Spiritual conversation model for patients and loved ones in palliative care: a validation study.

Autor:	Haufe M; Department of Care Ethics, University for Humanistic Studies, Utrecht, The Netherlands M.Haufe@uvh.nl., Leget C; Department of Care Ethics, University for Humanistic Studies, Utrecht, The Netherlands., Glasner T; Department of Research Methodology, University for Humanistic Studies, Utrecht, The Netherlands., Teunissen S; Center of Expertise Palliative Care Utrecht, Julius Center for Healthcare Sciences and Primary Care, Department of General Practice, University Medical Center Utrecht, Utrecht, The Netherlands., Potma M; Department of Care Ethics, University for Humanistic Studies, Utrecht, The Netherlands.
Jazyk:	angličtina
Zdroj:	BMJ supportive & palliative care [BMJ Support Palliat Care] 2024 Nov 20; Vol. 14 (4), pp. 462-469. Date of Electronic Publication: 2024 Nov 20.
DOI:	10.1136/bmjspcare-2022-003569
Abstrakt:	Objectives: In palliative care, validated tools for professionals that facilitate day-to-day spiritual conversations with patients and loved ones are scarce. The objective of this study was to validate the Diamond spiritual conversation model across different palliative care settings as well as professional and educational levels. Methods: An online survey was filled in by 387 professionals providing palliative care for patients in hospice, home care, hospital and nursing home settings. The five polarities of the Diamond model: holding on-letting go, doing-undergoing, remembering-forgetting, me-the other and believing-knowing were operationalised and evaluated on reported occurrence. Results: In conversations with patients, palliative care professionals reported letting go of loved ones (81.8%) , dealing with pain and suffering (88.1%) , dealing with issues from the past (67.2%) , dealing with own versus loved one's wishes (69.4%) and giving meaning to death (66.7%) as themes occurring regularly to very often. In conversations with loved ones, this was 70.8%, 78.5%, 55.4%, 68,8% and 62%, respectively. Respondents working in hospices reported these themes significantly more than those working in home care settings, nursing homes or hospitals. Nurse assistant respondents reported the themes significantly less than nurses or chaplains. Conclusion: From the perspective of professionals providing palliative care in different palliative care settings, the Diamond model offers a validated framework for addressing relevant spiritual themes for patients and loved ones. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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