Spiritual AIM: assessment and documentation of spiritual needs in patients with cancer

Why Study Religion and Spirituality in Bioethics? Results of a Survey of Courses in Graduate Bioethics Programs in the USA

The critical relevance and importance of considering religion and spirituality (R/S) in academic and public discourse on bioethical issues and in the illness experiences of patients and families is difficult to deny. Yet, little is known about the nature and scope of R/S education in graduate bioethics training. We therefore conducted a literature review and survey of bioethics programs in the USA and a content analysis of relevant syllabi of courses. In this article, we identify the core didactic components of existing offerings, characterize their curricular trends, and consider the implications of our findings. We propose a new critical humanist approach to the study of R/S in bioethics to both expand and enhance more established pedagogies.

Spiritual assessment models for palliative care chaplains: a narrative review

Palliative care chaplains conduct spiritual assessments for those within their care. This narrative review examined the literature concerning existing spiritual assessment models developed or designated for palliative care chaplain use. The literature review was performed using four databases, including a hand search of references due to the variability of keywords used within the spiritual care literature. Five spiritual assessment models were identified. The analysis of the models focused on three areas: (1) Foundational basis, (2) Spiritual needs, and (3) Structural frameworks. Published spiritual assessment models for palliative care chaplain use are variable in how each one was formed, how each tool describes and structures spiritual care needs, and how the models are implemented within their respective contexts. The PC-7 advances the field, especially through its mixed methods approach. Future validation and reliability research is needed as well as investigations concerning which models are taught by chaplain educators and used by palliative care chaplains.

Unmet Spiritual Needs: A Study among Patients with Chronic Illness

Objectives

The conventional healthcare system operates on the 'physiological man' and overlooks the 'spiritual man'. Many studies reported on the unmet spiritual needs of terminally ill patients. Despite spiritual care being a predictor of a positive mindset (meaning making) among patients with terminal illnesses, assessing spiritual needs and providing adequate spiritual care is still a distant phenomenon in the healthcare setting.

Materials and Methods

With the help of a spiritual needs questionnaire, we analysed the unmet spiritual needs and preferences of 30 terminally ill patients. Specific attention was given to psychosocial, emotional, existential, religious and acceptance of death.

Results

The results show that 72% of terminally ill patients reported a strong desire to have their spiritual needs met. Psychosocial needs scored the highest, while acceptance of dying scored the least. The need to be connected with the family was one of the strongest wishes expressed in the study. Religious needs ranked as the second category of needs. Findings show that the highest needs are intertwined with the patients' culture.

Conclusion

In India, religion and family connections are essential; terminally ill patients expressed the desire that meeting these two aspects makes their lives meaningful even at the end stage. The results warrant a spiritual needs assessment as a deathbed test to make the end-of-life more meaningful.

"I need my granddaughter to know who I am!" A case study of a 67-year-old African American man and his spiritual legacy

This case study describes the spiritual care relationship between an African American man receiving palliative care for metastatic cancer and a Chinese American woman chaplain over the period of multiple hospitalizations. It illustrates legacy making as a key spiritual need, one that is complicated by discrimination, structural racism, estranged family relationships, and the patient's own mortality. Included are verbatim conversations that address the impact of racism in the US context and express the complex identities of both patient and chaplain in a dynamic and collaborative intercultural relationship. This case posits the importance of voices of chaplains of color and encourages all chaplains to develop caregiving capacities that address patients' needs for racial justice, meaning, and spiritual legacy.

Intelligent Assistive Technology Ethics for Aging Adults: Spiritual Impacts as a Necessary Consideration

Potential spiritual impacts of Artificial Intelligence (AI) driven Assistive Technologies (AT) for older adults are absent in most ethics conversations. Intelligent Assistive Technology (IAT) is the term used to describe the spectrum of Assistive Technologies that use AI. In this theoretical essay, I begin by introducing examples of AT and IAT for older adults with age-related disabilities. I argue that spirituality is a marginalized value in ethics that must be considered if IAT ethics is to address the whole person. Some of the potential spiritual impacts of IATs will be suggested through engagement with three core spiritual needs. I ask how IAT might impact these three core spiritual needs. This is not meant to be an exhaustive study of the spiritual impacts of AT. Through the engagement of one approach to spiritual needs, this article proposes that IAT ethics issues intersect with the spiritual needs of aging adults and, therefore, that potential spiritual impacts ought to be addressed as part of IAT ethics for older adults.

Replika: Spiritual Enhancement Technology?

The potential spiritual impacts of AI are an under-researched ethics concern. In this theoretical essay, I introduce the established spiritual assessment tool, the Spiritual Assessment and Intervention Model (Spiritual AIM). Next, I discuss some existing and probable AI technologies, such as immersive tech and bots that have impacts on spiritual health, including the chat-bot Replika. The three core spiritual needs outlined in the Spiritual AIM are then engaged in relation to Replika—(1) meaning and direction, (2) self-worth/belonging to community, and (3) to love and be loved/reconciliation. These core spiritual needs are used to explore the potential impacts of the chat-bot Replika on human spiritual needs. I conclude that Replika may be helpful only as a supplement to address some spiritual needs but only if this chat-bot is not used to replace human contact and spiritual expertise.