Evaluation of Spiritual Care Plan

Religion and Spirituality in Family Medicine

10.1093/med/9780190272432.003.0004 ◽

2017 ◽

Author(s):

Timothy P. Daaleman

Keyword(s):

Health Care ◽

Spiritual Care ◽

Conceptual Models ◽

Clinical Skills ◽

Evidence Base ◽

Care Plan ◽

Religion And Spirituality ◽

Beliefs And Values ◽

Whole Person ◽

Structured Approach

There is awareness among contemporary family physicians of the intersection of religion and spirituality (R/S) and health care. The rigorous examination of R/S and health outcomes continues to be hampered by methodological challenges and the lack of plausible conceptual models. However one important area of investigation, and growing evidence base, can be found in the spiritual care provided at the end of life. In this clinical setting and other related contexts, a health services perspective provides a structured approach to both research and practice, particularly with contemporary movements to value-based health care. For physicians, the following clinical skills are the foundation to spiritual care: (1) empathy and attentiveness; (2) formulating a whole person care plan that is inclusive of spiritual factors; (3) including pastoral and other spiritual care specialists in the care plan, and; (4) identifying and addressing concordant and discordant beliefs and values when they arise.

Download Full-text

Perceiving the Role of Communication Skills as a Bridge between the Perception of Spiritual Care and Acceptance of Evidence-Based Nursing Practice—Empirical Model

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182312591 ◽

2021 ◽

Vol 18 (23) ◽

pp. 12591

Author(s):

Mariusz Panczyk ◽

Lucyna Iwanow ◽

Szymon Musik ◽

Dominik Wawrzuta ◽

Joanna Gotlib ◽

...

Keyword(s):

Communication Skills ◽

Spiritual Care ◽

Structural Equation ◽

Rating Scale ◽

Evidence Based Practice ◽

Structural Equations ◽

Care Plan ◽

Evidence Based ◽

Significant Difference

Decision making using evidence-based practice (EBP) is generally universally accepted by nurses. Such acceptance may affect the personnel’s behaviour towards patients, which is also demonstrated by taking into consideration the patient’s preferences, including the patient’s spiritual needs, in the care plan. The provision of such care requires the development of an attitude of approval and an adequate level of communicative competence, which will enable the actual implementation of the EBP. The purpose of our study was to assess the perception of spirituality and the nurse’s role in providing spiritual care, as well as the perception of the significance of communication skills in the approval of EBP in professional practice. A multi-centre cross-section study was conducted on a population of 1176 participants (459 undergraduate (bachelor’s programme, BP) and 717 postgraduate students (master’s programme, MP)) from 10 medical universities in Poland. Three tools were used in the study to evaluate the participants’ approach: Evidence-Based Practice Competence Questionnaire (EBP-COQ), The Spirituality and Spiritual Care Rating Scale (SSCRS), and Communication Skills Attitude Scale (CSAS). Structural equation modelling was used for the analysis. An analysis of structural equations revealed the presence of positive relationships of the attitude to spiritual care and the role of communicative competences with the approach to EBP regardless of the cohort. A significant difference was found related to the influence of age on the attitude towards learning communicative competences. The approval in this respect was observed to decrease with age in the MP group. Increasing approval of EBP requires strengthening the approach to activity-centred spiritual care, with the simultaneous development of a positive attitude towards learning communicative competences. The model reveals the need to integrate a humanistic approach with EBP, which can be achieved by planning different interventions in different groups of recipients: nurses, academic teachers and students.

Download Full-text

Perceiving the Role of Communication Skills as a Bridge between the Perception of Spiritual Care and Acceptance of Evidence-Based Nursing Practice—Empirical Model

10.20944/preprints202111.0079.v1 ◽

2021 ◽

Author(s):

Mariusz Panczyk ◽

Lucyna Iwanow ◽

Szymon Musik ◽

Dominik Wawrzuta ◽

Joanna Gotlib ◽

...

Keyword(s):

Communication Skills ◽

Spiritual Care ◽

Structural Equation ◽

Rating Scale ◽

Evidence Based Practice ◽

Structural Equations ◽

Care Plan ◽

Evidence Based ◽

Significant Difference

Decision-making using evidence-based practice (EBP) is generally universally accepted by nurses. Such acceptance may affect the personnel’s behaviour towards patients, which is also demonstrated by taking into consideration the patient’s preferences, including the patient’s spiritual needs, in the care plan. The provision of such care requires the development of an attitude of approval and an adequate level of communicative competence, which will enable the actual implementation of the EBP. The purpose of our study was to assess the perception of spirituality and the nurse’s role in providing spiritual care, as well as the perception of the significance of communication skills in the approval of EBP in professional practice. A multi-centre cross-section study was conducted on a population of 1176 participants (459 undergraduate (Bachelor programme, BP) and 717 postgraduate students (Master programme, MP)) from 10 medical universities in Poland. Three tools were used in the study to evaluate the participants’ approach: Evidence-Based Practice Competence Questionnaire (EBP-COQ), The Spirituality and Spiritual Care Rating Scale (SSCRS), and Communication Skills Attitude Scale (CSAS). Structural equation modelling was used for the analysis. An analysis of structural equations revealed the presence of positive relationships of the attitude to spiritual care and the role of communicative competences with the approach to EBP regardless of the cohort. A significant difference was found related to the influence of age on the attitude toward learning communicative competences. The approval in this respect was observed to decrease with age in the MP group. Increasing approval of EBP requires strengthening the approach to activity-centred spiritual care, with the simultaneous development of a positive attitude towards learning communicative competences. The model reveals the need to integrate a humanistic approach with EBP, which can be achieved by planning different interventions in different groups of recipients: nurses, academic teachers and students.

Download Full-text

Advocating and Educating for Spiritual Screening Assessment and Referrals to Chaplains

OMEGA - Journal of Death and Dying ◽

10.2190/om.67.1-2.v ◽

2013 ◽

Vol 67 (1-2) ◽

pp. 185-192 ◽

Cited By ~ 4

Author(s):

Linda F. Piotrowski

Keyword(s):

Spiritual Care ◽

Screening Tool ◽

Healing Process ◽

Care Plan ◽

Spiritual Identity ◽

Spiritual Needs ◽

Spiritual Counselor ◽

Screening Assessment ◽

Spiritual Screening

This article presents attempts to improve the quality of spiritual care offered to palliative care patients by educating nursing and other staff about spiritual screening with the goal of increasing referrals to a board certified chaplain. Attention to patients' spiritual identity and spiritual needs upon admission and throughout a hospitalization through either a formalized screening tool or provider awareness and sensitivity can assist patients in naming their needs, thus triggering a referral to a board certified chaplain or other spiritual counselor. Along with a spiritual care plan based upon assessment of spiritual needs and resources facilitates the healing process.

Download Full-text

End-of-life spiritual care at a VA medical center: Chaplains' perspectives

Palliative & Supportive Care ◽

10.1017/s1478951511001003 ◽

2012 ◽

Vol 10 (4) ◽

pp. 273-278 ◽

Cited By ~ 10

Author(s):

Bei-Hung Chang ◽

Nathan R. Stein ◽

Kelly Trevino ◽

Max Stewart ◽

Ann Hendricks ◽

...

Keyword(s):

Palliative Care ◽

End Of Life ◽

Spiritual Care ◽

Medical Center ◽

Healthcare Providers ◽

Well Being ◽

Care Patient ◽

Care Plan ◽

Spiritual Needs ◽

Care Improvement

AbstractObjective:Spiritual care is an essential component of quality palliative care. Recognizing the importance, the Department of Veterans Affairs (VA) mandates the inclusion of chaplains in a palliative care consult team (PCCT). The purpose of this study is to explain the process and content of spiritual care provided in a VA Medical Center from chaplains' perspectives.Method:Five Christian chaplains who provide care to patients at end of life were interviewed. Each interview was recorded and transcribed. Analysis based on the grounded theory was used to identify themes from each interview question.Results:The PCCT in this study appeared to have a strong referral and communication system in which every palliative care patient was seen by a chaplain and the care plan was discussed with an interdisciplinary team. Chaplains reported providing a range of services, which addressed religious, spiritual, emotional, family, and illness concerns. Chaplains were aware of the unique spiritual needs of veterans, including working through guilt for killing in war and requiring forgiveness. Chaplains' ideas for improvement of spiritual care services included increasing time to provide care, providing bereavement care and support to families, and adding chaplains with different religious backgrounds. Chaplains reported how their own spirituality influenced the care they provided.Significance of results:Spiritual care in the VA can include a range of services and should consider the unique needs of the veteran population. Future studies can build upon our findings from chaplains to learn about the perspectives of patients, family, and other healthcare providers of spiritual care. This information would allow identification of strengths of current spiritual care practices and areas for care improvement, and ultimately could improve the well-being of patients at the end of life.

Download Full-text