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Jones KF, Kearney M, Best MC. Effect of a Spiritual Care Training Program to Build Knowledge, Competence, Confidence and Self-awareness Among Australian Health and Aged Care Staff: An Exploratory Study. JOURNAL OF RELIGION AND HEALTH 2024; 63:274-288. [PMID: 38206559 PMCID: PMC10861385 DOI: 10.1007/s10943-023-01990-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/18/2023] [Indexed: 01/12/2024]
Abstract
The aim of this study was to evaluate a new spiritual care training program with health and aged care staff. A four-module program was delivered to 44 participants at a large Catholic health and aged care provider in Australia. Pre, post and 6 week follow-up surveys were administered and included measures of spiritual care competency, confidence, perspectives of spirituality and spiritual care, spiritual well-being, and satisfaction. Paired sample t-tests showed total scores of participants' spiritual well-being, spiritual care competency and confidence significantly improved following the training and were largely maintained at follow-up. Perspectives on spirituality and spiritual care did not significantly change over time.
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Affiliation(s)
- Kate F Jones
- Institute for Ethics and Society, University of Notre Dame Australia, Broadway, PO Box 944, Sydney, NSW, 2007, Australia.
| | | | - Megan C Best
- Institute for Ethics and Society, University of Notre Dame Australia, Broadway, PO Box 944, Sydney, NSW, 2007, Australia
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Wedgeworth M, Cody SL. Spirituality and health outcomes within the context of social determinants of health. Nursing 2023; 53:41-45. [PMID: 37856300 DOI: 10.1097/01.nurse.0000978888.90787.38] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2023]
Abstract
ABSTRACT Spirituality has a significant impact on patients' overall quality of life, however, it is often overlooked in the context of social determinants of health (SDOH). Nurses are well positioned to lead the expansion of SDOH models to include spirituality; however, routine nursing care does not emphasize spiritual assessment knowledge and skills. This article discusses spirituality and how it fits into the SDOH model, nursing education, and interdisciplinary healthcare. Spiritual care training may improve the confidence of nurses to integrate routine mental and spiritual assessments in clinical practice and serve as leaders in promoting spiritual care within interdisciplinary healthcare teams.
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Affiliation(s)
- Monika Wedgeworth
- Monika Wedgeworth and Shameka Cody are associate professors at the University of Alabama's Capstone College of Nursing
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García Torrejon MC, Heras de la Calle G, Martin Delgado MC, Franco Garrobo N, Gordo Vidal F, Varillas Delgado D, Caballero Martínez F, Álvarez Montero S. Spirituality in Critical Care: An Observational Study of the Perceptions of Professionals, Patients and Families, in Spain and Latin America. JOURNAL OF RELIGION AND HEALTH 2023; 62:2391-2411. [PMID: 36729211 DOI: 10.1007/s10943-023-01746-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/16/2023] [Indexed: 06/18/2023]
Abstract
This research aims to describe the perspectives of health care professionals, patients, and family members regarding spiritual care options in intensive care units (ICUs). Participants were recruited consecutively from January to August 2019, during which time data collection was conducted. A total of 1211 Spanish-language questionnaires were collected from 41 ICUs in Spain and Latin America. Approximately 655 participants worked as ICU professionals (74.5% of these participants were women, and 47.5% were nurses). Additionally, 340 questionnaires were sent to patients' families, and patients completed 216 questionnaires; 59.7% of these participants were men, and their mean age was 59.4 years. Most (69.7%) of the critical care professionals considered this type of care to be a part of their profession, 50.1% did not feel competent to provide this type of care, and 83.4% felt that training in this area was necessary. Most families (71.7%) and patients (60.2%) felt that spiritual suffering occurred during their stay in the ICU. The results of this study suggest a perceived deficit in spiritual care in ICUs.
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Affiliation(s)
- María Carmen García Torrejon
- Intensive Care Unit, Central Defence Hospital "Gomez Ulla", Glorieta del Ejército s/n, 28047, Madrid, Spain.
- Universidad Francisco de Vitoria, Madrid, Spain.
- International Research Project for the Humanisation of Intensive Care Units (HU-CI Project), Madrid, Spain.
- Spanish Society of Intensive Medicine (SEMICYUC), Madrid, Spain.
| | - Gabriel Heras de la Calle
- Universidad Francisco de Vitoria, Madrid, Spain
- International Research Project for the Humanisation of Intensive Care Units (HU-CI Project), Madrid, Spain
- Spanish Society of Intensive Medicine (SEMICYUC), Madrid, Spain
- Intensive Care Unit, Comarcal Santa Ana de Motril Hospital, Granada, Spain
- Pan American and Iberian Federation of Critical Medicine and Intensive Care (FEPIMCTI), Madrid, Spain
| | - María Cruz Martin Delgado
- Universidad Francisco de Vitoria, Madrid, Spain
- International Research Project for the Humanisation of Intensive Care Units (HU-CI Project), Madrid, Spain
- Spanish Society of Intensive Medicine (SEMICYUC), Madrid, Spain
- Intensive Care Unit, Doce de Octubre University Hospital, Madrid, Spain
- Pan American and Iberian Federation of Critical Medicine and Intensive Care (FEPIMCTI), Madrid, Spain
| | - Nieves Franco Garrobo
- Universidad Francisco de Vitoria, Madrid, Spain
- Spanish Society of Intensive Medicine (SEMICYUC), Madrid, Spain
- Intensive Care Unit, Móstoles University Hospital, Madrid, Spain
| | - Federico Gordo Vidal
- Universidad Francisco de Vitoria, Madrid, Spain
- Spanish Society of Intensive Medicine (SEMICYUC), Madrid, Spain
- Intensive Care Unit, Henares University Hospital, Madrid, Spain
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So H, Mackenzie L, Chapparo C, Ranka J, McColl MA. Spirituality in Australian Health Professional Practice: A Scoping Review and Qualitative Synthesis of Findings. JOURNAL OF RELIGION AND HEALTH 2023:10.1007/s10943-023-01840-5. [PMID: 37306862 PMCID: PMC10258742 DOI: 10.1007/s10943-023-01840-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Accepted: 05/24/2023] [Indexed: 06/13/2023]
Abstract
This study explores how spirituality is integrated into practice across the different Australian health professions. Utilising the Joanna Briggs Institute's (JBI) protocol, six databases were searched, and sixty-seven articles were finally included. To present the findings, a qualitative synthesis was used. 'Meaning' and 'purpose in life' were found to be key to many spirituality definitions. The most frequently reported approach for Australian health professionals (HPs) in asking about client spirituality was using one or two questions within a comprehensive assessment. Major facilitators included a holistic care approach and prior training, whereas a key barrier was a lack of time.
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Affiliation(s)
- Heather So
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, 2006, Australia.
| | - Lynette Mackenzie
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, 2006, Australia
| | - Chris Chapparo
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, 2006, Australia
| | - Judy Ranka
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, 2006, Australia
| | - Mary Ann McColl
- The Faculty of Health Sciences, Queen's University, Kingston, ON, Canada
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Best MC, Jones K, Bradford K, Kearney M. Chaplaincy Perspectives on the Role of Spirituality in Australian Health and Aged Care. JOURNAL OF RELIGION AND HEALTH 2023; 62:1473-1490. [PMID: 36738395 PMCID: PMC9898848 DOI: 10.1007/s10943-023-01752-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/23/2023] [Indexed: 06/13/2023]
Abstract
The aim of this study was to explore Australian chaplains' views of spirituality. Semi-structured online interviews were conducted with 16 participants. Participants relied heavily on metaphors and analogies to describe spirituality. Four inter-related themes were identified through reflexive thematic analysis: (1) The core of spirituality: spirituality as a source of meaning or belief which leads to connectedness with something greater than oneself; (2) A function of spirituality: spirituality empowers people to cope in a crisis, by providing motivation, hope and comfort; (3) The experience of spiritual crisis: admission to hospital or residential care can lead to existential struggle; and (4) The spiritual practice: of holding space between struggle and growth. Greater understanding of the theoretical basis of their work may allow chaplains to offer more in the therapeutic space.
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Affiliation(s)
- Megan C Best
- Institute for Ethics and Society, University of Notre Dame Australia, Broadway NSW 2007, P.O. Box 944, Sydney, Australia.
| | - Kate Jones
- Institute for Ethics and Society, University of Notre Dame Australia, Broadway NSW 2007, P.O. Box 944, Sydney, Australia
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Lucchetti G, de Araujo Almeida PO, Martin EZ, Góes LG, Cotta KCG, Lima AC, da Silva Ezequiel O, Lucchetti ALG. The current status of "spirituality and health" teaching in Brazilian medical schools: a nationwide survey. BMC MEDICAL EDUCATION 2023; 23:172. [PMID: 36941618 PMCID: PMC10029158 DOI: 10.1186/s12909-023-04153-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 03/11/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Recent data on the teaching of "spirituality and health" (S/H) in medical schools are needed. In this study, we aimed to investigate the current status of S/H teaching in Brazilian medical schools, the opinions of medical directors/deans on this topic and the factors associated with its incorporation into the curriculum. METHODS A nationwide cross-sectional survey was carried out in 2021. Information concerning the S/H content in the curricula of medical schools was obtained through medical school representatives and other sources. Medical school representatives were asked about their opinions of and barriers to S/H teaching. Regression models were used to evaluate the factors associated with the incorporation of such content into the curriculum. RESULTS Information on the incorporation of S/H content in medical curricula was retrieved from different sources for all 342 (100%) Brazilian medical schools. Among the representatives, 150 (43.9%) completed the online form. An increase in the S/H content in Brazilian medical schools was observed (from 40% to 2011 to 65.5% in 2021). Most medical school representatives agreed that this issue is important in medical training and that more space in the curriculum is needed. However, they also observed several barriers, such as a lack of knowledge of medical teachers/faculty, a lack of time, and the topic not being included in teaching plans. The most important factors that influenced the incorporation of S/H teaching in medical schools and representatives' opinions were a lack of time and knowledge, professor preparedness and standardized national competency requirements. CONCLUSION These results could help medical educators rethink the incorporation of S/H content into their curricula.
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Affiliation(s)
- Giancarlo Lucchetti
- School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil
- School of Medicine, Universidade Federal de Juiz de Fora, Dom Bosco – CEP, Av. Eugênio do Nascimento s/n° Bairro, 36038-330 Juiz de Fora, MG Brazil
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Li Y, Zeng X, Chen M, Hu Y, Wu J, Lu W, Liu J, Yang Q, Zhang L. Association between spiritual care competency and perceived professional benefit among nurses: A cross-sectional study. J Nurs Manag 2022; 30:3368-3377. [PMID: 36064199 DOI: 10.1111/jonm.13793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 08/18/2022] [Accepted: 09/01/2022] [Indexed: 02/03/2023]
Abstract
AIMS This study aimed to investigate the status quo of nurses' spiritual care competency and their relationship with perceived professional benefit. BACKGROUND Spiritual care has always been considered a vitally important part of holistic nursing. Understanding the spiritual care competency of nurses during the COVID-19 pandemic can help nursing managers understand the weak links in spiritual care practice and improve the quality of nursing service. As a positive emotional experience and cognitive evaluation of the profession, perceived professional benefit can serve to adjust work pressure, relieve job burnout, and promote an individual's overall growth. However, the relationship between perceived professional benefit among nurses and spiritual care competency remains unclear. METHODS A total of 372 nurses were recruited from 15 separate Chinese hospitals. An online questionnaire was used to assess nurses' sociodemographic, spiritual care competency, and perceived professional benefit. Statistical analyses were performed using Pearson's correlation analysis, t-test, analysis of variance (ANOVA), and multiple stepwise linear regression analysis. RESULTS The total mean score of spiritual care competency (99.43 ± 21.10) among nurses was found to be moderate. Nurses' spiritual care competency was positively correlated with perceived professional benefit (P < .01). The multiple stepwise linear regression model (n = 372) had an explained variance (R2 = 0.218) and showed that perceived professional benefit and the manner of receiving spiritual training were the main influencing factors of nurses' spiritual care competency (P < .001). CONCLUSION The study findings indicated that nurses need to improve their spiritual care competency by improving their perceived professional benefit. IMPLICATION FOR NURSING MANAGERS Our study evaluated the spiritual care competency of nurses and explored the correlation between perceived professional benefit and spiritual care competency among nurses. The results of this study can help nursing managers to carry out relevant interventions, thus improving nurses' spiritual care competency and optimizing the quality of nursing.
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Affiliation(s)
- Yanjia Li
- School of Nursing, Chengdu Medical College, Chengdu, Sichuan, China
| | - Xiaoying Zeng
- School of Nursing, Chengdu Medical College, Chengdu, Sichuan, China
| | - Min Chen
- Pidu District People's Hospital, Chengdu, Sichuan, China
| | - Yanli Hu
- College of Nursing, Jinan University, Guangzhou, Guangdong, China
| | - Jue Wu
- The First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China
| | - Weinan Lu
- School of Nursing, Chengdu Medical College, Chengdu, Sichuan, China.,The First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China
| | - Jing Liu
- School of Nursing, Chengdu Medical College, Chengdu, Sichuan, China
| | - Qian Yang
- School of Nursing, Chengdu Medical College, Chengdu, Sichuan, China
| | - Limei Zhang
- School of Nursing, Chengdu Medical College, Chengdu, Sichuan, China
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Best MC, Jones K, Merritt F, Casey M, Lynch S, Eisman J, Cohen J, Mackie D, Beilharz K, Kearney M. Australian Patient Preferences for the Introduction of Spirituality into their Healthcare Journey: A Mixed Methods Study. JOURNAL OF RELIGION AND HEALTH 2022:10.1007/s10943-022-01616-3. [PMID: 35918566 PMCID: PMC9345780 DOI: 10.1007/s10943-022-01616-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/13/2022] [Indexed: 05/29/2023]
Abstract
While patients value engagement concerning their spirituality as a part of holistic healthcare, there is little evidence regarding the preferred way to engage in discussions about spirituality. This study investigated inpatient preferences regarding how they would like spirituality to be raised in the hospital setting. A cross-sectional survey was conducted with inpatients at six hospitals in Sydney, Australia (n = 897), with a subset invited to participate in qualitative interviews (n = 41). There was high approval for all proposed spiritual history prompts (94.0-99.8%). In interviews, the context dictated the appropriateness of discussions. Findings indicated a high level of patient acceptability for discussing spirituality in healthcare. Further research and more detailed analysis is required and proposed to be undertaken.
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Affiliation(s)
- Megan C Best
- Institute for Ethics and Society, University of Notre Dame Australia, Broadway, PO Box 944, Sydney, NSW, 2007, Australia.
| | - Kate Jones
- Institute for Ethics and Society, University of Notre Dame Australia, Broadway, PO Box 944, Sydney, NSW, 2007, Australia
| | - Frankie Merritt
- The School of Medicine, The University of Notre Dame, Sydney, Australia
| | - Michael Casey
- The School of Medicine, The University of Notre Dame, Sydney, Australia
| | - Sandra Lynch
- Institute for Ethics and Society, University of Notre Dame Australia, Broadway, PO Box 944, Sydney, NSW, 2007, Australia
| | - John Eisman
- Garvan Institute of Medical Research, Sydney, Australia
| | - Jeffrey Cohen
- The School of Medicine, The University of Notre Dame, Sydney, Australia
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