Training for awareness of one's own spirituality: A key factor in overcoming barriers to the provision of spiritual care to advanced cancer patients by doctors and nurses

Bar-Sela, Gil; Schultz, Michael; Elshamy, Karima; Rassouli, Maryam; Ben‐Arye, Eran; Doumit, Myrna; Gafer, Nahla; Albashayreh, Alaa; Ghrayeb, Ibtisam; Türker, İbrahim; Özalp, Gülçin; Kav, Sultan; Fahmi, Rasha M.; Nestoros, Sophia; Ghali, Hasanein H.; Mula‐Hussain, Layth; Shazar, Ilana; Obeidat, Rana; Punjwani, Rehana; Khleif, Mohamad; Can, Gülbeyaz; Tuncel, Gonca; Charalambous, Haris; Faraj, Safaa A.; Keoppi, Neophyta; Al‐Jadiry, Mazin Faisal; Postovsky, Sergey; Al-Omari, Ma'an; Razzaq, Samaher; Ayyash, Hani; Khader, Khaled; Kebudi, Rejin; Omran, Suha; Rasheed, Osaid; Qadire, Mohammed; Özet, Ahmet; Silbermann, Michael

doi:10.1017/s147895151800055x

Cited by 55 publications

(45 citation statements)

References 38 publications

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“…of 770 physicians and nurses from 14 countries in the Middle East, a lack of adequate training was the most important predictor of the lack of spiritual care, while it was one of the least important factors in the current study. [28] The reason for this difference may be explained by the blending of religious and spiritual issues with the everyday lives of Iranians, the traces of which are evident in the politics, custom, law, and universities of the country. Therefore, care providers do not feel the need of receiving such specific training.…”

Section: Discussionmentioning

confidence: 99%

“…In order to use this tool, it was translated from English into Persian and retranslated into English in order to ensure that the English and Persian versions were identical. [28] Then, the psychometric evaluation of this scale was performed. To evaluate the validity of the scale after its translation and back translation, the content and face validities were evaluated.…”

Section: Methodsmentioning

confidence: 99%

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Evaluation of Health-Care Providers' Perception of Spiritual Care and the Obstacles to Its Implementation

Farahani

Rassouli

Salmani

et al. 2019

Asia-Pacific Journal of Oncology Nursing

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Objective: Cancer patients face many health challenges, including spiritual issues. Therefore, an awareness of health-care providers’ perspective on spiritual care provision is important. This study aimed to determine health-care providers’ perception of spiritual care and to examine the individual barriers to its implementation in cancer patients. Methods: The present descriptive study included 136 physicians and nurses. The Spiritual Care Survey was used as a research tool. Data were analyzed through descriptive statistics using IBM SPSS Statistics for Windows, version 20.0. Results: In this study, 70.6% of the participants considered spiritual care to be influential in the patients’ quality of life. However, 64.7% had received no spiritual care training, while 82.4% indicated a willingness to attend these courses. Regarding the obstacles to providing spiritual care, the highest and lowest scores, respectively, belonged to the lack of time and the person's reluctance to talk about spiritual issues. Conclusions: Spiritual care has not yet found its proper place in the care setting of Iran, and health-care team members do not have sufficient training to provide this kind of care despite their belief in its positive impact on patients’ quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Evaluation of Health-Care Providers' Perception of Spiritual Care and the Obstacles to Its Implementation

Farahani

Rassouli

Salmani

et al. 2019

Asia-Pacific Journal of Oncology Nursing

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“…[43444546] Personal discomfort, lack of knowledge and skills in spiritual care, lack of role clarity and models of care, training and time, and ever-increasing demands of busy clinical environments have been cited as barriers to engaging in spiritual care. [47484950]…”

Section: Introductionmentioning

confidence: 99%

Patient Perspectives about Spirituality and Spiritual Care

Fitch

Bartlett

2019

Asia-Pacific Journal of Oncology Nursing

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Objective: This study was undertaken to explore the perspectives regarding spirituality and spiritual care held by individuals with advanced disease. The aim was to gain a deeper understanding about their viewpoints surrounding spiritual care and the role of health-care professionals in providing such care. Methods: Sixteen individuals with advanced disease and a prognosis of <12 months underwent an in-depth interview. Transcripts were subjected to a qualitative descriptive analysis to identify salient content and themes. Results: Four overall themes were identified: Spirituality is personal, spiritual distress is about separation, spiritual care is about connecting, and conversations about spirituality must align with the patient's beliefs. Subthemes emphasized the individuality of spiritual expression, the potential for illness impacting spiritual beliefs, and the value of connections to one's spiritual community. Participants thought healthcare providers needed to be able to identify individuals who were experiencing a spiritual struggle, acknowledge the reality of that struggle, and connect the individual with the appropriate resource or person. Conclusions: Patients with advanced disease are likely to express their spirituality in unique ways. Being able to talk about their spiritual beliefs and doubts during illness without judgment was seen as a benefit to them. Healthcare providers ought to be able to identify those patients who require assistance in connecting to appropriate spiritual care resources.

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“…At the same time, there are in German-speaking countries, various projects of specialized curricula in conventional classroom style and in virtual conferences, addressing all health professionals. Outcome data about CME courses, eg, in palliative care,14,34 are sparse.…”

Section: Discussionmentioning

confidence: 99%

“…They subscribe to initiatives such as the US-wide inter-professional SC education curriculum development promoted and coordinated by the George Washington Institute for Spirituality and Health,12 serving as a model for implementing SC training in different cultural, political, and linguistical contexts. In the meantime, there have been several didactic and conceptual studies conducted in various countries: the US,13 Near East,14 in Iran,15,16 in Brazil,17 in the United Kingdom,18,19 and in Canada 20. In some countries, such as Germany, SC training is a compulsory part of the UME palliative care teaching.…”

Section: Introductionmentioning

confidence: 99%

<p>A Survey on the Integration of Spiritual Care in Medical Schools from the German-Speaking Faculties</p>

Taverna¹,

Berberat²,

Sattel³

et al. 2019

AMEP

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ObjectiveTeaching about spirituality and health is recommended by the American Association of Medical Colleges and partially implemented in some US medical schools as well as in some faculties of other countries. We systematically surveyed Medical School Associate Deans for Student Affairs (ADSAs) in three German-speaking countries, assessing both projects on and attitudes towards Spiritual Care (SC) and the extent to which it is addressed in undergraduate (UME), graduate (GME), and continuing (CME) medical education (in this article, UME is understood as the complete basic medical education equivalent to college and Medical School. GME refers to the time of residency).MethodsWe executed a cross-sectional qualitative complete online-survey, addressing ADSAs of all accredited 46 medical schools in these countries. Anonymized responses could be analyzed from 25 (54.3%).ResultsNo faculty provides a mandatory course exclusively dedicated to SC. Fourteen medical schools have UME courses or contents on SC, and 9 incorporate SC in mandatory classes addressing other topics. While most of the respondents indicate that spirituality is important for (a) the patients for coping and (b) for health care in general and thus, support the teaching of SC in UME, only half of them indicate a need for an SC curriculum in UME. Even if funding and training support were available, only a few of the respondents would agree to provide more of the sparse curricular time.ConclusionA majority of the participating medical schools have curricular content on SC, predominantly in UME. However, most of the content is based on voluntary courses. Despite acknowledging its importance to patients, ADSAs and medical teachers are still reflecting on the divergences in patients’ and doctors’ spiritual orientations and its consequences for implementing spirituality into the medical education.

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Training for awareness of one's own spirituality: A key factor in overcoming barriers to the provision of spiritual care to advanced cancer patients by doctors and nurses

Cited by 55 publications

References 38 publications

Evaluation of Health-Care Providers' Perception of Spiritual Care and the Obstacles to Its Implementation

Evaluation of Health-Care Providers' Perception of Spiritual Care and the Obstacles to Its Implementation

Patient Perspectives about Spirituality and Spiritual Care

<p>A Survey on the Integration of Spiritual Care in Medical Schools from the German-Speaking Faculties</p>

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