What is spiritual care? Professional perspectives on the concept of spiritual care identified through group concept mapping.

Autor: Hvidt NC; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark nchvidt@health.sdu.dk.; Academy of Geriatric Cancer Research (AgeCare), Odense University Hospital, Odense, Denmark., Nielsen KT; Department of Occupational Therapy, University College of Northern Denmark (UCN), Aalborg, Denmark.; The ADL Unit, The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark., Kørup AK; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.; Department of Mental Health Service Kolding-Vejle, Region of Southern Denmark, Vejle, Denmark., Prinds C; Clinical Institute, Syddansk Universitet Det Sundhedsvidenskabelige Fakultet, Odense, Denmark.; Research, University College South - Campus Haderslev, Haderslev, Denmark., Hansen DG; IRS, Center for Shared Decision Making, Lillebaelt Hospital, University of Southern Denmark, Vejle, Denmark., Viftrup DT; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark., Assing Hvidt E; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark., Hammer ER; Research Unit of General Practice, Institute of Public Health, SDU, Odense, Syddanmark, Denmark., Falkø E; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark., Locher F; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, JELLING, Denmark., Boelsbjerg HB; Interacting Minds Centre, Department of Clinical Medicine, Aarhus Universitet, Aarhus, Denmark.; Elective Surgery Center, Silkeborg Regional Hospital, Silkeborg, Midtjylland, Denmark., Wallin JA; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark., Thomsen KF; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark., Schrøder K; Department of Public Health, Syddansk Universitet, Odense, Denmark., Moestrup L; Health Science Research Center, University College Lillebaelt - Campus Odense, Odense, Denmark., Nissen RD; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark., Stewart-Ferrer S; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark., Stripp TK; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark., Steenfeldt VØ; Center for Nursing, University College Absalon Campus Roskilde, Roskilde, Sjælland, Denmark., Søndergaard J; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark., Wæhrens EE; The Research Initiative for Activity studies and Occupational Therapy, Research Unit of User Perspectives, Institute of Public Health, University of Southern Denmark, Odense, Denmark.; The ADL unit, Frederiksberg Hospital Parker Institute, Frederiksberg, Hovedstaden, Denmark.
Jazyk: angličtina
Zdroj: BMJ open [BMJ Open] 2020 Dec 28; Vol. 10 (12), pp. e042142. Date of Electronic Publication: 2020 Dec 28.
DOI: 10.1136/bmjopen-2020-042142
Abstrakt: Objectives: The overall study aim was to synthesise understandings and experiences regarding the concept of spiritual care (SC). More specifically, to identify, organise and prioritise experiences with the way SC is conceived and practised by professionals in research and the clinic.
Design: Group concept mapping (GCM).
Setting: The study was conducted within a university setting in Denmark.
Participants: Researchers, students and clinicians working with SC on a daily basis in the clinic and/or through research participated in brainstorming (n=15), sorting (n=15), rating and validation (n=13).
Results: Applying GCM, ideas were identified, organised and prioritised online. A total of 192 unique ideas of SC were identified and organised into six clusters. The results were discussed and interpreted at a validation meeting. Based on input from the validation meeting a conceptual model was developed. The model highlights three overall themes: (1) 'SC as an integral but overlooked aspect of healthcare' containing the two clusters SC as a part of healthcare and perceived significance; (2) 'delivering SC' containing the three clusters quality in attitude and action, relationship and help and support, and finally (3) 'the role of spirituality' containing a single cluster.
Conclusion: Because spirituality is predominantly seen as a fundamental aspect of each individual human being, particularly important during suffering, SC should be an integral aspect of healthcare, although it is challenging to handle. SC involves paying attention to patients' values and beliefs, requires adequate skills and is realised in a relationship between healthcare professional and patient founded on trust and confidence.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE