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Costeira C, Querido A, Ventura F, Loureiro H, Coelho J, Benito E, Nabal M, Dones M, Specos M, Laranjeira C. Spiritual Care[Givers] Competence in Palliative Care: A Scoping Review. Healthcare (Basel) 2024; 12:1059. [PMID: 38891134 PMCID: PMC11171750 DOI: 10.3390/healthcare12111059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2024] [Revised: 05/18/2024] [Accepted: 05/20/2024] [Indexed: 06/21/2024] Open
Abstract
To deliver spiritual care, professionals must be skilled in physical, mental, social, and spiritual care. Spiritual care competence includes knowledge, behaviors, attitudes, and skills that enable successful or efficient care. This review aims to identify the scope of competence and the specific skills, knowledge, and attitudes used in providing spiritual care to people needing palliative care, and the main challenges and facilitators. A scoping review was developed using the Joanna Briggs Institute methodology. Six databases (Web of Science; MEDLINE/Pubmed; Scopus; CINAHL; MedicLatina and SciELO) were searched in September 2023, with an update in January 2024. The resulting 30 articles were analyzed using a content analysis approach. Information was categorized into three domains: cognitive, affective, and functional (based on three personal resources: intrapersonal, interpersonal, and transpersonal). Palliative care professionals face a lack of training and insufficient preparation to deliver spiritual care. Spiritual care competence depends on professional spiritual development and experience, spiritual intelligence (cognitive), spiritual humility (affective), and having a critical and reflexive mind (functional). In the future, palliative care should seek to improve competent spiritual care. This review could help clarify the real configuration of competent spiritual care and lead to improvements in a professional's empowerment when delivering effective spiritual care to patients and families.
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Affiliation(s)
- Cristina Costeira
- School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal; (A.Q.); (J.C.)
- Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic University of Leiria, Campus 5, Rua das Olhalvas, 2414-016 Leiria, Portugal
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (F.V.); (H.L.)
| | - Ana Querido
- School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal; (A.Q.); (J.C.)
- Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic University of Leiria, Campus 5, Rua das Olhalvas, 2414-016 Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, 4200-450 Porto, Portugal
| | - Filipa Ventura
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (F.V.); (H.L.)
| | - Hugo Loureiro
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal; (F.V.); (H.L.)
| | - Joana Coelho
- School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal; (A.Q.); (J.C.)
| | - Enric Benito
- Forum Ibero Americano de Espiritualidad, Fundacion SECPAL, C. Sta. Isabel n 51 Centro, 28012 Madrid, Spain; (E.B.); (M.D.); (M.S.)
| | - Maria Nabal
- Forum Ibero Americano de Espiritualidad, Fundacion SECPAL, C. Sta. Isabel n 51 Centro, 28012 Madrid, Spain; (E.B.); (M.D.); (M.S.)
- Palliative Cares Supportive Team, Hospital Universitario Arnau de Vilanova de Lleida, Universidad de Lleida, 25198 Lleida, Spain
| | - Monica Dones
- Forum Ibero Americano de Espiritualidad, Fundacion SECPAL, C. Sta. Isabel n 51 Centro, 28012 Madrid, Spain; (E.B.); (M.D.); (M.S.)
- Palliative Care Hospital Support Team, The Ramón y Cajal University Hospital of Madrid, 28034 Madrid, Spain
- Departamento de Enfermería, Facultad de Medicina, Autonomous University of Madrid, Calle del Arzobispo Morcillo, n° 4, 28029 Madrid, Spain
| | - Marcela Specos
- Forum Ibero Americano de Espiritualidad, Fundacion SECPAL, C. Sta. Isabel n 51 Centro, 28012 Madrid, Spain; (E.B.); (M.D.); (M.S.)
- Institute Pallium Latin-American, Bonpland 2287, Buenos Aires 1425, Argentina
| | - Carlos Laranjeira
- School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal; (A.Q.); (J.C.)
- Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic University of Leiria, Campus 5, Rua das Olhalvas, 2414-016 Leiria, Portugal
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-801 Évora, Portugal
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van Meurs J, Breedveld R, van de Geer J, Leget C, Smeets W, Koorneef R, Vissers K, Engels Y, Wichmann A. Role-Perceptions of Dutch Spiritual Caregivers in Implementing Multidisciplinary Spiritual Care: A National Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2154. [PMID: 36767521 PMCID: PMC9916359 DOI: 10.3390/ijerph20032154] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 01/12/2023] [Accepted: 01/17/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND During the course of their disease, patients are, apart from suffering physical discomfort, also confronted with psychological, social, and spiritual challenges. However, healthcare professionals often lack the knowledge and skills to address the spiritual dimension and are in need of support for taking this responsibility. Spiritual caregivers are experts in spiritual care, but their contribution to the integration of this care by other healthcare professionals is largely unknown. OBJECTIVE The aim of this study was to investigate how Dutch spiritual caregivers view their role in increasing the integration of spiritual care in daily healthcare practice as provided by other healthcare professionals in the Netherlands, and how they address this role. METHODS An online survey was conducted from May until June 2021 among spiritual caregivers working in Dutch healthcare. Data were analysed using descriptive statistics. RESULTS The majority of the 174 respondents answered that they already fulfil a role in the integration of spiritual care by, for example, providing education, coaching on the job, or participating in multidisciplinary consultation. However, the majority of respondents experienced barriers to their contribution, such as confusion of terminology and use of language while collaborating with other healthcare professionals and reluctance to share information. CONCLUSIONS While spiritual caregivers realise having the potential to make important contributions to the further process of integration of spiritual care into the daily practice of other healthcare professionals, some practices and perceptions, especially from within their own discipline, may hamper this.
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Affiliation(s)
- Jacqueline van Meurs
- Department of Spiritual and Pastoral Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands
- Department of Anaesthesiology, Pain and Palliative Medicine, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands
| | - Roos Breedveld
- Department of Anaesthesiology, Pain and Palliative Medicine, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands
| | - Joep van de Geer
- Academic Hospice Demeter, 3731 AL De Bilt, The Netherlands
- Agora Foundation, 3981 CK Bunnik, The Netherlands
| | - Carlo Leget
- Department of Care and Welfare, University of Humanistic Studies, 3512 HD Utrecht, The Netherlands
| | - Wim Smeets
- Department of Spiritual and Pastoral Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands
| | - Robert Koorneef
- Professional Association of Spiritual Caregivers VGVZ, 3860 AE Nijkerk, The Netherlands
| | - Kris Vissers
- Department of Anaesthesiology, Pain and Palliative Medicine, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands
| | - Yvonne Engels
- Department of Anaesthesiology, Pain and Palliative Medicine, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands
| | - Anne Wichmann
- Department of Anaesthesiology, Pain and Palliative Medicine, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands
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Effectiveness of International Hospice and Palliative Care Training for Health Care Professionals in Countries of the Western Pacific Region. J Hosp Palliat Nurs 2022; 24:E197-E204. [PMID: 35666778 DOI: 10.1097/njh.0000000000000878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
As hospice and palliative care is a holistic service grounded in spirituality, training in spiritual care is essential. This study aimed to describe an international workforce training program for hospice and palliative care that emphasized spiritual care and evaluate the effectiveness of the training implementation. A quasi-experimental study was conducted with 28 health care professionals from 4 countries in the Western Pacific Region, who attended the international workforce trainings on hospice and palliative care. Data were collected before and after the trainings using a self-reported survey questionnaire. The participants' palliative care knowledge, spiritual well-being, perceived stress, and compassion competency were analyzed to evaluate the training program. Whereas the participants' knowledge of hospice and palliative care ( P < .001) and compassion competency increased ( P = .004), their perceived stress decreased post training ( P = .002). This study provided an extensive description of an international workforce training program of hospice and palliative care for potential replication of the training in other regions of the world. Because training in hospice and palliative care positively influenced health care professionals' spiritual care competency, future training and studies should consider spiritual care factors, along with intellectual aspects.
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Brucki SMD, Aprahamian I, Borelli WV, Silveira VCD, Ferretti CEDL, Smid J, Barbosa BJAP, Schilling LP, Balthazar MLF, Frota NAF, Souza LCD, Vale FAC, Caramelli P, Bertolucci PHF, Chaves MLF, Nitrini R, Schultz RR, Morillo LS. Management in severe dementia: recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology. Dement Neuropsychol 2022. [DOI: 10.1590/1980-5764-dn-2022-s107en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
ABSTRACT Alzheimer’s disease (AD) and other neurodegenerative dementias have a progressive course, impairing cognition, functional capacity, and behavior. Most studies have focused on AD. Severe dementia is associated with increased age, higher morbidity-mortality, and rising costs of care. It is fundamental to recognize that severe dementia is the longest period of progression, with patients living for many years in this stage. It is the most heterogeneous phase in the process, with different abilities and life expectancies. This practice guideline focuses on severe dementia to improve management and care in this stage of dementia. As it is a long period in the continuum of dementia, clinical practice should consider non-pharmacological and pharmacological approaches. Multidisciplinary interventions (physical therapy, speech therapy, nutrition, nursing, and others) are essential, besides educational and support to caregivers.
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Affiliation(s)
| | - Ivan Aprahamian
- Faculdade de Medicina de Jundiaí, Brasil; University of Groningen, The Netherlands; Universidade de São Paulo, Brasil
| | | | | | | | | | - Breno José Alencar Pires Barbosa
- Universidade de São Paulo, Brazil; Universidade Federal de Pernambuco, Brasil; Instituto de Medicina Integral Prof. Fernando Figueira, Brasil
| | - Lucas Porcello Schilling
- Pontifícia Universidade do Rio Grande do Sul, Brasil; Pontifícia Universidade do Rio Grande do Sul, Brasil; Pontifícia Universidade do Rio Grande do Sul, Brasil
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Brucki SMD, Aprahamian I, Borelli WV, Silveira VCD, Ferretti CEDL, Smid J, Barbosa BJAP, Schilling LP, Balthazar MLF, Frota NAF, Souza LCD, Vale FAC, Caramelli P, Bertolucci PHF, Chaves MLF, Nitrini R, Schultz RR, Morillo LS. Manejo das demências em fase avançada: recomendações do Departamento Científico de Neurologia Cognitiva e do Envelhecimento da Academia Brasileira de Neurologia. Dement Neuropsychol 2022; 16:101-120. [DOI: 10.1590/1980-5764-dn-2022-s107pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Revised: 10/04/2021] [Accepted: 04/27/2022] [Indexed: 11/29/2022] Open
Abstract
RESUMO A doença de Alzheimer (DA) e outras demências neurodegenerativas têm um curso progressivo com comprometimento da cognição, capacidade funcional e comportamento. A maioria dos estudos enfocou a DA. A demência grave está associada ao aumento da idade, maior morbimortalidade e aumento dos custos de cuidados. É fundamental reconhecer que a demência grave é o período mais longo de progressão, com o paciente vivendo muitos anos nesta fase. É a fase mais heterogênea do processo, com diferentes habilidades e expectativa de vida. Esta diretriz de prática concentra-se na demência grave para melhorar o manejo e o cuidado nessa fase da demência. Como um longo período no continuum da demência, as abordagens não farmacológicas e farmacológicas devem ser consideradas. Intervenções multidisciplinares (fisioterapia, fonoaudiologia, nutrição, enfermagem, entre outras) são essenciais, além de educacionais e de apoio aos cuidadores.
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Affiliation(s)
| | - Ivan Aprahamian
- Faculdade de Medicina de Jundiaí, Brasil; University of Groningen, The Netherlands; Universidade de São Paulo, Brasil
| | | | | | | | | | - Breno José Alencar Pires Barbosa
- Universidade de São Paulo, Brazil; Universidade Federal de Pernambuco, Brasil; Instituto de Medicina Integral Prof. Fernando Figueira, Brasil
| | - Lucas Porcello Schilling
- Pontifícia Universidade do Rio Grande do Sul, Brasil; Pontifícia Universidade do Rio Grande do Sul, Brasil; Pontifícia Universidade do Rio Grande do Sul, Brasil
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Kuepfer J, Schmidt A, O'Connor TSJ, James M. Spiritual Care in Ontario Long-Term Care: Current Staffing Realities and Recommendations. THE JOURNAL OF PASTORAL CARE & COUNSELING : JPCC 2022; 76:29-36. [PMID: 35068242 DOI: 10.1177/15423050211073571] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
How are spiritual needs addressed in long-term care? This quantitative study explored the level of spiritual care offered and qualifications of spiritual care providers in 177 LTC homes in Ontario. Data showed 49% of homes employ Spiritual Care Providers (SCPs), with more positions in urban and not-for-profit homes. Findings revealed SCPs bring a substantial skill set, attending to needs of residents, families and team members. More consistent staffing for spiritual care provision across the sector is recommended.
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7
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Szilagyi C, Lion AH, Varner Perez SE, Koch S, Oyedele O, Slaven JE, Montz K, Haase JE, Puchalski CM. Interprofessional spiritual care education in pediatric hematology-oncology: A pilot study. Pediatr Blood Cancer 2022; 69:e29515. [PMID: 34913577 DOI: 10.1002/pbc.29515] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2021] [Revised: 11/12/2021] [Accepted: 11/20/2021] [Indexed: 11/10/2022]
Abstract
BACKGROUND Evidence and clinical guidelines call care team members to address the spiritual well-being of pediatric patients, especially adolescents and young adults (AYA), with cancer and blood disorders. However, the lack of relevant training in generalist spiritual care has been a key barrier. Therefore, we aimed to improve clinicians' capabilities by utilizing the Interprofessional Spiritual Care Education Curriculum (ISPEC) to close this gap in pediatric hematology-oncology. A model of interprofessional spiritual care entails that all team members attend to patients' spirituality by employing generalist spiritual care skills and collaborating with spiritual care specialists such as chaplains. METHODS Interdisciplinary team members providing care for AYA with cancer and blood disorders were recruited to participate in interprofessional spiritual care education. Our intervention combined an evidence-based online curriculum and in-person discussion groups. Pretest-posttest study examined changes in participants' skills and practices to identify, address, and discuss spiritual concerns. Surveys were conducted at baseline and at 1, 3, and 6 months after the intervention. RESULTS Participants (n = 21) included physicians, advanced practice providers, nurse coordinators, and psychosocial team members. We observed positive changes in participants' ability (36%, P < 0.01), frequency (56%, P = 0.01), confidence (32%, P < 0.01), and comfort (31%, P = 0.02) providing generalist spiritual care baseline versus one month, with significant gains maintained through six months (Omnibus P < 0.05). CONCLUSIONS Utilizing ISPEC, interprofessional spiritual care education has a strong potential to develop pediatric hematology-oncology team members' capabilities to attend to the spiritual aspect of whole-person care and thus contribute to the well-being of AYA with cancer and blood disorders.
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Affiliation(s)
- Csaba Szilagyi
- Johns Hopkins Medicine, Baltimore, Maryland.,Faculty of Theological and Religious Studies, KU Leuven, Leuven, Belgium
| | - Alex H Lion
- Indiana University School of Medicine, Indianapolis, Indiana.,Daniel F. Evans Center for Spiritual and Religious Values in Healthcare at Indiana University Health, Indianapolis, Indiana
| | - Shelley E Varner Perez
- Daniel F. Evans Center for Spiritual and Religious Values in Healthcare at Indiana University Health, Indianapolis, Indiana.,Indiana University Health, Indianapolis, Indiana.,Regenstrief Institute, Inc., Indianapolis, Indiana
| | - Sarah Koch
- Indiana University Health, Indianapolis, Indiana
| | | | - James E Slaven
- Indiana University School of Medicine, Indianapolis, Indiana
| | - Kianna Montz
- Indiana University Health, Indianapolis, Indiana
| | - Joan E Haase
- Indiana University School of Nursing, Indianapolis, Indiana
| | - Christina M Puchalski
- George Washington University School of Medicine, Washington, District of Columbia.,The George Washington University Institute for Spirituality and Health (GWish), Washington, District of Columbia
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8
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Papadopoulos I, Lazzarino R, Koulouglioti C, Ali S, Wright S. Towards a national strategy for the provision of spiritual care during major health disasters: A qualitative study. Int J Health Plann Manage 2022; 37:1990-2006. [PMID: 35194827 PMCID: PMC9544579 DOI: 10.1002/hpm.3443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 01/12/2022] [Accepted: 02/08/2022] [Indexed: 11/17/2022] Open
Abstract
Background Spirituality is beneficial to health. Evidence around the benefits of Spiritual care (SC) is advancing, and training is becoming part of healthcare professional development. As the COVID‐19 crisis showed, during major health disasters (MHDs), the demand for SC grows exponentially, while the burden of care and focus on preserving life often hamper its provision. Nonetheless, existing health emergency strategic frameworks lack preparedness for the provision of SC. Aim The aim of this study was to identify the components for a National Strategy (NS) for the provision of SC during MHDs. Methods Descriptive, cross‐sectional, qualitative phenomenological design based on individual, semi‐structured e‐interviews with nursing managers and National Health Service/volunteer chaplains based in England. Thematic analysis of 25 e‐interview data was performed based on a dialogic collaborative process. Results and Discussion Eleven themes were identified as components of the proposed NS. From these components, specific recommendations for practical actions are provided. An integrated framework approach and smart investments in resources, staff training and technologies should be led by the paradigm of culturally competent and compassionate care. Conclusion The need to have strategic frameworks, both national and local, that better equip a country healthcare sector to prevent, face, and recover from MHDs is paramount. Catering for the spiritual needs of the affected population should be a key aspect of any health emergency strategy to ensure the preservation of quality care. Adequate provision of Spiritual care (SC) is more needed yet challenging during health disasters. With the COVID‐19 crisis, SC strategic planning proved essential. Collaboration, communities' inclusivity, and training are key strategic elements. Governments investments should look at advanced technologies, and material and human resources.
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Affiliation(s)
- Irena Papadopoulos
- Department of Mental Health and Social Work, Research Centre for Transcultural Studies in Health, School of Health and Education, Middlesex University, London, UK
| | - Runa Lazzarino
- Research Centre for Transcultural Studies in Health, Middlesex University, London, UK
| | - Christina Koulouglioti
- Research Centre for Transcultural Studies in Health, Middlesex University, London, UK.,University Hospitals Sussex NHS Foundation Trust, Worthing, UK
| | - Sheila Ali
- Research Centre for Transcultural Studies in Health, Middlesex University, London, UK
| | - Steve Wright
- Department of Mental Health and Social Work, Middlesex University, London, UK
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9
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Hidalgo CMT, de Freitas AJA, de Abreu LS, Santiago HR, Campolina AG. Spiritual needs among hospitalized patients at a public hospital in Brazil: a cross-sectional study. SAO PAULO MED J 2022; 141:125-130. [PMID: 36043678 PMCID: PMC10005469 DOI: 10.1590/1516-3180.2021.0985.r2.19052022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Accepted: 05/19/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The relationship between spirituality and health has been the object of growing discussion. There is a lack of data on spiritual needs assessments in Brazil. OBJECTIVE This study aimed to assess the spiritual needs of patients admitted to a public tertiary hospital and perform a comparative analysis between patients with and without indications for palliative care. DESIGN AND SETTING A cross-sectional observational study included patients hospitalized between August and December 2020 in Hospital do Servidor Publico Municipal, Sao Paulo, Brazil. METHODS The included patients answered a questionnaire consisting of sociodemographic data, the Duke religiosity scale, and the Spiritual Needs Assessment for Patients (SNAP) tool for a spiritual needs assessment. The World Health Organization Palliative Needs tool (NECPAL) was used to evaluate the indications for palliative care. The level of significance adopted was 5%. RESULTS A total of 66 patients were included in this study. Most participants (97%) declared themselves as belonging to a religion. The group without indication for palliative care by the NECPAL showed greater spiritual (P = 0.043) and psychosocial needs (P = 0.004). No statistically significant difference was observed in the religious needs domain (P = 0.176). There were no statistically significant differences in the Duke scale scores between the two groups. CONCLUSION Spiritual, psychosocial, and religious needs are prevalent among hospitalized patients, and multidisciplinary teams must consider these needs in their management approach. In addition, this study suggests that psychosocial and spiritual needs can be even higher in patients who do not receive palliative care.
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Affiliation(s)
- Cassio Murilo Trovo Hidalgo
- MD. Resident, Internal Medicine Department, Hospital do Servidor
Público Municipal (HSPM), São Paulo (SP), Brazil
| | - Ana Julia Aguiar de Freitas
- BSc. Doctoral Student, Molecular Oncology Research Center,
Barretos Cancer Hospital, Teaching and Research Institute, Barretos (SP),
Brazil
| | - Lucas Salviano de Abreu
- MD. Resident, Internal Medicine Department, Hospital do
Servidor Público Municipal (HSPM), São Paulo (SP), Brazil
| | - Hendrio Reginaldo Santiago
- MD. Resident, Internal Medicine Department, Hospital do
Servidor Público Municipal (HSPM), São Paulo (SP), Brazil
| | - Alessandro Gonçalves Campolina
- MD, MSc, PhD. Scientific Researcher, Centro de Investigação
Translacional em Oncologia, Instituto do Câncer do Estado de São Paulo (ICESP),
Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP),
Brasil
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10
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Jones KF, Paal P, Symons X, Best MC. The Content, Teaching Methods and Effectiveness of Spiritual Care Training for Healthcare Professionals: A Mixed-Methods Systematic Review. J Pain Symptom Manage 2021; 62:e261-e278. [PMID: 33757893 DOI: 10.1016/j.jpainsymman.2021.03.013] [Citation(s) in RCA: 38] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 03/15/2021] [Indexed: 02/07/2023]
Abstract
CONTEXT Spirituality has been demonstrated to play an important role in healthcare, yet many staff feel ill-equipped to deliver spiritual care. Spiritual care training programs have been developed to address this need. OBJECTIVE The aim of this mixed-methods systematic review was to identify spiritual care training programs for healthcare professionals or students, and to investigate program content, teaching methods, key outcomes, and identified challenges and facilitators. METHODS A mixed-methods systematic review was conducted. The search terms ('religio*' OR 'spiritual*' OR 'existenti*') were combined with ('educat*' OR 'train*' OR 'curricul*' OR 'program*'), AND ('care' OR 'therap*' OR 'treatment' OR 'competenc*'). Search terms were entered into the following data bases: PsycINFO, Medline, Cinahl and Web of Science. Findings were restricted to peer-reviewed studies published in English between January 2010 and February 2020. RESULTS Fifty-five studies were identified. The quality of studies was mixed. Programs encompassed a range of content and teaching methods. Reported outcomes included increased levels of competency across intrapersonal spirituality, interpersonal spirituality, and spiritual assessment and interventions. Identified barriers included competing healthcare priorities, negative perceptions of spirituality and spiritual care, resistance towards focusing on one's own spirituality, staff feeling inadequate, and the need for ongoing training. Facilitators included opportunities for reflection, involvement of chaplains, application of practical tools, opportunities for practice, online training, and managerial support. CONCLUSIONS Positive outcomes following spiritual care training were identified. Further research is needed to identify patient-related outcomes of staff training, and to examine how the benefits of such training can be maintained over time.
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Affiliation(s)
- Kate Fiona Jones
- Institute for Ethics and Society, University of Notre Dame Australia; St Vincent's Hospital, Sydney, Australia.
| | - Piret Paal
- Institute for Nursing Science and Practice, Paracelsus Medical University, Austria
| | - Xavier Symons
- Institute for Ethics and Society, University of Notre Dame Australia; St Vincent's Hospital, Sydney, Australia; Plunkett Centre for Ethics, Australian Catholic University, Australia
| | - Megan C Best
- Institute for Ethics and Society, University of Notre Dame Australia; St Vincent's Hospital, Sydney, Australia
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11
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Wong KTC, Chow AYM, Chan IKN. Effectiveness of Educational Programs on Palliative and End-of-life Care in Promoting Perceived Competence Among Health and Social Care Professionals. Am J Hosp Palliat Care 2021; 39:45-53. [PMID: 34409883 DOI: 10.1177/10499091211038501] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND There is a growing need for palliative care for patients near the end of life and their caregivers. Palliative and end-of-life care (EoLC) education are recommended for all health care (e.g., physicians, nurses, and allied health practitioners) and social care professionals (e.g., social workers) to ensure the quality of services. However, less attention has been afforded to generic, in contrast to specialized, EoLC education. This study evaluated the effectiveness of a series of short-term generic EoLC educational programs for health and social care professionals. METHOD A pre-post survey design was adopted, focusing on different EoLC core competences. RESULTS Significant improvement was observed in all perceived competences after the educational programs, regardless of participants' occupation or EoLC experience. Perceived competence in self-care was rated significantly higher than all other competences prior to the programs. Healthcare professionals rated significantly higher on competence in symptom management than social workers. Scores on communication skill and self-care competences were significantly higher following longer (i.e., 16-24 hours) than shorter (i.e., 4-8 hours) programs. CONCLUSION Generalist palliative/EoLC educational programs may enable health and social care professionals to refresh and extend their knowledge and skills and enhance their perceived competence in providing EoLC. Further research on generalist palliative/EoLC education is needed to examine the impact of continuing training on professionals' actual practice in EoLC and palliative care.
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Affiliation(s)
- Kelly Tsz Ching Wong
- Jockey Club End-of-Life Community Care Project, The University of Hong Kong, Pokfulam, Hong Kong
| | - Amy Yin Man Chow
- Jockey Club End-of-Life Community Care Project, The University of Hong Kong, Pokfulam, Hong Kong.,Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong
| | - Iris Kwan Ning Chan
- Jockey Club End-of-Life Community Care Project, The University of Hong Kong, Pokfulam, Hong Kong
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Papadopoulos I, Lazzarino R, Wright S, Ellis Logan P, Koulouglioti C. Spiritual Support During COVID-19 in England: A Scoping Study of Online Sources. JOURNAL OF RELIGION AND HEALTH 2021; 60:2209-2230. [PMID: 33871782 PMCID: PMC8054506 DOI: 10.1007/s10943-021-01254-1] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/01/2021] [Indexed: 05/22/2023]
Abstract
Spiritual support is a key element of holistic care, and better healthcare professionals training and stronger strategic guidelines become urgent in light of health disasters and emergencies, such as the COVID-19 pandemic. To this end, the aim of this study was to explore spiritual support provision within mass and social media and the websites of spiritual leaders, institutions and NHS chaplaincy units during COVID-19 in England, between March and May 2020. A scoping review design informed by Levac and colleagues' five-staged framework was adopted, and adapted with a multi-strategy search to scope the different domains of online sources. Results revealed that spiritual support for dying patients, their families, health care staff, spiritual leaders and chaplains, had to be drastically reduced, both in quality and quantity, as well as being provided via different technological devices or domestic symbolic actions. No mention was found of a central strategy for the provision of spiritual support. This study points to the importance of developing centralized strategies to prepare healthcare systems and professionals in relation to spiritual support provision, both routinely and during health disasters and emergencies. Further research will have to explore innovative practices, in particular the role of digital technologies, in spiritual support provision.
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Affiliation(s)
- Irena Papadopoulos
- Research Centre for Transcultural Studies in Health, Department of Mental Health and Social Work, Faculty of Health, Social Care and Education, Middlesex University, The Burroughs, London, NW4 4BT, UK.
| | - Runa Lazzarino
- Research Centre for Transcultural Studies in Health, Department of Mental Health and Social Work, Faculty of Health, Social Care and Education, Middlesex University, The Burroughs, London, NW4 4BT, UK
| | - Steve Wright
- Research Centre for Transcultural Studies in Health, Department of Mental Health and Social Work, Faculty of Health, Social Care and Education, Middlesex University, The Burroughs, London, NW4 4BT, UK
| | - Poppy Ellis Logan
- Research Centre for Transcultural Studies in Health, Department of Mental Health and Social Work, Faculty of Health, Social Care and Education, Middlesex University, The Burroughs, London, NW4 4BT, UK
| | - Christina Koulouglioti
- Research Centre for Transcultural Studies in Health, Department of Mental Health and Social Work, Faculty of Health, Social Care and Education, Middlesex University, The Burroughs, London, NW4 4BT, UK
- Research and Innovation Department, Western Sussex Hospitals NHS Foundation Trust, Chichester, UK
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Wisesrith W, Soonthornchaiya R, Hain D. Thai Nurses' Experiences of Spiritual Care for Older Adults at End of Life. J Hosp Palliat Nurs 2021; 23:286-292. [PMID: 33631777 DOI: 10.1097/njh.0000000000000748] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Most Thai registered nurses who provide end-of-life care emphasize the physical dimension of care rather than spiritual care. There is a need to explore the experiences of Thai nurses who provide spiritual care. The purpose of the study was to explore the experiences of Thai palliative care nurses providing spiritual care for older adults at the end of life. A descriptive qualitative research design was used. The 8 participants were Thai nurses with experience of palliative care in hospitals in the central, northeastern, northern, and southern regions of Thailand. A focus group discussion was used for data collection. Content analysis was used to analyze data. Five themes were as follows: (1) spiritual care was searching for meaning in patients' lives, (2) spiritual self-preparation of nurses for making sense and connecting to patients' spirituality, (3) caring for patients' spiritual needs by recognizing psychological and religious beliefs, (4) facilitating ways to ease patients' suffering, and (5) assuring confidence of patients and relatives for receiving the best care. These findings that should be included in training registered nurses are honoring the patients' lives, addressing spiritual needs to decrease patients' suffering, and enhancing patients' perceptions of care through spiritual self-preparation and spiritual concern of nurses.
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Taverna M, Berberat PO, Sattel H, Frick E. A Survey on the Integration of Spiritual Care in Medical Schools from the German-Speaking Faculties. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2019; 10:1009-1019. [PMID: 31839718 PMCID: PMC6904885 DOI: 10.2147/amep.s224679] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2019] [Accepted: 10/30/2019] [Indexed: 05/16/2023]
Abstract
OBJECTIVE Teaching 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). METHODS We 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%). RESULTS No 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. CONCLUSION A 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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Affiliation(s)
- Mara Taverna
- Department of Psychosomatic Medicine & Psychotherapy, TUM School of Medicine, Technical University of Munich, Munich, Germany
| | - Pascal O Berberat
- Medical Education Center, TUM School of Medicine, Technical University of Munich, Munich, Germany
| | - Heribert Sattel
- Department of Psychosomatic Medicine & Psychotherapy, TUM School of Medicine, Technical University of Munich, Munich, Germany
| | - Eckhard Frick
- Department of Psychosomatic Medicine & Psychotherapy, TUM School of Medicine, Technical University of Munich, Munich, Germany
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