Unmet Spiritual Care Needs in Women Undergoing Core Needle Breast Biopsy

2020 ◽  
Vol 2 (2) ◽  
pp. 134-140
Author(s):  
Alyssa N Van Denburg ◽  
Rebecca A Shelby ◽  
Joseph G Winger ◽  
Lei Zhang ◽  
Adrianne E Soo ◽  
...  
Keyword(s):  
African American ◽  
African American Women ◽  
Spiritual Care ◽  
Breast Biopsy ◽  
Healthcare Providers ◽  
Spiritual Needs ◽  
Healthcare Team ◽  
Spiritual Support ◽  
Care Needs ◽  
Core Needle

Abstract Objective Spiritual care is an important part of healthcare, especially when patients face a possible diagnosis of a life-threatening disease. This study examined the extent to which women undergoing core-needle breast biopsy desired spiritual support and the degree to which women received the support they desired. Methods Participants (N = 79) were women age 21 and older, who completed an ultrasound- or stereotactic-guided core-needle breast biopsy. Participants completed measures of spiritual needs and spiritual care. Medical and sociodemographic information were also collected. Independent sample t-tests and chi-square tests of examined differences based on demographic, medical, and biopsy-related variables. Results Forty-eight participants (48/79; 60.8%) desired some degree of spiritual care during their breast biopsy, and 33 participants (33/78; 42.3%) wanted their healthcare team to address their spiritual needs. African American women were significantly more likely to desire some type of spiritual support compared to women who were not African American. Among the 79 participants, 16 (20.3%) reported a discrepancy between desired and received spiritual support. A significant association between discrepancies and biopsy results was found, χ 2(1) = 4.19, P = .04, such that 2 (7.4%) of 27 participants with results requiring surgery reported discrepancies, while 14 (26.9%) of 52 participants with a benign result reported discrepancies. Conclusion Most women undergoing core-needle breast biopsy desired some degree of spiritual care. Although most reported that their spiritual needs were addressed, a subset of women received less care than desired. Our results suggest that healthcare providers should be aware of patients’ desires for spiritual support, particularly among those with benign results.

scholarly journals Perspectives of board-certified healthcare chaplains on challenges and adaptations in delivery of spiritual care in the COVID-19 era: Findings from an online survey

2021 ◽  
pp. 026921632110433
Author(s):  
Jung Kwak ◽  
Shilpa Rajagopal ◽  
George Handzo ◽  
Brian P Hughes ◽  
Moon Lee
Keyword(s):  
Spiritual Care ◽  
Online Survey ◽  
Care Delivery ◽  
The United States ◽  
Healthcare Team ◽  
Full Time ◽  
Spiritual Support ◽  
Care Needs ◽  
Qualitative Responses ◽  
The Impact

Background: The COVID-19 pandemic has posed significant challenges for healthcare systems to meet patients’ and families’ complex care needs, including spiritual care needs. Little data are available about spiritual care delivery in light of the pandemic. Aim: This study examined the impact of COVID-19 on spiritual care by healthcare chaplains in the United States. Design: An online survey of 563 board-certified chaplains was conducted from March to July 2020. The survey, designed to identify chaplains’ roles in facilitating conversations about goals of care, included an open-ended question asking how COVID-19 affected chaplaincy practices; 236 chaplains responded. Quantitative data and written qualitative responses were analyzed using descriptive analysis and content analysis, respectively. Setting/participants: Majority of participants were white (88%), female (59%), Protestant (53%), and employed full time (86%). Almost half were working in community hospitals (45%) and designated to one or more special units (48%) including ICU, palliative care, and oncology. Results: Three major themes emerged from chaplains’ qualitative responses: (1) COVID-19—related risk mitigation and operational changes; (2) impact of social distancing guidelines; and (3) increased need for and provision of psychosocial and spiritual support. Conclusions: Chaplains reported that COVID-19 challenges contributed to greater social isolation, and mental health concerns for patients, families, and healthcare staff, and substantially changed the way healthcare chaplains provided spiritual care. With evolving healthcare contexts, developing safer, more creative modes of spiritual care delivery while offering systematic support for chaplains can help meet the increasing psychosocial and spiritual needs of patients, families, and healthcare team members.

scholarly journals Perceptions of Spirituality and Spiritual Care of Health Professionals Working in a State Hospital

Religions ◽  
2018 ◽  
Vol 9 (10) ◽  
pp. 312
Author(s):  
Kerem Toker ◽  
Fadime Çınar
Keyword(s):  
State Hospital ◽  
Spiritual Care ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Recovery Process ◽  
Spiritual Needs ◽  
Care Needs ◽  
Scale Scores ◽  
Specific Care ◽  
The Individual

Background: The determination and fulfillment of the spiritual needs of the individual in times of crisis can be realized by the health care professionals having the knowledge and skills to provide individual-specific care. This research was conducted to determine the perceptions of health professionals about spirituality and spiritual care. Methods: The study of 197 health professionals working in a state hospital was performed. This study is a descriptive study which was conducted between December 2017 and January 2018. Data in the form of an “Introductory Information Form” and “Spirituality and Spiritual Care Grading Scale” was collected. In the analysis of the data, the Mann–Whitney U test, Kruskal–Wallis tests, frequency as percentage, and scale scores as mean and standard deviation were used. Results: It was determined that 45.7% of the health professionals were trained in spiritual care, but that they were unable to meet their patients’ spiritual care needs due to the intensive work environment and personnel insufficiency. The total score averaged by the health professionals on the spirituality and spiritual care grading scales was 52.13 ± 10.13. Conclusions: The findings of the research show that health professionals are inadequate in spiritual care initiatives and that their knowledge levels are not at the desired level. With in-service trainings and efforts to address these deficiencies, spiritual care initiatives can be made part of the recovery process.

scholarly journals They Lift My Spirit Up

2014 ◽  
Vol 41 (6) ◽  
pp. 599-604 ◽  
Author(s):  
LeRon C. Jackson ◽  
Laura C. Hanson ◽  
Michelle Hayes ◽  
Melissa Green ◽  
Stacie Peacock ◽  
...  
Keyword(s):  
Quality Of Life ◽  
African American ◽  
Qualitative Evaluation ◽  
Spiritual Needs ◽  
Spiritual Support ◽  
Team Members ◽  
Serious Illness ◽  
Support Teams ◽  
Support Team

Background. Active social and spiritual support for persons with cancer and other serious illnesses has been shown to improve psychological adjustment to illness and quality of life. Objective. To evaluate a community-based support team intervention within the African American community using stakeholder interviews. Methods. Support team members were recruited from African American churches, community organizations, and the social network of individuals with serious illness. Support teams provided practical, emotional, and spiritual care for persons with cancer and other serious illness. The intervention was evaluated using semistructured interviews with 47 stakeholders including those with serious illness, support team volunteers, clergy, and medical providers. Results. Stakeholders report multiple benefits to participation in the support team; themes included provision of emotional and spiritual support, extension of support to patients’ family, and support complementary to medical care. Reported barriers to participation were grouped thematically as desiring to maintain a sense of independence and normalcy; limitations of volunteers were also discussed as a barrier to this model of supportive care. Conclusions. This qualitative evaluation provides initial evidence that a support team intervention helped meet the emotional and spiritual needs of African American persons with cancer or other serious illness. Volunteer support teams merit further study as a way to improve quality of life for persons facing serious illness.

scholarly journals Spiritual care and support from the perspective of hospitalized cancer patients

2021 ◽  
Vol 2 (5 (293)) ◽  
pp. 16-24
Author(s):  
Erika Juškauskienė ◽  
Lina Spirgienė ◽  
Olga Riklikienė
Keyword(s):  
Supportive Care ◽  
Spiritual Care ◽  
Sample Selection ◽  
Care Staff ◽  
Spiritual Needs ◽  
Care Hospital ◽  
Spiritual Support ◽  
Religious Rituals ◽  
Care And Support ◽  
Oncological Diseases

The aim was to describe the experience of non-terminal patients with oncological disease about the spiritual care and support provided to them in the nursing and supportive care hospital. Methods. The study was conducted in 2018 in four Lithuanian nursing and supportive care hospitals. During the face-to-face interviews, 118 patients with non-terminal oncological diseases shared their experiences on the spiritual care and support provided in the health care institution. Purposive sample selection was applied. The answers were analyzed by the method of qualitative inductive thematic content analysis. Kaunas Regional Bioethics Committee (No. BE-2-84) issued the permission to conduct the research. Findings. Patients with oncological diseases, in describing the spiritual care and support they received in nursing and supportive care hospital, associated it primarily with the sacraments and religious rituals provided by clergy or their assistants. Patients identified clergy and spiritual advisors, also medical, nursing and social care staff, and relatives as the main providers of spirtiual care. Patients expressed a desire to receive the spiritual help and support from a multidisciplinary team whose members liaise with each other, coordinate their actions, and together seek the best solutions. One third of patients experienced that their spiritual needs and expectations left without due attention or were not met at all. Some patients felt that there was too little spiritual support and help in the hospital. Conclusions. Patients with oncological diseases, in describing the spiritual care and support they received in nursing and supportive care hospital, associated it primarily with the sacraments and religious rituals provided by clergy or their assistants and to lesser extent with conversation and communication initiated by medical staff. The spiritual needs of patients with oncological diseases must become an integral part of holistic patient care not only at the theoretical level but also in clinical practice.

scholarly journals Religious/Spiritual Coping in Older African American Women

2017 ◽  
Author(s):  
Danice Greer ◽  
Willie Abel
Keyword(s):  
Blood Pressure ◽  
African American ◽  
African American Women ◽  
High Blood Pressure ◽  
Healthcare Providers ◽  
Spiritual Coping ◽  
Coping Behaviors ◽  
Pressure Therapy ◽  
American Women ◽  
Older African American Women

The purpose of this study was to identify religious/spiritual coping behaviors of African American women with hypertension (HTN) and explore how religious/spiritual coping influences adherence to high blood pressure (HBP) therapy in older African American women. A mixed-method research design guided this study. Twenty African American women with primary HTN were enrolled in this study using a mixed methods concurrent triangulation design. Data collection included physiologic, descriptive, and sociodemographic data. Adherence was measured using the Hill-Bone Compliance to High Blood Pressure Therapy scale (Kim, Hill, Bone, & Levine, 2000), and religious/spiritual coping was evaluated with the Brief Religious/Spiritual Coping scale. Qualitative data were obtained by audiotaped interviews using a semi-structured interview guide. Descriptive, physiologic data and data from questionnaires were analyzed. Five themes emerged. (a) Feelings of dizziness, lightheadedness, and feeling sick; (b) Belief in God or a Supreme Being, (c) Prayer as the primary coping mechanism, (d) Adherence conceptualized as obedience to God’s will, and (e) Need for healthcare providers to pray and provide more health information. This study provided insight into the influence of religious/spiritual coping behaviors on adherence to HTN treatment in older African American women with HTN in a rural medically underserved area. Nurses and other healthcare providers are in a key position to influence positive health outcomes in rural settings with limited resources using culturally appropriate strategies.

scholarly journals Spiritual Care Need: The Pediatric Nurses’ Perspective

2021 ◽  
Vol 9 (T4) ◽  
pp. 324-326
Author(s):  
Romdzati Romdzati ◽  
Widya Rachmi Yuliandari
Keyword(s):  
Spiritual Care ◽  
Healing Process ◽  
Spiritual Needs ◽  
Pediatric Nurses ◽  
Structured Interviews ◽  
Care Needs ◽  
Holistic Nursing ◽  
Inpatient Ward ◽  
Religion And Psychology ◽  
Spiritual Counselor

BACKGROUND: Nurses as health professionals have to provide holistic nursing care that is a bio-psycho-socio-cultural and spiritual aspect. If the spiritual aspects are not met, it will impact the patient’s healing process. It requires the role of nurses to meet the spiritual needs of patients. AIM: This study aims to determine a spiritual care need based on pediatric nurses’ perspective. METHODS: This study used a qualitative method of phenomenology. Participants in this study were all seven nurses working in the pediatric inpatient ward of three private hospitals in Yogyakarta. Data were collected through semi-structured interviews. RESULTS: The study showed that the meaning of spiritual care need was the need related to pediatric religion and psychology. Nurses can perform spiritual care needs to patients independently or collaborate with the spiritual counselor. Nurses fulfilled patients’ spiritual care needs to remind daily prayer, pray for patients, and remind them of prayer before taking medicine or other occasions. CONCLUSION: Spiritual care needs can be fulfilled by nurses independently or through collaboration with a spiritual counselor.

scholarly journals Spiritual Experience in Dementia From the Health Care Provider Perspective: Implications for Intervention

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 465-465
Author(s):  
Jennifer Palmer ◽  
Michelle Hilgeman ◽  
Tracy Balboni ◽  
Sara Paasche-Orlow ◽  
Jennifer Sullivan
Keyword(s):  
Spiritual Care ◽  
Qualitative Interviews ◽  
Well Being ◽  
Spiritual Experience ◽  
Assessment Tools ◽  
Spiritual Needs ◽  
Care Needs ◽  
Spiritual Assessment ◽  
Spiritual Distress ◽  
Linguistic Challenges

Abstract Spiritual care seeks to counter negative outcomes from spiritual distress and is notably needed in dementia. Such care needs disease-appropriate customization. Employing “cognitive apprenticeship” theory’s focus on learning from contrast, we explored spiritual needs salient within dementia as related to other disease states; we aimed to inform future dementia-focused spiritual care design. Accordingly, we conducted semi-structured qualitative interviews with 24 providers who serve older adults inclusive of persons with dementia. We sampled participants purposively by discipline (chaplains, nursing staff, social workers, activities professionals) and religious tradition (for chaplains). Our interview guide inquired about the nature of spiritual needs in dementia and stakeholders’ roles in addressing them. Hybrid inductive/deductive thematic analysis was employed. A thematic structure emerged with two themes: 1) spiritual experience in dementia compared to other medical conditions (sub-themes: the salience of (a) fear; (b) loss of self; (c) dementia’s progressive and incurable nature; (d) dementia’s impact on accessing faith); and 2) the need for spiritual intervention at the mild stage of dementia (sub-themes: (a) awareness in mild dementia and its influence on spiritual distress; (b) a window of opportunity). These findings pointed to possibilities for the “what” of spiritual needs and the “who” and “when” of implementing spiritual care. Implications included the imperative for dementia-specific spiritual assessment tools, interventions targeting fear and loss early in the disease, and stakeholder training. Researchers should study the “how” of dementia-appropriate spiritual care given recipients’ cognitive and linguistic challenges. Conjointly, these efforts could promote the spiritual well-being of persons with dementia worldwide.

Examination of Spiritual Needs in Hurricane Sandy Disaster Recovery Through Clinical Pastoral Education Verbatims

2018 ◽  
Vol 72 (1) ◽  
pp. 8-21 ◽  
Author(s):  
Allison Kestenbaum ◽  
Catherine Anne Fleischman ◽  
Marta Dabis ◽  
Bette Birnbaum ◽  
Laura B. Dunn
Keyword(s):  
Spiritual Care ◽  
Disaster Response ◽  
Hurricane Sandy ◽  
Clinical Pastoral Education ◽  
Spiritual Needs ◽  
Spiritual Support ◽  
Pastoral Education ◽  
Response And Recovery ◽  
Conducting Research ◽  
The Relationship

Objectives Spiritual support is an essential component to disaster response and recovery. The goals of this study were to (a) provide a qualitative examination of spiritual needs of recipients of disaster relief after Hurricane Sandy, as observed by spiritual care interns in “verbatims”; (b) demonstrate the feasibility of conducting research with providers of disaster spiritual care. Methods The study was accomplished through analysis (including codebook development and transcript coding) of written pastoral reports—aka “verbatims” ( n = 18)—as well as audio-recorded, transcribed seminars ( n = 23). Clinical Pastoral Education verbatims offer qualitative data in the form of confidential, anonymous reports of what the students do in the field. Results Analysis of coded transcripts yielded several themes and subthemes as results. Significance of Results Major themes include: (a) the feasibility of research for CPE students as subject; (b) the discussion of magnitude of the storm and aftermath, as a spiritual need in disaster; (c) the relationship between “normative crisis” and disaster; (d) the use of metaphors and images to describe disaster experiences.

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