Incorporating Spirituality in Primary Care

Isaac, Kathleen; Hay, Jennifer L.; Lubetkin, Erica I.

doi:10.1007/s10943-016-0190-2

Cited by 58 publications

(46 citation statements)

References 66 publications

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“…Much of what was discussed by our participants is similar to what has been reported in the literature [8,9,10], but the local context of huge diversity, great inequality, and scarce resources, places particular demands on local hospices. The responses of our participants enable us to add to the discussions raised by the few studies in the global South [11,12,13].…”

Section: Discussionsupporting

confidence: 76%

Spiritual Care Practices in Hospices in the Western Cape, South Africa: The Challenge of Diversity

Mahilall¹,

Swartz

2020

Preprint

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Background: South Africa is a very diverse middle-income country, still deeply divided by the legacy of its colonial and apartheid past. As part of a larger study, this article explored the experiences and views of representatives of hospices in the Western Cape province of South Africa on the provision of appropriate spiritual care, given local issues and constraints. Methods: Two sets of focus group discussions, with 23 hospice participants, were conducted with 11 of the 12 Hospice Palliative Care Association registered hospices in the Western Cape, South Africa, to understand what spiritual care practices were at play in their hospices against the backdrop of multifaceted diversities. The discussions were analysed using thematic analysis. Results:Two prominent themes emerged: providing relevant spiritual care services in a religiously, culturally, and racially diverse setting, and the organisational context impacting such a spiritual care service. Participants agreed that spiritual care is an important service and that it plays a significant role within the inter-disciplinary team. Participants recognised the need for spiritual care training and skills development, alongside the financial shortfalls. In spite of the diversities and resource constraints, the approach of individual hospices to providing spiritual care remained robust.Discussion:Given the diversities that are largely unique to South Africa, shaped essentially by past injustices, the hospices have to navigate considerable hurdles such as cultural differences, religious diversity, and language barriers to provide spiritual care services, within significant resource constraints. Conclusions:While each of the hospices have established spiritual care services to varying degrees, there was an expressed need for training in spiritual care to develop a baseline guide that was bespoke to the complexities of the South African context. Part of this training needs to focus on the complexity of providing culturally appropriate services.

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Section: Discussionsupporting

confidence: 76%

Spiritual Care Practices in Hospices in the Western Cape, South Africa: The Challenge of Diversity

Mahilall¹,

Swartz

2020

Preprint

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“…On one hand, this may suggest that existential QOL matters for well-being whereas spiritual coping QOL, specifically, is counterproductive to well-being. However, such a conclusion diverges from published spiritual coping literature (Isaac et al, 2016).…”

Section: Sqol's Relationship With Well-beingmentioning

confidence: 64%

Valid assessment of spiritual quality of life with the WHOQOL-SRPB BREF across religious, spiritual, and secular persons: A psychometric study.

Hammer¹,

Wade²,

Cragun³

2020

Psychology of Religion and Spirituality

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“…Healthcare providers should increasingly be aware that religious/spiritual beliefs may influence the extent of patient activation and willingness to adopt prescribed lifestyle changes. 42 Physicians need to understand the patient's belief system and develop a mutual plan to overcome challenges that may impede patient adoption and maintenance of positive health behaviors.…”

Section: Discussionmentioning

confidence: 99%

Religiosity and Patient Activation Among Hospital Survivors of an Acute Coronary Syndrome

et al. 2019

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BACKGROUND: Optimum management after an acute coronary syndrome (ACS) requires considerable patient engagement/activation. Religious practices permeate people's lives and may influence engagement in their healthcare. Little is known about the relationship between religiosity and patient activation. OBJECTIVE: To examine the association between religiosity and patient activation in hospital survivors of an ACS. DESIGN: Secondary analysis using baseline data from Transitions, Risks, and Actions in Coronary Events: Center for Outcomes Research and Education (TRACE-CORE) Study. PARTICIPANTS: A total of 2067 patients hospitalized for an ACS at six medical centers in Central Massachusetts and Georgia (2011-2013). MAIN MEASURES: Study participants self-reported three items assessing religiosity-strength and comfort from religion, making petition prayers, and awareness of intercessory prayers for health. Patient activation was assessed using the 6-item Patient Activation Measure (PAM-6). Participants were categorized as either having low (levels 1 and 2) or high (levels 3 and 4) activation. RESULTS: The mean age of study participants was 61 years, 33% were women, and 81% were non-Hispanic White. Approximately 85% derived strength and comfort from religion, 61% prayed for their health, and 89% received intercessory prayers for their health. Overall, 58% had low activation. Reports of a great deal (aOR, 2.02; 95% CI, 1.44-2.84), and little/some (aOR, 1.45; 95% CI, 1.07-1.98) strength and comfort from religion were associated with high activation, as were receipt of intercessions (aOR, 1.48; 95% CI, 1.07-2.05). Praying for one's health was associated with low activation (aOR, 0.78; 95% CI, 0.61-0.99). CONCLUSIONS: Most ACS survivors acknowledge religious practices toward their recovery. Strength and comfort from religion and intercessory prayers for health were associated with high patient activation. Petition prayers for health were associated with low activation. Healthcare providers should use knowledge about patient's religiosity to enhance patient engagement in their care.

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Incorporating Spirituality in Primary Care

Cited by 58 publications

References 66 publications

Spiritual Care Practices in Hospices in the Western Cape, South Africa: The Challenge of Diversity

Spiritual Care Practices in Hospices in the Western Cape, South Africa: The Challenge of Diversity

Valid assessment of spiritual quality of life with the WHOQOL-SRPB BREF across religious, spiritual, and secular persons: A psychometric study.

Religiosity and Patient Activation Among Hospital Survivors of an Acute Coronary Syndrome

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