Journal article
Spiritual Interventions Delivered by Nurses to Address Patients' Needs in Hospitals or Long-Term Care Facilities: A Systematic Review
Journal of palliative medicine, Vol.25(4), pp.662-677
04/01/2022
DOI: 10.1089/jpm.2021.0578
PMCID: PMC8982123
PMID: 35085471
Abstract
Introduction: Despite increasing evidence of the benefits of spiritual care and nurses' efforts to incorporate spiritual interventions into palliative care and clinical practice, the role of spirituality is not well understood and implemented. There are divergent meanings and practices within and across countries. Understanding the delivery of spiritual interventions may lead to improved patient outcomes.Aim: We conducted a systematic review to characterize spiritual interventions delivered by nurses and targeted outcomes for patients in hospitals or assisted long-term care facilities.Methodology: The systematic review was developed following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, and a quality assessment was performed. Our protocol was registered on PROSPERO (Registration No. CRD42020197325). The CINAHL, Embase, PsycINFO, and PubMed databases were searched from inception to June 2020.Results: We screened a total of 1005 abstracts and identified 16 experimental and quasi-experimental studies of spiritual interventions delivered by nurses to individuals receiving palliative care or targeted at chronic conditions, such as advanced cancer diseases. Ten studies examined existential interventions (e.g., spiritual history, spiritual pain assessment, touch, and psychospiritual interventions), two examined religious interventions (e.g., prayer), and four investigated mixed interventions (e.g., active listening, presence, and connectedness with the sacred, nature, and art). Patient outcomes associated with the delivery of spiritual interventions included spiritual well-being, anxiety, and depression.Conclusion: Spiritual interventions varied with the organizational culture of institutions, patients' beliefs, and target outcomes. Studies showed that spiritual interventions are associated with improved psychological and spiritual patient outcomes. The studies' different methodological approaches and the lack of detail made it challenging to compare, replicate, and validate the applicability and circumstances under which the interventions are effective. Further studies utilizing rigorous methods with operationalized definitions of spiritual nursing care are recommended.
Details
- Title: Subtitle
- Spiritual Interventions Delivered by Nurses to Address Patients' Needs in Hospitals or Long-Term Care Facilities: A Systematic Review
- Creators
- Fabiana Cristina Dos Santos - Univ Florida, Coll Nursing, Dept Family Community & Hlth Syst Sci, 1225 Ctr Dr,POB 100197, Gainesville, FL 32610 USATamara G. R. Macieira - University of FloridaYingwei Yao - University of FloridaSamantha Hunter - University of FloridaOlatunde O. Madandola - University of FloridaHwayoung Cho - University of FloridaRagnhildur I. Bjarnadottir - University of FloridaKaren Dunn Lopez - University of IowaDiana J. Wilkie - University of FloridaGail M. Keenan - University of Florida
- Resource Type
- Journal article
- Publication Details
- Journal of palliative medicine, Vol.25(4), pp.662-677
- Publisher
- Mary Ann Liebert, Inc
- DOI
- 10.1089/jpm.2021.0578
- PMID
- 35085471
- PMCID
- PMC8982123
- ISSN
- 1096-6218
- eISSN
- 1557-7740
- Number of pages
- 16
- Language
- English
- Date published
- 04/01/2022
- Academic Unit
- Nursing
- Record Identifier
- 9984370754002771
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