A qualitative hermeneutical understanding of spiritual care in old age when living in a nursing home: The residents' voices.

dementia hermeneutics nursing home older people qualitative residents spiritual care

Journal

Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302

Informations de publication

Date de publication:
Nov 2023
Historique:
revised: 19 06 2023
received: 23 02 2023
accepted: 31 07 2023
pubmed: 14 8 2023
medline: 14 8 2023
entrez: 14 8 2023
Statut: ppublish

Résumé

To explore and gain a broader understanding of residents' viewpoints and experiences of spiritual care when living in a nursing home. A qualitative hermeneutical interview study inspired by Gadamer's philosophical hermeneutics. Thirty-eight individual interviews of 14 male and 24 female residents; of these, 24 had a dementia diagnosis. The setting was one large Norwegian nursing home providing long-term care. FACIT-Sp-12 was used as a guide for the interview, in addition to two open-ended questions about thriving and spiritual care. The older residents' voices portray a broad and diverse understanding of spiritual care, and four themes emerged: (1) Spiritual at-homeness, (2) Spiritual awareness, (3) Philosophy of life and (4) Interconnectedness. Accepting one's life situation in a nursing home can foster a feeling of belonging, leading to feeling more at-home. Spiritual well-being, including finding purpose, spiritual awareness and beliefs, was found to be interconnected with spiritual at-homeness in the nursing home. This study provides insights into older nursing home residents' viewpoints on spiritual care, including persons living with dementia. The study addressed the limited evidence regarding how older residents themselves experience and express spiritual care. Listening to older nursing home residents' voices provides a unique contribution to the research field. As several individuals with dementia contributed to the findings, this study mirrors the current population of residents in nursing homes. The findings may inform healthcare provision and policymakers and impact upon spiritual care in the field of older people nursing and dementia care services. The COREQ guideline. Participation through interviews of nursing home residents.

Identifiants

pubmed: 37574799
doi: 10.1111/jocn.16855
doi:

Types de publication

Journal Article

Langues

eng

Pagination

7846-7859

Informations de copyright

© 2023 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.

Références

Bahrain, S., Wazni, L., & Demers, C. (2019). The accuracy of measures in screening adults for spiritual suffering in health care settings: A systematic review. Palliative and Supportive Care, 18(1), 89-102.
Baxter, R., Corneliusson, L., Björk, S., Kloos, N., & Edvardsson, D. (2021). A recipe for thriving in nursing homes: A meta-ethnography. Journal of Advanced Nursing, 77(6), 2680-2688.
Bergbom, I., Nåden, D., & Nyström, L. (2021). Katie Eriksson's caring theories. Part 1. The caritative caring theory, the multidimensional health theory and the theory of human suffering. Scandinavian Journal of Caring Sciences, 36, 782-790.
Binding, L. L., & Tapp, D. M. (2008). Human understanding in dialogue: Gadamer's recovery of the genuine. Nursing Philosophy, 9(2), 121-130.
Cone, P., & Giske, T. (2022). The nurse's handbook of spiritual care. Wiley Blackwell.
Corcoran, L., & Cook, K. (2023). The philosophy of Hans-Georg Gadamer: An exemplar of the complicated relationship between philosophy and nursing practice. Nursing Inquiry, 30(1), e12509.
Debesay, J., Nåden, D., & Slettebø, Å. (2008). How do we close the hermeneutic circle? A Gadamerian approach to justification in interpretation in qualitative studies. Nursing Inquiry, 15(1), 57-66.
Eriksson, K. (1997). Caring, spirituality and suffering. In M. S. Roach (Ed.), Caring from the heart: The convergence of caring and spirituality (pp. 68-83). Paulist Press.
Eriksson, K. (2010). Evidence: To see or not to see. Nursing Science Quarterly, 23(4), 275-279.
Fisher, M. J., & Marshall, A. P. (2009). Understanding descriptive statistics. Australian Critical Care, 22(2), 93-97.
Gadamer, H.-G. (2004). Truth and method (Vol. 2, pp. 60). Continuum.
Gautam, S., Montayre, J., & Neville, S. (2022). Seeking and maintaining connections: A grounded theory study of maintaining spirituality in residential aged care facilities. International Journal of Older People Nursing, 17(3), 1-12.
Gautam, S., Neville, S., & Montayre, J. (2019). What is known about the spirituality in older adults living in residential care facilities? An integrative review. International Journal of Older People Nursing, 14(2), e12228.
Harrington, A., Williamson, V., & Goodwin-Smith, I. (2019). Understanding the diverse forms of spiritual expression of older people in residential aged care in Australia. Journal of Religion & Health, 58(5), 1561-1572.
Haugan, G. (2015). The FACIT-Sp spiritual well-being scale: An investigation of the dimensionality, reliability and construct validity in a cognitively intact nursing home population. Scandinavian Journal of Caring Sciences, 29(1), 152-164.
Haugland, B. Ø., & Giske, T. (2021). Nursing students explore meaningful activities for nursing home residents: Enlivening the residents by cultivating their spark of life. Nursing Reports, 11(2), 217-228.
Hilli, Y., & Eriksson, K. (2019). The home as ethos of caring: A concept determination. Nursing Ethics, 26(2), 425-433.
Hirakawa, Y. (2014). Emotional and spiritual pain and suffering of older people with end-of-life dementia from the perspective of nurses and care workers: A qualitative study. Journal of Nursing and Care, 3(6), 212.
Jones, C. L. C. (2020). Spiritual well-being in older adults: A concept analysis. Journal of Christian Nursing, 37(4), E31-E38.
Kuepfer, J., Schmidt, A., O'Connor, T. S. J., & James, M. (2022). Promise, provision, and potential: A hopeful trajectory for spiritual care in long-term care. Journal of Pastoral Care & Counseling, 76(2), 105-113.
Lifshitz, R., Nimrod, G., & Bachner, Y. G. (2019). Spirituality and wellbeing in later life: A multidimensional approach. Aging & Mental Health, 23(8), 984-991.
Morland, M., McSherry, W., & Rykkje, L. (2022). Understanding spiritual care-Perspectives from healthcare professionals in a Norwegian nursing home. Religions, 13(3), 239.
Ødbehr, L. S., Hauge, S., Danbolt, L. J., & Kvigne, K. (2017). Residents' and caregivers' views on spiritual care and their understanding of spiritual needs in persons with dementia: A meta-synthesis. Dementia, 16(7), 911-929.
Öhlén, J., Ekman, I., Zingmark, K., Bolmsjö, I., & Benzein, E. (2014). Conceptual development of “at-homeness” despite illness and disease: A review. International Journal of Qualitative Studies on Health and Well-Being, 9(1), 23677.
Palmer, J. A., Hilgeman, M., Balboni, T., Paasche-Orlow, S., & Sullivan, J. L. (2022). The spiritual experience of dementia from the health care provider perspective: Implications for intervention. Gerontologist, 62(4), 556-567.
Pascoe, E. (1996). The value to nursing research of Gadamer's hermeneutic philosophy. Journal of Advanced Nursing, 24(6), 1309-1314.
Pennbrant, S., Hjorton, C., Nilsson, C., & Karlsson, M. (2020). “The challenge of joining all the pieces together” - Nurses' experience of palliative care for older people with advanced dementia living in residential aged care units. Journal of Clinical Nursing, 29(19-20), 3835-3846.
Public Health Report Editorial Group. (2016). Health among the elderly in Norway. Public health report - Health status in Norway [online document]. https://www.fhi.no/en/op/hin/groups/health-and-ageing-in-norway/
Rykkje, L. (2019). Views on spirituality in old age: What does love have to do with it? Religions, 10(1), 5.
Rykkje, L., & McSherry, W. (2021). Spiritual care and dignity in old age. In W. McSherry, L. Rykkje, & S. Thornton (Eds.), Understanding ageing for nurses and therapists (pp. 39-50). Springer International Publishing.
Rykkje, L., & Råholm, M.-B. (2014). Understanding older peoples' experiences of dignity and its significance in caring - A hermeneutical study. International Journal for Human Caring, 18(1), 17-26.
Saunes, I. S. (2020). The Norwegian health care system. In R. Tikkanen, R. Osborn, E. Mossialos, A. Djordjevic, & G. Wharton (Eds.), International profiles of health care systems (pp. 159-168). The Commonwealth Fund. https://www.commonwealthfund.org/sites/default/files/2020-12/International_Profiles_of_Health_Care_Systems_Dec2020.pdf
Swinton, J., & Pattison, S. (2010). Moving beyond clarity: Towards a thin, vague, and useful understanding of spirituality in nursing care. Nursing Philosophy, 11(4), 226-237.
Toivonen, K., Charalambous, A., & Suhonen, R. (2023). Supporting the spirituality of older people living with dementia in nursing care: A hermeneutic phenomenological inquiry into older people's and their family members' experiences. International Journal of Older People Nursing, 18(1), e12514.
Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357.
Tsai, K.-L., Chang, P.-F. J., Mathew, A. J., Richard, C., Davidson, H. A., & Hersch, G. I. (2022). Exploring spirituality of elders relocating into long-term care facilities. Open Journal of Occupational Therapy, 10(2), 1-11.

Auteurs

Linda Rykkje (L)

Institute of Health, Faculty of Health Studies, Bergen, Norway.

Marianne Morland (M)

Institute of Nursing, Faculty of Health Studies, Bergen, Norway.

Kristin Ferstad (K)

Institute of Nursing, Faculty of Health Studies, Bergen, Norway.

Britt Moene Kuven (BM)

Institute of Nursing, Faculty of Health Studies, Bergen, Norway.

Classifications MeSH