The Hole in Holistic Patient Care

Drury, Connie Francis; Hunter, Jennifer

doi:10.4236/ojn.2016.69078

Cited by 7 publications

(5 citation statements)

References 48 publications

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“…The concern for spiritual needs in health is increasing (van Nieuw Amerongen-Meeuse et al, 2019). Spirituality becomes essential for nurses to fulfill as part of holistic care (Drury & Hunter, 2016). In addition, spiritual therapy is cost-effective and provides positive results when integrated with the usual treatment (Moreira-Almeida et al, 2014).…”

Section: The Importance Of Spiritual Intervention For Patients With M...mentioning

confidence: 99%

Nurses’ Experiences of Providing Spiritual Care for Schizophrenic Patients in Psychiatric Hospital, Magelang: A Qualitative Study

Wijayanti,

Sari,

Sarjana

2024

jika

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Spiritual interventions have received growing attention in recent years as they are evident to reduce psychotic symptoms significantly in patients with mental disorders. However, some nurses neglect patients' spiritual needs as it is not their primary responsibility. In other research, mental health nurses felt uncertain about spiritual issues and anxious to distinguish between spiritual needs and mental illness symptoms. Their concern about spiritual care being inappropriate within their practice setting and lack of knowledge also influence the willingness of nurses to provide spiritual care. This study aimed to explore nurses' experiences of providing spiritual interventions for patients with schizophrenia in Prof. Dr. Soerodjo's psychiatric hospital in Magelang, Indonesia. A descriptive qualitative study with a phenomenological approach was conducted among seven participants who were purposively recruited from different hospital wards. The researchers conducted semi-structured focused-group discussions (FGDs) and employed theoretical triangulation to improve the quality of data analysis. A thematic analysis was used to obtain rich, detailed, complex data reports. The results showed two major themes: (1) nurses' experiences providing spiritual interventions and (2) the importance of spiritual interventions for patients with schizophrenia. Spiritual interventions were crucial to patient care and were implemented in all hospital wards. These interventions varied in form, and their implementation merely relied on nurses' and patients' commitment and motivation. Some barriers to implementing spiritual interventions were reported, including stigma, lack of commitment, and suboptimal fulfillment of spiritual needs for patients other than Moslem. Implementation of spiritual interventions is best based on the prepared modules, which contain spiritual assessment tools, material, and guidelines for fulfilling the spiritual needs and the standard of spiritual intervention that will be provided. Nurses require strong commitment and motivation to carry out spiritual intervention to have a satisfying impact in the form of a decrease in violent behavior, confinement, length of stay, runaway rate, increased communication skills, self-control, and improved appearance. Schizophrenic patients are expected to continue their spiritual activities until they are ready to return to the community. Innovations and institutional support are required to help achieve the goals of spiritual interventions.

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Section: The Importance Of Spiritual Intervention For Patients With M...mentioning

confidence: 99%

Nurses’ Experiences of Providing Spiritual Care for Schizophrenic Patients in Psychiatric Hospital, Magelang: A Qualitative Study

Wijayanti,

Sari,

Sarjana

2024

jika

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“…As early as 1542, when Joannes Fernel coined the term physiology, the discussion at that time described the person as a structure of physiological, pathological, and clinical stories [21]. However, in the health care system, patients do not always have the opportunity to share their clinical stories with their clinicians [3,[22][23][24][25][26]. Furthermore, even if patients have the opportunity to discuss values, beliefs, and preferences for care, some research has described treatment errors that may occur when clinicians overlook contextual information in a clinic visit.…”

Section: Background and Rationalementioning

confidence: 99%

“…PCNIs that incorporate cultural values and beliefs are important components of person-centered care [14,31]. Person-centered care includes implementing shared decision-making, providing holistic patient care with respect for patients' preferences and goals, paying attention to nonmedical aspects of care, facilitating communication, knowing the patient as a person, and understanding culture, which influences health behaviors and the meaning of illness [3,14,[22][23][24][25][26]. Quality communication is a critical element of person-centered care [3,32,33].…”

Section: Background and Rationalementioning

confidence: 99%

An Electronically Delivered Person-Centered Narrative Intervention for Persons Receiving Palliative Care: Protocol for a Mixed Methods Study

Coats¹,

Shive²,

Adrian³

et al. 2023

JMIR Res Protoc

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Background In the health care setting, electronic health records (EHRs) are one of the primary modes of communication about patients, but most of this information is clinician centered. There is a need to consider the patient as a person and integrate their perspectives into their health record. Incorporating a patient’s narrative into the EHR provides an opportunity to communicate patients’ cultural values and beliefs to the health care team and has the potential to improve patient-clinician communication. This paper describes the protocol to evaluate the integration of an adapted person-centered narrative intervention (PCNI). This adaptation builds on our previous research centered on the implementation of PCNIs. The adaptation for this study includes an all-electronic delivery of a PCNI in an outpatient clinical setting. Objective This research protocol aims to evaluate the feasibility, usability, and effects of the all-electronic delivery of a PCNI in an outpatient setting on patient-reported outcomes. The first objective of this study is to identify the barriers and facilitators of an internet-based–delivered PCNI from the perspectives of persons living with serious illness and their clinicians. The second objective is to conduct acceptability, usability, and intervention fidelity testing to determine the essential requirements for the EHR integration of an internet-based–delivered PCNI. The third objective is to test the feasibility of the PCNI in an outpatient clinic setting. Methods Using a mixed method design, this single-arm intervention feasibility study was delivered over approximately 3 to 4 weeks. Patient participant recruitment was conducted via screening outpatient palliative care clinic schedules weekly for upcoming new palliative care patient visits and then emailing potential patient participants to notify them about the study. The PCNI was delivered via email and Zoom app. Patient-reported outcome measures were completed by patient participants at baseline, 24 to 48 hours after PCNI, and after the initial palliative care clinic visit, approximately 1 month after baseline. Inclusion criteria included having the capacity to give consent and having an upcoming initial outpatient palliative care clinic visit. Results The recruitment of participants began in April 2021. A total of 189 potential patient participants were approached via email, and 20 patient participants were enrolled, with data having been collected from May 2021 to September 2022. A total of 7 clinician participants were enrolled, with a total of 3 clinician exit interviews and 1 focus group (n=5), which was conducted in October 2022. Data analysis is expected to be completed by the end of June 2023. Conclusions The findings from this study, combined with those from other PCNI studies conducted in acute care settings, have the potential to influence clinical practices and policies and provide innovative avenues to integrate more person-centered care delivery. International Registered Report Identifier (IRRID) DERR1-10.2196/41787

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“…Konseling interdisipliner dalam perawatan spiritual belum terlaksana dapat dikarenakan masih adanya kebingungan peran antara profesional kesehatan dan disiplin ilmu terkait. Belum adanya batasan peran apa saja yang harus dilakukan oleh tim multi displin dalam memenuhi kebutuhan spiritual pasien menjadi salah satu satu barier perawat dalam memberikan perawatan spiritual kepada pasien (Drury & Hunter, 2016).…”

Section: Pembahasanunclassified

Gambaran kompetensi spiritual perawat

Ulliya,

Nurmalia,

Sulisno

et al. 2023

Jurnal Kepemimpinan dan Manajemen Keperawatan

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Perawatan spiritual merupakan salah satu tanggung jawab perawat saat memberikan asuhan keperawatan, tetapi perawat belum sepenuhnya mempertimbangkan aspek tersebut. Hasil studi lalu terhadap 30 pasien di 3 rumah sakit, menunjukkan bahwa sebesar 79% pasien yang dirawat tidak mendapat pendampingan spiritual oleh perawat, perawatan spiritual berada pada kategori kurang baik yaitu sebesar 57,7%, 21% pasien menyatakan mendapat pendampingan spiritual dari pemuka agama. Penelitian ini bertujuan untuk menggambarkan kompetensi Perawatan spiritual yang dimiliki oleh perawat. Desain penelitian ini adalah kuantitatif deskriptif dengan metode survei, dengan menggunakan non random sampling; quota, dengan jumlah perawat sebanyak 238 perawat. Pengambilan data dilakukan menggunakan kuesioner Nurses’ Professional Competence in Spiritual Care yang berjumlah 38 pernyataan. Hasil penelitian dengan nilai rerata 114.15 pada rentang skor minimal 38 sampai maksimal 152. Kompetensi di aspek Assessment and implementation of spiritual care masih cukup rendan diliaht dari nilai reratanya. Dan komponen Human values yang nilai rerata paling tinggi. Beberapa kompetensi perlu ditingkatkan seperti penggunaan instrumen standar dalam mengkaji kebutuhan spiritual pasien, ketersediaan waktu dalam mengidentifikasi kebutuhan spiritual pasien dan keluarga, memberikan laporan tertulis tentang kebutuhan spiritual pasien dan keluarga pasien kepada rekan kerja/kolega, dan pengadaan konseling interdisipliner untuk memberikan perawatan spiritual kepada pasien dan keluarga pasien.

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The Hole in Holistic Patient Care

Cited by 7 publications

References 48 publications

Nurses’ Experiences of Providing Spiritual Care for Schizophrenic Patients in Psychiatric Hospital, Magelang: A Qualitative Study

Nurses’ Experiences of Providing Spiritual Care for Schizophrenic Patients in Psychiatric Hospital, Magelang: A Qualitative Study

An Electronically Delivered Person-Centered Narrative Intervention for Persons Receiving Palliative Care: Protocol for a Mixed Methods Study

Gambaran kompetensi spiritual perawat

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