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1.
Am J Nurs ; 123(2): 54-59, 2023 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-36698364

RESUMO

ABSTRACT: Spirituality is one aspect of the human experience that is unique to each person and may become especially important in the face of life-threatening illness. While evidence supports the need to address spirituality as part of holistic palliative care nursing, it is hoped that "spiritual care" will not become another item on nurses' to-do list, but rather will be part of nurses' everyday lives and nursing practice. Taking time to assess personal needs, and consciously connecting to meaning, hope, and peace, can support nurses' return to the deeper roots of nursing. Addressing spirituality as part of palliative nursing care can also acknowledge the complex and multidimensional experiences of the patients that nurses serve. Connecting, or reconnecting, with nurses' unique sense of spirituality can serve as a powerful resource for resilience. This article highlights the relevance of spiritual care to palliative nursing and offers practical tips to incorporate spiritual care into everyday nursing practice.


Assuntos
Enfermagem de Cuidados Paliativos na Terminalidade da Vida , Espiritualidade , Humanos , Cuidados Paliativos
2.
Dimens Crit Care Nurs ; 42(2): 83-94, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36720033

RESUMO

BACKGROUND/OBJECTIVE: To gain insight into both patients' and relatives' experiences with spiritual care (SC) in the intensive care unit (ICU). METHODS: Method used was qualitative interviewing. This was a thematic, topic-centered, biographical, and narrative approach, using semistructured interviews with thematic analysis. A purposive sampling method was used to select a sample of ICU patients and ICU patients' relatives. An interview guide facilitated individual, semistructured interviews. The interview data were recorded by means of note-taking and audio-recording. Verbatim transcripts were compiled for analysis and interpretation. RESULTS: All 12 participants-7 ICU patients and 5 family members of 5 other ICU patients-experienced ICU admission as an existential crisis. Participants would appreciate the signaling of their spiritual needs by ICU health care professionals (HCPs) at an early stage of ICU admission and subsequent SC provision by a spiritual caregiver. They regarded the spiritual caregiver as the preferred professional to address spiritual needs, navigate during their search for meaning and understanding, and provide SC training in signaling spiritual needs to ICU HCPs. DISCUSSION: Early detection of existential crisis signals with ICU patients and relatives contributes to the mapping of spiritual and religious needs. Spiritual care training of ICU HCPs in signaling spiritual needs by ICU patients and relatives is recommended. Effective SC contributes to creating room for processing emotions, spiritual well-being, and satisfaction with integrated SC as part of daily ICU care.


Assuntos
Unidades de Terapia Intensiva , Terapias Espirituais , Humanos , Cuidados Críticos , Espiritualidade , Pessoal de Saúde , Família/psicologia , Pesquisa Qualitativa
3.
J Contin Educ Nurs ; 54(2): 89-96, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36720095

RESUMO

BACKGROUND: Spiritual care helps individuals encounter the transcendent meaning of their crises. However, nurses report various barriers to providing spiritual care in clinical settings. To facilitate spiritual care among nurses, a more comprehensive understanding of this field is needed. This study was conducted to establish a path model for multiple factors predicting spiritual care among nurses working in hospitals. METHOD: A cross-sectional descriptive design was used. The participants were 370 nurses with more than 6 months of experience working in general hospitals in South Korea. The measures used in this study were nursing workplace spirituality, a spiritual well-being scale, the Maslach Burnout Inventory-Human Services Survey for Medical Personnel, a scale for compassionate care, a general self-efficacy scale, and spiritual care in practice. Path analysis was performed using IBM SPSS Statistics, version 24.0, and SPSS Amos, version 20.0. RESULTS: Workplace spirituality and spiritual well-being predicted higher spiritual care in practice by sequentially mediating burnout and compassionate care. CONCLUSION: This study suggests that nurses' spiritual care can be increased via the development of specific strategies focused on enhancing the nursing work-place spirituality of hospital organizations, promoting individual spiritual well-being and compassionate behavior, and reducing burnout among nurses. [J Contin Educ Nurs. 2023;54(2):89-96.].


Assuntos
Esgotamento Profissional , Enfermeiras e Enfermeiros , Terapias Espirituais , Humanos , Espiritualidade , Estudos Transversais , Atitude do Pessoal de Saúde , Local de Trabalho , Esgotamento Profissional/prevenção & controle , Inquéritos e Questionários
4.
Support Care Cancer ; 31(2): 107, 2023 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-36625978

RESUMO

The aim of this study is to examine the effect of spiritual well-being on the perception of people who have lung cancer. The study was conducted with 100 volunteered patients with living lung cancer who were monitored and treated at a university hospital in Turkey. Patient Identification Form, Spiritual Well-Being Scale and Illness Perception Scale were used for the data collection procedure. Using SPSS 21.0 program, independent sample t-test and one-way ANOVA test were performed in statistical analyses. The probability value was considered significant as p < 0.05. The mean score of Spiritual Well Being (SWB) was found 28.48 ± 7.20. The findings were as follows: (1) the patients who stated that they comply with the drug treatment had a high score, and SWB scores were found to be lower in those who thought that the disease could not be cured. (2) there was a significant positive relationship among SWB and sub-dimensions of the illness perceptions; acute-chronic duration (p = .668), personal control (p = .811), treatment control (p = .682), emotional representation (p = 0.184) 3), as the SWB mean score increases, the scores in the illness perception section increase 4; however, when the SWB score increases, the cyclic time decreases. It was concluded that the spiritual well-being of people who have lung cancer positively affects the perception of the disease. It was further suggested that spiritual well-being should be evaluated and improved within holistic care in order to ensure patients perception of disease and compliance with treatment.


Assuntos
Neoplasias Pulmonares , Espiritualidade , Humanos , Neoplasias Pulmonares/terapia , Pacientes , Inquéritos e Questionários , Percepção , Qualidade de Vida/psicologia
5.
Int J Palliat Nurs ; 29(1): 6-16, 2023 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-36692483

RESUMO

In light of the increasing number of people living into advanced age and the intensification of migration flows, care provision to multi-cultural and religious patient populations has become an important concern for many palliative care professionals. The current scoping review aims to explore the main barriers to spiritual care provision for minority groups and identify some strategies to overcome such obstacles. The review draws some general recommendations for researchers, policymakers and clinicians. First, more empirical research on different patient groups is needed; studies should target not only nurses, but also other healthcare providers, to ensure that practice adequately reflects the multidisciplinary nature of palliative care. Secondly, training and education should be offered in various forms and at different levels, as well as go beyond factual knowledge about the beliefs and practices of various religions.


Assuntos
Cuidados Paliativos , Terapias Espirituais , Humanos , Grupos Minoritários , Religião , Espiritualidade , Competência Cultural
6.
J Palliat Med ; 26(1): 13-16, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36607778

RESUMO

The Journal of Palliative Medicine (JPM) is globally recognized as a leading interdisciplinary peer-reviewed palliative care journal providing balanced information that informs and improves the practice of palliative care. JPM shapes the values, integrity, and standards of the subspecialty of palliative medicine by what it chooses to publish. The global JPM readership chooses to download the articles that are of most relevance and utility to them. Utilizing machine learning methods, the top 100 most downloaded articles in JPM were analyzed to gain a better understanding of any latent trends and patterns in the topics between 1999 and 2018. The top five topic themes identified in the first decade were different from the ones identified in the second decade of publication. There is evidence of differentiation and maturation of the field in the context of comprehensive health care. Although noncancer serious illnesses have still not risen to the same prominence as cancer palliation, there is a directional quality to the emerging evidence as it pertains to cardiac, respiratory, neurological, renal, and other etiologies. Across both decades under study, there was persistent evidence of the importance of understanding and managing the mental health care needs of seriously ill patients and their families. A cause for concern is that the word "spirituality" was prominent in the first decade and was lacking in the second. Future palliative care clinical and research initiatives should focus on its development as an essential interprofessional and medical subspecialty germane to all types of serious illnesses and across all venues.


Assuntos
Enfermagem de Cuidados Paliativos na Terminalidade da Vida , Medicina Paliativa , Humanos , Cuidados Paliativos , Aprendizado de Máquina , Espiritualidade
7.
Br J Nurs ; 32(1): 6, 2023 01 12.
Artigo em Inglês | MEDLINE | ID: mdl-36626256
8.
Psychol Serv ; 20(1): 1-5, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36716139

RESUMO

At our unique juncture in history, challenged by a global pandemic, the impact of climate change, and a polarized political landscape, more and more people are seeking mental health assistance (Mochari-Greenberger & Pande, 2021), and a larger proportion of those who seek help are describing existential or spiritual concerns (Chirico, 2021; Kondrath, 2022). Many psychologists may be experiencing themselves as insufficiently prepared to help with spiritual concerns (Vogel et al., 2013); the mission of this special section is to facilitate discourse and dissemination of resources among chaplains and psychologists to explore the interdisciplinary dynamics of spiritual care and to establish a foundation for the expansion of ethically appropriate, spiritually integrated care where needed. All of the articles presented in this special section were reviewed by both chaplains and psychologists, and often by professionals cross-trained in both fields. Our hope is that this special section will serve to increase interdisciplinary collaboration so that both chaplains and psychologists can provide appropriate services to rise to the present constellation of crises. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Propriedade , Terapias Espirituais , Humanos , Espiritualidade , Clero/psicologia , Saúde Mental
9.
Artigo em Inglês | MEDLINE | ID: mdl-36673711

RESUMO

This study intended to investigate whether the workload of nurses in the course of providing end-of-life care correlated with their religiousness, spiritual experience and level of agreement with dysthanasia procedures. The respondents included 279 nurses from four Croatian hospitals. A structured and validated instrument was applied. Almost 90% of respondents are religious, and almost 45% of them have daily spiritual experiences. Respondents, especially those with high levels of religiousness and spiritual experience, express a low level of agreement with dysthanasia (mean = 58.21; score = 25-125). Moreover, nurses self-rated (on a scale of 1-5) their workload as quite high, especially when performing contradictory tasks imposed on them by their superiors (mean = 3.05) and during direct contact with dying patients and their family members (mean = 2.56). This significantly highest level of workload was experienced by the youngest nurses (p = 0.01) and nurses with little work experience (p < 0.01). This study also indicated that nurses who agree with dysthanasia experienced a higher level of workload when providing end-of-life care (r = 0.178; p < 0.01), while more frequent spiritual experiences reduced the level of workload (r = -0.205; p < 0.01). A deeper understanding of nurses' attitudes toward dysthanasia, as well as of their religiousness and spiritual experiences, may ensure the collection of data beneficial to the timely identification of potential risks caused by workload.


Assuntos
Enfermeiras e Enfermeiros , Assistência Terminal , Humanos , Espiritualidade , Carga de Trabalho , Religião
10.
Artigo em Inglês | MEDLINE | ID: mdl-36674226

RESUMO

BACKGROUND: This study aimed to explore the meaning of healing from the perspective of adult patients with advanced cancer. METHODS: We conducted a secondary analysis of data from a primary study which used a cognitive interview approach to assess the face and content validity of a spiritual and psychological healing measure (NIH-HEALS). This analysis focused on responses to the question, "What does the term 'healing' mean to you?" Data were de-identified, transcribed verbatim, and imported in NVivo for thematic analysis in line with interpretive phenomenological methods. RESULTS: Thirty-five adults with advanced cancer participated in the study. We identified nine major themes: acceptance, surrender, faith, hope, peace, freedom from suffering (e.g., pain, problems, or other bothersome factors), overcoming/transcending disease, positive emotions (e.g., happiness), recovery from illness or disease. One participant discussed healing as synonymous with death, and two associated it with social relations and social support. CONCLUSION: Themes from patients' responses suggest subjective and varied definitions of healing which encompass physical, social, spiritual, and psychological domains of well-being, distinct from the physical cure of disease. Clinicians should adopt a holistic, person-centered approach to care, attending to bodily, psychosocial, spiritual, and emotional needs to help patients find meaning in their experiences, nourish resilience, and experience a sense of healing-as they define it.


Assuntos
Neoplasias , Espiritualidade , Humanos , Adulto , Neoplasias/terapia , Neoplasias/psicologia , Dor/psicologia , Apoio Social , Pacientes
11.
BMC Palliat Care ; 22(1): 1, 2023 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-36597069

RESUMO

Although being recognized by the World Health Organization as an essential domain of palliative care, spiritual care is still one of the most neglected component of the healthcare system. In this editorial, we set the context and invite contributions for a BMC Palliative Care Collection of articles titled 'Spirituality in Palliative Care'.


Assuntos
Enfermagem de Cuidados Paliativos na Terminalidade da Vida , Terapias Espirituais , Humanos , Cuidados Paliativos , Espiritualidade
12.
Handb Clin Neurol ; 191: 221-234, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36599510

RESUMO

Neurologic illnesses present multiple challenges to patients and their families from the time of initial diagnosis and throughout their illness trajectory, including challenges related to accepting the diagnosis and its various impacts and anxiety about future living with their illness. Often patients and their families rely on their spirituality to cope with and to maintain meaning and dignity in the midst of disease. As a result, spiritual care provision is a critical component of holistic medical care to patients with neurologic illness. Spiritual care provision follows a generalist-specialist model, which requires all healthcare professionals involved in the care of patients facing serious illness to play a role in recognizing and addressing spiritual needs. This model is characterized by generalist spiritual care providers (e.g., nurses, physicians, social workers) who perform spiritual screenings through history taking. Chaplains function as specialist spiritual care providers and can address spiritual care more deeply. In addition, several developed psychotherapeutic approaches may be useful for patients with neurologic disease, and chaplains are especially trained to offer supportive spiritual care to patients with neurologic illnesses and their families and to work together with physicians and other members of the healthcare team as part of a holistic approach to care.


Assuntos
Terapias Espirituais , Espiritualidade , Humanos , Equipe de Assistência ao Paciente
13.
J Nerv Ment Dis ; 211(1): 65-73, 2023 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-36596288

RESUMO

ABSTRACT: It has been suggested that religion and spirituality have a protective impact on suicide risk in populations living with posttraumatic stress disorder (PTSD). This review sought to examine the association between suicide risk among veterans and refugees with PTSD and religion or spirituality as a modifying factor. Two databases, PubMed and Embase, were searched and 10 publications were identified and included. Seven publications found that religion or spirituality was associated with lower suicide risk. The findings in this study suggest that religion and spirituality contain social as well as psychological domains, which should be considered in future interventions and in strategies of prevention of suicide in populations with PTSD. Further high-quality research with well-defined terms of religion and spirituality that investigates the connection to suicide risk of veterans and refugees with PTSD is recommended.


Assuntos
Refugiados , Transtornos de Estresse Pós-Traumáticos , Suicídio , Veteranos , Humanos , Espiritualidade , Veteranos/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Religião , Suicídio/psicologia
15.
J Christ Nurs ; 40(1): 18, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36469872
16.
South Med J ; 116(1): 51-56, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36578119

RESUMO

OBJECTIVE: Several articles have been published on the relationship between religion, spirituality, and health during the past 2 decades. Corresponding to this, professional medical organizations such as the Association of American Medical Colleges and the National Board of Osteopathic Medical Examiners have created competencies for medical students that include being able to understand how a patient's religious/spiritual beliefs may affect their health. It is not, however, certain how and to what extent medical schools implement religion/spirituality in medicine training into their curriculum. Our objective in this study was to quantify and assess the implementation of religion/spirituality in medicine curricula at US osteopathic medical schools. METHODS: In early 2021, an electronic survey was sent to individuals in curriculum positions at all US osteopathic medical school main and branch locations. The survey consisted of questions regarding the presence or absence of curriculum on religion/spirituality in medicine at their school, and, if it was present, what it consisted of. RESULTS: Ten institutions responded to the survey, with the majority (80%) stating they did not have religion/spirituality curriculum at their institution. CONCLUSIONS: Based on the current evidence, there may be a downward trend in osteopathic medical schools providing formal education on religion/spirituality in medicine.


Assuntos
Educação de Graduação em Medicina , Espiritualidade , Humanos , Faculdades de Medicina , Currículo , Religião
17.
Soc Sci Med ; 317: 115597, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36535230

RESUMO

BACKGROUND: Relinquishing control (RC) of outcomes to God is a long-standing form of religious coping with serious illness. Placing cancer outcomes "in God's hands" has been positively related to coping and quality of life (QOL). However, the mechanisms involved in this relationship have not been established. A serial mediation model [i.e., RC (X)-Meaning/Peace (M1)-Coping Efficacy (M2)-Symptoms, Physical QOL, Functional QOL (Ys)] tested the hypothesis that Meaning/Peace alone and in conjunction with coping would mediate the RC-QOL relationship. METHOD: 548 persons with a cancer diagnosis completed the Religious Problem-Solving Scale (RPSS), FACIT-Sp Meaning and Peace Scales, Cancer Behavior Inventory (coping efficacy), and measures of Physical Quality of Life (PQOL), Functional Quality of Life (FQOL) and Symptoms. RESULTS: As hypothesized, the single mediation effects of Meaning/Peace were significant [Indirect Effects: PQOL: .23 (95% CI: 0.15, 0.34); FQOL: 0.46 (95% CI: 0.33, 0.61); Symptoms: -0.18 (95% CI: -0.27, -0.10)]. In addition, mediation was confirmed for the serial mediation model (i.e., Meaning/Peace - Coping Efficacy as serial mediators) with significant indirect effects [Indirect Effects: PQOL: 0.37 (95% CI: 0.27, 0.48); FQOL: 0.57 (95% CI: 0.42, 0.72); Symptoms: -0.25 (95% CI: -0.35, -0.17)]. CONCLUSIONS: In the mediation models tested, the RC-QOL and RC-Symptoms relationships were mediated by the confluence of a sense of peace perhaps due to patients' feelings that outcomes were "in God's hands" and a sense of coherence between their current situation and a spiritually-based meaning system. Meaning/Peace was also related to coping efficacy, suggesting that these mediating constructs could be used to inform evidence-based interventions, such as Meaning-Centered therapies, that are sensitive to the belief systems of cancer patients and enhance QOL.


Assuntos
Neoplasias , Qualidade de Vida , Humanos , Espiritualidade , Adaptação Psicológica , Condições Sociais
18.
J Clin Psychol ; 78(5): 758-771, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-34600444

RESUMO

OBJECTIVE: This mixed methods study aimed to understand ways of viewing and experiencing religious attachment among Christians in spiritually integrated psychotherapies. METHOD: In total, 190 Christian-affiliated clients completed narrative responses about religious and parental attachment along with validated measures of spiritual and psychological functioning toward the start of treatment. RESULTS: An inductive content analysis revealed ten ways in which clients were viewing and experiencing God. Although painful themes were expressed, clients more frequently discussed comforting themes related to religious attachment. Additional analyses demonstrated convergence with parental attachment and quantitative measures of spirituality and mental health. CONCLUSION: Religious attachment appears to primarily provide a sense of strength and comfort for Christians seeking care. Findings also indicate clients view and experience God in similar ways as their parents or caregivers. As such, assessing and affirming clients' faith may facilitate positive changes in how they view and experience themselves and others in treatment.


Assuntos
Psicoterapia , Espiritualidade , Cuidadores , Cristianismo/psicologia , Humanos , Saúde Mental , Psicoterapia/métodos
19.
Psychiatr Danub ; 34(4): 773-780, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36548901

RESUMO

BACKGROUND: A global health problem today, COVID-19 has negatively affected both physical and psychological health of people all around the world. Lack of certainty about the course of the disease, failure to anticipate disease severity and duration, lack of effective treatment, and high death risk for certain populations can lead to anxiety and hopelessness for the future. People often resorted to spiritual practices to mitigate the despair the experienced during the pandemic. The aim of this study was to determine the relationship between fear of COVID-19, spirituality and hopelessness in people during the COVID-19 pandemic. SUBJECTS AND METHODS: This descriptive and correlational study was carried out on 628 people. Data were collected from the Personal Information Form, the Fear of COVID-19 Scale, the Beck Hopelessness Scale and the Intrinsic Spirituality Scale. RESULTS: Participants had 19.02±5.25 points in the Fear of COVID-19 Scale, 96.18±17.57 points in the Intrinsic Spirituality Scale and 13.13±4.02 points in the Beck Hopelessness Scale. Fear of COVID-19 was found to have a statistically significant and negative effect on hopelessness (ß=-0.232, p<0.05) and spirituality did not have a mediator role in this effect (-0.019, 0.036). CONCLUSION: People with high level of fear of COVID-19 had low level of hopelessness and spirituality did not play a mediator role in reducing hopelessness. The findings of this study can contribute to protection of public health by planning in advance any psychosocial intervention for high risk groups during future pandemics.


Assuntos
COVID-19 , Humanos , Espiritualidade , Pandemias , Medo , Saúde Mental
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