Spiritual Care in the Intensive Care Unit: A Narrative Review

Ho, Jim Q.; Nguyen, Catherine; Lopes, Richard; Ezeji-Okoye, Stephen C.; Kuschner, Ware G.

doi:10.1177/0885066617712677

Cited by 67 publications

(66 citation statements)

References 74 publications

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“…Finally, spiritual support should be provided for those patients who find religion a source of comfort (Alasad et al ., ). Spiritual care has been associated with high‐quality health care for critically ill patients and should be assessed and addressed by the health care team (Ho et al ., ). Comparable to a previous report (Kisorio and Langley, ) is the fact that most of the participants in the current study received spiritual care mainly from religious leaders brought in by their families.…”

Section: Discussionmentioning

confidence: 97%

Critically ill patients' experiences of nursing care in the intensive care unit

Kisorio

Langley

2019

Nursing in Critical Care

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Background: Understanding critically ill patients' experiences of nursing care is an important aspect that can improve quality of care in the intensive care unit. Aim: To elicit critically ill patients' experiences of nursing care in the adult intensive care units. Design: A qualitative descriptive design was utilized. Methods: Sixteen patients who had a predicted mortality risk of above 50% within the first 24 h of admission to the intensive care unit and had been discharged to the ward were purposively selected. The study was conducted at three academic affiliated, tertiary/quaternary specialist hospitals in South Africa. Individual semi-structured interviews were conducted with the selected participants until a point of data saturation was reached. Data were analysed using a conventional content analysis technique (Hsieh and Shannon, 2005). Lincoln and Guba's criteria for ensuring the trustworthiness of qualitative research were applied. Findings: Four major themes emerged: 'being in someone's shoes ', 'communication', 'presence' and 'religion and spirituality'. Conclusions: Even though some participants' responses reflected 'good' nursing care, the majority of the participants had negative experiences in relation to the nursing care they received while admitted in the selected intensive care units. Relevance to clinical practice: This study demonstrates critically ill patients' voices and preferences of intensive nursing care and describes some issues that require not only nurses' but also managerial improvements and interventions in order to ensure quality care and, eventually, patients' satisfaction with intensive nursing care.

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Section: Discussionmentioning

confidence: 97%

Critically ill patients' experiences of nursing care in the intensive care unit

Kisorio

Langley

2019

Nursing in Critical Care

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“…Studies, though not Dutch, show that a great majority of nurses (between 83% and 96%) considers SC a fundamental aspect of nursing [14][15][16], whereas a small majority (58%) of the patients of this study finds SC a nursing task. Still, we would suggest that attention to SC by nurses in curative oncological care should be pursued, because it is important in performing patientcentred careas a counterbalance to the many technical aspects of their joband the potential benefits of SC on QoL [9,19,[26][27][28][29]54].…”

Section: Discussionmentioning

confidence: 99%

Spiritual care by nurses in curative oncology: a mixed‐method study on patients’ perspectives and experiences

Ebenau

Groot

Visser

et al. 2019

Scandinavian Caring Sciences

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Aims Spirituality can be important in adjusting to the experience of cancer and its medical treatment. Since nurses have frequent contact with patients, they seem to have a unique role in providing spiritual care. Nurses consider spiritual care important; however, little is known about how patients in a curative setting experience and value spiritual care. Therefore, this study aimed to give insight into patients’ experiences with and opinions about spiritual care as provided by nurses in curative cancer care. Methods This is a national, multicentre mixed‐methods study, combining a quantitative approach using questionnaires (n = 62) and a qualitative analysis of semi‐structured interviews (n = 61). Nonparametric tests were used for quantitative data, and qualitative data were analysed inductively. Findings Most patients rarely received spiritual care by nurses. If spiritual care was provided, it mainly consisted of noticing problems and referring to other professionals. This appeared to be dependent on certain ‘triggers’, such as age. Structural discussions on spirituality with a nurse were experienced rarely. This was explained by, among other factors, the hospital setting. Yet, the majority (79%) of patients found the attention to spirituality sufficient or very good. Furthermore, a majority (58%) viewed spiritual care as a nursing task: nurses should notice spiritual problems and refer to other professionals, though extensively discussing patients’ spirituality was neither considered nurses’ task nor capability. Conclusions Attention to spiritual care in a curative setting, though not so much desired by most patients, should be pursued, because of its importance in performing person‐centred nursing care and its positive impact on patients’ health. By training nurses in offering spiritual care in proactive and ‘nonactive’ (accepting) ways, spiritual care could be structurally offered in clinical practice in personalised forms. Since younger and less spiritual patients are not much satisfied with spiritual care by nurses, they need special attention.

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“…[4][5][6][7][8][9] Medical educators increasingly deliver curricula on addressing patients' religious and spiritual needs, with a gap, however, between education and practice. [10][11][12][13][14][15][16][17][18] Despite receiving curricula about spirituality, few physicians integrate their patients' religious and spiritual needs into their care, returning to precurricular levels within 1 year. 19 This descriptive study aimed to examine medical students' own spirituality and their ability to engage with a standardized patient (SP) presenting for a focused visit with an additional religious and spiritual issue.…”

Section: Reportsmentioning

confidence: 99%

Physician Disengagement and Spiritual Dissonance in Medical Students

Schmidt¹,

Nauta

Dang

2021

Fam Med

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Background and Objectives: Religion and spirituality constitute aspects of diversity that physicians must respect to provide patient-centered care. By seeing patients as individuals and integrating their religious and spiritual needs into their medical care, providers can deliver personalized health care. Their needs become even more critical for the frontline providers during the COVID-19 pandemic. Most patients want their physicians to address their religious and spiritual needs when it comes to their health (eg, during isolation precautions). Despite increases in educational curricula about this integration, most physicians still do not provide this aspect of patient-centered care. Methods: In this observational study, we examined how medical students responded to a patient experiencing a religious and spiritual issue by having standardized patients (SPs) rate the students’ level of engagement with them. We also asked students to reflect on their own spirituality, in terms of their current and ideal levels of spirituality, the difference of which indicates spiritual dissonance. Medical students (n=232) completed the Spiritual Health and Life-Outcome Measure (SHALOM) questionnaire, and their SPs completed the Princess Margaret Hospital Satisfaction With Doctor Questionnaire (PSQ-MD). Results: Results indicated a significant, positive correlation between disengagement (from PSQ-MD) and transcendent spirituality dissonance (from SHALOM). Conclusions: Higher levels of disconnection from a patient case with a religious and spiritual issue (portrayed by an SP) were associated with higher levels of incongruity in medical students’ responses as to their ideal relationship with the transcendent (eg, God, Allah, peace).

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Spiritual Care in the Intensive Care Unit: A Narrative Review

Cited by 67 publications

References 74 publications

Critically ill patients' experiences of nursing care in the intensive care unit

Critically ill patients' experiences of nursing care in the intensive care unit

Spiritual care by nurses in curative oncology: a mixed‐method study on patients’ perspectives and experiences

Physician Disengagement and Spiritual Dissonance in Medical Students

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