scholarly journals The Interdisciplinary Spiritual Care Model – A holistic Approach to Patient Care

Author(s):  
René Hefti ◽  
Mary Rute Gomes Esperandio

<p>Nas duas últimas décadas, os estudos sobre a relação entre espiritualidade e saúde tem crescido significativamente no cenário internacional. No Brasil, as pesquisas nesse campo ganharam maior visibilidade a partir de 2009, sobretudo nas Ciências da Saúde, onde começou a aparecer o termo “cuidado espiritual”.  Na Teologia, estudos sobre cuidado espiritual dentro do contexto da saúde são escassos. Este artigo pretende contribuir com a ampliação desta reflexão. Primeiramente, o cuidado espiritual é abordado a partir da produção científica em língua portuguesa. Em seguida, o modelo interdisciplinar de cuidado espiritual é apresentado como uma abordagem holística de cuidado ao paciente e também são delineadas as consequências da aplicação de um modelo de cuidado espiritual. Discute-se ainda, o papel novo e recém definido dos capelães hospitalares, conselheiros pastorais e cuidadores espirituais. O texto conclui mencionando os principais desafios que acompanham o cuidado espiritual interdisciplinar, especialmente aqueles que dizem respeito  ao treinamento dos profissionais do cuidado em saúde.</p>

Author(s):  
Edris Khezri ◽  
Mohammad Iraj Bagheri-Saveh ◽  
Marya Maryam Kalhor ◽  
Mozhgan Rahnama ◽  
Daem Roshani ◽  
...  

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.


1994 ◽  
Vol 10 (2) ◽  
pp. 102-104 ◽  
Author(s):  
LESLIE L. BARTON ◽  
MARTHA L. EICHER ◽  
ANNA I. BINKIEWICZ ◽  
JOHN L. EY

Curationis ◽  
2015 ◽  
Vol 38 (1) ◽  
Author(s):  
Sandhya Chandramohan ◽  
Raisuyah Bhagwan

Background: In order for nursing education to prepare nurses for holistic patient care, it is critical that educators become more aware of the religious and spiritual dimensions in patien tcare and be able to provide adequate knowledge and skills for nurses to offer spiritually-basedc are in an ethical way. Furthermore, spiritual care is an essential component in the nursing context, as nurses have to care for patients who may often turn to the spiritual dimension to cope and heal. These aspects are important issues to be considered in planning what should be taught as part of spiritual care.Objectives: This paper presents findings from a study on nursing practitioners’ views on the role of spiritual care in nursing practice and whether current nursing education has integrated this dimension into teaching.Method: A descriptive survey using a cross-sectional design with 385 nurses was conducted between December 2012 and February 2013. Participants were recruited through multistage random sampling. Data analysis was undertaken using SSPS 0.20.Results: All the participants (n = 385) concurred that spiritual care was a salient component of holistic patient care. They however stated that the primary barriers to providing spiritual care related to uncertainty on how to provide this type of care, and a lack of educational preparedness for this role.Conclusion: The study found that nurses were very accepting of the need for spiritual care as part of their nursing role but that nursing education had not paid adequate attention to integrating this dimension into the nursing curriculum.


Author(s):  
Wafa ‘a Qasem Ahmad

The concept of spiritual and religious care, as core components of palliative care for patients at end of life stages, has achieved significant organized applications and advances in modes of intervention and tools. The past two decades have witnessed waves of secularization with impacts of the concepts of spirituality and chaplaincy that diverged away from religion, more so in the UK and some European countries as compared to US applications. Spirituality became more generic and broad that revealed itself in helping and education of patients and families to earth and think of meaning and purpose of life, suffering death and dying. The issues of spirituality and religiosity in the Islamic culture, teachings and attitudes towards patient care at terminal stages of life, is distinguished by clarity and harmony in view of clarity of Muslim beliefs and interpretations concerning purpose, meaning and mission of human life on this earth, end-of-life care and the afterlife. This paper will address the contemporary western diverse concepts of spirituality, its relationship with religiosity in terminal patient care, and will elaborate on the holistic Islamic views and attitudes towards this stage of human life.International Journal of Human and Health Sciences Vol. 02 No. 02 April’18. Page : 65-70


2019 ◽  
Vol 37 (27_suppl) ◽  
pp. 113-113
Author(s):  
Jonathan Karl Kish ◽  
Ting-Chun Yeh ◽  
Ajeet Gajra ◽  
Yolaine Smith ◽  
Bruce A. Feinberg

113 Background: The Oncology Care Model (OCM) is a Medicare-sponsored delivery and payment innovation pilot under the broader concept of value-based care (VBC). OCM aims to provide better quality and coordinated cancer care at reduced cost. The OCM participants, 176 practices and 10 payers who provide care to nearly half of Medicare beneficiaries, entered into payment arrangements based on financial and performance accountability for episodes of care surrounding chemotherapy administration. We sought to understand the impact of OCM adoption on community physicians 3 years into the pilot. Methods: A live meeting in April 2019 convened a sample of US-based community oncologists to discuss “The OCM Experience”. Audience response survey methodology addressed: participation in OCM and/or related commercial programs, implementation, operation and perceptions of outcomes to patient care and practice. Results: Regarding VBC initiatives at the practices (n = 48) of 57 providers: 61% identified their practice participated in OCM, 31% in other commercial payer pathway program, and 17% in other commercial payer VBC reimbursement (not mutually exclusive). Regarding impact of OCM on improving access to care: 60% indicated having same-day appointments, 45% 24/7 HCP access, 22% weekend hours and 18% evening clinic hours. Regarding changes to patient care: 58% stated OCM driven initiatives reduced ER visits, 48% reduced hospitalizations, 62% increased palliative care referrals, and 54% increased hospice referrals. Regarding impact on practice: 41% felt an increased administrative burden with 50% hiring administrative staff, advanced practice providers, and patient navigators, but only 11% hiring physicians. The 13-component oncology care plan was reported by 53% as “not easy” to devise. The “most challenging” components included estimating total out of pocket expenses (61%) and creating a plan to address psychosocial needs (16%). 49% respondents found their practices’ OCM transformation meaningful and 46% found it not very/not at all meaningful. Conclusions: The impact of OCM/VBC transformation upon community oncologists and their practices appear to be quite profound, while the precise impact on their patients remains to be determined.


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