Perspectives Of Spiritual Care Research Articles

Effect of a Spiritual Care Training Program to Build Knowledge, Competence, Confidence and Self-awareness Among Australian Health and Aged Care Staff: An Exploratory Study.

The aim of this study was to evaluate a new spiritual care training program with health and aged care staff. A four-module program was delivered to 44 participants at a large Catholic health and aged care provider in Australia. Pre, post and 6week follow-up surveys were administered and included measures of spiritual care competency, confidence, perspectives of spirituality and spiritual care, spiritual well-being, and satisfaction. Paired sample t-tests showed total scores of participants' spiritual well-being, spiritual care competency and confidence significantly improved following the training and were largely maintained at follow-up. Perspectives on spirituality and spiritual care did not significantly change over time.

The Holy Land Experience in the Nafs Psychology from the Spiritual Counseling and Care Perspective

Batı toplumlarında yaygın uygulama alanları olan manevi danışmanlık ve rehberlik hizmetleri, ülkemizde de kurumsal olarak Diyanet İşleri Başkanlığı’nın cami dışı yeni bir din hizmeti şeklinde yaygınlaşmaya başlamıştır. İslami teolojiyi merkeze alan Türkiye’deki manevi danışmanlık hizmetlerinde danışan destekli manevi danışmanlık uygulamasının daha sistemli bir şekilde yapılması hedeflenmektedir. Bu tarz çalışmaların ülkemizde manevi danışmanlık hizmet alanlarının gelişmesine yardımcı olması ve ilgili literatürün oluşmasına katkıda bulunması amaçlanmaktadır. Bu makalenin amacı, manevi danışmanlık ve rehberlik uygulamalarına bir model önerisi sunarak “danışan merkezli” danışmanlık hizmetlerini geliştirmek ve etkili çözümler sunabilmektir. Nefs psikoloji ekolünün manevi danışmanlık ve rehberlik uygulamalarına “kutsal toprak deneyimi” ile danışanlar üzerinde oluşabilecek terapötik etkileri ve bu anlamda çalışılmış nicel ve nitel yöntemlerle yapılan tez ve makaleler ele alınarak uygulanabilirlik seviyesi incelenmiştir. Alan araştırmalarına bakıldığında literatürde görülen sınırlı sayıdaki çalışmalara bu önermeyle teorik çerçeve çizerek katkıda bulunmak ve ileride yapılacak olan uygulamalı araştırmalar için kaynak olabileceği düşünülmektedir. Bu makalede öncelikle nefs psikolojisinin kavram ve terminolojisi verilmiş, ardından nefs psikolojisi ekolünün amaç ve beslendiği felsefi yaklaşıma kısaca değinilmiştir. Manevi danışmanlık ve rehberlik perspektifinden bireysel dini deneyim/tecrübenin insanın hayatında nasıl şekillendiği ve mistik/dinsel deneyimlerin ortak özellikleri verilmiştir. Manevi danışmanlık ve rehberlik pratiği olan kutsal toprak ziyareti psiko-teolojik bağlamda âyetler kapsamında ele alınarak değerlendirilmiştir. Manevi danışmanlık perspektifinden nefs psikolojisi ekolünde kutsal toprak deneyiminin, nefs psikoterapisinden uyarlanarak “danışmanlık model önerisi” olarak sunulmaya çalışılan makalede sonuç olarak; (i) danışan merkezli psikoterapi tekniğinde uyarlanarak manevi danışmalık tekniği yönünden kutsal toprak deneyiminin birey için psiko-sosyal yönden çeşitli ve olumlu anlamda etkilerinin olduğu; (ii) batının yaygın uygulamalarına karşı yerel bir bakış açısıyla insana bütüncül yaklaşıldığında anlaşılmasının çok daha kolay olduğu; (iii) bireyin psikolojik yönden gelişim gösterdiği gibi sosyolojik perspektifte de sosyal statü/itibar yönünde seviye atladığı; (iv) ve devletin kurumsal anlamda desteğiyle Diyanet İşleri Başkanlığının tespit edebildiği danışanlar üzerinde uygulamalı deneyim yaşanabilmesi ve bir psikoterapi tekniğinin Manevi danışmanlıkta uygulanabilirliğinin test edilmesi gerektiği görüşü saptanmıştır.

Spiritual Care Perspectives of Elderly Individuals with Parkinson's Disease and Formal Caregivers: A Qualitative Study in Turkish Nursing Homes.

This study aimed to determine the perceptions and experiences of elderly individuals with Parkinson's disease and formal caregivers regarding spiritual care. A qualitative study was conducted using a descriptive phenomenological design. Fifteen formal caregivers and eight elderly individuals with Parkinson's disease from two nursing homes in Türkiye participated in the study. Data were collected through face-to-face individual interviews, and thematic analysis was employed to examine the data. Two themes were obtained fromthe data analysis: (I) spiritual care in nursing homes and (II) living with Parkinson's disease in nursing homes. Findings showed that living in a nursing home with Parkinson's disease affects the spiritual dimensions of elderly individuals and increases their spiritual needs. Additionally, it was found that although formal caregivers implemented a diverse range of practices to address the spiritual care needs of individuals residing in a nursing home, they did not offer any specific spiritual care practices for individuals with Parkinson's disease. Based on our findings, it is considered necessary to have spiritual counselors and formal caregivers with expertise in Parkinson's disease in nursing homes.

“Faith-Sensitive” Mental Health and Psychosocial Support in Pluralistic Settings: A Spiritual Care Perspective

Over the past two decades, in response to a growing awareness of the impacts of humanitarian crises on mental health and psychosocial well-being, leading UN agencies and international aid organisations have developed a comprehensive framework for Mental Health and Psychosocial Support (MHPSS). In more recent years, aid workers have further begun to consider religious life as a central factor in mental health and psychosocial well-being, viewing “faith” as an important, but often neglected, component of empowering and “locally appropriate” MHPSS. However, the attempt to deliver “faith-sensitive” MHPSS across the highly pluralistic settings of international humanitarian intervention has entailed protracted ethical and practical challenges. In this article, we argue that these challenges may be usefully understood in terms of three areas of concern: the lack of evidence on effective interventions; the risk of reproducing problematic power dynamics between MHPSS providers and receivers; and the challenge of articulating a cross-culturally relevant paradigm of “faith-sensitivity” comprehensible across a wide range of religiously diverse settings. This article contributes to these challenges by drawing on the field of professional spiritual care to suggest areas of potential contribution and interdisciplinary dialogue.

The Nature of Religious and Spiritual Needs in Palliative Care Patients, Carers, and Families and How They Can Be Addressed from a Specialist Spiritual Care Perspective

This paper is written from the perspective of a specialist religious and spiritual care practitioner who practises in major referral hospitals in Sydney, Australia. In these hospitals, religious care and ward-based spiritual care chaplaincy services are offered in tandem. The perspective offered is based on the author’s knowledge, research, and experience in how people make the necessary religious or spiritual adjustments to their deep view of reality when faced with severe or chronic pain or terminal illness. Religious and/or Spiritual Care (R/SC) are interventions that scaffold people through a process of sense-making which helps them find meaning in their new reality. These R/SC adjustments concern conscious and unconscious beliefs about ultimate meaning, morality, justice, transcendence, and relationships within themselves, and with others and the supernatural. Palliative care practitioners described the importance of spiritual care and integrated spiritual care principles into their biopsychosocial-spiritual model of care in the 1960s. As palliative care practitioners have increasingly clarified their discipline as a distinct discipline in medicine, religious and spiritual care practitioners have struggled to define their place. These concerns merit a fresh evaluation of the religious and spiritual needs of patients, carers, and families of those suffering chronic pain and terminal illness and further clarification of the specialist discipline of religious and spiritual care.

The Effects of a Scenario-Based Spiritual Care Course on Spiritual Care Competence among Clinical Nurses: A Quasi-Experimental Study.

Across their lifespans, and in many clinical settings, patients have spiritual care needs. Many nurses lack competence related to providing spiritual care. Popular educational strategies, such as simulated educational programs and objective structured clinical examinations (OSCE), have not been widely adopted in nursing spiritual care education. The purpose of this study was to explore the effects of a scenario-based spiritual care course on spiritual care competence in nurses. This quasi-experimental study employed a repeated-measures pre-test/post-test design with assessments immediately before, immediately after, and 3 months post-intervention. Nurses providing direct patient care in diverse clinical settings were recruited from a large medical foundation in northern Taiwan. The intervention was a one day scenario-based spiritual care course and OSCE. The experimental group (n = 53) and controls (n = 85) were matched for their similar units, ages, working experience, and clinical ladder status. The Spiritual Care Competence Scale (SCCS), Spiritual Perspective Scale (SPS), Spiritual Care Perspective Scale-Revised (SCPS-R), and reflection logs were completed by both experimental and control groups. The Course Satisfaction Scale, OSCE Checklist, and Standardized Patient Feedback Scale (SPFS) were completed by the experimental group only. The experimental group had significantly higher SPS scores and self-evaluated SCCS scores, and lower SCPS-R scores (more positive spiritual perspectives), than controls at 3 months post-intervention. The experimental group showed significant within-subject effects at three time points on SPS scores, SCPS-R scores, and self-evaluated SCCS scores. Mean global performance of OSCE was 3.40 ± 0.91, and SP feedback indicated strengths and areas for improvement. In conclusion, the scenario-based spiritual care course effectively enhanced nurses' spiritual care competence, competence, and skills. Blended education techniques can therefore enhance nurses' ability to support patients with spiritual care needs.

Jordanian Nurses' Perspectives of Spirituality and Spiritual Care: A Qualitative Study.

Spirituality is considered one of the main aspects of wholesome care for human beings. Spirituality is a multidimensional concept and has several definitions in the literature. Most of the studies concerning spirituality were conducted in Western cultures and the Middle East; however, there are a limited number of studies regarding spirituality in Jordan. The aim of this study was to explore Jordanian nurses' perspectives on spirituality and spiritual care in a palliative care unit in 1 cancer center in Jordan. A descriptive qualitative design with 20 semistructured interviews was used to access Jordanian nurses' perspectives on spirituality. This study was conducted in the major specialist center for the treatment of cancer in Jordan. A purposive sample of 20 registered nurses who had worked at least 6 months in the palliative care unit was recruited. Nurses' perceptions of spirituality were represented by 2 themes: spirituality means connectedness to "Allah," and spirituality evokes enjoyment in life. Two themes emerged in terms of nurses' perceptions of spiritual care: ensuring patients' comfort and relaxation, and sharing patients' religious rituals. These findings underscore the importance of the nurses' perspectives on spirituality in the context of Islamic and Arabic culture, and the need for training in spirituality. The concept of spirituality is recognized as a fundamental aspect of the nurse's role, making it essential to improve nurses' capabilities to integrate spirituality courses into the nursing curriculum.

A Spiritual Care Perspective on Caring for the Whole Person

A Spiritual Care Perspective on Caring for the Whole Person

An online survey to describe pharmacy student spirituality and spiritual care perspectives

IntroductionLittle is known about student pharmacists' perspectives of spirituality and spiritual care (SC) in pharmacy education and practice. The purpose of this study was to examine student pharmacists' perspectives about spirituality and incorporating SC in pharmacy education and practice. MethodsStudent pharmacists were recruited from two private pharmacy schools in California, one religiously-affiliated and one non-religiously affiliated. A faculty member at each school invited student pharmacists via email or through Zoom (Zoom Video Communications) chat to complete the 37-item online survey through an embedded link. The investigator-designed survey was comprised of 22 items inquiring about spirituality and SC as well as several items assessing demographic and religious characteristics. ResultsParticipants included 470 student pharmacists (87.2% response rate) who were 28.9 ± 5.7 years old on average. Half of the respondents (50.5%) attended the non-religiously affiliated university. Most of the respondents were female (67%), Christian (67.8%), spiritual (79.2%), and religious (75.2%). They “agreed” or “strongly agreed” that: “understanding patients' spiritual beliefs is an important part of pharmacy practice” (83%), “I would pray with my patients as a pharmacist” (54.8%), “it is appropriate for a pharmacist to have spiritual or religious conversations with patients” (52.9%), and “it is appropriate for a pharmacist to pray with and for patients who request it” (66.9%). These beliefs were positively correlated with self-reported religiosity and spirituality. ConclusionsMost students considered themselves spiritual and religious and felt that spirituality and learning about SC were important. The respondents' SC perspectives were associated with their religiosity and spirituality.

Understanding Spiritual Care—Perspectives from Healthcare Professionals in a Norwegian Nursing Home

Nursing home professionals have reported that spiritual care is an unclear concept, and research suggests that healthcare professionals have a limited understanding of this dimension of care. The provision of spiritual care is well-investigated internationally, but research is sparse within Norway’s secularized society. This study investigated healthcare professionals’ understanding of spiritual care in one nursing home. Methods: Data were collected from individual interviews (N = 8) and one focus group (N = 5) of nursing home personnel; the study used qualitative content analysis and a hermeneutic methodology. Results: One central question emerged during the data analysis: what is spiritual care versus good care? This starting point resulted in four themes (1) caring for the whole person, (2) having a personal touch, (3) seeing the person behind the diagnosis, and (4) more than religiousness. Some healthcare professionals had not heard of spiritual care, and many were not aware of this in their daily work with older patients. Nevertheless, they facilitated and cared for the patient’s spiritual needs, but they did not address it as spiritual care. Other participants were familiar with the concept and understood spiritual care as an essential part of daily care. Conclusion: healthcare professionals’ understanding of spiritual care is broad and varied, including practical and non-verbal aspects. The results indicated a need for an open dialogue about spiritual needs and resources in clinical practice and the teaching of personnel about how to facilitate older people’s spirituality. Moreover, there is a need for more research into spiritual care and how it differs from the concept of good fundamental care.

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.

The Diverse Spirit: Spiritual Care Perspectives and the Implications for Older Adults in Various Settings

Religiosity and spirituality are commonly supported and viewed as essential elements of well-being in old and very old age, particularly at end of life. These essential elements often include the exploration of the meaning in life, inner peace, belonging, contentment, and near-end-of-life-completion. The positive outcomes of religious and spiritual beliefs and practices have been well established. However, these experiences and related positive outcomes may not always include a diverse array of older adults. The spiritual care of older adults is becoming more culturally diverse and includes differing perspectives on what constitutes spiritual care, both in approach and practice. This symposium will explore the current state of spiritual care for older adults through a lens of cultural diversity and inter-religious/spiritual perspectives. A focus on the current practices of spiritual care for older adults and future implications will also be considered. Recommendations pertaining to future gerontological inquiry in the importance of spiritual care, as well as diverse approaches within gerontological practice will be highlighted and discussed.

"I Need Presence and a Listening Ear": Perspectives of Spirituality and Spiritual Care Among Healthcare Providers in a Hospice Setting in Pakistan.

This paper aims to describe how healthcare providers perceived spirituality and spiritual care while caring for dying patients and their families in a hospice setting in Karachi, Pakistan. Using a qualitative interpretive description design, individual in-depth interviews were conducted among healthcare providers. Thematic analysis approach was used for data analysis. Spirituality and spiritual care were perceived as shared human connections, relating to each other, acts of compassion, showing mutual respect while maintaining dignity in care and empowering patients and families. Developing spiritual competency, self-awareness, training and education, and self-care strategies for healthcare providers are essential components promoting spiritual care in a hospice setting.

574 A Nurse Educational Program to Promote Spiritual Care Delivery: Development and Pilot Testing

Abstract Introduction Spiritual Care (SC) is crucial for the holistic care of patients. Findings from a needs assessment conducted on an 8-bed burn Intensive Care Unit (ICU) (n=34, 88% response rate) revealed 90.3% of nurses believed SC was important for the overall care of their patient, but only 13% felt confident to provide the religious care. Of the respondents, 77% had come across a time when they were unable to obtain SC for their patients. The survey revealed 39% were interested in obtaining education to enhance their provision of holistic care. Based on this data, we developed and pilot tested an innovative SC educational course to examine feasibility, learning, and preliminary outcomes. Methods The IRB-approved study involved a two-hour evidence-informed class developed by a burn nurse and chaplain. The course was offered on a voluntary basis for all nurses in the critical care division (5 units overall). The class consisted of PowerPoint presentation, case studies and practice utilizing spiritual care assessment tools. Data was collected before and after the class at one- and two-months post class completion. Results Participants (n=12) were mostly female (82%), Bachelors prepared (82%), affiliated as Christian (73%) and had not had spiritual education in the past (73%). Nurses also agreed the spiritual assessment tools were useful and they were confident using them. Mean total score for Nurses’ Spiritual Care Practice increased 14% over time. Practices with the largest increases included reading/offering spiritual writings to patients (67/57%) and documentation of meeting spiritual needs (40%). The Spiritual Care Perspective scale increased 7% overall with changes in the beliefs of SC being a significant part of Advanced Nursing Practice (ANP) (10% increase), the domain of APN includes SC (15% increase) and nurses should assist a patient in using his/her spiritual resources to cope with illness (9% increase). At 2-months post training, participants felt comfortable (4.25/5.0 and confident (4.0/5.0) providing SC. Conclusions SC is an essential element of holistic nursing practice that has become even more relevant in this pandemic year. Our 2-hour educational class was considered well organized, provided relevant education and tools for use, and increased nurses confidence, comfort, and documentation of providing SC to their patients.

Pharmacists’ spiritual care perspectives and experiences: Qualitative findings from a statewide survey

ObjectivePharmacists are encouraged to provide whole-person care. Because holistic care is conceptualized as including spiritual care (SC), this study investigated the experiences and perspectives of pharmacists regarding SC in pharmacy practice. MethodsData for this cross-sectional, qualitative study were collected from a survey mailed to 1000 randomly selected registered pharmacists in California in 2019. The data reported here are the responses to open-ended questions eliciting information about the last time the pharmacists provided SC to a patient, indicators that a patient needs spiritual assistance, and religious beliefs thought to be harmful. The data were content-analyzed by 2 investigators. ResultsAlthough 215 pharmacists responded to the survey, only 141 responded to the open-ended questions. Most of the respondents were women (58%), Christian (70%), religious (73%), attended religious services (78%), and practiced in an urban setting (56%). The themes observed indicated that these pharmacists prayed with, and for, patients; talked to patients about God and religion; referred patients to spiritual services; were sensitive to patients’ spiritual or religious beliefs; and listened to patients’ expressions of spirituality. Some respondents, however, avoided religious conversations and requests; some also reported unwillingness to provide SC to patients. The pharmacists had limited education, knowledge, and awareness about SC. ConclusionsThe pharmacists in this sample reported diverse perspectives about SC that ranged from acceptance to rejection of SC in patient care. Pharmacists are not fully engaged in providing SC because of several challenges, including limited education and training on SC. Scholarly inquiry is needed to examine how pharmacists can best provide SC in pharmacy practice.

Oncology Nurses" Spiritual Care Competence and Perspective About Spiritual Care Services

Oncology Nurses" Spiritual Care Competence and Perspective About Spiritual Care Services

Athletic Training Student Perspectives on Spirituality and Spiritual Care in Clinical Practice: A Pilot Study

Context Spirituality is an important component of holistic health care. While attitudes of athletic training program directors and clinicians toward spirituality are documented, the attitudes and practices of athletic training students are unknown. Objective To describe the beliefs and behaviors of athletic training students regarding spirituality and spiritual care. Design Repeated measures cohort. Setting Online survey. Patients or Other Participants All athletic training students (n = 33) enrolled in an accredited athletic training program at a private religiously affiliated university were invited to participate. The response rate was 78.8% (males = 7, females = 19, age = 20.3 ± 2.1). Intervention(s) An email invitation to complete the online survey was sent in September and April of the same academic year. The online survey included demographic data, the Spiritual Perspectives Scale (SPS), modified Spiritual Care Perspectives Scale (mSCPS), and modified Spiritual Care Therapeutics Scale (mSCTS). Main Outcome Measure(s) Level of agreement on the mSCPS items and therapeutic action frequency on the mSCTS were recorded and compared between fall and spring using paired t tests. For both scales, all item averages were organized from lowest to highest. SPS summary score was calculated. Results The mSCPS items with the highest and lowest agreement, respectively, were “Relationships with others are important to patient's spiritual health” and “Spiritual care is only for religious persons.” The mSCTS items with the highest and lowest frequencies, respectively, were “After completing a task, remained present just to show caring” and “Offered to pray with a patient.” Only 3 mSCPS items changed significantly over time, whereas 8 mSCTS items changed significantly (all P < .05). The SPS did not change over time (P = .848; fall = 4.74 ± 0.96, spring = 4.73 ± 0.87). Conclusions Athletic training students in this pilot study believe that spirituality is an important part of health care; however, athletic training students preferred items in which patients took the lead in raising spiritual issues. Therapeutic actions that support a patient's spiritual well-being without being openly religious were preferred.

Spiritual Care Perspective of College Student-Athletes.

Spirituality in healthcare has been researched in multiple healthcare professions; however, very little research has been done in athletic training, and no studies have investigated the athletes' perception. The purpose of our online survey study was to determine the perceptions of college student-athletes on spiritual care. Our participants included 268 collegiate student-athletes from both faith-based and non-faith-based institutions. Respondents agree that spirituality may affect treatment progress, addressing spiritual concerns of the athlete could result in a more positive outcome, and certified athletic trainers should have some basic skills and knowledge to support the spiritual needs of the athlete.

Spiritual perspectives of emergency medicine doctors and nurses in caring for end-of-life patients: A mixed-method study

BackgroundEnd-of-life care is becoming more prevalent in the Emergency Department. Quality end-of-life care includes spiritual support. As spirituality is a relatively vague concept, understanding healthcare professionals’ spiritual perspectives is important. AimsTo explore the perspectives of Emergency Department doctors and nurses in (i) spirituality, (ii) spiritual care domain in end-of-life care and (iii) factors influencing spiritual care provision in the Emergency Department. DesignA sequential explanatory mixed-method design was used. SettingAn Emergency Department of a tertiary teaching hospital in Singapore, which treats more than 120,000 patients annually. ParticipantsThis study involved Emergency Department doctors and nurses who meet the eligibility criteria. In phase one, 64 doctors and 112 nurses were recruited. In phase two, 14 doctors and 15 nurses participated. MethodsThe quantitative phase was conducted first using a socio-demographic form and validated Spiritual Care-Giving Scale on all potential participants. The Spiritual Care-Giving Scale explores one’s perspectives of spirituality and spiritual care. Using a six-point Likert scale, participants would indicate their degree of agreement towards the statements. The qualitative phase was then conducted using focus group discussions on a convenience sample of 14 doctors and 15 nurses. ResultsOverall, participants had positive attitudes and understanding of spirituality and spiritual care, as the mean total Spiritual Care-Giving Scale score was 167.87 (SD=24.35) out of 210. Some knowledge deficits were observed in the focus group discussions as several participants equated spirituality to religion and had limited understanding about spiritual care. Significant differences between the spiritual perspectives of doctors and nurses were reported in Spiritual Perspectives (p-value=0.018) and Spiritual Care Values (p-value=0.004) of the Spiritual Care-Giving Scale. Scores by nurses were higher than those of doctors. ConclusionThe study findings emphasized the need for education regarding spirituality and spiritual care across different cultures. This may help healthcare professionals feel more competent to broach such issues and cope with the emotional burden when providing spiritual care.

医療におけるスピリチュアルケアの視点(2009年,第1回日本心身医学5学会合同集会(東京))

医療におけるスピリチュアルケアの視点(2009年,第1回日本心身医学5学会合同集会(東京))