scholarly journals Provision of Spiritual Care to Patients With Advanced Cancer: Associations With Medical Care and Quality of Life Near Death

2010 ◽  
Vol 28 (3) ◽  
pp. 445-452 ◽  
Author(s):  
Tracy Anne Balboni ◽  
Mary Elizabeth Paulk ◽  
Michael J. Balboni ◽  
Andrea C. Phelps ◽  
Elizabeth Trice Loggers ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pastoral Care ◽  
Medical Care ◽  
Religious Coping ◽  
Spiritual Care ◽  
Spiritual Needs ◽  
Medical Team ◽  
Aggressive Care ◽  
To Receive

Purpose To determine whether spiritual care from the medical team impacts medical care received and quality of life (QoL) at the end of life (EoL) and to examine these relationships according to patient religious coping. Patients and Methods Prospective, multisite study of patients with advanced cancer from September 2002 through August 2008. We interviewed 343 patients at baseline and observed them (median, 116 days) until death. Spiritual care was defined by patient-rated support of spiritual needs by the medical team and receipt of pastoral care services. The Brief Religious Coping Scale (RCOPE) assessed positive religious coping. EoL outcomes included patient QoL and receipt of hospice and any aggressive care (eg, resuscitation). Analyses were adjusted for potential confounders and repeated according to median-split religious coping. Results Patients whose spiritual needs were largely or completely supported by the medical team received more hospice care in comparison with those not supported (adjusted odds ratio [AOR] = 3.53; 95% CI, 1.53 to 8.12, P = .003). High religious coping patients whose spiritual needs were largely or completely supported were more likely to receive hospice (AOR = 4.93; 95% CI, 1.64 to 14.80; P = .004) and less likely to receive aggressive care (AOR = 0.18; 95% CI, 0.04 to 0.79; P = .02) in comparison with those not supported. Spiritual support from the medical team and pastoral care visits were associated with higher QOL scores near death (20.0 [95% CI, 18.9 to 21.1] v 17.3 [95% CI, 15.9 to 18.8], P = .007; and 20.4 [95% CI, 19.2 to 21.1] v 17.7 [95% CI, 16.5 to 18.9], P = .003, respectively). Conclusion Support of terminally ill patients' spiritual needs by the medical team is associated with greater hospice utilization and, among high religious copers, less aggressive care at EoL. Spiritual care is associated with better patient QoL near death.

Spirituality and end-of-life experiences: Meeting the spiritual needs of the dying

2021 ◽  
pp. 413-434
Author(s):  
Peter Fenwick ◽  
Bruno Paz Mosqueiro
Keyword(s):  
End Of Life ◽  
Spiritual Care ◽  
Life Experience ◽  
Scientific Evidence ◽  
Spiritual Needs ◽  
Spiritual Experiences ◽  
Life Care ◽  
Practical Guidance ◽  
To Receive

Most patients in palliative care report that it is very important to receive health care that is respectful, compassionate, and culturally sensitive to their spiritual needs. Providing spiritual care to people approaching the end of life and understanding that their mental and spiritual experiences constitutes a key aspect to providing a more effective treatment and quality of life at this moment. End-of-life experience (ELE) provide comfort, and represents a source of spirituality and meaning to the dying. Spiritual experiences also give hope, meaning, and strength to family members and healthcare professionals dealing with terminal conditions and suffering. This chapter reviews the scientific evidence about ELEs and discusses the potential clinical implications of these experiences to healthcare practice. Different patients’ vignettes are presented to illustrate and provide practical guidance to understanding and addressing ELE and spiritual care in end-of-life care settings.

scholarly journals Interprofessional spiritual care in oncology: a literature review

ESMO Open ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. e000465 ◽  
Author(s):  
Christina M Puchalski ◽  
Andrea Sbrana ◽  
Betty Ferrell ◽  
Najmeh Jafari ◽  
Stephen King ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Literature Review ◽  
Health Outcomes ◽  
Clinical Setting ◽  
Spiritual Care ◽  
Essential Element ◽  
Spiritual Needs ◽  
Serious Illness ◽  
American Society

Spiritual care is recognised as an essential element of the care of patients with serious illness such as cancer. Spiritual distress can result in poorer health outcomes including quality of life. The American Society of Clinical Oncology and other organisations recommend addressing spiritual needs in the clinical setting. This paper reviews the literature findings and proposes recommendations for interprofessional spiritual care.

scholarly journals Nurse’s Spiritual Care Competencies to Patient with End Stage Breast Cancer

2018 ◽  
Vol 7 (4) ◽  
pp. 268
Author(s):  
Nurul Rezki Anisa ◽  
Kadek Ayu Erika ◽  
Rini Rachmawaty
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Emotional Disturbance ◽  
Spiritual Care ◽  
Health Behaviours ◽  
Descriptive Study ◽  
Emotional Disturbances ◽  
Spiritual Needs ◽  
End Stage

<p><span lang="EN-US">Cancer has many side effects on patient’s physic and mostly on mental which may affect on their quality of life. Physically most patients feel fatigue, insomnia, anorexia, nausea, and vomit while mentally they feel emotional disturbances such as anxiety, stress, or depression. One of the methods to that appropriate to overcome both of the conditions is spiritual care. Many research found that because spiritual care associated with better wellbeing, less emotional disturbance, less substance abuse, greater social support, better health behaviours, so it has impact to longer survival periods. This research aimed to investigate nurse’s spiritual care competencies to patients with end stage cancer. This was descriptive study design employed Spiritual Care Competencies Scale (SCCS) instrument. A total sampling of 24 nurses working in Oncology department in Dr. Wahidin Sudirohusodo Hospital were recruited. This research found that there are 12 nurses (50 %) that work in oncology department have low competencies of spiritual care. Involving spiritual care is associated with better wellbeing and longer survival periods. Therefore, it is necessary to increase the competence of nurses on spiritual care in meeting the spiritual needs of patients with end stage breast cancer. A training of spiritual care can be an alternative for nurses to improve spiritual care in hospitals.</span></p>

scholarly journals The Process of Spiritual Care

2021 ◽  
Vol 12 ◽  
Author(s):  
Ricko Damberg Nissen ◽  
Dorte Toudal Viftrup ◽  
Niels Christian Hvidt
Keyword(s):  
Quality Of Life ◽  
International Development ◽  
Spiritual Care ◽  
Treatment Plan ◽  
Healthcare Research ◽  
World Health ◽  
Spiritual Needs ◽  
Daily Work ◽  
The Individual

The aim of this article is to illustrate and outline an understanding of spiritual care as a process involving a number of organically linked phases: (1) the identification of spiritual needs and resources, (2) understanding the patient’s specific needs, (3) developing the individual spiritual care treatment plan, hereunder involving the relevant healthcare/spiritual care professionals, (4) the provision of spiritual care, and (5) evaluating the spiritual care provided. The focus on spiritual care in healthcare research has increased throughout the past decades, showing that existential, spiritual, and/or religious considerations and needs increase with life-threatening illness, that these needs intensify with the severity of disease and with the prospect of death. Furthermore, research has shown that spiritual care increases quality of life, but also that failing to provide spiritual care leads to increased chance of depression and lowered health conditions. The World Health Organization accordingly emphasizes that providing spiritual care is vital for enhancing quality-of-life. Looking at spiritual care as a process suggests that working within a defined conceptual framework for providing spiritual care, is a recommendable default position for any institution where spiritual care is part of the daily work and routines. This so, especially because looking at spiritual care as a process highlights that moving from identifying spiritual needs in a patient to the actual provision of spiritual care, involves deliberate and considered actions and interventions that take into account the specific cultural and ontological grounding of the patient as well as the appropriate persons to provide the spiritual care. By presenting spiritual care as a process, we hope to inspire and to contribute to the international development of spiritual care, by enabling sharing experiences and best-practices internationally and cross-culturally. This so to better approach the practical and daily dimensions of spiritual care, to better address and consider the individual patient’s specific spiritual needs, be they secular, spiritual and/or religious. In the final instance, spiritual care has only one ambition; to help the individual human being through crisis.

DISTANCE EDUCATION IN THE CONTEXT OF GLOBALIZATION: PROBLEMS, SEARCH FOR A SOLUTION// Social Sciences: Achievements and Prospects Journal 4(12), 2019/ OEAPS Inc.(Open European Academy of Public Sciences); Chief Editor Mark Freeman - Barcelona, Spain. 16.05.2019: OEAPS Inc., 2019. - pp. 29-33.

2019 ◽  
Author(s):  
Zhanna Borisovna Erzhanova ◽  
Olga Alexandrovna Manankova
Keyword(s):  
Social Sciences ◽  
Quality Of Life ◽  
Distance Education ◽  
Chief Editor ◽  
Learning System ◽  
Spiritual Needs ◽  
European Academy ◽  
Distance Learning System ◽  
Teachers And Students

The article deals with the analysis of distance education in the modern globalization, as well as the problems and difficulties faced by teachers and students in the process of this form of training. Distance learning system provides an excellent opportunity for higher education to those who did not have or want to get a second education with the aim of improving the quality of life, as well as their material and spiritual needs. This article, highlighting some of the difficulties and problems of training in modern globalization, can help teachers to allow and overcome some of these new problems.

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