Assessing a Patientʼs Spiritual Needs

Galek, Kathleen; Flannelly, Kevin J.; Vane, Adam; Galek, Rose M

doi:10.1097/00004650-200503000-00006

Cited by 124 publications

(92 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One of the differences in this scale with existing tools (22)(23)(24) was the emphasis of the designed scale on the religious dimension so that 9 phrases related to this dimension have had the highest load factor among phrases compared with other dimensions. Spirituality is thought and belief broader than religion, though in many people, this concept is declared and evolved through religious rituals, such as prayer (35).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Development and Psychometrics of a ‘Spiritual Needs Assessment Scale of Patients with Cancer’: A mixed Exploratory Study

et al. 2018

View full text Add to dashboard Cite

Background: The diagnosis of cancer can cause great spiritual crises in persons and affect various aspects of their lives. Objectives: This study was conducted to design a psychometric spiritual needs assessment scale of patients with cancer in Iran. Methods: This methodological research was conducted in 2 parts: qualitative and quantitative. Interviews were conducted with 18 patients with cancer who were referred to Imam Khomeini Hospital in Tehran with the maximum diversity of the patients occurring in the qualitative stage for explaining the spiritual needs of patients. The purposive sampling method was applied to this study. The interviews were analysed with the content analysis method, and eventually classes related to patients' spiritual needs were conducted. Also, the terms of the scale were designed in this way. In the quantitative stage, content validity, formal validity, structure validity (exploratory factor analysis), and convergent validity were evaluated with internal consistency and retests of the scale. Results: The 4 themes, Connection, Search for Peace, Find Meaning and Purpose, and Achieve Transcendence were extracted from the codes obtained. The intended scale was, then, designed. The content validity index and validity ratio of tools of content validity were determined. Content validity was applied during the assessment of face validity assessment of written comments of experts. In addition, 10 patients were examined on the scale. An exploratory factor analysis indicated the 5 factors of the designed scale. Finally, a scale was obtained with 38 terms in 5 subscales and its scoring was determined in a 6-episode Likert. Cronbach's alpha for the total scale was estimated 0.81; for the religious dimension, this was 0.88, for meaning and purpose 0.77, for peace 0.70, for connection 0.74, and for support and nationalism 0.67, respectively. The result of the retest was also estimated ICC = 0.89. Conclusions: The spiritual needs scale in patients with cancer can measure different aspects of spiritual needs and is reliable and valid. It is suggested that the spiritual needs assessment scale of patients with cancer be used in different populations of patients with cancer separated on the basis of sex, age, type of cancer, and stage of the cancer and the spiritual needs of these patients be determined. Also, the designed scale is validated in other places and with different cultural conditions.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The response to this need requires its measurement (20). There are, now, 4 tools for evaluating spiritual needs in the world, which include questionnaires on spiritual need; Bussing et al (24), which were designed based on the culture prevailing in their respective countries.…”

Section: Introductionmentioning

confidence: 99%

Development and Psychometrics of a ‘Spiritual Needs Assessment Scale of Patients with Cancer’: A mixed Exploratory Study

et al. 2018

View full text Add to dashboard Cite

show abstract

“…In German patients with chronic pain diseases and cancer, factor analysis differentiated four main dimensions [25], i.e., religious needs (enrolling praying, participate at religious ceremony, reading religious/spiritual books, turning to a higher presence), need for inner peace (enrolling patients' wishes to dwell at places of quietness and peace, beauty of nature, finding inner peace, talking with other about fears and worries, devotion by others), existential needs (in terms of reflection and meaning in life and suffering, dissolve open aspects in life, talk about the possibility of a life after death), and actively giving (which addresses the active and autonomous intention to solace someone, to give away something from yourself, and turning to others). Galek's analysis of the literature revealed seven major constructs, i.e., love and belonging, meaning and purpose, hope and peace, the sacred, appreciation of beauty, morality and ethics, resolution and death [26]. A meta-summary of the qualitative literature on spiritual perspectives of adults extracted thematic pattern of spirituality at the end of life, which were spiritual despair (alienation, loss of self, dissonance), spiritual work (forgiveness, self-exploration, search for balance), and spiritual well-being (connection, self-actualization, consonance) [27].…”

Section: Needs Of Patients With Chronic Diseasesmentioning

confidence: 99%

“…: Rel(igious), Mean(ing), Peace, Con(nection). In a study among chaplains from the United States of America and Canada, Flannelly et al [30] used the Spiritual Needs Assessment scale (developed by Galek et al [26] after analysis of the literature to assess patients' spiritual needs) to assess the number of times that chaplains encounter patients with various spiritual needs. They found that Meaning and Purpose, Love and Belonging, and Hope, Peace and Gratitude ranked the highest, and Morality/Ethics and Appreciation of Art and Beauty the lowest, while the dimensions Religion and Divine Guidance and Death Concerns and Resolutions, which could be regarded as the central tasks of chaplains, are ranked between [30].…”

Section: Figure 2 Spiritual Needs Of Patients With Chronic Diseases mentioning

confidence: 99%

Spiritual Needs of Patients with Chronic Diseases

2010

View full text Add to dashboard Cite

For many patients confronted with chronic diseases, spirituality/religiosity is an important resource for coping. Patients often report unmet spiritual and existential needs, and spiritual support is also associated with better quality of life. Caring for spiritual, existential and psychosocial needs is not only relevant to patients at the end of their life but also to those suffering from long-term chronic illnesses. Spiritual needs may not always be associated with life satisfaction, but sometimes with anxiety, and can be interpreted as the patients' longing for spiritual well-being. The needs for peace, health and social support are universal human needs and are of special importance to patients with long lasting courses of disease. The factor, Actively Giving, may be of particular importance because it can be interpreted as patients' intention to leave the role of a `passive sufferer´ to become an active, self-actualizing, giving individual. One can identify four core dimensions of spiritual needs, i.e., Connection, Peace, Meaning/Purpose, and Transcendence, which can be attributed to underlying psychosocial, emotional, existential, and religious needs. The proposed model can provide a conceptual framework for further research and clinical practice. In fact, health care that addresses patients' physical, emotional, social, existential and spiritual needs (referring to a bio-psychosocial-spiritual model of health care) will contribute to patients' improvement and recovery. Nevertheless, there are several barriers in the health care system that makes it difficult to adequately address these needs.

show abstract

“…One response to this challenge was the develeopment of scales to assess the degree to which hospital patients are satisfied with pastoral care (VandeCreek, 2004) and the degree to which chaplains have met their spiritual and emotional needs (Flannelly, Oettinger, Galek, Braun-Storck, & Kreger, 2009). Related approaches have developed scales to measure patients spiritual needs and the effectiveness of chaplain interventions (Flannelly, Galek, & Flannelly, 2006;Flannelly, Galek, Tannenbaum, & Handzo, 2007;Galek, Flannelly, Vane, & Galek, 2005).…”

mentioning

confidence: 99%

Pastoral Interventions and the Influence of Self-Reporting: A Preliminary Analysis

Montonye

Calderone

2010

Journal of Health Care Chaplaincy

View full text Add to dashboard Cite

This article presents the results of 30,700 inpatient visits by chaplains in a healthcare setting over a two-year period. The authors examine the self-report data of chaplains about patients' needs, chaplains' pastoral interventions, and patient outcomes. The article questions the common practice of self-reporting by chaplains and discusses the implication that such self-reporting is more descriptive of chaplains themselves rather than describing the needs of hospitalized patients. Recommendations are made for more qualitative research, such as patient surveys, and anchoring vignettes to supplement quantitative research.

show abstract

Assessing a Patientʼs Spiritual Needs

Cited by 124 publications

References 46 publications

Development and Psychometrics of a ‘Spiritual Needs Assessment Scale of Patients with Cancer’: A mixed Exploratory Study

Development and Psychometrics of a ‘Spiritual Needs Assessment Scale of Patients with Cancer’: A mixed Exploratory Study

Spiritual Needs of Patients with Chronic Diseases

Pastoral Interventions and the Influence of Self-Reporting: A Preliminary Analysis

Contact Info

Product

Resources

About