The accuracy of measures in screening adults for spiritual suffering in health care settings: A systematic review

Bahraini, Sayna; Gifford, Wendy; Graham, Ian D.; Wazni, Liquaa; Brémault‐Phillips, Suzette; Hackbusch, Rebekah; Demers, Catrine; Egan, Mary

doi:10.1017/s1478951519000506

Cited by 13 publications

(11 citation statements)

References 37 publications

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“…Judges made relevant the issue that it is a distress that can be transient or prolonged, capable of altering the individual's sense of life. This corroborates findings in the literature that indicate that even if instruments exist to carry out the assessment of spiritual distress, its identification is often performed, or should be, based on the professionals' individual critical sense (19) . It is essential that nurses know how to incorporate spiritual practice in their practice, since they must act from a holistic perspective, not ignoring this dimension (20) .…”

Section: Discussionsupporting

confidence: 89%

Nursing diagnosis “Terminality Syndrome”: a content analysis

et al. 2021

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Objectives: to validate the nursing diagnosis “Terminality Syndrome” with experts. Methods: a quantitative research of content validation type based on collective wisdom approach. An online semi-structured questionnaire was used as an instrument for data collection, and Content Validity Index and Wilcoxon test were used for comparing possible differences. Results: the questionnaire was answered by 89 professionals after judges’ assessment in relation to the structural components of the diagnosis proposed. The mean Content Validity Index of items was above that recommended, except for title, which was ≥ 0.8. The suggestions were reviewed and accepted, being forwarded for a new analysis, reaching 83.7% of agreement among participants. Conclusions: the diagnosis’ content proved to be valid by judges. With that, it is expected to contribute with a useful nursing diagnosis for nursing practice documentation in palliative care.

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Section: Discussionsupporting

confidence: 89%

Nursing diagnosis “Terminality Syndrome”: a content analysis

et al. 2021

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“…These include a program entitled Winding Road for college students (Dworsky et al, 2013) and psychiatric inpatients (Gibbel et al, in press) and a program for patients with HIV/AIDS (Tarakeshwar et al, 2005). As struggles are common in medical settings (e.g., Morgan et al, 2014; Winkelman et al, 2011), screening for r/s struggles could also facilitate the work of hospital chaplains (Bahraini et al, 2020; Fitchett & Risk, 2009; King et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Religious and spiritual struggles and their links to psychological adjustment: A meta-analysis of longitudinal studies.

Bockrath

Pargäment

Wong

et al. 2022

Psychology of Religion and Spirituality

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In light of a growing body of longitudinal research on religious and spiritual (r/s) struggles and adjustment, a meta-analysis was conducted in order to synthesize literature on whether r/s struggles predict decrements in psychological adjustment over time. Multiple databases were searched for journal articles and dissertations reporting on studies that met inclusion criteria. For each study, necessary statistical information was extracted to calculate or estimate the standardized regression coefficient predicting follow-up psychological adjustment from baseline r/s struggles, controlling only for autoregressive effects. The search and screening process yielded 32 studies meeting inclusion criteria for which the necessary statistics were able to be extracted or obtained from study authors. Results indicated that r/s struggles significantly predicted increases in negative psychological adjustment (32 studies), Z r = 0.08, 95% CI [0.04, 0.10]. Results for positive psychological adjustment were non-significant (12 studies), Z r = −0.04, 95% CI [−0.11, 0.03]. These findings are consistent with a primary r/s struggles model in which r/s struggles lead to worsening psychological adjustment. This study underscores the importance of attending to spiritual struggles within clinical practice. Future studies on this topic could add to our understanding by examining longer time frames and testing secondary and complex models of the longitudinal relationship between r/s struggles and psychological adjustment.

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“…As such, additional measures (e.g., spiritual distress) may be needed to evaluate treatment progress. Similarly, as the FACIT‐Sp is not routinely administered in cancer care, practices that wish to identify survivors who may benefit from a SpWb intervention may consider focussing on survivors who screen positive for spiritual distress 84,85 . Spiritual distress is a closely related, albeit distinct, construct from SpWb that when present, is a significant indicator of poor psychosocial health outcomes 86,87 .…”

Section: Discussionmentioning

confidence: 99%

“…As such, additional measures (e.g., spiritual distress) may be needed to evaluate treatment progress. Similarly, as the FACIT-Sp is not routinely administered in cancer care, practices that wish to identify survivors who may benefit from a SpWb intervention may consider focussing on survivors who screen positive for spiritual distress 84,85.…”

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confidence: 99%

A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer

et al. 2020

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Objective Spiritual well‐being (SpWb) is an important dimension of health‐related quality of life for many cancer patients. Accordingly, an increasing number of psychosocial intervention studies have included SpWb as a study endpoint, and may improve SpWb even if not designed explicitly to do so. This meta‐analysis of randomized controlled trials (RCTs) evaluated effects of psychosocial interventions on SpWb in adults with cancer and tested potential moderators of intervention effects. Methods Six literature databases were systematically searched to identify RCTs of psychosocial interventions in which SpWb was an outcome. Doctoral‐level rater pairs extracted data using Covidence following Preferred Reporting Items for Systematic reviews and Meta‐Analyses guidelines. Standard meta‐analytic techniques were applied, including meta‐regression with robust variance estimation and risk‐of‐bias sensitivity analysis. Results Forty‐one RCTs were identified, encompassing 88 treatment effects among 3883 survivors. Interventions were associated with significant improvements in SpWb (g = 0.22, 95% CI [0.14, 0.29], p < 0.0001). Studies assessing the FACIT‐Sp demonstrated larger effect sizes than did those using other measures of SpWb (g = 0.25, 95% CI [0.17, 0.34], vs. g = 0.10, 95% CI [−0.02, 0.23], p = 0.03]. No other intervention, clinical, or demographic characteristics significantly moderated effect size. Conclusions Psychosocial interventions are associated with small‐to‐medium‐sized effects on SpWb among cancer survivors. Future research should focus on conceptually coherent interventions explicitly targeting SpWb and evaluate interventions in samples that are diverse with respect to race and ethnicity, sex and cancer type.

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The accuracy of measures in screening adults for spiritual suffering in health care settings: A systematic review

Cited by 13 publications

References 37 publications

Nursing diagnosis “Terminality Syndrome”: a content analysis

Nursing diagnosis “Terminality Syndrome”: a content analysis

Religious and spiritual struggles and their links to psychological adjustment: A meta-analysis of longitudinal studies.

A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer

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