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Kurtgöz A, Keten Edis E, Erarslan R. Spiritual Care Competencies and the Frequency of Spiritual Care Practices of Nurses in Turkey. JOURNAL OF RELIGION AND HEALTH 2024; 63:1747-1760. [PMID: 37540306 DOI: 10.1007/s10943-023-01884-7] [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: 07/24/2023] [Indexed: 08/05/2023]
Abstract
This descriptive study aimed at determining the spiritual care competencies and the frequency of spiritual care practices of nurses. A total of 119 nurses working in the palliative care unit, oncology services, and intensive care units of a state hospital in Turkey participated in the study. The data were collected by the Participant Information Form, Spiritual Care Competence Scale, and Nurse Spiritual Care Therapeutics Scale. Spiritual care competencies of the nurses were found to be high; the frequency of spiritual care practices was determined as moderate. We found a positive correlation between the spiritual care competencies and the frequency of spiritual care practices of nurses. There was a significant difference between nurses' received spiritual care training status and their scale scores. In addition, nurses who believed that spiritual care was an important part of nursing care, and an important need of patients, had higher scale scores.
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Affiliation(s)
- Aslı Kurtgöz
- Sabuncuoglu Serefeddin Health Services Vocational School, Amasya University, Amasya, Turkey.
| | - Elif Keten Edis
- Department of Nursing, Faculty of Health Sciences, Amasya University, Amasya, Turkey
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Tanrıverdi D, Bekircan E, Koç Z. The Relationship Between Psychache and Suicide Risk With Spiritual Well-Being Levels of Patients Diagnosed With Depression. J Am Psychiatr Nurses Assoc 2024; 30:132-140. [PMID: 35172647 DOI: 10.1177/10783903221079796] [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] [Indexed: 11/15/2022]
Abstract
BACKGROUND: Depression has long been accepted as a serious disability and burden globally, while suicide is a misunderstood and complex cause of death. Psychache is the psychological variable most strongly associated with suicidality. Spirituality is considered an important buffer against stressful events and may help people overcome distress and difficulties. AIMS: This study aims to determine how psychache and suicide risk are related to levels of spiritual well-being in patients with depression. METHODS: Data were collected using the Suicide Probability Scale, the Psychache Scale, and the Spiritual Well-Being Scale. The sample study consisted of 150 Turkish patients diagnosed with depression and receiving psychiatric care. RESULTS: It was found that higher level of spiritual well-being led to decreased risk of suicide and lower level of psychache. Suicide risk increased in parallel to the increasing levels of psychache (p < .001). CONCLUSIONS: It was observed that higher levels of spiritual well-being may promote a significantly lower risk of suicide and lower levels of psychache. Likewise, increasing levels of psychache may lead to an increase in suicide risk.
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Affiliation(s)
| | - Esra Bekircan
- Esra Bekircan, MSc, Trabzon University, Trabzon, Turkey
| | - Zeynep Koç
- Zeynep Koç, MSc, Gaziantep University, Gaziantep, Turkey
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Taylor EJ, Pariñas S, Mamier I, Atarhim MA, Angeles L, Aslan H, Aktürk Ü, Ercİ B, Soriano G, Sinaga J, Chen YH, Merati-Fashi F, Odonel G, Neathery M, Permatasari W, Ricci-Allegra P, Foith J, Caldeira S, Dehom S. Frequency of nurse-provided spiritual care: An international comparison. J Clin Nurs 2023; 32:597-609. [PMID: 36039033 PMCID: PMC10087347 DOI: 10.1111/jocn.16497] [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: 05/12/2022] [Revised: 08/01/2022] [Accepted: 08/08/2022] [Indexed: 01/17/2023]
Abstract
AIMS AND OBJECTIVES To compare the frequency of nurse-provided spiritual care across diverse cultures. BACKGROUND Given an ethical imperative to respect patient spirituality and religiosity, nurses are increasingly taught and expected to provide spiritual care. Although nurses report positive attitudes toward spiritual care, they typically self-report providing it infrequently. Evidence about the reported frequency of spiritual care is constrained by substantial variation in its measurement. DESIGN This cross-sectional, descriptive study involved secondary analysis of data collected in multiple sites globally using one quantitative instrument. METHODS Data were collected from practicing nurses using the Nurse Spiritual Care Therapeutics Scale and analysed using descriptive statistics and a meta-analysis procedure with random-effect modelling. Datasets from 16 studies completed in Indonesia, Iran, Malaysia, Philippines, Portugal, Taiwan, Turkey and the United States contributed to a pooled sample (n = 4062). STROBE guidelines for cross-sectional observational studies were observed. RESULTS Spiritual care varied between countries and within countries. It was slightly more frequent within Islamic cultures compared with predominantly Christian cultures. Likewise, frequency of spiritual care differed between nurses in palliative care, predominantly hospital/inpatient settings, and skilled nursing homes. Overall, "Remaining present…" was the most frequent therapeutic, whereas documenting spiritual care and making arrangements for the patient's clergy or a chaplain to visit were among the most infrequent therapeutics. CONCLUSIONS In widely varying degrees of frequency, nurses around the world provide care that is cognisant of the spiritual and religious responses to living with health challenges. Future research should be designed to adjust for the multiple factors that may contribute to nurses providing spiritual care. RELEVANCE TO CLINICAL PRACTICE Findings offer a benchmark and begin to inform nurse leaders about what may be normative in practice. They also encourage nurses providing direct patient care that they are not alone and inform educators about what instruction future nurses require.
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Affiliation(s)
| | - Sabina Pariñas
- Nursing Department, Mariano Marcos State University, Batac, Philippines
| | - Iris Mamier
- School of Nursing, Loma Linda University, Loma Linda, California, USA
| | - Mohd Arif Atarhim
- Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Leonardo Angeles
- Department of Nursing, School of Nursing and Allied Medical Sciences, Holy Angel University, Angeles City, Philippines
| | - Hakime Aslan
- Faculty of Nursing, İnönü University, Malatya, Turkey
| | | | - Behice Ercİ
- Faculty of Nursing, İnönü University, Malatya, Turkey
| | - Gil Soriano
- Department of Nursing, College of Allied Health, National University, Manila, Philippines
| | | | - Yi-Heng Chen
- College of Nursing, Department of Nursing, Mackay Medical College, New Taipei, Taiwan
| | - Fatemeh Merati-Fashi
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Girlie Odonel
- College of Nursing, Pharmacy and Allied Health Sciences, Negros Oriental State University, Dumaguete, Philippines
| | - Melissa Neathery
- Louise Herrington School of Nursing, Baylor University Eta Gamma Chapter, Waco, Texas, USA
| | - Winda Permatasari
- Faculty of Medicine, Lambung Mangkurat University, Banjarbaru, Indonesia
| | | | - Joanne Foith
- Aultman Hospital Internal Medicine Group, Malone University School of Nursing & Health Sciences, Canton, Ohio, USA
| | - Silvia Caldeira
- Institute of Health Sciences, Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Salem Dehom
- School of Nursing, Loma Linda University, Loma Linda, California, USA
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Chen F, Zhang Y, Zhou L, Cui J. Psychometric Evaluation of the Spiritual Perspective Scale in Palliative Care Nurses in China. JOURNAL OF RELIGION AND HEALTH 2022; 61:2804-2818. [PMID: 35585279 DOI: 10.1007/s10943-022-01582-w] [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: 04/25/2022] [Indexed: 06/15/2023]
Abstract
This study aimed to translate the Spiritual Perspectives Scale (SPS) into a Mandarin Chinese version (C-SPS) and evaluate its psychometric properties among 154 palliative care nurses from twelve community healthcare centres in Shanghai, China. Exploratory factor analysis suggested two factors (spiritually related activities and spiritual beliefs), accounting for 67.49% of the total variance. The Cronbach's α of the total C-SPS score was 0.89, and its split-half coefficient (Spearman-Brown reliability coefficient) was 0.72. The C-SPS showed consistently acceptable psychometric properties of reliability and validity. It can be used to evaluate the level of spiritual perspectives of nurses in China.
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Affiliation(s)
- Fengyi Chen
- School of Nursing, Naval Medical University, 800 Xiangyin Rd, Yangpu District, Shanghai, 200433, China
| | - Yi Zhang
- School of Nursing, Naval Medical University, 800 Xiangyin Rd, Yangpu District, Shanghai, 200433, China
| | - Lingjun Zhou
- School of Nursing, Naval Medical University, 800 Xiangyin Rd, Yangpu District, Shanghai, 200433, China
| | - Jing Cui
- School of Nursing, Naval Medical University, 800 Xiangyin Rd, Yangpu District, Shanghai, 200433, China.
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Smith C, Lakin T. Effects of an Interprofessional Spiritual Care Education Project. J Hosp Palliat Nurs 2022; 24:78-83. [PMID: 34840281 DOI: 10.1097/njh.0000000000000819] [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: 11/26/2022]
Abstract
Spiritual care is a critical aspect of end-of-life care that is often undervalued and underaddressed by hospice health care teams. The purpose of this quality improvement project was to determine if the implementation of an evidence-based spiritual care protocol changed practices regarding the initial assessment of spiritual needs, frequency of reassessment of needs, the inclusion of spiritual interventions, and staff perspectives on spiritual care. The preimplementation and postimplementation data evaluation displayed increased compliance with spiritual needs assessment within 5 days of admission, increased reassessment intervals, an increase in the percentage of interactions that included spiritual interventions, and improved staff perspectives on spiritual care. The findings of the study support implementation of a spiritual care protocol in hospice patients.
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Ferrell B. A Challenge. J Hosp Palliat Nurs 2021; 23:397-398. [PMID: 34469408 DOI: 10.1097/njh.0000000000000796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Watts KJ, O'Connor M, Johnson CE, Breen LJ, Kane RT, Choules K, Doyle C, Buchanan G, Yuen K. Mindfulness-Based Compassion Training for Health Professionals Providing End-of-Life Care: Impact, Feasibility, and Acceptability. J Palliat Med 2021; 24:1364-1374. [PMID: 33666500 DOI: 10.1089/jpm.2020.0358] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Background: Health professionals who care for patients and their families at the end of life (EOL) may experience gratitude, and enhanced spirituality and meaning in life, yet they are also at increased risk of psychological distress, compassion fatigue, and occupational burnout given the stressors they encounter in their work. Objectives: This research evaluated the feasibility and acceptability of a novel six-week mindfulness-based compassion training intervention, which was tailored to health professionals involved in EOL care ("MBCT4HP"), and explored its impact on levels of psychological distress, compassion fatigue, compassion satisfaction, occupational burnout, self-compassion, and mindfulness. Design: We adopted an observational, repeated measures pilot study. Setting/Subjects: Thirty-one health professionals participated. The intervention comprised six, weekly sessions (totaling seven hours) designed to foster compassion for self and others, including formal and informal compassion and mindfulness practices, daily home practice, and a reflective experiential pedagogy. Measurements: Validated outcome measures for anxiety, depression, and stress; compassion satisfaction, compassion fatigue (burnout, secondary traumatic stress); occupational burnout (emotional exhaustion, personal accomplishment, and depersonalization), self-compassion, and mindfulness were administered at baseline, end of intervention, and eight weeks postintervention. The feasibility and acceptability of the intervention was assessed using attendance records, home practice logs, and self-report satisfaction items. Descriptive statistics and Generalized Linear Mixed Models were used to analyze the data. Results: Participants reported that the sessions were useful, relevant, easy to understand, and that they gave them sufficient knowledge to implement the strategies learned. Levels of anxiety, compassion fatigue (burnout only), and emotional exhaustion decreased over time with some decay in effects at follow up, and levels of compassion satisfaction and self-compassion increased with time. Conclusions: The intervention was feasible and acceptable to health professionals involved in EOL care and had a positive impact on levels of anxiety, compassion fatigue (burnout), emotional exhaustion, compassion satisfaction, and self-compassion.
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Affiliation(s)
- Kaaren J Watts
- WA Cancer Prevention Research Unit, School of Psychology, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
| | - Moira O'Connor
- WA Cancer Prevention Research Unit, School of Psychology, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
| | - Claire E Johnson
- Monash Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.,Eastern Health, Melbourne, Victoria, Australia.,Medical School, The University of Western Australia, Perth, Western Australia, Australia
| | - Lauren J Breen
- School of Psychology, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
| | - Robert T Kane
- School of Psychology, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
| | | | - Claire Doyle
- Silver Chain Palliative Dementia Service, Osborne Park, Western Australia, Australia
| | - Grace Buchanan
- Palliative and Supportive Care Education, Cancer Council Western Australia, Subiaco, Western Australia, Australia
| | - Kevin Yuen
- Palliative Care Department, Royal Perth Bentley Group, East Metropolitan Health Service, Perth, Western Australia, Australia
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Abstract
Spirituality is a key focus and ethical obligation of nursing practice, but many nurses express uncertainty or discomfort with this aspect of their role. The purpose of this article is to explore the domains of religion, spirituality, and culture as commonly conceptualized by chaplains, as a framework for nurses to provide spiritual care interventions to patients in acute care hospitals. Using anecdotes and illustrations from palliative care practice, this article discusses the enhanced benefits to patients and families when spiritual needs are addressed, with specialty-level chaplain interventions, primary spiritual interventions provided uniquely by nurses, or interventions that require the cooperation of both professions. Lessons learned from the inpatient palliative care team experience can also apply to chaplaincy and nursing care for patients in settings beyond the acute care hospital and in disciplines beyond palliative care.
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Abstract
Objective: This study was undertaken to explore the perspectives regarding spirituality and spiritual care held by individuals with advanced disease. The aim was to gain a deeper understanding about their viewpoints surrounding spiritual care and the role of health-care professionals in providing such care. Methods: Sixteen individuals with advanced disease and a prognosis of <12 months underwent an in-depth interview. Transcripts were subjected to a qualitative descriptive analysis to identify salient content and themes. Results: Four overall themes were identified: Spirituality is personal, spiritual distress is about separation, spiritual care is about connecting, and conversations about spirituality must align with the patient's beliefs. Subthemes emphasized the individuality of spiritual expression, the potential for illness impacting spiritual beliefs, and the value of connections to one's spiritual community. Participants thought healthcare providers needed to be able to identify individuals who were experiencing a spiritual struggle, acknowledge the reality of that struggle, and connect the individual with the appropriate resource or person. Conclusions: Patients with advanced disease are likely to express their spirituality in unique ways. Being able to talk about their spiritual beliefs and doubts during illness without judgment was seen as a benefit to them. Healthcare providers ought to be able to identify those patients who require assistance in connecting to appropriate spiritual care resources.
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Affiliation(s)
- Margaret I Fitch
- Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada
| | - Ruth Bartlett
- Wycliffe College, University of Toronto, Ontario, Canada
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