Spiritual care training and the GP curriculum: where to now?

Appleby, Alistair; Swinton, John; Wilson, Philip

doi:10.1080/14739879.2019.1600383

Cited by 10 publications

(8 citation statements)

References 16 publications

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“…A chaplain from Hamburg commented that the topics addressed by the instrument acquired "a depth and emotionality" that can hardly be dealt by the nursing staff and can hardly be adequately discussed without conversation training. This might be true and is a further argument for specific spiritual care training (O´Brien et al, 2019;Appleby et al, 2019;Alt-Epping et al, 2021). Staff´s spiritual care competences could be assessed with the Spiritual Care Competence Questionnaire (SCCQ) to identify training needs and to evaluate spiritual care training programs (Frick et al, 2019;Pastrana et al, 2021).…”

Section: Application Of the Instrumentmentioning

confidence: 99%

The Spiritual Needs Questionnaire in Research and Clinical Application: a Summary of Findings

Büssing

2021

J Relig Health

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To provide spiritual care, an assessment and documentation of patients´ spiritual struggles and/or their spiritual needs is required to initiate appropriate support planning processes. For that purpose, the Spiritual Needs Questionnaire (SpNQ) was developed in 2009 as an easy to apply standardized measure. The tool has so far been translated into numerous languages and is widely used as a valid and reliable instrument to assess a wide range of spiritual needs of patients with chronic diseases, elderly, adolescents, and healthy persons. Its four main factors address Religious needs, Existential needs, Inner Peace needs, and Giving/Generativity needs. Here, the main findings are summarized and discussed.

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Section: Application Of the Instrumentmentioning

confidence: 99%

The Spiritual Needs Questionnaire in Research and Clinical Application: a Summary of Findings

Büssing

2021

J Relig Health

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“…Although in our study standardization did not seem to be desired, others promote more professionalization in order to make care for this dimension more transparent [ 45 ]. Appleby et al concluded their review by stating that if agreed it is desirable to encourage the integration of this dimension in general practice, we have to find common frameworks for these discussions [ 46 ], and a recent study amongst Scottish GPs even suggested to define a gold standard [ 47 ]. Wenham et al in a review proposed core content, aims and objectives to guide further work on this [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

The GP’s perceived role and use of language concerning the existential dimension of palliative patients: a Dutch interview study

et al. 2022

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Background Palliative patients have to cope with their disease and impending death. Knowing what this means for a patient is crucial for person-centred care. Although guidelines state it is a GP core task to explore existential issues of palliative patients, this is not standard practice. Aim Exploring Dutch GPs’ perceived role regarding addressing the existential dimension of palliative patients, and which vocabulary GPs use when doing this. Design and setting Qualitative study amongst Dutch GPs. Participants were recruited by purposive sampling and snowballing, considering gender, working experience and ideological personal beliefs. Method Semi-structured in-depth interviews were performed, transcribed and analysed using content analysis. Results Seventeen GPs participated. Three themes were identified: Language, Perceived role and Practice. Interviewees generally saw it as their role to pay attention to the existential dimension of palliative patients. However, not all knew how to define this role, or how to refer patients with existential struggles to a spiritual counsellor. The multidisciplinary Dutch guideline ‘Existential and Spiritual Aspects of Palliative Care’ seemed largely unknown. Interviewees mostly fulfilled their role in an intuitive, pragmatic way. Questions such as “What does it mean for you to be seriously ill?” or “Do you have support from someone or something?” fitted daily practice. Conclusion This study emphasizes the importance of basic GP education in exploring existential issues. The coexistence of a professionally obliged attention and an intuitive approach seems to be in conflict. We recommend appropriate training for GPs, research on the potential enhancement of collaboration between GPs and spiritual counsellors and implementation of the relevant guideline on well-known platforms.

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“…(41) A recent study amongst Scottish GPs even suggested to de ne a gold standard. (42) We recommend research on ways of warranting integration of this dimension in care for palliative patients, without disregarding the GP as a professional in a person-centred approach. For example by exploring what kind of training suits GPs' needs.…”

Section: Theme 3 Practicementioning

confidence: 99%

The GP’s perceived role and use of language concerning the existential dimension of palliative patients

Busser¹,

Rens²,

Thoonsen³

et al. 2021

Preprint

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Background: Palliative patients have to cope with their disease and impending death. Knowing what this means for a patient is crucial for person-centrered care. Although guidelines state it is a GP core task to explore existential issues of palliative patients, this is not standard practice.Aim: Exploring Dutch GPs’ perceived role regarding addressing the existential dimension of palliative patients, and which vocabulary is used.Design and Setting: Qualitative study among Dutch GPs. Participants were recruited by purposive sampling and snowballing, considering gender, working experience and world view.Method: Semi-structured in-depth interviews were performed, transcribed and analysed using content analysis.Results: Seventeen GPs participated. Three themes were identified: Language, Perceived role and Practice. Interviewees generally saw it as their role to pay attention to the existential dimension of their palliative patients. However, not all knew how to define this role, or how to refer patients with existential struggles to a spiritual counsellor. The multidisciplinary Dutch guideline ‘Existential and Spiritual Aspects of Palliative Care’ seemed largely unknown. Interviewees mostly fulfilled their role in an intuitive, pragmatic way. Questions such as “What does it mean for you to be seriously ill?” or “Do you have support from someone or something?” fitted daily practice.Conclusion: This study emphasizes the importance of basic GP education in exploring existential issues. The coexistence of a professionally obliged attention and an intuitive approach seems to be in conflict. We recommend enhancing collaboration between GPs and spiritual counsellors, appropriate training, and implementation of the relevant guideline on well-known platforms.

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Spiritual care training and the GP curriculum: where to now?

Cited by 10 publications

References 16 publications

The Spiritual Needs Questionnaire in Research and Clinical Application: a Summary of Findings

The Spiritual Needs Questionnaire in Research and Clinical Application: a Summary of Findings

The GP’s perceived role and use of language concerning the existential dimension of palliative patients: a Dutch interview study

The GP’s perceived role and use of language concerning the existential dimension of palliative patients

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