Spiritual Care in Ontario Long-Term Care: Current Staffing Realities and Recommendations

Confirmatory Factor Analysis of the Spirituality and Spiritual Care Rating Scale: A Cross-Sectional Study in Eight US Nursing Homes

The aim of this study was to test a modified Spirituality and Spiritual Care Rating Scale (SSCRS) and report initial findings, based on a cross-sectional descriptive survey from eight nursing homes in the USA. This study examined the psychometric properties of a modified version of the SSCRS for assessing the perceptions of staff (i.e. nurses, rehabilitation staff, food and nutrition service staff, activities staff, social workers, and administrative staff) who work in nursing homes. The modified version of the SSCRS is measuring respondents' perceptions of spirituality, spiritual care, religiosity, and personalized care. Confirmatory factor analysis showed satisfactory goodness of fit for the original four-factor structure of the SSCRS. The modified version demonstrated good internal consistency and reliability (Cronbach's alpha ranging from 0.71 to 0.90). Initial findings showed statistically significant differences across all four sub-scales. Further research is needed to psychometrically test the modified tool.

Supporting Spirits in Changing Circumstances: Pandemic Lessons for Long-Term Care and Retirement Homes

The pandemic of 2020–2022 brought both disruption to, and increased need for, spiritual care in long-term care and retirement homes. This paper reports and reflects upon the experiences of spiritual care providers (SCPs) in these settings in Ontario, Canada as they each endeavored to adapt to their circumstances. Qualitative data were gathered from 27 participants through a variety of means, including natural focus group opportunities, email responses to questions, and in-depth virtual interviews. This study learned that during the pandemic, SCPs creatively adapted the care they provide, while finding it challenging to meet needs for touch, community, mental health care, and processing grief. SCPs spoke with confidence about their role as a listening and supportive presence, for team and family reassurance, as well as for residents. Opportunities to personalize spiritual care using technology, and the value of small, intimate gatherings were realized, along with the value of employing an in-house SCP who truly gets to know residents and can continue to creatively adapt to meet changing needs in changing circumstances. Recommendations are made for spiritual care provision that is resilient through outbreak restrictions into the future.

Promise, Provision, and Potential: A Hopeful Trajectory for Spiritual Care in Long-Term Care

This Canadian study aimed to better understand the provision of spiritual care in long-term care homes, its purpose/importance, the role of a spiritual care provider (SCP)/chaplain, effective practices, and challenges. Online survey responses revealed the need for spiritual care and the robust role of SCPs. Recommendations are made for more consistent employ and integration of SCPs, supported by sector-specific training and a system to connect LTC homes with skilled SCPs.