Factors influencing nurse spiritual care practices at the end of life: A systematic review

2021 ◽  
pp. 1-19
Author(s):  
Rita Mascio ◽  
Megan Best ◽  
Sandra Lynch ◽  
Jane Phillips ◽  
Kate Jones
Keyword(s):  
Systematic Review ◽  
Social Influence ◽  
End Of Life ◽  
Spiritual Care ◽  
Professional Role ◽  
Community Settings ◽  
Related Factors ◽  
Factors Influencing ◽  
Competency Frameworks ◽  
Care Practices

Abstract Objectives The aim was to identify determinants of nurse spiritual/existential care practices toward end-of-life patients. Nurses can play a significant role in providing spiritual/existential care, but they actually provide this care less frequently than desired by patients. Methods A systematic search was performed for peer-reviewed articles that reported factors that influenced nurses’ spiritual/existential care practices toward adult end-of-life patients. Results The review identified 42 studies and included the views of 4,712 nurses across a range of hospital and community settings. The most frequently reported factors/domains that influenced nurse practice were patient-related social influence, skills, social/professional role and identity, intentions and goals, and environmental context and resources. Significance of results A range of personal, organizational, and patient-related factors influence nurse provision of spiritual/existential care to end-of-life patients. This complete list of factors can be used to gauge a unit's conduciveness to nurse provision of spiritual/existential care and can be used as inputs to nurse competency frameworks.

End of life in acute hospital setting—A systematic review of families' experience of spiritual care

2020 ◽  
Vol 29 (7-8) ◽  
pp. 1041-1052 ◽  
Author(s):  
Nora Hennessy ◽  
Kathleen Neenan ◽  
Vivienne Brady ◽  
Melissa Sullivan ◽  
Jessica Eustace-Cooke ◽  
...  
Keyword(s):  
Systematic Review ◽  
End Of Life ◽  
Spiritual Care ◽  
Hospital Setting ◽  
Acute Hospital ◽  
Acute Hospital Setting

scholarly journals Levels and Determinants of Place-Of-Death Congruence in Palliative Patients: A Systematic Review

2022 ◽  
Vol 12 ◽  
Author(s):  
Sofía García-Sanjuán ◽  
Manuel Fernández-Alcántara ◽  
Violeta Clement-Carbonell ◽  
Concepción Petra Campos-Calderón ◽  
Núria Orts-Beneito ◽  
...  
Keyword(s):  
Systematic Review ◽  
Marital Status ◽  
End Of Life ◽  
Place Of Death ◽  
Cochrane Library ◽  
Place Of Residence ◽  
Related Factors ◽  
Care Services ◽  
Palliative Care Services ◽  
Palliative Patients

Introduction: Congruence, understood as the agreement between the patient's preferred place of death and their actual place of death, is emerging as one of the main variables indicating the quality of end-of-life care. The aim of this research was to conduct a systematic literature review on levels and determinants of congruence in palliative patients over the period 2010–2021.Method: A systematic review of the literature in the databases of PubMed, Scopus, Web of Science, PsycINFO, CINAHL, Cuiden, the Cochrane Library, CSIC Indexes, and IBECS. Information was extracted on research characteristics, congruence, and associated factors.Results: A total of 30 studies were identified, mainly of retrospective observational design. The congruence values varied substantially between the various studies, ranging from 21 to 100%. The main predictors of congruence include illness-related factors (functional status, treatments and diagnosis), individual factors (age, gender, marital status, and end of life preferences), and environmental factors (place of residence, availability of health, and palliative care services).Conclusion: This review, in comparison with previous studies, shows that treatment-related factors such as physical pain control, marital status, having a non-working relative, age, discussing preferred place of death with a healthcare professional, and caregiver's preference have been associated with higher levels of congruence. Depending on the study, other factors have been associated with either higher or lower congruence, such as the patient's diagnosis, gender, or place of residence. This information is useful for designing interventions aimed towards greater congruence at the end of life.

Incidence of Uterine Torsion and Related Factors in Buffaloes of Amul Milk Shed Area

2019 ◽  
Vol 15 (01) ◽  
pp. 17-20
Author(s):  
Chintan S Pateliya1 ◽  
J A Patel ◽  
A J Dhami ◽  
S B Patel ◽  
H L Makwana
Keyword(s):  
Retrospective Study ◽  
Survival Rate ◽  
Caesarean Section ◽  
Post Treatment ◽  
Full Term ◽  
Related Factors ◽  
Factors Influencing ◽  
Uterine Torsion

A study was carried out to find out the retrospective incidence of uterine torsion in buffaloes among obstetrical cases in Amul milk shed area and factors influencing it. Data on 1,13,772 obstetrical cases attended from January 2017 to June 2018 by Amul Veterinarians were collected. Moreover, 50 buffaloes suffering from uterine torsion were taken up during July-December, 2018 to know the side, site, degree of uterine torsion, parity as well as sex and viability of the calf and the dam after detorsion/Caesarean section in the same area. In the retrospective study, a total of 2000 cases of uterine torsion were recorded among total 1,13,772 bovine obstetrical cases, which encompassed 1.76%. Of the 2000 cases, 92.20 (1844) percent torsions were found in buffaloes only. Among 57,111 obstetrical cases attended in buffaloes, the incidence of uterine torsion was 3.23%. Moreover, the region/center-wise incidence of torsion cases varied from 1.30–19.36%. The highest incidence of uterine torsion was found in Anand region (19.36 %) followed by Kathlal (11.23 %) and Mahemdabad (10.14 %) regions, while the lowest incidence was in Virpur (2.06%), Petlad (1.46%) and Piplata (1.30%). It was concluded that buffaloes mostly experience right side (100%), post-cervical (82%) uterine torsion of 270–360° (66%), at full term of gestation (70%)with lower survivability of the calves (30%), however, the survival rate of the dams post-treatment was 90%.

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