Caring Spiritually: A Study on Spiritual Care Training in a Hospice Setting.


Journal

Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association
ISSN: 1539-0705
Titre abrégé: J Hosp Palliat Nurs
Pays: United States
ID NLM: 100887419

Informations de publication

Date de publication:
01 06 2023
Historique:
medline: 9 5 2023
pubmed: 12 4 2023
entrez: 11 4 2023
Statut: ppublish

Résumé

Spiritual care can improve patients' physical and emotional well-being, but patients at the end of life often experience their spiritual needs are not being sufficiently met by the health care professionals. This is caused by barriers among health care professionals that stem from inadequate education on spiritual care and lack of self-reflection on spiritual topics. By participating in spiritual care training, health care professionals seem to gain the knowledge, confidence, and skills they need to care spiritually for patients. The aim of this study was to evaluate the effect and experiences of a training course in spiritual care for 30 nurses working at a Danish hospice. This was done by means of both a before-and-after questionnaire and focus group interviews. The course focused primarily on the nurses and their personal and collegial reflections on spiritual care, whereas increased spiritual care for patients seemed to be a secondary outcome of the course. There was a significant statistical correlation between the nurses' values and spirituality, and their confidence in being able to exercise spiritual care for patients. The training course facilitated spiritual empowerment, collegial spiritual care, and spiritual language among the nurses, which led to increased spiritual care for patients.

Identifiants

pubmed: 37040374
doi: 10.1097/NJH.0000000000000947
pii: 00129191-202306000-00008
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

156-164

Informations de copyright

Copyright © 2023 by The Hospice and Palliative Nurses Association. All rights reserved.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to disclose.

Références

Best M, Leget C, Goodhead A, Paal P. An EAPC white paper on multi-disciplinary education for spiritual care in palliative care. BMC Palliat Care . 2020;19(1):9. doi:10.1186/s12904-019-0508-4.
doi: 10.1186/s12904-019-0508-4
Sundhedsstyrelsen. Anbefalinger for Den Palliative Indsats (Recommendations for Palliative Care) . København, Denmark: Sundhedsstyrelsen; 2017.
Harrad R, Cosentino C, Keasley R, Sulla F. Spiritual care in nursing: an overview of the measures used to assess spiritual care provision and related factors amongst nurses. Acta Biomed . 2019;90(4-S):44–55. doi:10.23750/abm.v90i4-S.8300.
doi: 10.23750/abm.v90i4-S.8300
Chen J, Lin Y, Yan J, Wu Y, Hu R. The effects of spiritual care on quality of life and spiritual well-being among patients with terminal illness: a systematic review. Palliat Med . 2018;32(7):1167–1179. doi:10.1177/0269216318772267.
doi: 10.1177/0269216318772267
Durmuş M, Ekinci M. The effect of spiritual care on anxiety and depression level in patients receiving hemodialysis treatment: a randomized controlled trial. J Relig Health . 2022;61(3):2041–2055. doi:10.1007/s10943-021-01386-4.
doi: 10.1007/s10943-021-01386-4
Keivan N, Daryabeigi R, Alimohammadi N. Effects of religious and spiritual care on burn patients' pain intensity and satisfaction with pain control during dressing changes. Burns . 2019;45(7):1605–1613. doi:10.1016/j.burns.2019.07.001.
doi: 10.1016/j.burns.2019.07.001
Memaryan N, Ghaempanah Z, Aghababaei N, Koenig HG. Integration of spiritual care in hospital care system in Iran. J Relig Health . 2020;59(1):82–95. doi:10.1007/s10943-019-00864-0.
doi: 10.1007/s10943-019-00864-0
Lukovsky J, McGrath E, Sun C, Frankl D, Beauchesne MA. A survey of hospice and palliative care nurses' and holistic nurses' perceptions of spirituality and spiritual care. J Hosp Palliat Nurs . 2021;23(1):28–37. doi:10.1097/njh.0000000000000711.
doi: 10.1097/njh.0000000000000711
Viftrup DT, Nissen R, Søndergaard J, Hvidt NC. Four aspects of spiritual care: a phenomenological action research study on practicing and improving spiritual care at two Danish hospices. Palliat Care Soc Pract . 2021;15:26323524211050646. doi:10.1177/26323524211050646.
doi: 10.1177/26323524211050646
Nissen RD, Falkø E, Toudal Viftrup D, et al. The catalogue of spiritual care instruments: a scoping review. Religions . 2020;11(5):252. doi:0.3390/rel11050252.
doi: doi:0.3390/rel11050252
Puchalski C. Spiritual care in health care: guideline, models, spiritual assessment and the use of the ©FICA Spiritual History Tool. In: Büssing A, ed. Spiritual Needs in Research and Practice: The Spiritual Needs Questionnaire as a Global Resource for Health and Social Care . Manhatten: Springer International Publishing; 2021:27–45.
Paal P, Helo Y, Frick E. Spiritual care training provided to healthcare professionals: a systematic review. J Pastoral Care Counsel . 2015;69(1):19–30. doi:10.1177/1542305015572955.
doi: 10.1177/1542305015572955
Hu Y, Jiao M, Li F. Effectiveness of spiritual care training to enhance spiritual health and spiritual care competency among oncology nurses. BMC Palliat Care . 2019;18(1):104. doi:10.1186/s12904-019-0489-3.
doi: 10.1186/s12904-019-0489-3
Chahrour WH, Hvidt NC, Hvidt EA, Viftrup DT. Learning to care for the spirit of dying patients: the impact of spiritual care training in a hospice-setting. BMC Palliat Care . 2021;20(1):115. doi:10.1186/s12904-021-00804-4.
doi: 10.1186/s12904-021-00804-4
Viftrup DT, Damgaard H, Madsen LD, Hvidt NC. Åndelig-eksistentiel omsorg og samtale på hospice (Spiritual care and conversation in hospice). Omsorg . 2020;3(37):73–78.
Viftrup DT, Laursen K, Hvidt NC. Developing an educational course in spiritual care: an action research study at two Danish hospices. Religions . 2021;12(10):827. doi:10.3390/rel12100827.
doi: 10.3390/rel12100827
Carter N, Bryant-Lukosius D, DiCenso A, Blythe J, Neville AJ. The use of triangulation in qualitative research. Oncol Nurs Forum . 2014;41(5):545–547. doi:10.1188/14.Onf.545-547.
doi: 10.1188/14.Onf.545-547
Hvidt EA, Ammentorp J, Sondergaard J, Timmermann C, Hansen DG, Hvidt NC. Developing and evaluating a course programme to enhance existential communication with cancer patients in general practice. Scand J Prim Health Care . 2018;36(2):142–151. doi:10.1080/02813432.2018.1459235.
doi: 10.1080/02813432.2018.1459235
Halkier B. Fokusgrupper [Focus Groups] . 3rd ed. Århus: Samfundslitteratur; 2016.
Assing Hvidt E. Kap. 12 interpretative fænomenologisk analyse (Chapter 12: intepretative phenomenological analysis). In: Gildberg FA, Hounsgaard L, eds. Kvalitative Analysemetoder i Sundhedsforskning . Århus: Klim; 2018:180–192.
Assing Hvidt E, Søndergaard J, Hansen DG, et al. ‘We are the barriers’: Danish general practitioners' interpretations of why the existential and spiritual dimensions are neglected in patient care. Commun Med . 2018;14(2):108–120. doi:10.1558/cam.32147.
doi: 10.1558/cam.32147
Viftrup DT, Hvidt NC, Prinds C. Dignity in end-of-life care at hospice: an action research study. Scand J Caring Sci . 2021;35:420–429. doi:10.1111/scs.12872.
doi: 10.1111/scs.12872
Jørgensen MB, Nielsen MN, Bargfeldt E. Eksistenslaboratorium. En Undervisningsmodel til Sundhedsprofessionelle (Existence Lab—A Teaching Model for Health Care Professionals) . København: Bispebjerg og Frederiksberg Hospitaler; 2016.
World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Bull World Health Organ . 2001;79(4):373–374.
Nissen RD, Viftrup DT, Hvidt NC. The process of spiritual care. Front Psychol . 2021;12:674453. doi:10.3389/fpsyg.2021.674453.
doi: 10.3389/fpsyg.2021.674453
Mottaghi S, Poursheikhali H, Shameli L. Empathy, compassion fatigue, guilt and secondary traumatic stress in nurses. Nurs Ethics . 2020;27(2):494–504. doi:10.1177/0969733019851548.
doi: 10.1177/0969733019851548
Portoghese I, Galletta M, Larkin P, et al. Compassion fatigue, watching patients suffering and emotional display rules among hospice professionals: a daily diary study. BMC Palliat Care . 2020;19(1):23. doi:10.1186/s12904-020-0531-5.
doi: 10.1186/s12904-020-0531-5
Kamau C, Medisauskaite A, Lopes B. Orientations can avert psychosocial risks to palliative staff. Psychooncology . 2014;23(6):716–718. doi:10.1002/pon.3496.
doi: 10.1002/pon.3496
Weber SR, Pargament KI. The role of religion and spirituality in mental health. Curr Opin Psychiatry . 2014;27(5):358–363. doi:10.1097/yco.0000000000000080.
doi: 10.1097/yco.0000000000000080
Viftrup DT, Hvidt NC. Det relationelle som fundament for omsorg (Relationships as fundamental in care). In: Hvidt EA, Søndergaard J, Grønning A, eds. Relationer i Sundhedsvæsenet: Hvorfor og Hvordan? Chap. 2. Århus: Samfundslitteratur; 2021:49–66.
Prinds C, Hvidtjørn D, Schrøder K, Viftrup DT. Existential aspects as an inevitable part of salutogenesis in maternity care—a discussion paper. Women Birth . 2022;35(6):532–535. doi:10.1016/j.wombi.2022.02.001.
doi: 10.1016/j.wombi.2022.02.001
Prinds C, Timmerman C, Hvidtjørn D, et al. Existential aspects in the transition to parenthood based on interviews and a theatre workshop. Sex Reprod Healthc . 2021;28:100612. doi:10.1016/j.srhc.2021.100612.
doi: 10.1016/j.srhc.2021.100612
Borregaard Myrhøj C, Novrup Clemmensen S, Sax Røgind S, Jarden M, Toudal Viftrup D. Serious illness conversations in patients with multiple myeloma and their family caregivers—a qualitative interview study. Eur J Cancer Care (Engl) . 2022;31(1):e13537. doi:10.1111/ecc.13537.
doi: 10.1111/ecc.13537

Auteurs

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH