A willingness to go there: Nurses and spiritual care

Minton, Mary; Isaacson, Mary; Varilek, Brandon M.; Stadick, Jessica L.; O’Connell-Persaud, Shannon

doi:10.1111/jocn.13867

Cited by 50 publications

(56 citation statements)

References 42 publications

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“…The literature shows that more SC training for nurses is needed. Such education could improve nurses' sensitivity to spirituality and enhance the integration of SC within clinical practice and patient's health and satisfaction with care [52, [55][56][57][58][59]. We believe that attention to the patients' spirituality by nurses could be made more consistent by training nurses in using both proactive and 'nonactive' modes, in addition to the reactive mode.…”

Section: Relevance To Clinical Practicementioning

confidence: 99%

Spiritual care by nurses in curative oncology: a mixed‐method study on patients’ perspectives and experiences

Ebenau

Groot

Visser

et al. 2019

Scandinavian Caring Sciences

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Aims Spirituality can be important in adjusting to the experience of cancer and its medical treatment. Since nurses have frequent contact with patients, they seem to have a unique role in providing spiritual care. Nurses consider spiritual care important; however, little is known about how patients in a curative setting experience and value spiritual care. Therefore, this study aimed to give insight into patients’ experiences with and opinions about spiritual care as provided by nurses in curative cancer care. Methods This is a national, multicentre mixed‐methods study, combining a quantitative approach using questionnaires (n = 62) and a qualitative analysis of semi‐structured interviews (n = 61). Nonparametric tests were used for quantitative data, and qualitative data were analysed inductively. Findings Most patients rarely received spiritual care by nurses. If spiritual care was provided, it mainly consisted of noticing problems and referring to other professionals. This appeared to be dependent on certain ‘triggers’, such as age. Structural discussions on spirituality with a nurse were experienced rarely. This was explained by, among other factors, the hospital setting. Yet, the majority (79%) of patients found the attention to spirituality sufficient or very good. Furthermore, a majority (58%) viewed spiritual care as a nursing task: nurses should notice spiritual problems and refer to other professionals, though extensively discussing patients’ spirituality was neither considered nurses’ task nor capability. Conclusions Attention to spiritual care in a curative setting, though not so much desired by most patients, should be pursued, because of its importance in performing person‐centred nursing care and its positive impact on patients’ health. By training nurses in offering spiritual care in proactive and ‘nonactive’ (accepting) ways, spiritual care could be structurally offered in clinical practice in personalised forms. Since younger and less spiritual patients are not much satisfied with spiritual care by nurses, they need special attention.

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Section: Relevance To Clinical Practicementioning

confidence: 99%

Spiritual care by nurses in curative oncology: a mixed‐method study on patients’ perspectives and experiences

Ebenau

Groot

Visser

et al. 2019

Scandinavian Caring Sciences

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“…As alluded to above, in this space, chaplains are free to be present. Minton et al (2017) describe presence as a function of 'sentience' and 'sagacious insight'. According to Minton et al, sentience is beyond cognition and everyday perception.…”

Section: Discussionmentioning

confidence: 99%

‘What’s on your mind?’ The only necessary question in spiritual care

Snowden

Lobb

Schmidt

et al. 2018

Journal for the Study of Spirituality

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Around the world, chaplains provide specialist spiritual care for people with complex healthcare needs. If the nature of chaplain interventions was better understood then multidisciplinary colleagues could both improve their own skills in spiritual care and better understand when to refer people to chaplains. A survey was constructed to establish what aspects of the chaplain/ patient relationship were most important for patients in Scotland and Australia. Outcomes were measured with the Scottish Patient Reported Outcome Measure (Scottish PROM ©). Results from 610 respondents showed the strongest correlation was between 'being able to talk about what is on my mind' and the Scottish PROM (r s (452) = .451, p < .0005). 'Being able to talk about what is on my mind' proved more important than being listened to, having faith/ beliefs valued, or being understood. Given the importance placed on listening and understanding by clinicians, this original and counterintuitive finding goes some way to explaining the unique role and function of healthcare chaplaincy.

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“…National guidelines and extensive literature support the importance of spiritual screening and assessment by clinicians and chaplains, but studies have demonstrated deficiencies in this area 4,7‐14 . The National Consensus Project (NCP) Guidelines for Quality Palliative Care recommend routine spiritual screening by clinicians and availability of spiritual care providers such as chaplains for more comprehensive assessment and spiritual support 1 .…”

Section: Introductionmentioning

confidence: 99%

Spirituality in cancer patients on phase 1 clinical trials

et al. 2020

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Objectives Patients with cancer who are at a transition to Phase I investigational treatments have been identified as an underserved population with regard to palliative care. This disease transition is often accompanied by spiritual and existential concerns. The study objective was to conduct a secondary analysis of data from a larger study testing a palliative care intervention. This paper reports the findings of this secondary focus on the spiritual needs of this population. Methods Patients (n = 479) were accrued to this study prior to initiating a Phase I clinical trial with data collected at baseline, and 4, 12, and 24 week follow‐up. Results Qualitative data revealed that the transition to Phase 1 trial participation is a time of balancing hope for extended life with the reality of advancing disease. Quantitative results demonstrated increased spirituality over time in both religious‐ and non‐religious‐affiliated patients. Conclusions Patients entering Phase I trials have important spiritual needs as they face treatment decisions, advancing disease, and often mortality. Spiritual care should be provided to seriously ill patients as a component of quality care.

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A willingness to go there: Nurses and spiritual care

Cited by 50 publications

References 42 publications

Spiritual care by nurses in curative oncology: a mixed‐method study on patients’ perspectives and experiences

Spiritual care by nurses in curative oncology: a mixed‐method study on patients’ perspectives and experiences

‘What’s on your mind?’ The only necessary question in spiritual care

Spirituality in cancer patients on phase 1 clinical trials

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