only necessary for maintaining and preserving nursing knowledge through their unique contribution, but they also assist in the organisation and provision of complex nursing interventions. The lack of formal integration of spiritual care in health professions' education is blamed on the unavailability of guiding models among other challenges such as unavailability of relevant theories. OBJECTIVES The objective of this article was to describe the process followed to develop a conceptual framework as the basis for a practice theory for teaching-learning of spiritual care in nursing. METHOD An overall theory generative methodology was used. To develop the conceptual framework, conclusion statements deduced from empirical data using deductive and inductive strategies were applied. RESULTS The main concepts were identified, described, and classified. The relationship between concepts promoted synergy of the developed conceptual framework for teaching spiritual care in nursing. CONCLUSION The developed conceptual framework was founded on the notion that knowledge from different sources can provide a solid base in theory generation. Therefore, the concepts of the developed conceptual framework were not only related to what is 'ideal'; instead, their significance was underpinned by the created universal meanings for effective purposeful communication. Therefore, sources used to obtain data were critical in the development of the conceptual framework because they constituted different ways of perceiving and understanding the world.Contribution: The conceptual framework does not only guide nursing interventions but framework also provides a philosophical guide in meeting patient-centred diverse needs.
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Affiliation(s)
- Ntombizodwa S B Linda
- Department of Nursing, Faculty of Science, Agriculture and Engineering, University of Zululand, Empangeni.
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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] [What about the content of this article? (0)] [Affiliation(s)] [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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Miller M, Speicher S, Hardie K, Brown R, Rosa WE. The role of spirituality in pain experiences among adults with cancer: an explanatory sequential mixed methods study. Support Care Cancer 2024; 32:169. [PMID: 38374447 DOI: 10.1007/s00520-024-08378-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 02/12/2024] [Indexed: 02/21/2024]
Abstract
PURPOSE Foundational research demonstrates that spirituality may affect the way people with cancer experience pain. One potential route is through alterations in thoughts and beliefs, such as pain-related catastrophizing. The purpose of this study is to understand whether spirituality impacts pain experiences through pain-related catastrophizing. METHODS This explanatory sequential mixed methods study was informed by an adapted Theory of Unpleasant Symptoms. Data were collected via online surveys (N = 79) and follow-up qualitative interviews (N = 25). Phase 1 employed Empirical Bayesian analysis. Phase 2 used deductive content analysis. Phase 3 involved creating a mixed methods joint display to integrate findings and draw meta inferences. RESULTS Results indicate that total spiritual well-being was directly negatively associated with pain-related catastrophizing, and indirectly negatively associated with the outcomes of pain interference, pain severity, and pain-related distress. Qualitative categories highlight the supportive role of spirituality when facing pain, while also shedding light on the limitations of spirituality in the context of some pain (i.e., severe, neuropathic, and/or chronic). Mixed methods findings reveal the importance of spirituality for some people as they face cancer and cancer-related pain, as well as the need for integrating spirituality as part of a larger pain management plan. CONCLUSIONS This research advances supportive cancer care by exploring the complex role of spirituality in pain experiences. Findings will inform further exploration into the role of spirituality in supporting holistic symptom management in the context of cancer, as well as developing and testing interventions to enhance spirituality and address symptom-related suffering.
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Affiliation(s)
- Megan Miller
- School of Nursing, University of Wisconsin-Madison, 701 Highland Ave, Madison, WI, 53705, USA.
| | - Stephanie Speicher
- School of Nursing, University of Wisconsin-Madison, 701 Highland Ave, Madison, WI, 53705, USA
| | - Katie Hardie
- School of Nursing, University of Wisconsin-Madison, 701 Highland Ave, Madison, WI, 53705, USA
| | - Roger Brown
- School of Nursing, University of Wisconsin-Madison, 701 Highland Ave, Madison, WI, 53705, USA
| | - William E Rosa
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 633 Third Avenue, 4th floor, New York, NY, 10017, USA
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Tanzi S, Artioli G, Bertocchi E, Balestra GL, Ghirotto L, Cagna M, Laurenti F, Sacchi S. Experiential training course on spirituality for multidisciplinary palliative care teams in a hospital setting: a feasibility study. BMC Palliat Care 2024; 23:38. [PMID: 38336683 PMCID: PMC10858494 DOI: 10.1186/s12904-024-01341-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 01/04/2024] [Indexed: 02/12/2024] Open
Abstract
BACKGROUND There is widespread agreement about the importance of spiritual training programs (STPs) for healthcare professionals caring for cancer patients, and that reflecting on one's spirituality is the first step. Health professionals (HPs) working in hospitals must develop this dimension to guarantee the quality of life as well as spiritual and emotional support. In this paper, we propose a possible training format for hospital professionals and assess its implementation. METHODS This is a phase 0-I study that follows the Medical Research Council (MRC) framework. The program was implemented for hospital palliative care specialists. The program included one theory lesson, three spiritual interactions, four pieces of reflective writing, and two individual follow-up sessions for each participant. The evaluation was performed quantitatively according to the MRC framework and qualitatively according to Moore's framework with data triangulation from interviews, reflective writings, and indicators. RESULTS The program was implemented for palliative care physicians, nurses, psychologists, and bioethicists according to the plan, and the program components were highly appreciated by the participants. The results suggest the feasibility of a training course with some corrections, regarding both the components of the training and organizational issues. The qualitative analysis confirmed a shift in the meaning of the themes we identified. The trainees went from intrapersonal spirituality to interpersonal spirituality (engagement with the other person's spirituality, acknowledging their unique spiritual and cultural worldviews, beliefs, and practices), with colleagues, patients, and people close to them. The training had an impact on Moore's Level 3b. CONCLUSIONS Spiritual training for hospital professionals working in palliative care is feasible. Having time dedicated to spirituality and the ongoing mentorship of spiritual care professionals were suggested as key elements. The next step is increasing awareness of spirituality from our hospital reality and creating a stable competent group (with nurses, chaplains, nuns, counselors, etc.) with the support of the management.
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Affiliation(s)
- Silvia Tanzi
- Palliative Care Unit, Azienda USL-IRCCS, Reggio Emilia, Italy.
| | - Giovanna Artioli
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | | | | | - Luca Ghirotto
- Qualitative Research Unit, Azienda USL-IRCCS, Reggio Emilia, Italy
| | | | | | - Simona Sacchi
- Palliative Care Unit, Azienda USL-IRCCS, Reggio Emilia, Italy
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García-Alandete J. The Place of Religiosity and Spirituality in Frankl's Logotherapy: Distinguishing Salvific and Hygienic Objectives. J Relig Health 2024; 63:6-30. [PMID: 36749460 PMCID: PMC10861624 DOI: 10.1007/s10943-023-01760-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/29/2023] [Indexed: 06/18/2023]
Abstract
The relationship between psychology and religion has been widely debated in the field of psychology from its foundation as an empirical science to the present day. One author who was interested in the relationship between psychology and religion, the place of the latter in human nature, and its role in psychotherapy was the Viennese neurologist, psychiatrist, and philosopher Viktor Emil Frankl (1905-1997), the founder of logotherapy. This paper presents Frankl's main ideas about religion, the religious nature of the human being, and the relationship between religiosity, psychotherapy, and logotherapy, as well as a review of the main criticisms he has received in this regard. Frankl always defended the differences and limits between religion and psychotherapy, between the priestly cure of souls and the medical cure of souls, and between the salvific objective of religion and the hygienic objective of psychotherapy. In our opinion, critical authors have failed to appreciate Frankl's efforts to expose this distinction.
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Affiliation(s)
- Joaquín García-Alandete
- Department of Personality, Evaluation and Psychological Treatments, Faculty of Psychology and Speech Therapy, University of València, Avda. Blasco Ibáñez, 21, 46010, València, Spain.
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Brouwer MA, Bas-Douw BC, Leget CJW, Engel M, Teunissen SCCM, Kars MC. Barriers to the spiritual care of parents taking care of their child with a life-limiting condition at home. Eur J Pediatr 2024; 183:629-637. [PMID: 37950793 PMCID: PMC10912281 DOI: 10.1007/s00431-023-05314-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 10/27/2023] [Accepted: 10/27/2023] [Indexed: 11/13/2023]
Abstract
The changes that parents face when caring for a child with a life-limiting condition at home can affect them on a spiritual level. Yet, indications remain that parents do not feel supported when dealing with spiritual issues related to caring for a severely ill child. This paper explores, from the perspectives of bereaved parents, chaplains, grief counselors, and primary health care providers, the barriers to supporting the spiritual needs of parents. We conducted a qualitative focus group study from a constructivist point with chaplains/grief counselors, primary care professionals, and bereaved parents. All groups participated in two consecutive focus group sessions. Data were thematically analyzed. Six chaplains/grief counselors, 6 care professionals, and 5 parents participated. We identified six barriers: (1) There were difficulties in identifying and communicating spiritual care needs. (2) The action-oriented approach to health care hinders the identification of spiritual care needs. (3) There is an existing prejudice that spiritual care needs are by nature confrontational or difficult to address. (4) Spiritual support is not structurally embedded in palliative care. (5) There is a lack of knowledge and misconceptions about existing support. (6) Seeking out spiritual support is seen as too demanding. CONCLUSION Parents of children with life-limiting conditions face existential challenges. However, care needs are often not identified, and existing support is not recognized as such. The main challenge is to provide care professionals and parents with the tools and terminology that suit existing care needs. WHAT IS KNOWN • Spiritual care needs are an important aspect of pediatric palliative care. • Parents of children with life-limiting conditions feel unsupported when dealing with spiritual questions. WHAT IS NEW • Parents and professionals mention barriers that hinder spiritual support for parents. • There is a disconnect between existing support and the care needs that parents have.
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Affiliation(s)
- Marije A Brouwer
- Julius Center for Health Sciences and Primary Care, Center of Expertise in Palliative Care Utrecht, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands
| | - Barbara C Bas-Douw
- Julius Center for Health Sciences and Primary Care, Center of Expertise in Palliative Care Utrecht, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands
| | - Carlo J W Leget
- Department of Care Ethics, University of Humanistic Studies, Utrecht, The Netherlands
| | - Marijanne Engel
- Julius Center for Health Sciences and Primary Care, Center of Expertise in Palliative Care Utrecht, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands.
| | - Saskia C C M Teunissen
- Julius Center for Health Sciences and Primary Care, Center of Expertise in Palliative Care Utrecht, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands
| | - Marijke C Kars
- Julius Center for Health Sciences and Primary Care, Center of Expertise in Palliative Care Utrecht, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands
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30
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Jones KF, Kearney M, Best MC. Effect of a Spiritual Care Training Program to Build Knowledge, Competence, Confidence and Self-awareness Among Australian Health and Aged Care Staff: An Exploratory Study. J Relig Health 2024; 63:274-288. [PMID: 38206559 PMCID: PMC10861385 DOI: 10.1007/s10943-023-01990-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/18/2023] [Indexed: 01/12/2024]
Abstract
The aim of this study was to evaluate a new spiritual care training program with health and aged care staff. A four-module program was delivered to 44 participants at a large Catholic health and aged care provider in Australia. Pre, post and 6 week follow-up surveys were administered and included measures of spiritual care competency, confidence, perspectives of spirituality and spiritual care, spiritual well-being, and satisfaction. Paired sample t-tests showed total scores of participants' spiritual well-being, spiritual care competency and confidence significantly improved following the training and were largely maintained at follow-up. Perspectives on spirituality and spiritual care did not significantly change over time.
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Affiliation(s)
- Kate F Jones
- Institute for Ethics and Society, University of Notre Dame Australia, Broadway, PO Box 944, Sydney, NSW, 2007, Australia.
| | | | - Megan C Best
- Institute for Ethics and Society, University of Notre Dame Australia, Broadway, PO Box 944, Sydney, NSW, 2007, Australia
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31
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Béres A. Religion, Spirituality, and Health Revisited: Bringing Mainline Western Protestant Perspectives Back into the Discourse-Theology's "Seat at the Table". J Relig Health 2024; 63:46-62. [PMID: 37584894 PMCID: PMC10861603 DOI: 10.1007/s10943-023-01888-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/29/2023] [Indexed: 08/17/2023]
Abstract
Theological perspectives have been given short shrift in the literature on religion and health research. This study demonstrates how including different schools of mainline Western Protestant theological thought (evolutionist, correlationist, and dialectical) in the scientific process could contribute to clarifying controversies. The issue is not just theoretical: Theology can even challenge assumptions on elicitability and reproducibility. Theology perceives spirituality as a dialogue with the Total Other, thus making each encounter with the transcendent (not just the individuality of the person) unique and unpredictable. By accepting setbacks on a journey with wide-ranging aspirations, theology redefines health as the momentum of constant striving toward the divine spirit. Since these theological insights relate to interventions that affect patients' intimacy, attempting to recognize the (albeit implicit) spiritual-theological standpoint of the patient and the self-and how these relate to authentic traditions of spirituality-appears to be an essential prerequisite for ethical spiritual intervention.
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Affiliation(s)
- András Béres
- Kaposi Mór Teaching Hospital, Tallián Gy. 20-32, 7400, Kaposvár, Somogy County, Hungary.
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32
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Oshvandi K, Torabi M, Khazaei M, Khazaei S, Yousofvand V. Impact of Hope on Stroke Patients Receiving a Spiritual Care Program in Iran: A Randomized Controlled Trial. J Relig Health 2024; 63:356-369. [PMID: 36435926 PMCID: PMC9702748 DOI: 10.1007/s10943-022-01696-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 11/11/2022] [Indexed: 06/16/2023]
Abstract
This study sought to examine the effect of a spiritual program on the hope of stroke patients in Iran. The present study was a randomized controlled trial that included 108 stroke patients referred to Besat Hospital, Hamadan, Iran, in 2021. Participants were randomized to either the intervention group (n = 54) or control group (n = 54). The data were collected before the intervention by using the demographic information form, Snyder's Adult Hope Scale (AHS), the Modified Rankin Scale (MRS), and after the intervention, the Snyder's Adult Hope Scale (AHS). The intervention group received four sessions of 45-60 min (one session per week) that included a spiritual needs assessment, religious care, spiritual supportive care, and evaluation of benefits. After the intervention, a significant between-group difference was observed (p < 0.001). There was also a significant increase in the mean of hope scores in the intervention group from baseline to follow-up (within-group difference) (p < 0.001), while there was no significant difference between baseline and follow-up in the control group (p = 0.553). (IRCT 20160110025929N36 and date: 2021/09/27).
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Affiliation(s)
- Khodayar Oshvandi
- Department of Medical Surgical Nursing, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mohammad Torabi
- Chronic Diseases (Home Care) Research Centre, Malayer School of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mojtaba Khazaei
- Besat Educational and Medical Center, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Salman Khazaei
- Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Vahid Yousofvand
- Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
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33
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de Carvalho JM, Moreira-Almeida A. Existential meaning, spiritual unconscious and spirituality in Viktor Frankl. J Relig Health 2024; 63:31-45. [PMID: 37715072 DOI: 10.1007/s10943-023-01902-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/18/2023] [Indexed: 09/17/2023]
Abstract
There is robust evidence to support the relationship between spirituality and mental health, but the mechanisms of this association are not well-understood. The existential meaning provided by spirituality may be one of these mechanisms. This was the central theme of Viktor Frankl's psychology, which he explained using the notion of the spiritual unconscious. Thus, we sought to explain how Frankl understands this spiritual unconscious and the two pieces of evidence he presents for its existence: the phenomenological description of responsible action and the analysis of dreams. Lastly, we discuss his contribution to the current understanding of the relationship between having an overarching purpose and/or religious meaning and improvement in mental health.
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Affiliation(s)
- José Mauricio de Carvalho
- UNIPTAN - President Tancredo de Almeida Neves University Centre, Rua Antônio Manoel de Souza Guerra, 281, ap. 902, Vila Marchetti, São João del-Rei, MG, 36.307-201, Brazil.
- NUPES - Center for Research in Spirituality and Health - School of Medicine, Federal University de Juiz de Fora - UFJF, Av. Eugênio do Nascimento s/n, Juiz de Fora, MG, 36038-330, Brazil.
| | - Alexander Moreira-Almeida
- NUPES - Center for Research in Spirituality and Health - School of Medicine, Federal University de Juiz de Fora - UFJF, Av. Eugênio do Nascimento s/n, Juiz de Fora, MG, 36038-330, Brazil
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34
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Wenham J, Best M, Kissane DW. An Online Survey of Australian Medical Students' Perspectives on Spiritual History Taking and Spiritual Care. J Relig Health 2024; 63:257-273. [PMID: 37725268 PMCID: PMC10861599 DOI: 10.1007/s10943-023-01897-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/14/2023] [Indexed: 09/21/2023]
Abstract
It is reported that little spiritual care communication skills training occurs in Australian medical schools. This survey explored the experience of final year students in this domain in order to inform the construction of a new curriculum. Medical students in their final year at four Australian medical schools were invited to participate in an online survey, which included questions about demographic details, exposure to spiritual history taking, perceived learning needs, and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being 12 item Non-Illness score. Two-hundred and sixty students from a cohort of 766 responded (34%). One in nine students had witnessed spiritual history taking, and one in ten students had been given the opportunity to do so. Barriers and enablers were identified. Two-thirds of the students reported no recollection of any training in spiritual care. When it did occur, it was limited in scope and structure. Final year medical students recognise that spiritual care deserves a place in the modern, broad-based medical school curriculum. This supports the argument for inclusion of spiritual care training as part of all medical student curricula in Australia.
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Affiliation(s)
- John Wenham
- Broken Hill Department of Rural Health, Sydney Medical School, Corrindah Court, PO Box 457, Broken Hill, NSW, 2880, Australia.
| | - Megan Best
- Institute for Ethics and Society, The University of Notre Dame Australia, 104 Broadway, PO Box 944, Broadway, NSW, 2007, Australia
| | - David W Kissane
- Palliative Medicine Research, The University of Notre Dame Australia, Broadway, NSW, 2007, Australia
- The Cunningham Centre for Palliative Care Research, St Vincent's Hospital, Sydney, NSW, Australia
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35
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Evans CB, Larimore LR, Grasmick VE. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs 2024; 25:75-79. [PMID: 38129210 DOI: 10.1016/j.pmn.2023.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 10/31/2023] [Accepted: 11/07/2023] [Indexed: 12/23/2023]
Abstract
BACKGROUND Nurses include spirituality in holistic nursing care of persons in pain. However, there is a lack of awareness of spiritual suffering and the role of chaplains and spiritual care in pain management. AIM The purpose of this pilot is to report hospital chaplains' qualitative report of spirituality and pain management in an acute care setting. METHOD This qualitative inquiry pilot involved guided interviews of hospital chaplains on their role in pain management. A thematic analysis was performed. RESULTS Spiritual suffering in people in pain was the dominant theme. This included spiritual fear, and nurses suffering as a witness to pain. Chaplain interventions was a theme that involved spiritual support to persons in pain. CONCLUSIONS Spiritual suffering can occur in people in pain. An early consultation with hospital chaplains can augment pain management. A person in pain may experience spiritual suffering and a chaplain can provide the appropriate assessment and intervention.
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Affiliation(s)
- Cecile B Evans
- From St. Mary's Medical Center, Now Part of Intermountain Health, Grand Junction, Colorado.
| | - Lucinda R Larimore
- From St. Mary's Medical Center, Now Part of Intermountain Health, Grand Junction, Colorado
| | - Victoria E Grasmick
- From St. Mary's Medical Center, Now Part of Intermountain Health, Grand Junction, Colorado
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36
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Cooper ZW, Wolfer TA. Conceptualizing the Biopsychosocial-Spiritual Health Influences of Adverse Childhood Experiences and the Application of Primary Care Behavioral Health for Their Treatment. J Relig Health 2024; 63:619-639. [PMID: 37831309 DOI: 10.1007/s10943-023-01928-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/23/2023] [Indexed: 10/14/2023]
Abstract
Adverse Childhood Experiences (ACEs) are common and affect the overall functioning of adults, but there is a need to understand how to better address the health impact of ACEs on adults in primary healthcare settings. A narrative review was utilized to extract data from seminal articles to (1) operationalize the influence of ACEs on health outcomes, (2) assess the primary care behavioral health (PCBH) model as a mechanism to address the influence of ACEs, and (3) identify mechanisms to expand the PCBH model to explicitly address spiritual determinants of health. The extracted data revealed that ACEs influence the biological, psychological, social, and spiritual health of patients providing a rationale for integrating psychosocial and spiritual treatment within primary healthcare settings. Simultaneously, the PCBH model integrates psychosocial interventions into existing primary care services but does not explicitly address spiritual determinants. Recommendations for expansion include (1) training for clinicians on evidence-based interventions to address spirituality, (2) spiritual screening tools in PCBH settings, and (3) consultation with chaplains as needed.
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Affiliation(s)
- Zachary W Cooper
- School of Social Work, University of Georgia, 279 Williams St, Athens, GA, 30602, USA.
| | - Terry A Wolfer
- College of Social Work, University of South Carolina, Columbia, SC, USA
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37
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Cheng L, Cai S, Zhou X, Zhai X. In Every Detail: Spiritual Care in Pediatric Palliative Care Perceived by Healthcare Providers. J Pain Symptom Manage 2024; 67:167-172. [PMID: 37972718 DOI: 10.1016/j.jpainsymman.2023.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2023] [Revised: 11/04/2023] [Accepted: 11/07/2023] [Indexed: 11/19/2023]
Abstract
CONTEXT Spiritual care is an essential domain of pediatric palliative care. The current mainland China faces a lack of national guidance and a shortage of specialized personnel to provide spiritual care in a traditional developing country. OBJECTIVES To identify spiritual care in pediatric palliative care services in mainland China from the perspective of healthcare professionals. METHODS A qualitative descriptive interview study was conducted individually with 27 participants: 14 physicians, seven nurses, and six social workers. The data were analyzed using thematic analysis. RESULTS Participants described that the essence of spiritual support was provided "in every detail" throughout pediatric palliative care. Four major themes and eleven subthemes were identified. 1) Assessing spiritual needs: paying attention to different perspectives; considering religion, tradition, and culture; discovering spiritual needs behind other needs. 2) Facilitating spiritual exploration: being with the family; providing resources; guiding by providers' own faith; 3) Supporting connections: encouraging the building of personal bonds; facilitating the establishment of spiritual connections. 4) Relieving spiritual suffering: facilitating a family review of child's life; supporting building meaning in daily life; assisting in leaving a legacy for the child. CONCLUSION This study illustrated that current spiritual support, though not formally organized, is provided individually in pediatric palliative care services in mainland China. Strategies for a practice guide, education and training for professionals, and cultural building need to be rationally developed to strengthen and structure spiritual support integrated into pediatric palliative care.
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Affiliation(s)
- Lei Cheng
- School of Nursing (L.C.), Fudan University, Shanghai, China.
| | - Siyu Cai
- Center for Clinical Epidemiology and Evidence-based Medicine (S.C.), Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China
| | - Xuan Zhou
- Beijing Key Laboratory of Pediatric Hematology Oncology (X.Z.); National Key Discipline of Pediatrics (Capital Medical University); Key Laboratory of Major Diseases in Children, Ministry of Education; Hematology Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China
| | - Xiaowen Zhai
- Hematology & Oncology Department (X.Z.), Children's Hospital of Fudan University, Shanghai, China
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Ilmi AA, McKenna L, Murphy M, Kadar KS. Spiritual care for older people living in the community: A scoping review. Contemp Nurse 2024; 60:67-81. [PMID: 38335305 DOI: 10.1080/10376178.2024.2310260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 01/21/2024] [Indexed: 02/12/2024]
Abstract
BACKGROUND The population of older people should be supported to enjoy optimal quality of life. Health professionals should consider a range of interventions that support the older population to maintain their quality of life. One such interventional approach involves spiritual care. OBJECTIVE To explore what is known about spiritual care approaches for older people living in the community. METHODS Scoping review informed by Joanna Briggs Institute guidelines. Eight electronic databases were searched: CINAHL, Ageline, PubMed, ProQuest Nursing & Allied Health, PsycINFO, Scopus, Garuda, and Neliti. The review included quantitative and qualitative primary peer-reviewed research studies focusing on spiritual care interventions for older people living in the community published between 2011 and 2021 in English or Bahasa Indonesia. The search was uploaded into an electronic citation manager and imported into Covidence for screening. RESULTS A total of 29 studies were included in the review. While the studies were conducted in five continents, most were reported from the Asian continent. Five key issues based on the outcome of interventions were found namely psychological, physical, spiritual, multidisciplinary approach, and social connection. CONCLUSION This scoping review identifies spiritual interventions conducted across many countries have been implemented for older people living in the community. Although there are review limitations and further research is needed, these spiritual interventions, both faith-based and non-faith-based, are identified as useful to support the well-being of older people.
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Affiliation(s)
- Ani Auli Ilmi
- School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia
- Nursing Department, Faculty of Medicine and Health Sciences, UIN Alauddin Makassar, Sulawesi Selatan, 92113, Indonesia
| | - Lisa McKenna
- School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia
| | - Maria Murphy
- School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia
| | - Kusrini S Kadar
- Faculty of Nursing, Universitas Hasanuddin, Makassar 90245, Indonesia
- BSN Program, College of Pharmacy and Health Sciences, Ajman University, P.O. Box: 346, Ajman, United Arab Emirates
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Carey LB, Koenig HG, Hill T, Drummond D, Gabbay E, Cohen J, Aiken C, Carey JR. Spirituality, Mental Health, and COVID-19. J Relig Health 2024; 63:1-5. [PMID: 38217770 DOI: 10.1007/s10943-024-02000-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/06/2024] [Indexed: 01/15/2024]
Abstract
This issue of JORH presents a broad range of articles that consider spirituality and spiritual care from various international perspectives. It also looks at a diverse range of articles relating to mental health disorders and addictions. Lastly, this issue considers the aftermath of COVID-19. Readers are also reminded of the European Congress on Religion, Spirituality, and Health (ECRSH) (Salzburg, Austria), as well as the inaugural International Moral Injury and Wellbeing Conference (IMIWC), Brisbane, Australia, 2024.
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Affiliation(s)
- Lindsay B Carey
- School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
- The University of Notre Dame, Sydney, Australia.
| | - Harold G Koenig
- Department of Psychiatry and Behavioral Sciences, Duke University Health Systems, Durham, NC, USA
- Department of Medicine, Duke University Health Systems, Durham, NC, USA
- Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Terrence Hill
- The University of Texas at San Antonio, San Antonio, TX, USA
| | - David Drummond
- McKellar Centre, Barwon Health, North Geelong, VIC, Australia
| | - Ezra Gabbay
- Division of General Internal Medicine, Department of Medicine, Hospital Medicine Section, Weill Cornell Medicine, New York, NY, USA
| | - Jeffery Cohen
- School of Medicine (Sydney), University of Notre Dame Australia, Sydney, NSW, Australia
- St. Vincent's Private Hospital Sydney, Sydney, NSW, Australia
| | - Carl Aiken
- Women's and Children's Hospital, Adelaide and Alumni, Drew University, Madison, NJ, USA
| | - Jacinda R Carey
- School of Psychology and Public Health, La Trobe University, Melbourne, Australia
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Heidari M, Gheshlaghi AN, Masoudi R, Raeisi H, Sobouti B. Effects of a Spiritual Care Program on Body Image and Resilience in Patients with Second-Degree Burns in Iran. J Relig Health 2024; 63:329-343. [PMID: 36593324 DOI: 10.1007/s10943-022-01732-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/24/2022] [Indexed: 06/17/2023]
Abstract
This research was conducted with the aim of investigating the effect of a spiritual care program (SCP), on the body image and resilience of second-degree burn patients in Iran. In this semi-experimental study, 60 patients with second-degree burns were selected in the Tehran Mottahari Burns Hospital, Iran in 2022. These patients were divided through random allocation into two intervention and control groups. The patients of both groups filled out Beck's self-esteem Test (BSCT) and Connor-Davidson Resilience Scale (CD-RISC) before, immediately, and 3 months after the intervention. In the intervention group, SCP was performed for eight sessions over two weeks. Firstly, the 4D Model of Spiritual Health and Well-Being was examined, then two one-hour sessions were held with each patient about each dimension, with a total of four dimensions including eight sessions, in which these dimensions were examined and discussed. There was no difference in the score of body image (P = 0.326) and resilience (P = 0.597) before intervention in the control and intervention groups. However, the mean of body image score in the intervention group immediately (109.56 ± 4.86) and 3 months after (109.16 ± 6.06) the intervention was significant, respectively. Also, the mean of resilience score in the intervention group was significant immediately (85.86 ± 6.78) and 3 months after the intervention (85.73 ± 6.27). It is suggested for healthcare providers to use the SCPs to reduce the recovery time of burned patients and reduce complications and treatment costs.
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Affiliation(s)
- Mohammad Heidari
- Community-Oriented Nursing Midwifery Research Center, Nursing and Midwifery School, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Ali Najafi Gheshlaghi
- School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran.
| | - Reza Masoudi
- Department of Adults and Geriatric Nursing, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Hadi Raeisi
- Department of Epidemiology and Biostatistics, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Behnam Sobouti
- Department of Pediatrics, School of Medicine, Shahid Motahari Burns Hospital, Iran University of Medical Sciences, Tehran, Iran
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Millar C, Chahda L, Carey LB, Ly A, McLaren PO, Drakopoulos E, Bhopti A. Global Citizenship: Cultural, Religious and Spiritual-An Exploratory Scoping Review. J Relig Health 2024; 63:63-88. [PMID: 38091204 DOI: 10.1007/s10943-023-01968-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/19/2023] [Indexed: 02/13/2024]
Abstract
This paper seeks to provide an exploration of the interplay between global citizenship, culture, religion and spirituality. Arksey and O'Malley's (Int J Soc Res Methodol 8(1):19-32, 2005) scoping literature review framework was utilised to qualify the research question, develop inclusion and exclusion criteria, select relevant studies, chart data and collate information. From the available peer-reviewed literature, a total of 44 articles were initially identified using the selection criteria, 19 of which were subsequently analysed. Eight main themes were identified within the literature; (1) development of global citizenship identity, (2) prosocial values and perspectives, (3) cultural competence and influence, (4) religion and religious teachings, (5) immersion experiences, (6) normative influence, (7) political compass and (8) spirituality. The literature suggests a clear link between global citizenship and spirituality. There were, however, some inconsistencies in the relationship between formalised religion and global citizenship across the studies, with evidence of religion both contributing to and detracting from prosocial values related to global citizenship. Additionally, cultural experiences, including immersion experiences, volunteering and study aboard were all positively linked to prosocial values related to global citizenship. Global citizenship provides individuals with an opportunity to develop intercultural skills, respect, sensitivity, empathy and concern for all of humanity. It is recommended that future global citizenship research should ensure adequate definitions of religion and spirituality, with caution to not generalise the two terms into one concept. Additional research into the relationship between spiritualty and global citizenship could provide a strong basis to increase understanding of the contributing factors to global citizenship identity.
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Affiliation(s)
- CaraJane Millar
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia
| | - Laura Chahda
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia.
| | - Lindsay B Carey
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia
| | - Alexander Ly
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia
| | - Phoebe O McLaren
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia
| | - Eutichia Drakopoulos
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia
| | - Anoo Bhopti
- Speech Pathology, Schoolf of Allied Health, College of Science Health and Engineering, Victoria University, 1 Ballarat Road, Footscray, Australia
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42
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Snodgrass S, Corcoran L, Jerry P. Spirituality in Addiction Recovery: A Narrative Review. J Relig Health 2024; 63:515-530. [PMID: 37486580 DOI: 10.1007/s10943-023-01854-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/12/2023] [Indexed: 07/25/2023]
Abstract
In the area of addiction, Canada has been in a public health crisis since 2016. Addiction takes a toll on an individual's self-worth and identity. In this narrative literature review, the distinct nature of spirituality was addressed. Next, individualized conceptualizations of spirituality were outlined. Subsequently, the importance of fellowship in addiction recovery was detailed. Next, the significance of being of service was presented. Meaningful and authentic spirituality were discussed in the context of recovery identity. Lastly, spirituality as a personal journey is described. A narrative literature review of 70 manuscripts published between 1999 and 2021 was undertaken to determine multiple approaches to treating addiction recovery in the context of spiritual development. An understanding of spirituality can inform counsellors regarding spiritual development in addiction recovery. Implications for counselling include a roadmap to support clients developing an individualized spiritual connection and operating as a functional system.
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Affiliation(s)
- Shelbi Snodgrass
- Faculty of Health Disciplines, Athabasca University, Athabasca, AB, Canada.
| | - Lynn Corcoran
- Faculty of Health Disciplines, Athabasca University, Athabasca, AB, Canada
| | - Paul Jerry
- Faculty of Health Disciplines, Athabasca University, Athabasca, AB, Canada
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Best MC, Leach KT, Layson M, Carey LB. Military Perspectives on the Provision of Spiritual Care in the Australian Defence Force: A Cross-Sectional Study. J Relig Health 2024; 63:289-308. [PMID: 38252390 PMCID: PMC10861639 DOI: 10.1007/s10943-023-01985-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/07/2023] [Indexed: 01/23/2024]
Abstract
A module to explore perspectives on chaplaincy services was included in an online enterprise survey randomly distributed to members of the Australian Defence Force (ADF) during 2021. Up to eight questions were answered by 2783 active military personnel relating to their perception of chaplain activities and the impact of chaplaincy services. Of those military participants answering the question on religious status (n = 1116), a total of 71.6% (n = 799) of respondents identified as non-religious while 28.4% (n = 317) identified as holding a religious affiliation. Approximately 44.2% (n = 1230) of participants had sought support from a chaplain, of which 85.3% (n = 1049) found chaplaincy care to be satisfactory or very satisfactory. While the data suggest there is a lack of clarity around the multiple roles undertaken by chaplaincy, nevertheless respondents were just as likely to prefer chaplains for personal support (24.0%), as they were to seek help from non-chaplaincy personnel such as a non-ADF counsellor (23.2%), their workplace supervisor (23.1%) or a psychologist (21.8%). This evidence affirms that the spiritual care provided by military chaplaincy remains one of several preferred choices and thus a valued part of the holistic care provided by the ADF to support the health and wellbeing of its members.
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Affiliation(s)
- Megan C Best
- Institute for Ethics and Society, University of Notre Dame Australia, PO Box 944, Broadway, NSW, 2007, Australia.
| | | | - Mark Layson
- St Marks National Theological Centre, Charles Sturt University, Canberra, Australia
| | - Lindsay B Carey
- Institute for Ethics and Society, University of Notre Dame Australia, PO Box 944, Broadway, NSW, 2007, Australia
- School of Psychology and Public Health, La Trobe University, Melbourne, Australia
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Ring M, Mehta DH, Majd I, Balabanova Shannahan A. FOODWISE (Fostering Optimal Outcomes through Dietary Wisdom, Integration, Spirituality, and Emotionality): A New Model of Integrative Culinary Medicine. J Integr Complement Med 2024; 30:95-98. [PMID: 38265807 PMCID: PMC10886423 DOI: 10.1089/jicm.2023.0751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/25/2024]
Affiliation(s)
- Melinda Ring
- Osher Center for Integrative Health, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Darshan H Mehta
- Harvard Medical School, Boston, MA, USA
- Department of Medicine, Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, MA, USA
- Osher Center for Integrative Health, Brigham & Women's Hospital and Harvard Medical School, Boston, MA, USA
| | - Iman Majd
- Osher Center for Integrative Health, University of Washington, Seattle, WA, USA
| | - Anna Balabanova Shannahan
- Osher Center for Integrative Health, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
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Abusafia AH, Khraisat AMS, Tableb OK, Al-Mugheed K, Alabdullah AA, Abdelaliem SMF. The impact of a nursing spiritual care module on nursing competence: an experimental design. BMC Palliat Care 2024; 23:21. [PMID: 38246991 PMCID: PMC10802070 DOI: 10.1186/s12904-024-01356-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Accepted: 01/17/2024] [Indexed: 01/23/2024] Open
Abstract
PURPOSE This study aimed to assess the impact of the Nursing Spiritual Care Module on the competence of nurses in providing spiritual care in the context of Malaysia. METHOD This study employed an experimental design and involved a total of 122 nurses, with 59 in the experimental group and 63 in the control group. Participants were selected from palliative care wards associated with Hospital Universiti Sains Malaysia. Nurses in the experimental group underwent a two-week educational module on nursing spiritual care, while nurses in the control group attended a single lecture on spiritual care provided by the hospital. RESULTS The results indicated no significant differences in sociodemographic characteristics between the two groups. A significant difference in spiritual care competence within the intervention group and the control group over time (p-value = 0.001), between the two groups (p-value = 0.038), and in the interaction between time and group (p-value = 0.001). CONCLUSION The Nursing Spiritual Care Module is crucial in aiding nurses and healthcare professionals in cultivating the appropriate and wholesome attitudes and practices necessary to address the spiritual needs of patients.
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46
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Snyder SM, Scott L. Do Peers, Neighborhood Disorder, Religiosity, Spirituality, and Family Support Influence Polysubstance Use Among Older Youth Transitioning from Foster Care? J Evid Based Soc Work (2019) 2024; 21:18-31. [PMID: 37640297 DOI: 10.1080/26408066.2023.2252417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
Abstract
PURPOSE Few studies have explored polysubstance use among youths aging out of foster care, despite higher rates of substance misuse for youths exiting foster care than those in the general population. Polysubstance use has been linked to substance use disorders, health problems, cognitive impairment, suicide, and overdose. METHOD This study investigates understudied risk and protective factors associated with polysubstance use with data from 384 youth who turned 17 years old between December 1, 2001, and June 30, 2003, and were transitioning out of foster care from the Missouri Children's Division. We conducted bivariate analyses with chi-square tests for categorical variables and Analysis of Variance with continuous independent variables. Then we conducted a multinomial logistic regression to explore differences between individuals who used 1 or no substances, individuals who used only alcohol and marijuana, and individuals who used 2 or more substances. RESULTS Bivariate analyses found that being white, having deviant peers, and living in a more disordered neighborhood were risk factors for polysubstance use. Multinomial logistic regression results found that being white (RR = 6.89, p < .001), having deviant peers (RR = 1.15, p < .001), and living in a more disordered neighborhood (RR = 1.13, p < .05), increased the risk engaging in polysubstance use. DISCUSSION Similar to findings in other studies, we found that deviant peers and neighborhood disorder increase the risk of polysubstance use, but family support, church attendance, and spirituality were not protective against polysubstance use. CONCLUSION Interventions should work to reduce deviant peer relationships among foster youth.
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Affiliation(s)
- Susan M Snyder
- School of Social Work, Georgia State University, Atlanta, GA, USA
| | - Lionel Scott
- School of Social Work, Georgia State University, Atlanta, GA, USA
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Tseng LC, Ku YL, Lee CH, Tu CT. Spiritual care models of patients living with cancer in Taiwan. Int J Palliat Nurs 2024; 30:40-46. [PMID: 38308602 DOI: 10.12968/ijpn.2024.30.1.40] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2024]
Abstract
BACKGROUND Psychological, social and spiritual needs are often unmet during the care of patients with cancer in Taiwan. AIM The purpose of this study was to confirm the spiritual care models including the spiritual distress symptoms (SDS), spiritual distress symptoms interventions (SDSI), and spiritual distress outcomes criteria (SDOC) of patients with cancer in the initial, relapse and terminal stages. METHOD This cross-sectional survey collected data from 150 professional nurses about their perceptions of the SDS, SDSI and SDOC for patients with cancer. RESULTS The significant total effects of SDS on SDOC by SDSI of the patients with cancer in the initial, relapse and terminal stages were found. Additionally, the direct effects of SDS on SDOC by SDSI of the patients with cancer from the initial, relapse to terminal stage were gradually enhanced. CONCLUSIONS The relationship between spiritual distress symptoms, interventions and outcomes was significantly higher from the initial to relapse state until at the end of life, based on the perceptions of 150 professional nurses.
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Affiliation(s)
- Ling-Chun Tseng
- Director, Department of Nursing, Taitung MacKay Memorial Hospital, Taitung City Taiwan
| | - Ya-Lie Ku
- Associate Professor, College of Nursing, Fooyin University
| | - Chun-Hsiang Lee
- Staff Nurse, Department of Nursing, Taitung MacKay Memorial Hospital, Taitung City Taiwan
| | - Chin Tang Tu
- Professor, Center for Teacher Education, National Kaohsiung Normal University, Kaohsiung City, Taiwan
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Tartaglia A, Corson T, White KB, Charlescraft A, Jackson-Jordan E, Johnson T, Fitchett G. Chaplain staffing and scope of service: benchmarking spiritual care departments. J Health Care Chaplain 2024; 30:1-18. [PMID: 36102782 DOI: 10.1080/08854726.2022.2121579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
The functions of hospital chaplains and the corresponding staffing of spiritual care departments remain persistent and parallel questions within the profession. No consensus exists on services provided by spiritual care departments nor the staffing patterns to meet those expectations. This study describes the key activities and staffing at the 20 U.S. News and World Report Best Hospitals 2020-2021 as well as the connections between services, staffing, and select hospital characteristics such as average daily census. Information about each hospital's chaplaincy department was gathered via a Zoom/telephone assisted survey with its spiritual care manager. Findings reveal that while spiritual care departments are structurally integrated into their organizations and chaplains respond consistently to requests for care, involvement in established organizational protocols varies. Study findings support the notion that staffing levels are a function of chaplain integration into an organization and the activities organizations expect chaplains to fulfill.
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Affiliation(s)
- Alexander Tartaglia
- College of Health Professions, Virginia Commonwealth University, Richmond, VA, USA
| | - Tyler Corson
- College of Health Sciences, Rush University Medical Center, Chicago, IL, USA
| | - Kelsey B White
- College of Health Professions, Virginia Commonwealth University, Richmond, VA, USA
| | - Ann Charlescraft
- College of Health Professions, Virginia Commonwealth University, Richmond, VA, USA
| | | | - Tricia Johnson
- College of Health Sciences, Rush University Medical Center, Chicago, IL, USA
| | - George Fitchett
- Department of Religion, Health and Human Values, Rush University Medical Center, Chicago, IL, USA
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Oyedele OO, Phillips C, Robb SL. Spirituality in Adolescents and Young Adults With Cancer: An Evolutionary Concept Analysis. J Pediatr Hematol Oncol Nurs 2024; 41:16-31. [PMID: 37853729 DOI: 10.1177/27527530231190375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2023]
Abstract
Background: Despite an increased focus on the importance of spirituality to human health, including adolescent health outcomes there remains an absence of evidence-based programs to address the spiritual needs of patients and families. A critical barrier is the absence of a clear conceptual understanding and operational definitions of spirituality for adolescents/young adults (AYAs) with cancer. The purposes of this concept analysis were to (a) clarify the concept of spirituality in the context of the AYAs' cancer experience and (b) generate a definition based on a review of the literature examining spiritual development and the role of spirituality in AYAs' health and cancer treatment. Method: We used Roger's evolutionary concept analysis method to identify antecedents, attributes, and consequences of spirituality in the context of AYAs' cancer using thematic analysis and included identification of case exemplars. Results: Of the 86 articles identified, 21 met our inclusion criteria. Analysis revealed four attributes of spirituality in AYAs with cancer: meaning and purpose, connectedness, life-long universal experience, and independent of or related to religion and faith traditions. Identified antecedents included the presence of spiritual resources, chronic illness, belief, or wonder about a higher power, and existential questions. Identified consequences included hope, meaning, feelings of peace, and enhanced well-being and illness acceptance. Based on the findings, we generated a definition of spirituality in AYAs with cancer. Discussion: Findings inform the development of measures and spiritual care interventions specific to AYAs with cancer. An important limitation to address in future research is the absence of AYAs' first-person accounts of their own spirituality.
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Affiliation(s)
| | | | - Sheri L Robb
- Indiana University School of Nursing, Indianapolis, IN, USA
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Ibdah R, Zeilani R, Atout M. Jordanian Nurses' Perspectives of Spirituality and Spiritual Care: A Qualitative Study. Cancer Nurs 2024; 47:E38-E46. [PMID: 36089696 DOI: 10.1097/ncc.0000000000001159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Spirituality is considered one of the main aspects of wholesome care for human beings. Spirituality is a multidimensional concept and has several definitions in the literature. Most of the studies concerning spirituality were conducted in Western cultures and the Middle East; however, there are a limited number of studies regarding spirituality in Jordan. OBJECTIVE The aim of this study was to explore Jordanian nurses' perspectives on spirituality and spiritual care in a palliative care unit in 1 cancer center in Jordan. METHODS A descriptive qualitative design with 20 semistructured interviews was used to access Jordanian nurses' perspectives on spirituality. This study was conducted in the major specialist center for the treatment of cancer in Jordan. A purposive sample of 20 registered nurses who had worked at least 6 months in the palliative care unit was recruited. RESULTS Nurses' perceptions of spirituality were represented by 2 themes: spirituality means connectedness to "Allah," and spirituality evokes enjoyment in life. Two themes emerged in terms of nurses' perceptions of spiritual care: ensuring patients' comfort and relaxation, and sharing patients' religious rituals. CONCLUSION These findings underscore the importance of the nurses' perspectives on spirituality in the context of Islamic and Arabic culture, and the need for training in spirituality. IMPLICATIONS FOR PRACTICE The concept of spirituality is recognized as a fundamental aspect of the nurse's role, making it essential to improve nurses' capabilities to integrate spirituality courses into the nursing curriculum.
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Affiliation(s)
- Rufaida Ibdah
- Author Affiliations: Ministry of Health, Al Salt Hospital (Mrs Ibdah), Al-Salt, Jordan; Nursing School, Clinical Nursing Department, University of Jordan (Dr Zeilani), Amman, Jordan; and Nursing School, Philadelphia University (Dr Atout), Amman, Jordan
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