Exercising Hope in Palliative Care Is Celebrating Spirituality: Lessons and Challenges in Times of Pandemic

Laranjeira, Carlos; Befecadu, Filipa Baptista Peixoto; Rodrigues, Maria Goreti Da Rocha; Larkin, Philip; Pautex, Sophie; Dixe, Maria Anjos; Querido, Ana

doi:10.3389/fpsyg.2022.933767

Cited by 5 publications

(4 citation statements)

References 51 publications

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“…Informants described the skills required to address spirituality at the end of life. In accordance with various authors (50)(51)(52)(53)(54), they highlighted the importance of working on compassion, listening, empathy, respect and worry. This will enable a climate of trust to be established between the nurse and the patient, leading to a greater degree of satisfaction in patients and families.…”

Section: Discussionsupporting

confidence: 78%

Nursing students’ perceptions of spiritual needs at the end of life. A qualitative study

et al. 2023

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Spirituality is defined as the meaning of life, being the very essence of life made up of all of the aspects inherent to it. During end-of-life processes, this need is shown to be particularly altered in patients and yet it is an aspect that the health professionals accompanying patients in this situation report being least equipped to address, alongside therapies that could help to meet these needs, such as art therapy. An exploratory qualitative study was conducted, adheres to the guidelines of COREQ (41). The study population were final year students undertaking a nursing degree at the University of Huelva, Spain. The sample was selected via intentional sampling using snowball recruitment from the study population. Stratification according to gender was performed due to the feminised nature of the population. Sample size was determined progressively during the research, with recruitment ceasing at 13 informants once information saturation was achieved. Inclusion criteria required that participants were to be final year students enrolled on a nursing degree who had provided consent to participate voluntarily in the research. The analysis Realized was interpretive phenomenological (IPA) as described by Smith (43–45). The present study revealed that students perceive their training on spiritual care to be deficient. Despite them reporting that they possess the skills and tools to provide end-of-life care, this is not enough to provide effective accompaniment, given that this moment brings them into touch with their own insecurities. Students verbalized the need to learn strategies to address this shortcoming regarding final accompaniment, for instance, through art, with creativity being one of the skills with the potential to uncover the meaning of life.

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Section: Discussionsupporting

confidence: 78%

Nursing students’ perceptions of spiritual needs at the end of life. A qualitative study

et al. 2023

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“…Given its positive effects on holistic and humanized care, training in spiritual care is relevant for delivering sufficient spiritual care [ 43 , 53 ]. By focusing on the inner lives and spirituality of students, educators may be able to use more holistic techniques and include them in a broader strategy for providing spiritual care and exercising hope in palliative care [ 54 , 55 ]. Professionals may find training in spiritual care useful as a means to lower stress at work and enhance the office environment.…”

Section: Discussionmentioning

confidence: 99%

Perceived Barriers to Providing Spiritual Care in Palliative Care among Professionals: A Portuguese Cross-Sectional Study

Laranjeira

Dixe

Querido

2023

IJERPH

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Spiritual care is an important dimension of palliative care (PC) and a facet of holistic care that helps ill people find meaning in their suffering and lives. This study aims to: (a) develop and test the psychometric properties of a new instrument, Perceived Barriers to Spiritual Care (PBSC); (b) explore participants’ perceptions of how prevalent those (pre-identified) barriers are; and (c) examine the association of their personal and professional characteristics with those perceptions. A descriptive cross-sectional study was carried out using a self-reporting online survey. In total, 251 professionals registered with the Portuguese Association of Palliative Care (APCP) completed the study. The majority of respondents were female (83.3%), nurses (45.4%), had more than 11 years of professional experience (66.1%), did not work in PC (61.8%), and had a religious affiliation (81.7%). The psychometric assessment using PBSC provided sound evidence for its validity and reliability. The three most common perceived barriers were late referral for palliative care (78.1%), work overload (75.3%), and uncontrolled physical symptoms (72.5%). The least commonly perceived barriers were different spiritual beliefs among professionals (10.8%), differences between the beliefs of professionals and patients (14.4%), and the shame of approaching spirituality in a professional context (26.7%). The findings show there is some relationship between sex, age, years of professional experience, working in PC, having a religious affiliation, the importance of spiritual/religious beliefs, and responses to the PBSC tool. The results highlight the importance of advanced training in spirituality and intervention strategies. Further research is needed to properly study the impacts of spiritual care and establish outcome assessments that accurately reflect the effects of the various spiritual care activities.

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“…This approach should be applied further in nursing research, contributing to a clearer understanding of how to improve hope in vulnerable people in clinical settings. In this sense, advocating and fostering hope might be a useful resource that allows people to maintain or regain their well-being [47,48].…”

Section: Discussionmentioning

confidence: 99%

“What Do We Know about Hope in Nursing Care?”: A Synthesis of Concept Analysis Studies

Antunes,

Laranjeira,

Querido

et al. 2023

Healthcare

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Hope is a central concept within the nursing literature, which is crucial towards the development of nursing knowledge. Nursing teams play a crucial role in exploring the meaning of hope and promoting hope among patients and their families. This study aims to synthesize concept analysis studies of hope in the context of nursing care and to propose an evidence-based update of the definition of hope in the International Classification for Nursing Practice (ICNP®). Method: This is a literature review, involving the synthesis of studies concerning the concept analysis of hope in nursing practice. Peer-reviewed articles with fully accessible Portuguese or English text were considered. As we aimed to include a historical perspective of the concept, no restriction upon the time of publication was set. Articles were selected in March 2022 and updated in July 2023 using the Medline, CINAHL, and Scopus databases. The search terms used were “hope” AND “concept” AND “analysis” AND “nurs*”. Only articles written in English or Portuguese were included. Two reviewers conducted the research synthesis and report independently to minimize the risk of bias in the included studies. This paper adheres to the PRISMA checklist. To clarify the concept of hope as perceived by patients and develop hope as an evidence-based nursing concept, 13 studies were reviewed. The concept of hope, its attributes, antecedents, and consequences, as well as similar concepts, were studied by nurses and synthesized into a definition. The identified antecedents include pivotal life events, stressful stimuli, and experiencing satisfaction with life. The analysis of its attributes, antecedents, and consequences has contributed to understanding its relevance in nursing care and provided a proposed update of hope in the ICNP®. This review provides conceptual clarity on how hope is defined and used in nursing practice and the potential factors that may impact the promotion of hope to provide opportunities for future nursing research.

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Exercising Hope in Palliative Care Is Celebrating Spirituality: Lessons and Challenges in Times of Pandemic

Cited by 5 publications

References 51 publications

Nursing students’ perceptions of spiritual needs at the end of life. A qualitative study

Nursing students’ perceptions of spiritual needs at the end of life. A qualitative study

Perceived Barriers to Providing Spiritual Care in Palliative Care among Professionals: A Portuguese Cross-Sectional Study

“What Do We Know about Hope in Nursing Care?”: A Synthesis of Concept Analysis Studies

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