Spiritual Care at the End of Life: Does Educational Intervention Focused on a Broad Definition of Spirituality Increase Utilization of Chaplain Spiritual Support in Hospice?
| Autor: | Katherine R Menne, Gary Creech, Brianna L Petzel, Gregory R Kutcher, Jacek T Soroka, Lori A Collins |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Coping (psychology) Referral media_common.quotation_subject Spiritual Therapies Treatment and control groups 03 medical and health sciences 0302 clinical medicine Optimism Quality of life (healthcare) Nursing Patient Education as Topic 030502 gerontology Intervention (counseling) Adaptation Psychological Medicine Humans Spirituality General Nursing media_common Aged Aged 80 and over Terminal Care business.industry General Medicine Middle Aged Anesthesiology and Pain Medicine Hospice Care 030220 oncology & carcinogenesis Quality of Life Residence Female Neurology (clinical) Spiritual care 0305 other medical science business Clergy |
| Zdroj: | Journal of palliative medicine. 22(8) |
| ISSN: | 1557-7740 |
| Popis: | Background: Research shows that religion and spirituality are important when persons cope with serious and life-threatening illness. Patients who receive good spiritual care report greater quality of life and better coping, and such support is strongly associated with greater well-being, hope, optimism, and reduction of despair at end of life. Despite these benefits, evidence shows that many patients and caregivers (P/C) refuse spiritual care when a hospice team offers it, possibly resulting in unnecessary suffering. Objective: To better understand what contributes to spiritual support acceptance in hospice care. Design: Quasi-experimental quantitative study. Setting/Subjects: 200 patients admitted to hospice. Measurements: Participants were divided equally into intervention and control arms. Control participants received standard information about the availability of chaplain support and an offer for referral to chaplain services. Intervention participants received educational intervention that explained hospice chaplain services and the evidence-based benefits of spiritual support. The association of chaplain acceptance was measured with treatment group, patient age, disease, church affiliation and support, sex, bereavement risk, and place of residence. Results: Among intervention participants, 64 (64%) accepted spiritual support versus 52 (52%) of control participants. The intervention arm's acceptance rate was higher than the control arm after adjustment for other variables. The variables associated with acceptance were age, primary diagnosis, and place of residence. Conclusions: This research suggests that educational intervention that explains spiritual care in hospice and its benefits contributes importantly to greater acceptance and allows P/C to gain the benefits of spiritual support during end-of-life care. |
| Databáze: | OpenAIRE |
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