scholarly journals Spiritual care in a hospital setting: nurses’ and patients’ perspectives

2012 ◽  
Vol 2 (1) ◽  
pp. 7 ◽  
Author(s):  
Jan P. Vlasblom ◽  
Jenny T. Van der Steen ◽  
Henk Jochemsem

Many patients wish to discuss spiritual issues with nurses. Previous work has shown that nurses do so infrequently. A mixed methods research approach was used to investigate the perceptions of spiritual care of nurses and patients. Fifty-one nurses and 75 patients of five hospital departments of a non-academic hospital in the Netherlands were surveyed in 2007. We recorded the nurses&rsquo; perception of patient wishes, perceived relevance of spiritual care for patients, spiritual care provided in practice, and their evaluation of the spiritual care provided for the patients. With regard to the patients the nurses cared for, we recorded their satisfaction with the information and experiences of spiritual care provided by the nurses. Furthermore, semi-structured qualitative interviews with eight nurses examined the nurses&rsquo; perceptions of spiritual care including perceived barriers and facilitators of spiritual care giving. The nurses generally perceived spiritual care as important. The quantitative and qualitative research indicated that <em>time to listen, availability, empathic skills, openness to other opinions, and a good relationship of trust</em> were important facilitators. Fortyone per cent of the nurses said that few patients received sufficient attention to their spiritual needs. Patients also experienced limitations in the support for and registration of their spiritual needs. Both nurses and patients acknowledged shortcomings in the provision of spiritual care. Even though some issues may be improved relatively easily, such as registering needs, in practice giving spiritual care is complex, as it requires being available and building a relationship with the patient.

2005 ◽  
Vol 68 (4) ◽  
pp. 177-180 ◽  
Author(s):  
Marion Hoyland ◽  
Christine Mayers

The profession's present interest in the topic of spirituality initiated the decision to undertake this study, which aimed to investigate the extent to which occupational therapists consider clients' spiritual needs as part of their domain. The objectives of the study were to ascertain whether this was part of the occupational therapist's role and to identify the ways in which occupational therapists addressed the spiritual needs of their clients. Six senior II occupational therapists participated in semi-structured interviews. The participants felt that all individuals have spiritual needs, although not all would recognise or acknowledge them as such. All the participants considered spiritual care to be part of their role, but there was some uncertainty regarding the relationship of spiritual care to occupational therapy in general. Spiritual needs were addressed by a listening and holistic approach.


Author(s):  
S Birchall ◽  
Maya Murphy ◽  
Markus Milne

Climate change and solutions to solving this wicked problem require a mixed methods research approach that draws on quantitative and qualitative inquiry together. The purpose of this article is to demonstrate the applicability (and effectiveness) of a mixed methods approach applied to research into the voluntary carbon market (VCM), a key path available for organisations electing to offset their carbon emissions, in New Zealand. The mixed methods approach included three unique data sets (quantitative documents, quantitative surveys, qualitative in-depth interviews), and was both explanatory (qualitative interviews built upon and contextualized the document analysis and survey results) and convergent (data sets were examined separately, then, as they represent different aspects of the same phenomenon, were combined for analysis). These complementary methods were used to gain a fuller picture of the evolution and institutional dynamics of the VCM field in order to produce a comprehensive case study.


2018 ◽  
Vol 6 ◽  
pp. 45-48 ◽  
Author(s):  
Preeti Mahato ◽  
Caterine Angell ◽  
Edwin Van Teijlingen ◽  
Padam P Simkhada

In the areas of health promotion and health education, mixed-methods research approach has become widely used. In mixed-methods research, also called multi-methods research, the researchers combine quantitative and qualitative research designs in a single study. This paper introduces the mixed-methods approach for use in research in health education. To illustrate this pragmatic research approach we are including an example of mixed-methods research as applied in Nepalese research.Journal of Health Promotion Vol.6 2008, p.45-48


Author(s):  
Timothy C. Guetterman

Sampling is a critical, often overlooked aspect of the research process. The importance of sampling extends to the ability to draw accurate inferences, and it is an integral part of qualitative guidelines across research methods. Sampling considerations are important in quantitative and qualitative research when considering a target population and when drawing a sample that will either allow us to generalize (i.e., quantitatively) or go into sufficient depth (i.e., qualitatively). While quantitative research is generally concerned with probability-based approaches, qualitative research typically uses nonprobability purposeful sampling approaches. Scholars generally focus on two major sampling topics: sampling strategies and sample sizes. Or simply, researchers should think about who to include and how many; both of these concerns are key. Mixed methods studies have both qualitative and quantitative sampling considerations. However, mixed methods studies also have unique considerations based on the relationship of quantitative and qualitative research within the study.


2020 ◽  
Vol 11 (3) ◽  
pp. 333
Author(s):  
Prince Chukwuneme Enwereji ◽  
Dominique Uwizeyimana

The payment for municipal services by the residents in South Africa has been a much-deliberated issue as consumer debts in many municipalities continue to intensify due to payment default or non-payment. The main aim of this study was to investigate the development of non-payment culture for municipal services, the main causes of non-payment for municipal services, and the measures to improve the payment culture for municipal services. This study adopted a mixed-methods research approach incorporating both quantitative and qualitative research approaches. A convergent parallel mixed methods design was adopted which enhanced the richness of data by triangulating the findings from quantitative and qualitative datasets. Data was collected from the residents using questionnaires and online interviews with executive municipal employees. Findings obtained from the study indicate that the non-payment culture for municipal services has its origin from the anti-apartheid struggle. Furthermore, it was disclosed that the reasons for non-payment for municipal services are compounded as poverty, unemployment, the culture of entitlement, dissatisfaction with service provision, corruption of municipal workers, rise in the cost of municipal services, communication gap issues, and problems associated with the municipal decision-making process. The study recommends that the municipalities should provide adequate services to the residents and adequately engage in a wide outreach to residents through various electronic media or IDP programmes to educate them on the advantages of paying for the services consumed.


2019 ◽  
Vol 14 (4) ◽  
pp. 433-449
Author(s):  
Keanen M McKinley

Mixed methods research (MMR) integrates quantitative and qualitative research approaches to reach more valid, complete, or refined conclusions. MMR is emerging as a distinct research approach that can be particularly useful for understanding complex phenomena, like international student mobility. While other fields have established frameworks for conducting MMR, no such framework exists for European student mobility researchers. As a first step toward creating a MMR framework, this exploratory study systematically analyzed and assessed the quality of 24 MMR studies within European student mobility research using content analysis, where quality is operationalized as the alignment between the MMR rationales and study designs. Concerns arose for 10 of the 24 sampled articles, illustrating the need to establish frameworks and ensure a shared understanding of MMR. I provide three directions for future research that will inform the creation of MMR frameworks specific to European student mobility research.


2020 ◽  
Vol 4 (1) ◽  
pp. 34
Author(s):  
Ita Yuni Asih ◽  
Dody Setyawan

ABSTRAKKepadatan pasien dan pergantian pasien yang cepat di Instalasi Gawat Darurat (IGD) menyebabkan perawat kurang optimal dalam memberikan asuhan keperawatan kebutuhan spiritual bagi pasien. Kondisi tersebut dapat mempengaruhi persepsi perawat IGD akan spiritualitas dan pemenuhan kebutuhan spiritual pasien. Pemenuhan kebutuhan spiritual pasien IGD yang baik juga dapat meningkatan hasil pengobatan yang baik. Perawat yang memiliki persepsi spiritual yang baik akan mempunyai kemampuan untuk memenuhi kebutuhan spiritual pasien. Tujuan: untuk mengetahui gambaran persepsi perawat mengenai spiritualitas dan pemenuhan kabutuhan spiritual pasien di IGD. Metode: penelitian ini menggunakan studi deskriptif survei. Sampel diambil menggunakan teknik total sampling dan diperoleh 75 responden. Data diambil dengan menggunakan kuesioner Spiritual Care-Giving Scale (SCGS) dan dianalisis dengan analisa univariat. Hasil penelitian: lebih dari separuh perawat IGD mempersepsikan kebutuhan spiritual dan pemenuhan kebutuhan spiritual pasien sebagai hal yang sangat penting (57,3%). Setiap aspek juga dipersepsikan sangat penting oleh perawat IGD, yaitu atribut dalam pemenuhan kebutuhan spiritual (77,3%), perspektif kebutuhan spiritual (60%), gambaran pemenuhan kebutuhan spiritual (54,7%), sikap dalam pemenuhan kebutuhan spiritual (88%), dan nilai-nilai dalam pemenuhan kebutuhan spiritual (65,3%). Kesimpulan: aspek yang perlu diperbaiki adalah nilai-nilai dalam pemenuhan kebutuhan spiritual. Nilai-nilai dari spiritualitas diartikan sebagai bagian dari keperawatan holistik yang sangat penting. Oleh karena itu, perawat IGD perlu meningkatkan pemahaman tentang spiritualitas agar implementasi pemenuhan kebutuhan spiritual pasien di IGD dapat positif diperkuat.Kata kunci: perawat gawat darurat, persepsi, spiritualNurses’ Perception of Spirituality and Fulfill the Spiritual Needs of Patients in the Emergency DepartmentABSTRACTPatient overcrowding and rapid patient turnover in emergency department cause nurses to be less than optimal in providing patients spiritual needs. This condition can affect the emergency nurses’ perceptions of spirituality and fulfill the patient’s spiritual needs. A good fulfillment of the emergency patients spiritual needs can also improved a good treatment results. Nurses who have a good spiritual perception will have the ability to fulfill the patient’s spiritual needs. Objective: describe nurses’ perception of spirituality and fulfill the spiritual needs of patients in the emergency department. Methods: This study was used descriptive survey research. Samples were taken using total sampling technique and obtained 75 participants. Data were taken using the Spiritual Care Giving Scale (SCGS) questionnaire and analyzed by univariate analysis. Results: more than a half of emergency nurses considered spiritual needs and fulfilled the patient’s spiritual needs as very important (57,3%). Every aspects is also perceived to be very important by emergency nurses, that is attributes in meeting spiritual needs (77.3%), perspective of spiritual needs (60%), description of meeting spiritual needs (54.7%), attitudes in meeting spiritual needs (88%), and values in meeting spiritual needs (65.3%). Conclusion: An aspect that need to be improved are values in fulfilling spiritual needs. The value of spirituality is interpreted as a very important part of holistic nursing. Consequently, emergency nurses need to improve their understanding of spirituality so that the implementation of fulfilling patients spiritual needs in emergency department can be positively reinforced. Keywords: emergency nurse, perception, spiritual


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 465-465
Author(s):  
Jennifer Palmer ◽  
Michelle Hilgeman ◽  
Tracy Balboni ◽  
Sara Paasche-Orlow ◽  
Jennifer Sullivan

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.


Author(s):  
Ita Yuni Asih

Patient overcrowding and rapid patient turnover in emergency department cause nurses to be less than optimal in providing patients spiritual needs. This condition can affect the emergency nurses' perceptions of spirituality and fulfill the patient's spiritual needs. A good fulfillment of the emergency patients spiritual needs can also improved a good treatment results. Nurses who have a good spiritual perception will have the ability to fulfill the patient's spiritual needs. Objective: describe nurses’ perception of spiritual needs and fulfill the spiritual needs of patients in the emergency department. Methods: This study was used descriptive survey research. Samples were taken using total sampling technique and obtained 75 participants. Data were taken using the Spiritual Care Giving Scale (SCGS) questionnaire and analyzed by univariate analysis. Results: more than a half of emergency nurses considered spiritual needs and fulfilled the patient’s spiritual needs as very important (57,3%). Every aspect of fulfilling spiritual needs is also perceived to be very important by emergency nurses. Conclusion: An aspect that need to be improved are values in fulfilling spiritual needs. The value of spirituality is interpreted as a very important part of holistic nursing. Consequently, emergency nurses need to improve their understanding of spirituality so that the implementation of fulfilling patients spiritual needs in emergency department can be positively reinforced.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Allison Daniel ◽  
Humphrey Chatenga ◽  
Bernadette Chimera ◽  
Emmie Mbale ◽  
Mphatso Chisala ◽  
...  

Abstract Objectives The first four dietitians graduated in Malawi in 2017, providing a new opportunity to build capacity to introduce nutrition support in an acute care setting. We designed and implemented a pediatric nutrition support program at Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi including the hiring of a local dietitian in August 2018. Upon introducing this program, we aimed to qualitatively assess perceptions around the nutrition support program from the perspective of health professionals at QECH. Methods Qualitative interviews using a narrative research approach were undertaken to understand perceptions about the nutrition support program. Participants were selected through a purposive sampling approach across the eight wards within the nutrition support program at QECH. Interviews were held with nurses (n = 5) and clinicians and surgeons (n = 11) at QECH in November and December 2018. These interviews were audio-recorded before being transcribed and themes were then coded inductively using NVivo 11 software. Results All participants of the qualitative interviews emphasized the importance and impact of the nutrition support program in enhancing care of hospitalized children and therefore improving child outcomes such as tolerability of clinical interventions, decreased duration of stay, and reduced risk of hospital readmission. Other themes that arose were the receptiveness of guardians of children who received nutrition support, the importance of engaging other health professionals in nutrition support, and the need for prioritization of nutrition support by the Ministry of Health to sustain and scale up this type of program in Malawi. Conclusions Qualitative interviews with nurses, clinicians, and surgeons highlighted the value of nutrition support to improve quality of care in low-resource hospital settings. Integration of dietitians into the healthcare system in low- and middle-income countries like Malawi will require further advocacy around the potential for nutrition support to improve outcomes in vulnerable children. Funding Sources The introduction of the nutrition support program was funded by the Centre for Global Child Health Catalyst Grant from the Hospital for Sick Children.


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