Spiritual Care within Dietetic Practice: A Systematic Literature Review

Lycett, Deborah; Patel, Riya

doi:10.1007/s10943-022-01555-z

Cited by 6 publications

(9 citation statements)

References 69 publications

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“…We also look at the cognitive and psychological functions of hypothyroid patients as ineffective L-thyroxine replacement can affect their cognitive and psychological functions (17). At the end of our study, we noted that there were no significant difference in cognitive and psychological function comparing both arms although significant anxiety was observed at baseline.…”

Section: Discussionmentioning

confidence: 83%

Comparison Between Weekly vs Daily Dosing L-thyroxine for the Treatment of Hypothyroidism in Ramadan – A Pilot Randomized Controlled Trial

Zakaria¹,

Shahar²

2022

MJMHS

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Introduction: Muslims find it difficult to take L-thyroxine on empty stomach during Sahur. Furthermore, physiological changes during Ramadan alter thyroid hormones level. Objective: To compare the efficacy, safety and patient’s preference of weekly vs daily dosing of L-thyroxine in Ramadan. Method: This is a pilot randomized open-label controlled trial among hypothyroid patients during Ramadan 2017-2018. Patients were randomized into weekly and daily arm. Weekly arm took 7x their usual L-thyroxine dose at least 30 minutes pre-sahur once a week while daily arm took their usual daily dose at least 2 hours after the last meal before bed. Thyroid hormones, lipid profile, cardiac parameters, cognitive and psychological function were assessed at baseline and at week 4. Cardiac reassessment was done within 24hrs after weekly dosing at week 2. Results: Eighteen patients were randomized into weekly and daily arm. Majority (66.7%) were hypothyroid secondary to radioiodine therapy. At the end of study, there were no significant changes of thyroid hormones level for weekly arm. However there was significant increment of TSH observed in daily arm [TSH w0 1.8(0.23,5.57) vs w4 3.65(0.45,16.1);p =0.011]. In terms of toxicities, there were no hyperthyroid or cardiac toxicities observed despite the significant increment of fT4 within 24hours of weekly dosing [fT4 w0 13.21(8.19,14.63) vs w2 17.43(12.38,22.55);p=0.011]. All patients were euthyroid and had no side effects. Majority (83.3%) of patients preferred weekly dosing during Ramadan. Conclusion: Weekly levothyroxine dosing during Ramadan appeared to be safe, efficient and the most preferred dosing method.

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Section: Discussionmentioning

confidence: 83%

Comparison Between Weekly vs Daily Dosing L-thyroxine for the Treatment of Hypothyroidism in Ramadan – A Pilot Randomized Controlled Trial

Zakaria¹,

Shahar²

2022

MJMHS

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“…A systematic review identifying spiritual care in dietetic practice highlighted that dietetic patients did require this to be provided particularly at their appointments. 17 The present study provides a clear indication that spiritual care is part of the role of dietitians, but specific training is required. We therefore recommend that the inclusion of spiritual care training is considered within continuing professional development and preregistration curricula.…”

Section: Implications For Future Research and Practicementioning

confidence: 84%

“…Survey instructions contained definitions of ambiguous terms, so that the meaning was clear and consistent for all respondents. Definitions were provided for religion, 18 spirituality, 19 religious and non-religious spirituality, 20,21 spiritual care, 4,22 spiritual struggles, 23 spiritual needs, 24 spiritual assessment 25 and competence/competency. 26,27 The survey was based on previous questionnaires undertaken in other health professions.…”

Section: Survey Designmentioning

confidence: 99%

“…However, the dietitian's role in spiritual care has only been found in guidelines regarding nutrition and hydration at the end of life. 17 The present study investigated, for the first time, dietitians' views on spiritual care, including how it related to their current practice, perceived future practice and potential training needs. The aim was to understand the views of dietitians from the UK regarding their role in assessing spiritual needs and delivering spiritual care in current and perceived future practice.…”

Section: Introductionmentioning

confidence: 99%

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A survey regarding the role of UK dietitians in spiritual care

Lycett,

Garvey,

Patel

2024

J Human Nutrition Diet

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BackgroundUsers of dietetic services have unmet spiritual needs, although no study has yet explored dietitians' opinion, perceptions or experience of assessing spiritual needs and delivering spiritual care in clinical practice.MethodsA cross‐sectional survey assessed the role of UK dietitians in spiritual care.ResultsThirty‐seven practicing dietitians, with experience ranging from newly qualified to over 21 years of practice, took part in the survey containing open and closed questions. Almost half (49%) of dietitians said they always conducted spiritual assessments and most (57%) said they sometimes made a referral for spiritual concerns. When spiritual issues arose, dietitians were highly likely to listen well (score 4.6 out of 5) and encourage service users in their own (the service user) spiritual or religious practices (score 4 out of 5). However, the likelihood of taking the initiative and enquiring about religious and spiritual issues was lower (score <3 out of 5) in all areas of practice including end of life care. This may have been because confidence around spiritual care was also low (score 4.7 out of 10), uncertainty was high (score >3.5 out of 5) and there was a strong desire to receive training (>4 out of 5). Qualitative responses expanded further on these results suggesting that there was positive “intention” to provide spiritual care, but lack of training was a significant barrier (qualitative theme: “inadequacies”). The recognition of necessity but uncertainty of how to meet spiritual needs was also shown through qualitative findings to be a source of “emotional labour”, particularly where there were conflicting beliefs between a dietitian and service user.ConclusionsAlthough limited by a small sample size, these results provide new knowledge that spiritual care is considered an important part of the dietitians' role and that this is the case regardless of the dietitians own spiritual identity or religion. Dietitians would value training in spiritual care so that they can support service user needs more readily and confidently.

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“…In addition, spiritual care in dietetic practices has now been recognised by the British Dietetic Association. They published an article about integrating spiritual care into dietetic practices on their official website (17). Theoretically, this might suggest an ideal approach, yet more studies are needed to confirm whether dietitians willingly integrate spiritual care into their practices.…”

Section: Introductionmentioning

confidence: 99%

Muslim Dietitian-patient Spiritual Conversations and Its’ Challenges: A Descriptive Cross-sectional Study

Afandi¹,

Mohamad²,

Bakar³

et al. 2022

MJMHS

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Introduction: Spirituality is essential in patient care. In dietetics, the patient-centred care approach has a significant role in promoting caring relationships with the patients in dietary counselling. While integrating spirituality in clinical practice influences patients’ ability to cope with illness, there is a paucity of research on spirituality in dietetics. This study aimed to discover the proportion of Muslim dietitians who inquired about patients’ spiritual needs and its association with socio-demographic factors, identify selected conversations on spiritual concern and its challenges. Method: This cross-sectional study adopted selected items from The International NERSH-Cohort questionnaire. A new semi-structured question on responses to patients’ spiritual concerns was also evaluated (4 items; alpha=.79). Data were gathered through an online survey and analysed using descriptive analysis and Pearson chi-square.Results: Out of ninety-eight respondents, only 3% reported always making an attempt to inquire about patients’ spiritual needs, whereas 44% had never made such an inquiry. The duration of practising dietetics was not associated with inquiring spiritual needs practices. When the Muslim patients brought up a discussion on spiritual concern, 38% of the Muslim dietitians had responded that only Allah has the power to heal and grant happiness. This study highlights that Muslim dietitians’ most common obstacles to addressing spiritual concerns during dietary counselling were the fear of offending the patients and insufficient knowledge/training. Conclusion: There are ways for Muslim dietitians to engage in spiritual conversations during dietary counselling, but the existing challenges indicate a calling for formal training.

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Spiritual Care within Dietetic Practice: A Systematic Literature Review

Cited by 6 publications

References 69 publications

Comparison Between Weekly vs Daily Dosing L-thyroxine for the Treatment of Hypothyroidism in Ramadan – A Pilot Randomized Controlled Trial

Comparison Between Weekly vs Daily Dosing L-thyroxine for the Treatment of Hypothyroidism in Ramadan – A Pilot Randomized Controlled Trial

A survey regarding the role of UK dietitians in spiritual care

Muslim Dietitian-patient Spiritual Conversations and Its’ Challenges: A Descriptive Cross-sectional Study

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