Journal article
Training for awareness of one's own spirituality: A key factor in overcoming barriers to the provision of spiritual care to advanced cancer patients by doctors and nurses
Palliative & supportive care, Vol.17(3), pp.345-352
06/2019
DOI: 10.1017/S147895151800055X
PMID: 30187841
Abstract
When patients feel spiritually supported by staff, we find increased use of hospice and reduced use of aggressive treatments at end of life, yet substantial barriers to staff spiritual care provision still exist. We aimed to study these barriers in a new cultural context and analyzed a new subgroup with "unrealized potential" for improved spiritual care provision: those who are positively inclined toward spiritual care yet do not themselves provide it.
We distributed the Religion and Spirituality in Cancer Care Study via the Middle East Cancer Consortium to physicians and nurses caring for advanced cancer patients. Survey items included how often spiritual care should be provided, how often respondents themselves provide it, and perceived barriers to spiritual care provision.ResultWe had 770 respondents (40% physicians, 60% nurses) from 14 Middle Eastern countries. The results showed that 82% of respondents think staff should provide spiritual care at least occasionally, but 44% provide spiritual care less often than they think they should. In multivariable analysis of respondents who valued spiritual care yet did not themselves provide it to their most recent patients, predictors included low personal sense of being spiritual (p < 0.001) and not having received training (p = 0.02; only 22% received training). How "developed" a country is negatively predicted spiritual care provision (p < 0.001). Self-perceived barriers were quite similar across cultures.Significance of resultsDespite relatively high levels of spiritual care provision, we see a gap between desirability and actual provision. Seeing oneself as not spiritual or only slightly spiritual is a key factor demonstrably associated with not providing spiritual care. Efforts to increase spiritual care provision should target those in favor of spiritual care provision, promoting training that helps participants consider their own spirituality and the role that it plays in their personal and professional lives.
Details
- Title: Subtitle
- Training for awareness of one's own spirituality: A key factor in overcoming barriers to the provision of spiritual care to advanced cancer patients by doctors and nurses
- Creators
- Gil Bar-Sela - Rambam Health Care CampusMichael J Schultz - Rambam Health Care CampusKarima Elshamy - Mansoura UniversityMaryam Rassouli - Shahid Beheshti University of Medical SciencesEran Ben-Arye - Haifa Medical CenterMyrna Doumit - Lebanese American UniversityNahla Gafer - Radiation and Isotope Center,Khartoum,SudanAlaa Albashayreh - Sultan Qaboos UniversityIbtisam Ghrayeb - Al-Makassed Islamic Charitable Society HospitalIbrahim Turker - Ankara Onkoloji Eğitim ve Araştırma HastanesiGulcin Ozalp - Ankara Onkoloji Eğitim ve Araştırma HastanesiSultan Kav - Başkent UniversityRasha Fahmi - El-Salam Oncology Center,Cairo,EgyptSophia NestorosHasanein Ghali - Baghdad Medical CityLayth Mula-Hussain - University of AlbertaIlana Shazar - Rambam Health Care CampusRana Obeidat - Zarqa UniversityRehana Punjwani - Children Cancer Hospital,Karachi,PakistanMohamad Khleif - Al-Sadeel Society for Palliative Care,Bethlehem,West Bank,Palestinian AuthorityGulbeyaz Can - Istanbul Florence Nightingale HospitalGonca Tuncel - Ankara Onkoloji Eğitim ve Araştırma HastanesiHaris Charalambous - Bank of Cyprus Oncology CenterSafa Faraj - Children's Welfare Teaching Hospital,Medical City,Baghdad,IraqNeophyta Keoppi - Cyprus Anti-Cancer Society,Nicosia,CyprusMazin Al-Jadiry - Baghdad Medical CitySergey Postovsky - Rambam Health Care CampusMa'an Al-Omari - King Abdullah University HospitalSamaher Razzaq - Baghdad Medical CityHani Ayyash - European Khan Yunis Hospital,Khan Yunis,Gaza Strip,PalestineKhaled Khader - Taif UniversityRejin Kebudi - Istanbul UniversitySuha Omran - Jordan University of Science and TechnologyOsaid Rasheed - Al-Ahli HospitalMohammed Qadire - Al al-Bayt UniversityAhmet Ozet - Gazi HastanesiMichael Silbermann - Technion – Israel Institute of Technology
- Resource Type
- Journal article
- Publication Details
- Palliative & supportive care, Vol.17(3), pp.345-352
- DOI
- 10.1017/S147895151800055X
- PMID
- 30187841
- NLM abbreviation
- Palliat Support Care
- ISSN
- 1478-9515
- eISSN
- 1478-9523
- Language
- English
- Date published
- 06/2019
- Academic Unit
- Nursing
- Record Identifier
- 9984446275102771
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