Spirituality and spiritual caring: nurses’ perspectives and practice in palliative and acute care environments

Ronaldson, Susan; Hayes, Lillian; Aggar, Christina; Green, Jennifer; Carey, Michele

doi:10.1111/j.1365-2702.2012.04180.x

Cited by 86 publications

(105 citation statements)

References 40 publications

(61 reference statements)

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“…However, the need for further education for nurses and other healthcare professionals in relation to the best methods of delivering spiritual care is evident (Jafari et al 2014a;Rassool 2000). In both Middle Eastern and Western contexts, factors such as workload, lack of time, lack of knowledge, and insufficient resources, most likely contribute to this issue of spiritual care delivery in practice (Balboni et al 2014;Baldacchino 2008;Cadge et al 2009;O'Brien 2007;Ronaldson et al 2012;Wong and Yau 2010).…”

Section: Discussionmentioning

confidence: 99%

Spirituality and Health: A Middle Eastern Perspective

Weathers

2018

Religions

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Previous spirituality studies have mostly been conducted in a Western context (Moberg 2002;Koenig et al. 2012). However, an increasing number of studies are originating from Middle Eastern countries (Koenig et al. 2012). There is a need to review the current status of Middle Eastern research to identify priorities for future research. A search was conducted in two electronic databases: CINAHL and Medline. A final sample of 28 articles was included in the review. Eighteen articles reported on quantitative studies and ten reported on qualitative studies. The majority of previous research has been conducted in Iran (n = 16) and Jordan (n = 6). A total of 3096 participants were included in the studies ranging from 2004 to 2017. Two studies were randomised controlled trials. Most of the qualitative studies aimed to gain a deeper understanding of the concept of spirituality from a Muslim-Arabic perspective. Qualitative findings have conceptualised spirituality as meaning in life, connection, peace and transcendence. In conclusion, there are both differences and similarities between Middle Eastern and Western research on spiritualty and health. Further exploration is warranted to include comparative studies between patient and nurse populations in Western societies and in the Middle East.

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Section: Discussionmentioning

confidence: 99%

Spirituality and Health: A Middle Eastern Perspective

Weathers

2018

Religions

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“…It was assessed based on a question from a national study of physicians: 16 “Please indicate the degree to which you agree with the following statement: My religious/spiritual beliefs influence my practice of medicine,” and was measured on a five-point scale from “strongly agree” to “strongly disagree” and within analyses dichotomized to “strongly agree/somewhat agree” vs. “neutral/somewhat disagree/strongly disagree.” …”

Section: Figmentioning

confidence: 99%

Nurse and Physician Barriers to Spiritual Care Provision at the End of Life

Balboni

Sullivan

Enzinger

et al. 2014

Journal of Pain and Symptom Management

218

139

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Context Spiritual care (SC) from medical practitioners is infrequent at the end of life (EOL) despite national standards. Objectives The study aimed to describe nurses' and physicians' desire to provide SC to terminally ill patients and assess 11 potential SC barriers. Methods This was a survey-based, multisite study conducted from October 2008 through January 2009. All eligible oncology nurses and physicians at four Boston academic centers were approached for study participation; 339 nurses and physicians participated (response rate = 63%). Results Most nurses and physicians desire to provide SC within the setting of terminal illness (74% vs. 60%, respectively; P = 0.002); however, 40% of nurses/physicians provide SC less often than they desire. The most highly endorsed barriers were “lack of private space” for nurses and “lack of time” for physicians, but neither was associated with actual SC provision. Barriers that predicted less frequent SC for all medical professionals included inadequate training (nurses: odds ratio [OR] = 0.28, 95% confidence interval [CI] = 0.12–0.73, P = 0.01; physicians: OR = 0.49, 95% CI = 0.25–0.95, P = 0.04), “not my professional role” (nurses: OR = 0.21, 95% CI = 0.07–0.61, P = 0.004; physicians: OR = 0.35, 95% CI = 0.17–0.72, P = 0.004), and “power inequity with patient” (nurses: OR = 0.33, 95% CI = 0.12–0.87, P = 0.03; physicians: OR = 0.41, 95% CI = 0.21–0.78, P = 0.007). A minority of nurses and physicians (21% and 49%, P = 0.003, respectively) did not desire SC training. Those less likely to desire SC training reported lower self-ratings of spirituality (nurses: OR = 5.00, 95% CI = 1.82–12.50, P = 0.002; physicians: OR = 3.33, 95% CI = 1.82–5.88, P < 0.001) and male gender (physicians: OR = 3.03, 95% CI = 1.67–5.56, P < 0.001). Conclusion SC training is suggested to be critical to the provision of SC in accordance with national care quality standards.

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“…Spiritual care practices may differ, considering the environment in which health care is provided 18 . This care is not perceived as a priority in emergency care due to the very essence of the service, which aims to revert or stabilize the clinical picture of the patient.…”

mentioning

confidence: 99%

“…It is noteworthy that nurses are more cited than other professionals in studies that discuss spirituality in coping with diseases 14,17,18 . It is also observed that Leininger's cross-cultural nursing theory is approached 16 as a useful tool to be developed by other professionals in the field, considering cultural diversity and including spiritual aspects in the health and disease process when desired by the patient or family member.…”

mentioning

confidence: 99%

Espiritualidade nos serviços de urgência e emergência

et al. 2017

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There is a growing interest in the relationship between spirituality and the process of health and disease, due to the protection potential attributed to this dimension in difficult situations, such as during urgent and emergency care, which are identified as stress generators due to their characteristics. The aim of this study was therefore to evaluate how spirituality is addressed in urgency and emergency services. A review of literature from publications indexed in Medline and Scopus from 2000 to 2014 was performed and seven articles were selected. It was observed that spirituality is identified as a need for patients and families, particularly in relation to end of life situations. The understanding of this dimension in the context of emergency care remains a challenge, however, as it is not perceived as a priority during care due to the difficulties of working in health services. Keywords: Spirituality. Emergency service, hospital. Emergency medical services. ResumoEspiritualidade nos serviços de urgência e emergência É crescente o interesse sobre a relação da espiritualidade com o processo saúde-doença, devido a seu potencial de proteção em situações difíceis, como nos atendimentos de urgência e emergência, que são apontados como causadores de estresse devido a suas características. Este estudo objetivou verificar como a espiritualidade é abordada nos ambientes de atendimento. Para tanto, foi feita revisão de literatura a partir de publicações indexadas no Medline e no Scopus entre 2000 e 2014, selecionando-se sete artigos. Observou-se que espiritualidade é apontada como necessária a pacientes e familiares, e especialmente relacionada às situações de fim de vida. Entretanto, a compreensão dessa dimensão no contexto de urgências e emergências ainda é um desafio, por não ser percebida como cuidado prioritário e pelas dificuldades no trabalho dos serviços de saúde. Palavras-chave: Espiritualidade. Serviço hospitalar de emergência. Serviços médicos de emergência. Resumen Espiritualidad en los servicios de urgencia y emergenciaEs creciente el interés por la relación de la espiritualidad con el proceso de salud-enfermedad, debido a su potencial de protección en situaciones difíciles, como en las atenciones de urgencias y emergencia, que son señaladas como generadoras de estrés, debido a sus características. Este estudio tuvo como objetivo verificar cómo es abordada la espiritualidad en los servicios de urgencia y emergencia. Para ello, se realizó una revisión de la literatura a partir de publicaciones, indexadas en Medline y Scopus, en el período de 2000 a 2014, seleccionándose siete artículos. Se observó, así, que la espiritualidad es percibida como una necesidad de pacientes y familiares, relacionada especialmente con las situaciones de fin de la vida. Sin embargo, la comprensión de esa dimensión en el contexto de urgencias y emergencias aún es un desafío, por no ser percibida como un cuidado prioritario y por las dificultades en el trabajo de los servicios de salud. Palabras claves: Espiritualidad. Se...

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Spirituality and spiritual caring: nurses’ perspectives and practice in palliative and acute care environments

Cited by 86 publications

References 40 publications

Spirituality and Health: A Middle Eastern Perspective

Spirituality and Health: A Middle Eastern Perspective

Nurse and Physician Barriers to Spiritual Care Provision at the End of Life

Espiritualidade nos serviços de urgência e emergência

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