‘Maybe we are losing sight of the human dimension’ – physicians’ approaches to existential, spiritual, and religious needs among patients with chronic pain or multiple sclerosis. A qualitative interview-study

Andersen, Aida Hougaard; Hvidt, Elisabeth Assing; Hvidt, Niels Christian; Roessler, Kirsten Kaya

doi:10.1080/21642850.2020.1792308

Cited by 9 publications

(3 citation statements)

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“…The patient must bring it up if spirituality/religiosity is to be brought into conversation. This is supported by the study on spiritual care in Danish hospices by Viftrup et al (2021) , and also by Andersen et al (2020) study on existential communication between physicians and patients with chronic pain and multiple sclerosis. Being thus far a purely theoretical concept, it is unknown to what extent the MMM will assist in overcoming difficulties in relation to existential communication.…”

Section: Examples and Discussionmentioning

confidence: 68%

The Process of Spiritual Care

2021

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The aim of this article is to illustrate and outline an understanding of spiritual care as a process involving a number of organically linked phases: (1) the identification of spiritual needs and resources, (2) understanding the patient’s specific needs, (3) developing the individual spiritual care treatment plan, hereunder involving the relevant healthcare/spiritual care professionals, (4) the provision of spiritual care, and (5) evaluating the spiritual care provided. The focus on spiritual care in healthcare research has increased throughout the past decades, showing that existential, spiritual, and/or religious considerations and needs increase with life-threatening illness, that these needs intensify with the severity of disease and with the prospect of death. Furthermore, research has shown that spiritual care increases quality of life, but also that failing to provide spiritual care leads to increased chance of depression and lowered health conditions. The World Health Organization accordingly emphasizes that providing spiritual care is vital for enhancing quality-of-life. Looking at spiritual care as a process suggests that working within a defined conceptual framework for providing spiritual care, is a recommendable default position for any institution where spiritual care is part of the daily work and routines. This so, especially because looking at spiritual care as a process highlights that moving from identifying spiritual needs in a patient to the actual provision of spiritual care, involves deliberate and considered actions and interventions that take into account the specific cultural and ontological grounding of the patient as well as the appropriate persons to provide the spiritual care. By presenting spiritual care as a process, we hope to inspire and to contribute to the international development of spiritual care, by enabling sharing experiences and best-practices internationally and cross-culturally. This so to better approach the practical and daily dimensions of spiritual care, to better address and consider the individual patient’s specific spiritual needs, be they secular, spiritual and/or religious. In the final instance, spiritual care has only one ambition; to help the individual human being through crisis.

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Section: Examples and Discussionmentioning

confidence: 68%

The Process of Spiritual Care

2021

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“…Research across healthcare contexts has shown that, if provided appropriately, spiritual care can be of significant benefit to patients, in terms of increased quality of life, better mental health, and lowered levels of anxiety and depression [ 1 , 2 , 3 , 4 , 5 ]. It can be challenging, however, to incorporate spiritual care in daily practice [ 5 , 6 , 7 , 8 ]. Reasons for this include lack of training or time, uncertainty regarding how to deliver spiritual care, confusion about the concepts of ‘spirituality’ and ‘religion’, and the often-difficult reflexivity of one’s own sense of spirituality, religiosity, or lack thereof [ 7 , 9 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Spiritual Needs Assessment in Post-Secular Contexts: An Integrative Review of Questionnaires

Nissen

Falkø

Stripp

et al. 2021

IJERPH

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Research across healthcare contexts has shown that, if provided appropriately, spiritual care can be of significant benefit to patients. It can be challenging, however, to incorporate spiritual care in daily practice, not least in post-secular, culturally entwined, and pluralist contexts. The aim of this integrative review was to locate, evaluate and discuss spiritual-needs questionnaires from the post-secular perspective in relation to their applicability in secular healthcare. Eleven questionnaires were evaluated and discussed with a focus on religious/spiritual (RS) wording, local culturally entwined and pluralist contexts, and on whether a consensual understanding between patient and healthcare professional could be expected through RS wording. By highlighting some factors involved in implementing a spiritual-needs questionnaire in diverse cultural and vernacular contexts, this article can assist by providing a general guideline. This article offers an approach to the international exchange and implementation of knowledge, experiences, and best practice in relation to the use of spiritual needs-assessment questionnaires in post-secular contexts.

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“…Em contrapartida, outras afirmações ou preocupações surgem nesse cenário, que atribuem a efeitos negativos de alguns construtos relacionados à espiritualidade como resultado na influência de decisões que afetem o tratamento médico (6,7) .…”

Section: Introductionunclassified

Análisis Y Validación Del Concepto De Espiritualidad Y Su Aplicabilidad en El Cuidado De La Salud

Silva¹,

Sanches²,

Gomes³

et al. 2021

CicyEnf

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Objetivo: Analisar, sistematizar e validar um conceito de espiritualidade com o intuito de contribuir para a sua integração no cuidado à saúde. Material e Método: Trata-se de um estudo exploratório de análise e validação de conceito com abordagem qualitativa. Para análise do conceito foi utilizada a técnica de Walker e Avant com seis etapas: seleção do conceito, estabelecimento dos objetivos da análise, identificação dos usos do conceito, determinação dos atributos definidores, identificação de antecedentes e consequentes e definição de referências empíricas; para validação o conceito foi enviado para autores de publicações científicas sobre espiritualidade, conforme proposta de Hoskins, centrada no julgamento de um grupo de estudiosos para validação do conceito. Resultados: O conceito foi validado por 8 autores e as principais adequações sugeridas foram: a) reforçar os aspectos relacionados à transcendência; b) incluir as relações com a religiosidade, divina ou sagrada; c) considerar a subjetividade intrínseca à experiência humana; d) rever a afirmação de que a espiritualidade seja, exclusivamente, benéfica. Conclusões: A espiritualidade constitui uma dimensão humana e reflete o cuidado que se tem com a vida, expressa a forma como as pessoas se inter-relacionam e interagem em relação às circunstâncias e eventos que a envolvem.

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‘Maybe we are losing sight of the human dimension’ – physicians’ approaches to existential, spiritual, and religious needs among patients with chronic pain or multiple sclerosis. A qualitative interview-study

Abstract: (2020) 'Maybe we are losing sight of the human dimension'-physicians' approaches to existential, spiritual, and religious needs among patients with chronic pain or multiple sclerosis.

Cited by 9 publications

References 62 publications

The Process of Spiritual Care

The Process of Spiritual Care

Spiritual Needs Assessment in Post-Secular Contexts: An Integrative Review of Questionnaires

Análisis Y Validación Del Concepto De Espiritualidad Y Su Aplicabilidad en El Cuidado De La Salud

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