Perspectives on spirituality at the end of life: A 
meta-summary

Williams, Anna-leila

doi:10.1017/s1478951506060500

Cited by 93 publications

(55 citation statements)

References 39 publications

(24 reference statements)

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“…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%

Spiritual Needs of Patients with Chronic Diseases

2010

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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.

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Section: Needs Of Patients With Chronic Diseasesmentioning

confidence: 99%

Spiritual Needs of Patients with Chronic Diseases

2010

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“…The study covered a 40 year period, and began in 1966 35 . Based on a sample of 11 articles, collectively representing the data of 217 adults, it found that feelings of alienation were an important aspect of spiritual suffering.…”

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confidence: 99%

Religião no tratamento da doença renal crônica: comparação entre médicos e pacientes

et al. 2015

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Chronic kidney disease is a disease with high morbidity and mortality. The daily life of affected patients includes negative feelings, fear of prognosis, disability, and economic dependence, as well as challenges related to changes in self-image. Religion and spirituality can be important resources in dealing with these difficulties. To test this hypothesis a qualitative, descriptive study was undertaken at the Hospital das Clínicas Samuel Libânio, Pouso Alegre/MG, in order to verify from the point of view of both doctors and patients if they believe that religion influences the treatment of the disease. For doctors, religion represents a strength and a comfort when facing any disease. Patients, however, identify religion with the hope that they will get better. While the significance of religion in their lives was different between the groups, both agreed that it represents a beneficial factor in the life of patients, providing relief, support and optimism. Keywords: Religion. Renal insufficiency, chronic. Qualitative research. Quality of life. Bioethics. ResumoReligião no tratamento da doença renal crônica: comparação entre médicos e pacientes A insuficiência renal crônica é uma doença de elevada morbimortalidade. O cotidiano dos pacientes acometidos reveste-se de sentimentos negativos, medo do prognóstico, incapacidade, dependência econômica, além daqueles relacionados à alteração da autoimagem. A religião e a espiritualidade podem ser recursos importantes para lidar com essas dificuldades. Para verificar essa hipótese, realizou-se no Hospital das Clínicas Samuel Libânio de Pouso Alegre/MG estudo qualitativo descritivo, objetivando avaliar, do ponto de vista do médico e do paciente, em que medida a religião influi no tratamento da doença. Para os médicos, a religião representa força e conforto no enfrentamento de qualquer doença. Já os pacientes, todavia, depositam na religião a esperança de que irão melhorar. O significado da religião em suas vidas foi distinto entre os dois grupos analisados; entretanto, ambos concordam que a religião configura um fator benéfico na vida do paciente, propiciando alívio, suporte e otimismo. Palavras-chave: Religião. Insuficiência renal crônica. Pesquisa qualitativa. Qualidade de vida. Bioética. ResumenReligión en el tratamiento de la enfermedad renal crónica: una comparación entre médicos y pacientes La insuficiencia renal crónica es una enfermedad con una elevada morbilidad y mortalidad. La vida diaria de los pacientes afectados es de sentimientos negativos, el miedo ante el pronóstico, la incapacidad, la dependencia económica, además de aquello relacionado con el cambio de imagen de sí mismo. La religión y la espiritualidad pueden ser recursos importantes para hacer frente a estas dificultades. Para comprobar esta hipótesis, se llevó a cabo en el Hospital das Clínicas Samuel Libânio, de Pouso Alegre/MG un estudio cualitativo, descriptivo, con el fin de verificar, desde el punto de vista del médico y del paciente en qué medida la religión influye en el tratamiento de...

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“…Nos estudos com metodologia qualitativa foram utilizadas a entrevista semiestruturada (12), a entrevista em profundidade com abordagem fenomenológica (13,14) e o metassumário (15). Na análise temática foram construídos quadros com o resumo dos resultados dos estudos que descreviam as necessidades espirituais, sendo sucessivamente comparados e filtrados de forma a excluir aspectos sem relevância.…”

Section: Métodounclassified

The Spiritual Needs of Ailing Hospitalized Patients: An Integrative Review

2014

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La espiritualidad es intrínseca al ser humano y se manifiesta también asociada a la enfermedad, la pérdida o cuando el ser humano se enfrenta con el sufrimiento o la muerte. Como la expresión de las necesidades espirituales no se procesa de igual forma en la per- sona sana o enferma, su atención requiere una intervención rigurosa y profesional. Objetivos: identificar necesidades espirituales de la persona hospitalizada y conceptos de espiritualidad. Método: revisión integrativa de diez estudios cuantitativos y cualitativos sobre necesidades espirituales, publicados en el período del 2004 al 2011 en las bases de datos (EBSCO, MEDLINE, SAGE y B-ON), orientada por las interrogantes: ¿Cuáles son las necesidades espirituales de la persona hospitalizada y los conceptos de espiritualidad utilizados en los estudios seleccionados? Resultados: del análisis de los artículos emergieron las siguientes necesidades espirituales: busca de sentido en la enfermedad y sufrimiento; estar en relación con los otros y con el Ser Superior, lo que señala presencia evidente de valores, creencias espirituales, fe, esperanza y necesidades religiosas, asociadas a los conceptos: sentido de vida, relaciones, transcendencia y prácticas religiosas. Conclusiones: los enfermos pueden expresar sus necesidades espirituales por medio de las formas más sutiles. Los enfermeros deben evaluar las necesidades espirituales de “mente abierta” y ser capaces de proporcionar la asistencia más adecuada.

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Perspectives on spirituality at the end of life: A meta-summary

Cited by 93 publications

References 39 publications

Spiritual Needs of Patients with Chronic Diseases

Spiritual Needs of Patients with Chronic Diseases

Religião no tratamento da doença renal crônica: comparação entre médicos e pacientes

The Spiritual Needs of Ailing Hospitalized Patients: An Integrative Review

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