Need For Spiritual Care Research Articles

Determination of Comfort Levels and Spiritual Care Needs of Gynecologic Cancer Patients with Abdominal Drains: A Cross-Sectional Descriptive Study in Turkey.

This study was conducted to determine the comfort levels and spiritual care needs of gynecologic cancer patients with abdominal drains. The study was conducted with 61 gynecologic cancer patients with abdominal drains at the gynecologic oncology surgery clinic of a state hospital in Turkey. Data were collected using the "Participant Information Form," "Perianesthesia Comfort Questionnaire (PCQ)", and "Spiritual Care Needs Inventory". Kolmogorov-Smirnov test and Mann-Whitney U test were used to analyze the data. It was found that the postoperative comfort of the patients in this study was above a moderate level. Patients who did not need spiritual care, did not fulfil religious rituals regularly and did not receive social support had a high level of comfort in the early postoperative period. Patients with gynecologic cancer were found to have high spiritual care needs. Patients without chronic diseases, possessing a single abdominal drain, familiar with the concept of spiritual care, expressing a need for spiritual care, engaging in regular religious rituals, and enjoying social support were identified as having elevated spiritual care needs. Within the framework of holistic nursing care provided to gynecologic cancer patients with abdominal drains, the results reveal the necessity of spiritual care and the importance of comfort.

Determining the Spiritual Care and Comfort Needs of Patients Having Undergone Open-Heart Surgery: Cross-Sectional Descriptive Study in Turkey.

This study was aimed at determining the spiritual care and comfort needs of patients having undergone open-heart surgery. This cross-sectional descriptive study was conducted with 147 patients in the Cardiovascular Surgery Intensive Care Unit of a training and research hospital in Izmir, a province in western Turkey, between May 1, 2022 and November 1, 2022. The comfort level of the patients who had undergone open-heart surgery was moderate, and the levels of their spiritual care needs were high. A statistically significant relationship was found between the patients' Perianesthesia Comfort Scale total score and the Spiritual Care Needs Inventory (p < 0.05). We concluded that the patients' comfort levels decreased as their spiritual care needs increased. We recommend authors to conduct studies in the future which should include different sample groups and compare the data obtained before and after the surgery.

Spiritual Care Needs of Patients with Cancer Belonging to Dharmic Religions: A Mixed Methods Study

Spiritual Care Needs of Patients with Cancer Belonging to Dharmic Religions: A Mixed Methods Study

Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional study

BackgroundNumerous previous research have established the need for spiritual care among patients with cancer globally. Nevertheless, there was limited research, primarily qualitative, on the spiritual care needs of Chinese inpatients with advanced breast cancer. Furthermore, the need for spiritual care was rarely explored using the Kano model. To better understand the spiritual care needs and attributes characteristics of inpatients with advanced breast cancer, this study examined the Kano model.MethodsA descriptive cross-sectional design study was conducted in the oncology departments of three tertiary grade-A hospitals in China from October 2022 to May 2023. To guarantee high-quality reporting of the study, the Strengthening the Reporting of Observational Studies in Epidemiology Checklist was used. Data on the demographic characteristics questionnaire, the Nurse Spiritual Therapeutics Scale (NSTS), and the Kano model-based Nurse Spiritual Therapeutics Attributes Scale (K-NSTAs) were collected through convenience sampling. The Kano model, descriptive statistics, two independent samples t-tests, and one-way analysis of variance were used to analyze the data.ResultsThe overall score for spiritual care needs was 31.16 ± 7.85. The two dimensions with the highest average scores, “create a good atmosphere” (3.16 ± 0.95), and the lowest average scores, “help religious practice” (1.72 ± 0.73). The 12 items were distributed as follows: three attractive attributes were located in Reserving Area IV; five one-dimensional attributes were distributed as follows: three one-dimensional attributes were located in Predominance Area I, and two were found in Improving Area II; two must-be attributes were located in Improving Area II; and two indifference attributes were located in Secondary Improving Area III.ConclusionThe Chinese inpatients with advanced breast cancer had a middle level of spiritual care needs, which need to be further improved. Spiritual care needs attributes were defined, sorted, categorized, and optimized accurately and perfectly by the Kano model. And “create a good atmosphere” and “share self-perception” were primarily one-dimensional and must-be attributes. In contrast, the items in the dimensions of “share self-perception” and “help thinking” were principally attractive attributes. Nursing administrators are advised to optimize attractive attributes and transform indifference attributes by consolidating must-be and one-dimensional attributes, which will enable them to take targeted spiritual care measures based on each patient’s characteristics and unique personality traits.

Determining the Spiritual Care Needs of Patients with Indwelling Urinary Catheterization: A Cross-Sectional Descriptive Study in Turkey

This study was undertaken to ascertain the spiritual care requirements of patients undergoing indwelling urinary catheterization. Identifying the spiritual care needs of patients with indwelling urinary catheterization is crucial for fortifying their resilience and fostering positive health behaviors. Furthermore, it proves pivotal in devising customized nursing interventions. A descriptive cross-sectional study involving 122 participants (50 female, 72 male) undergoing indwelling urinary catheterization within the inpatient clinics of a state hospital in Turkey was conducted. Data were meticulously gathered through a participant information form and the Spiritual Care Needs Scale. The subsequent analysis employed the Kruskal-Wallis and Mann-Whitney U tests, facilitated by the SPSS 22.0 program. This study adhered to the STROBE recommendations in reporting. The findings indicated that individuals with indwelling urinary catheters exhibit spiritual care needs exceeding the norm, with heightened scores in subdimensions such as meaning and hope, caring, and respect. A statistically significant positive association was identified, revealing a difference in spiritual care needs between women and men. Similarly, a positive association, statistically significant, was observed in the spiritual care needs of patients aged 72–98 compared to those aged 41–71. Furthermore, a positive and statistically significant difference surfaced in the spiritual care needs of patients with long-term indwelling urinary catheters as opposed to those with medium and short-term urinary catheters. Therefore, it is imperative to consider the spiritual care needs of patients undergoing indwelling urinary catheterization.

Analysis of Factors That Influence the Spiritual Care Needs of Patients with Advanced Cancer

Objective. To explore the factors influencing the spiritual care needs of patients with advanced cancer. Method. A sample of 321 patients with advanced cancer, who have been treated in the Affiliated Cancer Hospital of Zhengzhou University from December 2022 to February 2023, was recruited. Clinical data of patients participating in this study were collected via a customized questionnaire. The validated Chinese version of the spiritual care needs scale was used to evaluate patients’ spiritual care needs. Statistical analyses included the unpaired t‐test, analysis of variance, and multiple linear regression. Result. The average score of spiritual care needs was 33.81 ± 7.76 points. Multiple regression analysis revealed that age (t = 4.24 and P &lt; 0.01), occupation (t = 2.971 and P &lt; 0.01), and alcohol consumption (t = 3.477 and P &lt; 0.01) significantly influenced spiritual care needs. Patients with age, occupation, and alcohol consumption negatively impact spiritual needs, that is, the older the age, the smaller the spiritual needs. Individuals who engaged in business units, individual businesses, or had a drinking habit had lower spiritual needs. Conclusion. The scores of spiritual care needs in patients with advanced cancer were influenced by factors such as age, occupation, and alcohol consumption.

Evaluation of the Spiritual Care Needs of Patients with Cancer in a Chemotherapy Unit in Turkey.

This study was conducted to determine the spiritual care needs of cancer patients receiving chemotherapy. A cross-sectional descriptive design was used to analyze a total of 104 patients at a university hospital in Turkey. The data were collected usingthe Spiritual Care Needs Scale. The mean age of the patients participating in the study was 61.0 (10.2). It was determined that 31.7% of the patients stated that the concepts of spirituality and spiritual care are related to religion and worship. As a result, it was found that the patients receiving chemotherapy had high-spiritual care needs. The dimensions in which the spiritual needs of the patients were remarkably high were belief and spiritual practices, being in peace and security, the love and support of their relatives and being informed about health. The spiritual care need score of the patients increased significantly with marital status (p = 0.001), having children (p = 0.002), having a chronic disease (p = 0.04) and having an undergraduate/graduate level education (p = 0.01). Nurses should be aware of patient's spiritual needs, plan patient-specific spiritual care practices, conduct more studies on the effects of spiritual care on the patient and family and create guidelines for spiritual care practices in patients receiving chemotherapy in Turkey.

Spiritual Needs of Older Adults Living with Dementia: An Integrative Review.

Older adults living with dementia experience progressive decline, prompting reliance on others for spiritual care and support. Despite a growing interest in studying persons living with dementia (PLwDs), empirical evidence on the spiritual needs of PLwDs has not been synthesized. Using the Whittemore and Knafl method, this integrative review examined the literature from 2000 to 2022 on the spiritual care needs of PLwDs. We sought to identify characteristics of the spiritual needs of PLwDs and ways to address them. The ATLA Religion, CINAHL, PsycINFO, PubMed, and Socindex databases were used to search the literature, and 12 peer-reviewed articles met the inclusion criteria. Spiritual care needs varied across studies. Overall, findings support the importance of identifying PLwDs' religious and spiritual backgrounds to inform person-centered care. Spiritual needs were identified as verbal and non-verbal expressions related to past meaning and religious and spiritual background and were not consistently addressed in care. Providers reported observing spiritual distress in the mild stage prompting the need for spiritual care. There is a great need for dementia-specific spiritual assessment tools and spiritual care interventions to support spiritual well-being in dementia care. Spiritual care involves facilitating religious rituals and providing spiritual group therapy and religious and spiritual activities.

Ortopedik Cerrahi Hastalarının Ameliyat Öncesi Spiritüel Bakım Gereksinimlerinin Belirlenmesi

Amaç: Ameliyat öncesi dönemde spiritüel bakım gereksinimlerinin belirlenmesi iyileşme sürecini hızlandırmak açısından önem taşımaktadır. Bu nedenle bu çalışma ortopedik cerrahi geçirecek hastaların ameliyat öncesi spiritüel bakım gereksinimlerinin belirlenmesi amacıyla yürütülmüştür.&#x0D; Yöntem: Tanımlayıcı tipteki çalışmanın örneklemini Ağustos-Aralık 2021 tarihleri arasında İzmir ilinde yer alan bir eğitim ve araştırma hastanesinde planlı olarak ameliyat olmak üzere ortopedi ve travmatoloji kliniğine yatan 144 hasta oluşturmuştur. Araştırmanın verileri “Spiritüel Bakım Gereksinimleri Ölçeği” kullanılarak ameliyattan bir gün önce toplanmıştır. Araştırmanın yürütülebilmesi için bir üniversitenin Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan, ilgili hastaneden ve hastalardan yazılı izin alınmıştır. &#x0D; Bulgular: Araştırma kapsamına alınan hastaların yaş ortalamasının 57.06±18.87 (min:19 maks:89) yıl ve %53.5’inin (n:77) kadın olduğu saptanmıştır. Bu araştırmada hastaların Spiritüel Bakım Gereksinimleri Ölçeği toplam puan ortalamasının 60.5±12.0 (min:21 maks:89); ölçeğin alt boyutları olan “anlam ve umut” ve “önemseme ve saygı” puan ortalamalarının sırasıyla 34.5±7.9 (min:13 maks:54) ve 26.1±5.1 (min:8 maks:38) puan olduğu belirlenmiştir.&#x0D; Sonuç: Sonuç olarak bu çalışmada ortopedik cerrahi öncesi hastaların spiritüel bakım gereksinimlerinin orta düzeyin üzerinde olduğu belirlenmiştir. Hemşirelerin ortopedik cerrahi geçiren hastaları spiritüel bakım gereksinimleri açısından izlenmesi ve desteklenmesi önerilmektedir.

Digital Competencies for Nurses: Tools for Responding to Spiritual Care Needs.

Users show a growing interest in expanding the implementation of digital tools as a support of technical and management issues in healthcare. This medical care has focused on telemedicine but does not include the recognition of needs as an important part of patient-centred healthcare. Nurses interact with patients at critical times in their life journeys, including birth and death, which are historical events linked with religious beliefs. Furthermore, large migration flows have led to multicultural societies in which religion and spirituality are experienced in distinct ways by different people. Finally, most healthcare professionals lack the proper skills to handle the spiritual needs of their patients, especially for core and digital competences. This article shows the results of qualitative research applying as a research tool an open-ended questionnaire, which allows detecting the educational needs for nurses’ interventions aimed at providing spiritual support to their patients using digital tools. The results obtained reveal that nurses need education and training on fundamental spiritual concepts and digital competencies to meet the multiple demands of their patients’ spiritual needs. Finally, we present an open digital educational proposal for the development of competencies for nurses and other health professionals to provide spiritual care with the support of digital tools.

Spiritual Care Needs of Patients with Urinary Incontinence and Affecting Factors: A Cross-Sectional Descriptive Study in Turkey.

This study was conducted to determine the spiritual care needs of patients with urinary incontinence and variousinfluencing factors. Determining the spiritual care needs of individuals with urinary incontinence maymake patients feel more hopeful, peaceful, and stronger. It can alsoencourage individuals towards positive health behaviors, and canhelp nurses in choosing appropriate coping methods. Adescriptive and cross sectional study was conducted with 220 patients with urinary incontinence who applied to the urology outpatient clinic of a university hospital in Turkey. In the study, data were collected using the descriptive features form, the incontinence severity index, and the Spiritual Care Needs Inventory. Kruskal-Wallis test and Mann-Whitney U test were used to evaluate the data. This study is reported following the STROBE recommendations. In this study, mean scores of the patients' spiritual care needs scale and the severity of incontinence, age, gender, andthe effect of urinary incontinence on daily life,determined that there was a statistically significant difference between the state of being disturbed by urinary incontinence, the state of performing religious rituals regularly, the state of incontinence affecting religious rituals, the importance of religious beliefs in daily life, and the level of defining spirituality (p < 0.05). In this study, it was determined that the spiritual care need scores of the patients with urinary incontinence were above the medium level, and the sub-dimension scores of meaning and hope, caring, and respect were high. In this context, it is very important to consider the spiritual care needs of patients with urinary incontinence problems.

What Does Joy in Living Mean to Elderly Residents of Nursing Homes in Singapore?

The rapid ageing of Singapore’s population has led to the phenomenon of more elderly spending more total years in nursing homes. This study aimed to explore the meaning of Joy in Living to elderly residents of nursing homes in Singapore, the enabling and disenabling conditions to Joy in Living in nursing homes and how Person-centered Care can support Joy in Living in nursing homes. The concept of Joy in Living is used in this study as it is unique to an individual elderly’s experience; The study employed hermeneutical phenomenological research methodology to allow for the exploration of Joy in Living in lived experiences of elderly residents through in-depth sixteen semi-structured interviews with elderly residents and six participant observations of three nursing homes (pre and post interviews) between July 2021 and November 2021; Seven themes for Joy in Living experiences to flourish were identified, including “supportive nursing home environment and practices”, “connectedness through meaningful relationships”, “meaningful daily living”, “fulfil the need for spiritual care”, “personal control”, “desire to be free from worries”, and “adapting to changes”, each of which explains a facet of Joy in Living experiences of the elderly residing in nursing homes. These themes include the enabling and disenabling conditions to Joy in Living in nursing homes; Focusing efforts and resources on enabling the seven themes, including fulfilling the need for spiritual care will allow Joy in Living experiences of elderly to flourish in nursing homes. This in turn promotes better psychosocial well-being of the elderly and better living environments where nursing home residents may enjoy satisfactory accommodation while spending their remaining years in joy.

Promise, Provision, and Potential: A Hopeful Trajectory for Spiritual Care in Long-Term Care.

This Canadian study aimed to better understand the provision of spiritual care in long-term care homes, its purpose/importance, the role of a spiritual care provider (SCP)/chaplain, effective practices, and challenges. Online survey responses revealed the need for spiritual care and the robust role of SCPs. Recommendations are made for more consistent employ and integration of SCPs, supported by sector-specific training and a system to connect LTC homes with skilled SCPs.

Spiritual Care Needs of Patients in Oncology Units and Nursing Practices in Turkey: A Qualitative Study.

This descriptive qualitative study was planned to determine the spiritual care needs of patients hospitalized in the oncology department and nursing care practices. Twenty-five patients and 15 nurses were interviewed. Concerning the spiritual care practices expected from nurses, the following themes were determined: Interest-Compassion, Smiling Face, Confidence, Being Informative, Morale, and Understanding. The themes for spiritual nursing practices were Chatting-Suggesting, Smiling Face, Giving Opportunities for Religious Practice, Love and Belonging, Giving Hope-Precedent Examples, and Giving Information. Patients expected nurses to ask about their spiritual needs. However, nurses did not ask about spiritual issues because they were afraid of affecting patients adversely.

Spirituality and Perception towards Spiritual Care among Nursing Students

Aim: A descriptive study was conducted to assess the perception of nursing students towards spiritual care in a selected college of nursing in Ernakulum District, Kerala. 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 patient care and be able to provide adequate knowledge and skills for nurses to offer spiritually- based care 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: The objectives of this study were to assess the spirituality and perception towards spiritual care among nursing students and to assess the relationship between the same. Methods: A Descriptive analytical study was conducted among 129 BSc Nursing students studying in a Nursing College attached to a Medical College Hospital of South India. Convenience sampling technique was adopted for the study. Spirituality assessment scale and Nursing Spiritual Care Perspective Scale (NSCPS) were used to collect the data. Pilot study was conducted and the study was found to be feasible. Permission from the authorities was obtained and data collection was done. The data analysis was done using descriptive and inferential statistics and R software used for the analysis. Results: The study revealed that there was a statistically significant mild positive correlation between spirituality and nurse’s perception towards spiritual care (r=0.23, p and lt;0.01). Conclusion: Spirituality is a significant concept for the discipline of nursing with profound consequences for caring patients. Spirituality is an important aspect of holistic care. This study identified that there is a significant mild positive correlation between spirituality and spiritual care. 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.

Determining the Spiritual Care Requirements and Death Anxiety Levels of Patients Diagnosed with COVID-19 in Turkey.

Our study was conducted to determine the spiritual care needs and death anxiety levels of individuals diagnosed with COVID-19. The population consisted of patients who were diagnosed with COVID-19 in Turkey. The mean total Spiritual Care Requirements Scale score of the participants was 67.05 ± 26.30. The mean VAS for Death Anxiety score of the participants was 8.82 ± 1.26. In our study, it was found that the patients diagnosed with COVID-19 had an increased need for spiritual care and high levels of anxiety about death.

Perception Status of Nursing Department Students in Terms of Spirituality and Spiritual Care

Purpose: The study was conducted to examine the spirituality and spiritual care perceptions of nursing department students. Methods: The study was conducted in descriptive design with nursing students at a state university. Permission was obtained from the ethics committee, the institution, and the students before the study. The universe of the study consisted of all nursing students studying at the faculty, and the sample consisted of a total of 500 students who were willing to participate in the study. The data were collected with a questionnaire and with the Spirituality and Spiritual Care Detection Scale. The scores received from this scale were between 17 and 85, and high total scores suggest that the spirituality and spiritual care detection scale level is “good.” The data obtained in the study were evaluated with the Student t, one-way ANOVA, and Mann-Whitney U test. Results: It was determined that 66.2% of the students had knowledge about spiritual care, 27.4% received this knowledge from the school, and 60.2% met the need for spiritual care with worshiping. It was determined that the mean spirituality and spiritual care detection scale score of nursing students was 66.83 ± 5.01, and the mean spirituality and spiritual care detection scale score was statistically significant according to the grades (p < 0.05). It was also found that the students with an authoritarian family structure had lower mean spirituality and spiritual care detection scale scores than students with democratic and protective families. Conclusions and Recommendations: It was found that many nursing department students had knowledge on spirituality and spiritual care, the mean spirituality and spiritual care score was “good,” and that the family structure and the grade affected this situation. In this respect, it is recommended that students are supported and prepared for the clinic with topics including spirituality and spiritual care in nursing education.

Spiritual Care of Inpatients Focusing on Outcomes and the Role of Chaplaincy Services: A Systematic Review.

To identify demographic trends associated with patient utilization and healthcare provider request for spiritual care services and to describe the impact of spiritual care on the quality of life (QoL), spiritual well-being (SWB) and level of satisfaction (SAT) of hospitalized patients. A systematic search of Ovid MEDLINE, Embase, PsycINFO, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Scopus, was combined with review of relevant bibliographies. A total of 464 titles and abstracts were reviewed. Data were independently extracted by reviewers according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data on the effects of spiritual interventions on QoL, SWB and SAT were extracted, along with demographic data reflecting chaplain services. The results of the studies are presented narratively and in a qualitative manner. Observational or experimental studies investigating chaplain utilization demographics (n = 12), patient satisfaction (n = 9) and QoL/SWB (n = 3) were included. Perceived severity of illness, average length of stay and older age were consistently found to be predictors of higher need for spiritual care. Receipt of spiritual care was correlated with increased patient and family satisfaction, independent of clinical outcome. Chaplain interventions were associated with improvement in perceived QoL and SWB. In spite of this, healthcare workers rarely attempt to explore the patient's or family's need for spiritual care, with the majority of chaplaincy consults occurring in the final day of the patient's life, potentially leading to a failure to meet the spiritual needs of non-terminal patients who have spiritual trauma related to their resolving illnesses. Attention to the spiritual needs of hospitalized patients is an essential yet often overlooked aspect of patient care. Chaplains serve as spiritual care specialists whose services can enhance the hospital experience, improve patient satisfaction and help to bridge potential gaps between the patient and medical providers.

Exploring nurses\u2019 perception about the care needs of patients with COVID-19: a qualitative study

BackgroundCOVID-19 is a new disease affecting and killing a large number of people across the world every day. One way to improve health care for these patients is to recognize their needs. Nurses, as a large population of health care staff, can be rich sources of information and experience on patients’ care needs. Therefore, the aim of this study was to explore nurses’ perception about the care needs of patients with COVID-19.MethodsThe present qualitative research was performed using the conventional content analysis approach in Iran from March to May 2020. The participants of this study included the nurses caring for patients with COVID-19, recruited by the purpose sampling method. The data was collected through 20 telephone interviews and analyzed based on the method proposed by Lundman and Graneheim.ResultsQualitative data analysis revealed six main categories including need for psychological consulting, need for quality improvement of services, need for upgrading of information, need for improving of social support, need for spiritual care and need for social welfare.ConclusionThe data showed that patients with COVID-19 were psychologically, physically, socially, economically, and spiritually affected by the disease. Therefore, they should be comprehensively supported by health care staff and other supportive systems.

Clinical supervisors’ understanding of spirituality and spiritual care in nursing: A South African perspective (part 2)

The article provides findings of understanding of clinical supervisors (CSs) on spirituality and spiritual care in nursing practice. These participants who taught nursing skills to nursing students who were registered for R425 SANC Nursing Curriculum. Revealed uncertainties regarding their implementation of spiritual care in clinical nursing. They expressed concernes that despite South African Nursing Council’s espoused holistic approach to nursing, a gap still exist in SANC’s holistic philosophy. This view is supported and by the lack of guidelines from the SANC. According to the participants lack of guidelines indicates failure of SANC in embracing spiritual care as a vital component of “holistic nursing”.An exploratory interview-based qualitative design was used to explore understanding of spiritual care by CSs. The certificate no: 13/4/22 was granted by the University Higher Degrees Committee. Nine (n = 9) CSs were purposively selected to respond to one open-ended question, “what is your understanding of spiritual care in nursing”. Participants were included if a written consent was obtained, had facilitated clinical learning for two or more semesters. Data were analysed using Tesch.Emerged themes from in-depth interviews with the clinical supervisors include: (i) defining spiritual care; (ii) current status of spiritual care in teaching and learning; (iii) benefits of spiritual care; and (iv) need for spiritual care. Each theme is described below to show how it contributed to the objectives of the study.Spiritual care is needed not only to demostrate the nurses’ morality. But more importantly nurses are obliged to alleviate deep human suffering which are met possible through spiritual care on one hand. On the other hand they questioned “how holistic” is "holistic nursing care" without attending to the spiritual health of the patient or client.