To What Extent are the Spiritual Needs of Hospital Patients Being Met?

2005 ◽  
Vol 35 (3) ◽  
pp. 319-323 ◽  
Author(s):  
Kevin J. Flannelly ◽  
Kathleen Galek ◽  
George F. Handzo
Keyword(s):  
Spiritual Care ◽  
Hospitalized Patients ◽  
Point Estimate ◽  
Spiritual Needs ◽  
Limited Data ◽  
Number Of Factors ◽  
Hospital Patients

Although a substantial number of studies have documented the spiritual needs of hospitalized patients, few have examined the prevalence of these needs and even fewer have attempted to measure the extent to which they are being met. Since chaplains are the primary providers of spiritual care, chaplains' visits to patients would appear to provide a reasonable proxy for the latter. Based on the limited data available, we estimated the proportion of hospitalized patients who are visited by chaplains. Our analyses yielded a point estimate of 20% (+ 10%), depending on a number of factors.

scholarly journals Translation and Validation of the Spanish Version of the Spiritual Care Competence Questionnaire (SCCQ)

2021 ◽  
Vol 60 (5) ◽  
pp. 3621-3639 ◽  
Author(s):  
Tania Pastrana ◽  
Eckhard Frick ◽  
Alicia Krikorian ◽  
Leticia Ascencio ◽  
Florencia Galeazzi ◽  
...  
Keyword(s):  
Spiritual Care ◽  
Health Care Professionals ◽  
Spanish Version ◽  
Spiritual Needs ◽  
Self Awareness ◽  
Good Internal Consistency ◽  
Spiritual Self ◽  
Team Spirit ◽  
Translation And Validation

AbstractWe aimed to validate the Spanish version of the Spiritual Care Competence Questionnaire (SCCQ) in a sample of 791 health care professionals from Spanish speaking countries coming principally from Argentina, Colombia, Mexico and Spain. Exploratory factor analysis pointed to six factors with good internal consistency (Cronbach’s alpha ranging from 0.71 to 0.90), which are in line with the factors of the primary version of the SCCQ. Conversation competences and Perception of spiritual needs competences scored highest, and Documentation competences and Team spirit the lowest, Empowerment competences and Spiritual self-awareness competences in-between. The Spanish Version of the SCCQ can be used for assessment of spiritual care competencies, planning of educational activities and for comparisons as well as monitoring/follow-up after implementation of improvement strategies.

Infra-popliteal deep venous thrombi and the risk of symptomatic pulmonary embolism in hospitalized patients

Vascular ◽  
2011 ◽  
Vol 19 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Saadi Alhalbouni ◽  
Anil Hingorani ◽  
Alexander Shiferson ◽  
Natalie Marks ◽  
Enrico Ascher
Keyword(s):  
Pulmonary Embolism ◽  
Lower Extremity ◽  
Retrospective Review ◽  
Lower Limb ◽  
Hospitalized Patients ◽  
Symptomatic Pulmonary Embolism ◽  
Number Of Patients ◽  
Significant Difference ◽  
Hospital Patients ◽  
Made In

Infra-popliteal veins include the tibial and peroneal veins, as well as the soleal and gastrocnemial veins collectively known as the calf muscle veins (CMVs). Acute infra-popliteal deep venous thrombi (DVTs) are often considered insignificant with regard to the risk of pulmonary embolism (PE). A retrospective review of 4035 consecutive lower extremity venous duplex scans were made in 3146 hospital patients at our Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL)-accredited vascular lab. Seven hundred sixteen (17.7%) duplex scans were positive for acute DVTs, and 112 (2.8%) were associated with PEs. The breakdown of positive duplexes for acute DVTs was as follows: 202 (28.2%) isolated femoral-popliteal DVTs with PE in 23 (11.4%), 304 (42.5%) isolated infra-popliteal DVTs with PE in 24 (7.9%) and 210 (29.3%) multilevel DVTs involving both vein segments (femoral-popliteal and infra-popliteal) with PE in 38 (18.1%). Of the 304 isolated acute infra-popliteal DVTs, 207 (68.1%) were isolated CMV DVTs with evidence of PE in 12 (5.8%). No statistically significant difference ( P = 0.27) in the risk of PE between isolated femoral-popliteal and isolated infra-popliteal DVTs was noted. A significant number of patients (5.8%) with isolated CMV DVTs developed PE. Lower limb venous scans for DVTs should evaluate the infra-popliteal veins. Hospitalized patients with infra-popliteal DVTs should receive anticoagulation.

Verwendung eines orientierenden Spiritual Needs Screeners bei onkologischen Patienten

2021 ◽  
Vol 53 (03) ◽  
pp. 112-115
Author(s):  
Arndt Büssing
Keyword(s):  
Spiritual Care ◽  
Spiritual Needs

ZusammenfassungViele Patient*innen mit chronischen Erkrankungen haben dezidierte existenzielle und spirituelle Bedürfnisse, die aber in der Routineversorgung kaum berücksichtigt werden – am ehesten noch in der palliativen Versorgung. Wenn man diese Bedürfnisse in der Versorgung berücksichtigen möchte, da sich die Spiritualität einer Person als wichtige Ressource im Umgang mit schwierigen Lebenssituationen erwiesen hat, dann müssen diese auch dokumentiert werden. Kritischer Punkt ist hierbei, dass die Frage nach den spirituellen Bedürfnissen auch in der Anamnese-Erhebung einbezogen ist. Dies ist in einer standardisierten und strukturierten Form mit dem deutschsprachigen Spiritual Needs Fragebogen (SpNQ) möglich. Eine zusätzliche, noch kürzere und damit leichter zu implementierende Möglichkeit ist die Nutzung des SpNQ-Screeners mit 10 Items, der in einer Gruppe von 391 Patient*innen mit Tumorerkrankungen eine gute interne Konsistenz aufwies (Cronbachs alpha=0,86). Bei der assistierten Beantwortung des SpNQ-Screeners können sich bereits frühzeitig Gespräche ergeben, die im Sinne des Spiritual Care-Ansatzes zu verstehen sind und die von den Patient*innen zumeist als hilfreich und wertschätzend erachtet werden.

An update on the treatment of cutaneous tumours

UK-Vet Equine ◽  
2021 ◽  
Vol 5 (6) ◽  
pp. 247-252
Author(s):  
Anna Hollis
Keyword(s):  
Treatment Options ◽  
Surgical Excision ◽  
Careful Consideration ◽  
Limited Data ◽  
Clinical Appearance ◽  
Clinical Challenge ◽  
Number Of Factors ◽  
Intralesional Treatment ◽  
New Treatment ◽  
Number Of Treatment

Cutaneous tumours continue to present a significant clinical challenge in equine practice. There are a large number of treatment options and selecting the appropriate modality requires careful consideration of a number of factors. While sarcoids are the most commonly diagnosed cutaneous tumour, their clinical appearance can have considerable overlap with other types of lesion, so biopsy should be performed where the diagnosis is uncertain. New treatment options for sarcoids include electrosurgery, electrochemotherapy and novel intralesional treatments. Melanomas still have relatively limited treatment options beyond surgical resection, but there are now limited data to support the use of a xenogenic DNA vaccination protocol. Squamous cell carcinomas are generally best treated via surgical excision, but a novel intralesional treatment may prove to be a useful option for further treatment.

scholarly journals Hubungan Karakteristik Perawat Dengan Pelaksana Asuhan Keperawatan Spiritual Islami Di Ruang Inap Dewasa Rumah Sakit Kabupaten Bandung

2020 ◽  
Vol 7 (2) ◽  
pp. 125
Author(s):  
Inggriane Dewi ◽  
Rahmat Sastro ◽  
Suryadi Alamsyah
Keyword(s):  
Nursing Care ◽  
Spiritual Care ◽  
Direct Action ◽  
Spiritual Needs ◽  
P Value ◽  
Training Experience ◽  
Cross Sectional ◽  
Care Nurse ◽  
Data Collection Technique ◽  
Nursing Diagnoses

Kesenjangan antara pemenuhan kebutuhan spiritual oleh perawat dengan yang diterima oleh pasien rawat inap dewasa di rumah sakit Kabupaten Bandung ini mendorong sebuah penelitian dengan tujuan menganalisis implementasi asuhan keperawatan spiritual muslim di ruang rawat inap dewasa. Desain penelitian yang digunakan dalam penelitian ini adalah deskriptif korelatif, dengan pendekatan Cross Sectional sampel dalam penelitian ini adalah semua perawat pelaksana yang melakukan tindakan langsung kepada pasien yaitu sebanyak 39 orang dan pasien yang telah dirawat di ruangan ≥ 3 hari. Teknik pengambilan data dengan menggunakan kuesioner bagi perawat dan pasien, selain itu peneliti melakukan observasi terhadap dokumentasi asuhan spiritual Islami yang telah dilakukan perawat serta wawancara pada perawat.Hasil penelitian menunjukan pelaksanaan spiritual care Islami di ruang rawat inap dewasa ini, sebagian besar belum terlaksana (53%), data didukung oleh pernyataan pasien (68%) mengatakan kurang mendapatkan asuhan spiritual dari perawat serta aspek pendokumentasian yang kurang (33%) untuk pengkajian dan penegakan diagnosa keperawatan, sementara untuk perencanaan, implementasi dan evaluasi 100% tidak terdokumentasi. Terdapat hubungan antara jenis kelamin, pelatihan dan lama kerjaperawat  dengan pelaksanaan asuhan keperawatan spiritual Islami (nilai P = 0,000) dan terdapat hubungan jenis kelamin dan lama kerja perawat dengan pendokumentasian asuhan keperawatan spiritual Islami dengan (nilai P 0,000).Kata kunci                : asuhan keperawatan spiritual islami; perawat; dokumentasiTHE CORRELATION BETWEEN NURSE CHARACTERISTICS AND THE IMPLEMENTATION OF ISLAMIC SPIRITUAL NURSING CARE IN ADULT WARD OF BANDUNG DISTRICT HOSPITAL Abstract  The gap between the fulfillment of spiritual needs by nurses and those received by adult inpatients room at Bandung Regency hospital encourages a study with the aim of analyzing the implementation of Muslim spiritual nursing care in adult inpatients. The research design used in this study was descriptive correlative, with a cross sectional approach. The sample in this study were all nurses who took direct action on the patient, as many as 39 people and patients who had been treated in the room ≥ 3 days. The data collection technique used a questionnaire for nurses and patients. In addition, the researcher made observations on the documentation of Islamic spiritual care that had been carried out by nurses and interviews with nurses. The results of the study show that the implementation of Islamic spiritual care in inpatient rooms today has not largely been implemented (53%), the data is supported by statements of patients (68%) saying they do not get spiritual care from nurses and lack of documentation (33%) for assessment and enforcement of nursing diagnoses, while for planning, implementation and evaluation they are 100% undocumented. There is a relationship between gender, training experience and length of work of nurses with the implementation of Islamic spiritual nursing care (value P = 0.000) and there is a relationship between gender and length of work of nurses with documentation of Islamic spiritual nursing care with (P value 0,000).. Keywords: islamicspiritual nursing care;nurse; documentation

scholarly journals Spiritual Care Competence among Malaysian Staff Nurses

2021 ◽  
Vol 11 (1) ◽  
pp. 1-9
Author(s):  
Ali H. Abusafia ◽  
Zakira Mamat ◽  
Nur Syahmina Rasudin ◽  
Mujahid Bakar ◽  
Rohani Ismail
Keyword(s):  
Spiritual Care ◽  
Significant Relationship ◽  
Sociodemographic Factors ◽  
Peninsular Malaysia ◽  
Mean Difference ◽  
Staff Nurses ◽  
Average Level ◽  
Spiritual Needs ◽  
Cross Sectional ◽  
Personal Support

Background: Perceptions and levels of understanding of spiritual care vary among nurses, which may affect their competency to meet the patient’s spiritual needs. Therefore, determining nurses' perception of spiritual care is the first important step in addressing the spiritual needs of patients, and may also help nursing management in developing spiritual care education and training programs.Purpose: This study aimed to assess the competence of Malaysian nurses toward providing spiritual care and identify the relationship between nurses’ spiritual care competence and their sociodemographic factors. Methods: This study employed a cross-sectional design to assess nurses' competence in spiritual care by using a simple random sampling method which involved 271 staff nurses from a public hospital in Northeast of Peninsular Malaysia. Spiritual care competence scale in Bahasa Malaysia version was used for data collection. Data analysis was performed using descriptive (frequency, percent, mean, standard deviation) and inferential (Chi-square and Pearson’s correlation test) statistics.Results: This study showed that 69.7% of staff nurses had an average level of competence toward providing spiritual care for the patients (M=95.44, SD=4.34). The highest mean difference among the domains was personal support and patients counseling (MD=5.789), while the lowest mean difference was assessment and implementation of spiritual care (MD=1.258). Furthermore, there was no significant relationship between spiritual care competence and sociodemographic factors (gender, age, marital status, educational level, nurses' experience, race, religion, and previous participation in training spiritual care programs).Conclusion: The majority of nurses have an average level of competence toward providing spiritual care. There is no significant relationship between nurses’ spiritual care competence and sociodemographic factors.

Successful Use of Intravenous Methylnaltrexone for Opioid-Induced Constipation in Critically Ill Pediatric Patients

2021 ◽  
Author(s):  
Kimberly P. Mills ◽  
Christopher C. McPherson ◽  
Ahmed S. Said ◽  
Michael A. Lahart
Keyword(s):  
Adverse Events ◽  
Critically Ill ◽  
Primary Outcome ◽  
Pediatric Patients ◽  
Case Series ◽  
Opioid Withdrawal ◽  
Limited Data ◽  
Serious Adverse Events ◽  
Patient Response ◽  
Hospital Patients

Abstract Objectives Methylnaltrexone is U.S. Food and Drug Administration (FDA) approved as a subcutaneous injection for adults with opioid-induced constipation (OIC). Case series have described the use of methylnaltrexone for OIC in the pediatric oncology population. There are limited data describing its intravenous use in critically ill pediatric patients. Methods We conducted a retrospective observational study at St. Louis Children's Hospital. Patients less than 18 years old who received at least one dose of intravenous methylnaltrexone while admitted to an intensive care unit between January 2016 and August 2019 were included. The primary outcome was documented laxation within 24 hours of methylnaltrexone administration. Results Sixteen patients received a total of 34 doses of intravenous methylnaltrexone. Patients received a median of 1.69 (interquartile range [IQR], 0.9–4.86) morphine milligram equivalents per kilogram per 24 hours, over a median of 14 days (IQR, 11–30), before methylnaltrexone administration. The median dose of methylnaltrexone was 0.15 mg/kg (IQR, 0.15–0.16). Ten patients (63%) responded to the first dose of methylnaltrexone, and 14 patients (88%) responded to at least one dose. Overall, 26 doses (76%) led to patient response. Four patients (25%) experienced adverse events (emesis, abdominal pain) after methylnaltrexone administration. No signs or symptoms of opioid withdrawal were documented. Conclusions Intravenous methylnaltrexone appears to be safe and effective in treating OIC in critically ill pediatric patients. No serious adverse events or signs of opioid withdrawal were observed after single and repeat dosing. Patients responded to methylnaltrexone with varying opioid dosing and durations prior to administration.

Spirituality and Surgery

2019 ◽  
pp. 43-54
Author(s):  
Daniel B. Hinshaw
Keyword(s):  
Nineteenth Century ◽  
Critically Ill ◽  
Spiritual Care ◽  
Critically Ill Patients ◽  
Basic Skills ◽  
Close Connection ◽  
Spiritual Needs ◽  
Human Suffering ◽  
Scientific Medicine ◽  
Life Threatening

Increasing evidence has demonstrated the importance of spirituality and spiritual care for patients with life-threatening illnesses. With the growth of scientific medicine from the nineteenth century, a medical dualism has developed with an intense focus on identifying and treating disease almost to the exclusion of caring for the suffering of the person with the disease. This chapter provides surgeons with an understanding of human suffering and its close connection to spirituality, reviews studies highlighting the importance of spirituality and spiritual care to critically ill patients, and outlines some basic skills surgeons can develop to address the spiritual needs of their patients.

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