Background and purpose: Anxiety and depression are prevalent problems associated with chronic diseases, such as hemodialysis. It is possible to reduce the psychological problems of hemodialysis ...patients by detecting the needs of these patients. The present study aimed to determine the relationship between spiritual needs and the levels of anxiety and depression in hemodialysis patients. Materials and methods: The present study was conducted using descriptive correlational method. The statistical population of this study was comprised of 164 hemodialysis patients who referred to Shahrvand Kidney Diseases Center in Sari. They were included in the study by a convenience sampling method. Data collection tools included demographic information questionnaire, hospital anxiety and depression questionnaire (1983), and Büssing et al. emotional needs questionnaire (2010). Data were analyzed using SPSS V25 applying descriptive statistics of mean and standard deviation. Spearman's correlation coefficient and regression were performed to examine the relationship between variables. Results: A total of 164 people participated in this study. The mean score of spiritual needs of hemodialysis patients was 27.62±10.85. The results revealed a significant positive relationship between spiritual needs and all its subscales, and anxiety and depression (P<0.05, r=0.721 for anxiety, and r=0.645 for depression). Also, religious and emotional subscales were the best predictive variables for anxiety; and religious and existential subscales were the best predictors of depression. Conclusion: Based on the observed relationship between spiritual needs, and anxiety and depression in hemodialysis patients, more attention should be paid to these needs and the factors exacerbating the conditions of hemodialysis patients. Also, more studies are required to gain a better understanding of their needs and to find ways to improve their conditions.
Background: Spiritual is related to strength or enthusiasm, which aims to get meaning and goals, beliefs, hopes, and beliefs in oneself, others, and including beliefs in God.Objective: To identify ...the spiritual needs of nasopharyngeal cancer patients in Sleman Regency, YogyakartaMethod: This study uses phenomenological qualitative methods. The informants in this study were 12 informants consisting of 6 patients and six families determined by the purposive sampling method. In-depth interviews did data collection with interview guides. The Open Code 4.02 application assisted data analysis.Result: This study indicates that faith and the purpose of life affect one's self-acceptance of the illness. This condition affects the peace that is felt by the patient, thus affecting the commitment to worship.Conclusion: The spiritual needs of nasopharyngeal cancer patients are suitable, and there are changes in each dimension of spirituality. Meanwhile, we expect the future researchers will conduct research related to the motivation of health workers in the spiritual fulfillment of nasopharyngeal cancer patients
Facing crises, life problems, and illnesses, many people turn to religion, spirituality, and faith as a psychosocial adjustment approach. This qualitative study assessed the spiritual needs of ...fourteen Iranian patients who recovered from COVID-19. Qualitative content analysis resulted in three themes, including "composure" with three categories of "prayer", "hope", and "connection"; "meaning in the life" comprising two categories of "a new prospect of life" and "the power of nature"; and "global responsibility" involving one category of "the relationships between individuals, communities, and the world". This study highlighted that patients relied on spirituality to cope with COVID-19 disease.
Diagnosing cancer, as a life-threatening event, in children and adolescents stops the normal course of life for all family members. Spirituality, which plays an essential role in coping with illness ...and death, can increase resistance against psychological crises induced by cancer diagnosis and treatment. This study aims to discover the spiritual needs of mothers having children with cancer aged 1-12 years old.
In this qualitative study, the conventional content analysis approach was used. The research environment was three pediatric oncology wards of Amir Hospital in Shiraz, Iran. Data were collected from September 2019 to March 2020 through face-to-face semi-structured in-depth interviews. Fifteen participants including 12 mothers and 3 nurses were interviewed through purposive method considering maximal variation. The interviews were recorded, transcribed, and subjected to a qualitative analysis. Credibility, dependability, confirmability, and transferability of data were confirmed.
The mean (± standard deviation) age of the mothers was 35.76 (±5.96) years old. The spiritual needs of the mothers were classified into three categories, including religious well-being, existential well-being, and growth and excellence as well as seven subcategories. Religious well-being included subcategories of direct and indirect connection with God, existential well-being included subcategories of need for hope, multifaceted support, and rethinking, growth, and excellence consisted of subcategories of devoting yourself and surrender.
Mothers of children with cancer face important spiritual needs. Therefore, it is necessary for the treatment team to identify these needs and use them to provide appropriate spiritual care.
The EAPC White Paper addresses the issue of spiritual care education for all palliative care professionals. It is to guide health care professionals involved in teaching or training of palliative ...care and spiritual care; stakeholders, leaders and decision makers responsible for training and education; as well as national and local curricula development groups.
Early in 2018, preliminary draft paper was written by members of the European Association for Palliative Care (EAPC) spiritual care reference group inviting comment on the four core elements of spiritual care education as outlined by Gamondi et al. (2013) in their paper on palliative care core competencies. The preliminary draft paper was circulated to experts from the EAPC spiritual care reference group for feedback. At the second stage feedback was incorporated into a second draft paper and experts and representatives of national palliative care organizations were invited to provide feedback and suggest revisions. The final version incorporated the subsequent criticism and as a result, the Gamondi framework was explored and critically revised leading to updated suggestions for spiritual care education in palliative care.
The EAPC white paper points out the importance of spiritual care as an integral part of palliative care and suggests incorporating it accordingly into educational activities and training models in palliative care. The revised spiritual care education competencies for all palliative care providers are accompanied by the best practice models and research evidence, at the same time being sensitive towards different development stages of the palliative care services across the European region.
Better education can help the healthcare practitioner to avoid being distracted by their own fears, prejudices, and restraints and attend to the patient and his/her family. This EAPC white paper encourages and facilitates high quality, multi-disciplinary, academically and financially accessible spiritual care education to all palliative care staff.
The study addresses the spiritual dimension of care of non-terminally ill cancer patients by measuring their spiritual needs in association with indicators of quality of life (i.e., happiness, ...satisfaction with life, pain intensity, functional capacity) and personal and illness characteristics.
A descriptive, cross-sectional survey included 227 patients with cancer. All patients that underwent treatment at a nursing and supportive treatment unit were interviewed face-to-face between January and November 2018. Regression models were used to control for gender, education, religiosity, pain intensity, functional capacity, life satisfaction and happiness.
The non-terminally ill cancer patients experienced the exceptional importance of Inner Peace and Giving/Generativity and Forgiveness, while Religious and Existential needs were scored marginally lower, but nevertheless much higher as compared to patients with cancer from West-Europe. Correlation analysis revealed strong positive and in one case moderate interconnections among each of four spiritual needs, with the strongest association between Existential needs and the other three domains. Unmet Religious needs were positively associated with pain intensity and reduced physical capacity of patients, but less with life satisfaction. Pain intensity was the strongest predictor of cancer patients’ Existential, Inner Peace and Giving/Generativity and Forgiveness needs.
This study provides the first empirical evidence about the spiritual needs of cancer patients' care in Lithuania. Findings will serve as the basis for specific strategies to enhance the holistic well-being of these patients. The insights into oncology patients’ unmet spiritual needs may be relevant to other Eastern European and former Soviet Union countries with similar developmental histories.
•Cancer patients’ unmet spiritual needs have to be recognised, assessed and supported.•Religiosity has the strongest influence on cancer patient's Religious needs.•Patients’ pain intensity predicts their Existential needs, Inner Peace needs and Giving/Generativity needs.•The interdisciplinary team must include an expanded role for chaplains and spiritual advisors.
Abstract Aims and Objectives To identify available instruments for assessing cancer patients' spiritual needs and to examine their psychometric properties using the Consensus‐based Standards for the ...selection of health Measurement Instruments (COSMIN) methodology. Background Cancer patients frequently have significant spiritual needs. The nurse plays an integral role in assessing the patient's spiritual needs as part of providing holistic care. It is crucial to assess these needs using appropriate and reliable instruments. Design A systematic review based on COSMIN methodology. Methods Seven electronic databases (PubMed, EMBASE, CINAHL, Web of Science, ProQuest, CNKI and WANFANG) were systematically searched from inception until 14 February 2023. Two authors independently screened eligible literature, extracted data and evaluated methodological and psychometric quality. This systematic review was conducted following the PRISMA checklist. Results Sixteen studies have reported 16 different versions of the instruments. None of the instruments were properly assessed for all psychometric properties, nor were measurement error, responsiveness and cross‐cultural validity/measurement invariance reported. All of the instruments failed to meet the COSMIN quality criteria for content validity. The quality of evidence for structural validity and/or internal consistency in five instruments did not meet the COSMIN criteria. Eventually, five instruments were not recommended, and 11 were only weakly recommended. Conclusion Instruments to assess spiritual needs exhibited limited reliability and validity. The Spiritual Care Needs Scale is provisionally recommended for research and clinical settings, but its limitations regarding content validity and cross‐cultural application must be considered in practice. Future research should further revise the content of available instruments and comprehensively and correctly test their psychometric properties. Relevance to Clinical Practice The review findings will provide evidence for healthcare professionals to select instruments for recognising spiritual needs in cancer patients. No Patient or Public Contribution This study is a systematic review with no patient or public participation.
Addressing the spiritual needs of older adults is a central component of holistic service provision. Using a qualitative description design, this study identified: (1) common spiritual needs among ...Chinese nursing home residents, including the needs of residents with dementia, (2) the process staff use to identify these needs when residents are unable to verbalize them, and (3) the strategies staff implement to meet the identified needs. Semi-structured interviews were conducted with 21 nursing home administrators. Analysis produced five themes, including the need for older adults to express their faith, receive love and care, have contact with their children, interact with others, and participate in activities. For residents with dementia who are unable to verbalize their concerns, staff used two primary strategies to identify spiritual needs: careful observation and communication with family members. To address the identified spiritual needs, multiple strategies were offered including arranging clergy visits and personalizing care.
The interest in the topic of spirituality as a more or less independent dimension of quality of life is continuously growing, and research questions are beginning to change as the field of ...religiosity changes, becoming more diverse and pluralistic. Addressing new topics in health research also relies on standardized questionnaires. The number of instruments intended to measure specific aspects of spirituality is growing, and it is particularly difficult to evaluate the new instruments. This Special Issue will focus on some of the established instruments (updating them to different languages and cultures), but will also describe the features and intentions of newly-developed instruments, which may potentially be used in larger studies to develop knowledge relevant to spiritual care and practice. This Special Issue will serve as a resource on the instruments used to study the wide range of organized religiosity, the individual experience of the divine, and an open approach in the search for meaning and purpose in life.
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