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Spiritual care interventions in nursing: an integrative literature review

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Abstract

As an important part of the holistic care, spiritual care is considered an indicator of care quality. This study aims to identify and characterize nursing spiritual care interventions. In order to identify and select resources, an integrative review was done. The search was conducted in national and international databases such as Google Scholar, Scopus, INML, Iran Medex, Iran Doc, Web of Science, Wiley, SID, ProQuest, Ovid, Science Direct, PubMed, ebrary, Sage, CINAHL, and Magiran from 1994 to 2018. As a result, 1625 articles were detected, 59 of which were included in synthesis. Data extraction and analysis presented eight categories of spiritual care interventions in the field of nursing including (1) the exploration of spiritual perspective, (2) healing presence, (3) the therapeutic use of self, (4) intuitive sense, (5) patient-centeredness, (6) meaning-centered therapeutic interventions, (7) the creation of a spiritually nurturing environment, and (8) the documentation and evaluation of spiritual care.

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References

  1. Giske T (2012) How undergraduate nursing students learn to care for patients spiritually in clinical studies--a review of literature. J Nurs Manag 20(8):1049–1057

    Article  PubMed  Google Scholar 

  2. Ross L, Austin J (2015) Spiritual needs and spiritual support preferences of people with end-stage heart failure and their carers: implications for nurse managers. J Nurs Manag 23(1):87–95

    Article  PubMed  Google Scholar 

  3. Wu LF, Tseng HC, Liao YC (2016) Nurse education and willingness to provide spiritual care. Nurse Educ Today 38:36–41

    Article  CAS  PubMed  Google Scholar 

  4. Bulduk S, Usta E, Dincer Y (2017) The influence of skill development training program for spiritual care of elderly individual on elderly care technician students' perception of spiritual support. J Relig Health 56(3):852–860

    Article  PubMed  Google Scholar 

  5. Garssen B, Ebenau AF, Visser A, Uwland N, Groot M (2017) A critical analysis of scales to measure the attitude of nurses toward spiritual care and the frequency of spiritual nursing care activities. Nurs Inq 24(3):e12178

    Article  Google Scholar 

  6. Abell CH, Garrett-Wright D, Abell CE (2018) Nurses' perceptions of competence in providing spiritual care. J Holist Nurs 36(1):33–37

    Article  PubMed  Google Scholar 

  7. Ebrahimi H, Areshtanab HN, Jafarabadi MA, Khanmiri SG (2017) Health care providers' perception of their competence in providing spiritual care for patients. Indian J Palliat Care 23(1):57–61

    Article  PubMed  PubMed Central  Google Scholar 

  8. Reimer-Kirkham S, Pesut B, Sawatzky R, Cochrane M, Redmond A (2012) Discourses of spirituality and leadership in nursing: a mixed methods analysis. J Nurs Manag 20(8):1029–1038

    PubMed  Google Scholar 

  9. Wu LF, Koo M, Tseng HC, Liao YC, Chen YM (2015) Concordance between nurses' perception of their ability to provide spiritual care and the identified spiritual needs of hospitalized patients: a cross-sectional observational study. Nurs Health Sci 17(4):426–433

    Article  PubMed  Google Scholar 

  10. Booth L, Kaylor S (2018) Teaching spiritual care within nursing education: a holistic approach. Holist Nurs Pract 32(4):177–181

    Article  PubMed  Google Scholar 

  11. Gallison BS, Xu Y, Jurgens CY, Boyle SM (2013) Acute care nurses' spiritual care practices. J Holist Nurs 31(2):95–103

    Article  PubMed  Google Scholar 

  12. McBrien B (2010) Nurses' provision of spiritual care in the emergency setting--an Irish perspective. Int Emerg Nurs 18(3):119–126

    Article  PubMed  Google Scholar 

  13. Kang SR (2006) Concept analysis of spiritual care. J Korean Acad Nurs 36(5):803–812

    Article  Google Scholar 

  14. Monareng LV (2012) Spiritual nursing care: a concept analysis. Curationis 35(1):1–9

    Article  Google Scholar 

  15. Petersen CL (2014) Spiritual care of the child with cancer at the end of life: a concept analysis. J Adv Nurs 70(6):1243–1253

    Article  PubMed  Google Scholar 

  16. Ramezani M, Ahmadi F, Mohammadi E, Kazemnejad A (2014) Spiritual care in nursing: a concept analysis. Int Nurs Rev 61(2):211–219

    Article  CAS  PubMed  Google Scholar 

  17. Pesut B (2008) Spirituality and spiritual care in nursing fundamentals textbooks. J Nurs Educ 47(4):167–173

    Article  PubMed  Google Scholar 

  18. Mahdavi B et al (2015) The effect of group spiritual care on quality of life in family caregivers of elders with Alzheimer's disease. JHPM 4(3):34–42 persian

    Google Scholar 

  19. Tazakori Z et al (2013) Process of spiritual care learning in iranian nursing students: a grounded theory study. J Urmia Nurs Midwifery Fac 11(1):51–63 persian

    Google Scholar 

  20. O'Brien MR et al (2018) Meeting patients' spiritual needs during end-of-life care: a qualitative study of nurses' and healthcare professionals' perceptions of spiritual care training. J Clin Nurs

  21. Cronin P, Ryan F, Coughlan M (2008) Undertaking a literature review: a step-by-step approach. Br J Nurs 17(1):38–43

    Article  PubMed  Google Scholar 

  22. Whittemore R, Knafl K (2005) The integrative review: updated methodology. J Adv Nurs 52(5):546–553

    Article  PubMed  Google Scholar 

  23. Gough D, Thomas J, Oliver S (2012) Clarifying differences between review designs and methods. Syst Rev 1:28

    Article  PubMed  PubMed Central  Google Scholar 

  24. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151(4):264–269 W64

    PubMed  Google Scholar 

  25. Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101

    Article  Google Scholar 

  26. Govier I (2000) Spiritual care in nursing: a systematic approach. Nurs Stand 14(17):32–36

    Article  CAS  PubMed  Google Scholar 

  27. Mackinlay E (2008) Practice development in aged care nursing of older people: the perspective of ageing and spiritual care. Int J Older People Nursing 3(2):151–158

    Article  Google Scholar 

  28. Puchalski CM, King SDW, Ferrell BR (2018) Spiritual considerations. Hematol Oncol Clin North Am 32(3):505–517

    Article  PubMed  Google Scholar 

  29. Delgado C (2007) Meeting clients' spiritual needs. Nurs Clin North Am 42(2):279–293 vii

    Article  PubMed  Google Scholar 

  30. Lucchetti G, Bassi RM, Lucchetti AL (2013) Taking spiritual history in clinical practice: a systematic review of instruments. Explore (NY) 9(3):159–170

    Article  Google Scholar 

  31. van Leeuwen R, Cusveller B (2004) Nursing competencies for spiritual care. J Adv Nurs 48(3):234–246

    Article  PubMed  Google Scholar 

  32. Ramezani M et al (2017) The grounded theory of "trust building". Nurs Ethics:969733017734411

  33. du Plessis E (2016) Presence: a step closer to spiritual care in nursing. Holist Nurs Pract 30(1):47–53

    Article  PubMed  Google Scholar 

  34. Connerton CS, Moe CS (2018) The essence of spiritual care. Creat Nurs 24(1):36–41

    Article  PubMed  Google Scholar 

  35. Minton ME, Isaacson MJ, Varilek BM, Stadick JL, O'Connell-Persaud S (2018) A willingness to go there: nurses and spiritual care. J Clin Nurs 27(1-2):173–181

    Article  PubMed  Google Scholar 

  36. McMahon MA, Christopher KA (2011) Toward a mid-range theory of nursing presence. Nurs Forum 46(2):71–82

    Article  PubMed  Google Scholar 

  37. Ronaldson S, Hayes L, Aggar C, Green J, Carey M (2017) Palliative care nurses' spiritual caring interventions: a conceptual understanding. Int J Palliat Nurs 23(4):194–201

    Article  PubMed  Google Scholar 

  38. Kisvetrová H, Klugar M, Kabelka L (2013) Spiritual support interventions in nursing care for patients suffering death anxiety in the final phase of life. Int J Palliat Nurs 19(12):599–605

    Article  PubMed  Google Scholar 

  39. Daghan S (2018) Nursing students' perceptions of spirituality and spiritual care; an example of Turkey. J Relig Health 57(1):420–430

    Article  PubMed  Google Scholar 

  40. McBrien B (2010) Emergency nurses' provision of spiritual care: a literature review. Br J Nurs 19(12):768–773

    Article  PubMed  Google Scholar 

  41. Zhang Y et al (2017) Spiritual perspectives of emergency medicine doctors and nurses in caring for end-of-life patients: a mixed-method study. Int Emerg Nurs

  42. Chew BW, Tiew LH, Creedy DK (2016) Acute care nurses' perceptions of spirituality and spiritual care: an exploratory study in Singapore. J Clin Nurs 25(17-18):2520–2527

    Article  PubMed  Google Scholar 

  43. Ku Y-L (2017) Building spiritual care in nursing: an overview of Ku's spiritual studies in Taiwan. J Christ Nurs 34(2):E26–E30

    Article  PubMed  Google Scholar 

  44. Veloza-Gomez M et al (2016) The importance of spiritual care in nursing practice. J Holist Nurs

  45. Pfeiffer JB, Gober C, Taylor EJ (2014) How Christian nurses converse with patients about spirituality. J Clin Nurs 23(19-20):2886–2895

    Article  PubMed  Google Scholar 

  46. Ripamonti CI, Giuntoli F, Gonella S, Miccinesi G (2018) Spiritual care in cancer patients: a need or an option? Curr Opin Oncol 30(4):212–218

    Article  PubMed  Google Scholar 

  47. Dhamani KA, Paul P, Olson JK (2011) Tanzanian nurses understanding and practice of spiritual care. ISRN Nurs 2011:534803

    PubMed  PubMed Central  Google Scholar 

  48. Lundberg PC, Kerdonfag P (2010) Spiritual care provided by Thai nurses in intensive care units. J Clin Nurs 19(7-8):1121–1128

    Article  PubMed  Google Scholar 

  49. Caldeira S, Timmins F (2017) Implementing spiritual care interventions. Nurs Stand 31(34)

  50. Baldacchino DR (2006) Nursing competencies for spiritual care. J Clin Nurs 15(7):885–896

    Article  PubMed  Google Scholar 

  51. Walker H, Waterworth S (2017) New Zealand palliative care nurses experiences of providing spiritual care to patients with life-limiting illness. Int J Palliat Nurs 23(1):18–26

    Article  PubMed  Google Scholar 

  52. Coenen A, Doorenbos AZ, Wilson SA (2007) Nursing interventions to promote dignified dying in four countries. Oncol Nurs Forum 34(6):1151–1156

    Article  PubMed  Google Scholar 

  53. Callister LC, Bond AE, Matsumura G, Mangum S (2004) Threading spirituality throughout nursing education. Holist Nurs Pract 18(3):160–166

    Article  PubMed  Google Scholar 

  54. Heidari M, Borujeni MG, Rafiei H (2017) The assessment effect of spiritual care on hopelessness and depression in suicide attempts. J Relig Health

  55. Baldacchino D, Draper P (2001) Spiritual coping strategies: a review of the nursing research literature. J Adv Nurs 34(6):833–841

    Article  CAS  PubMed  Google Scholar 

  56. Burkhart L, Hogan N (2008) An experiential theory of spiritual care in nursing practice. Qual Health Res 18(7):928–938

    Article  PubMed  Google Scholar 

  57. Tanyi RA, McKenzie M, Chapek C (2009) How family practice physicians, nurse practitioners, and physician assistants incorporate spiritual care in practice. J Am Acad Nurse Pract 21(12):690–697

    Article  PubMed  Google Scholar 

  58. Musa AS, Pevalin DJ (2016) Development of the Arabic spiritual care intervention-provision scale. J Clin Nurs 25(15-16):2275–2284

    Article  PubMed  Google Scholar 

  59. Rassouli M, Zamanzadeh V, Ghahramanian A, Abbaszadeh A, Alavi-Majd H, Nikanfar A (2015) Experiences of patients with cancer and their nurses on the conditions of spiritual care and spiritual interventions in oncology units. Iran J Nurs Midwifery Res 20(1):25–33

    PubMed  PubMed Central  Google Scholar 

  60. Stranahan S (2001) Spiritual perception, attitudes about spiritual care, and spiritual care practices among nurse practitioners. West J Nurs Res 23(1):90–104

    Article  CAS  PubMed  Google Scholar 

  61. Yong J, Kim J, Park J, Seo I, Swinton J (2011) Effects of a spirituality training program on the spiritual and psychosocial well-being of hospital middle manager nurses in Korea. J Contin Educ Nurs 42(6):280–288

    Article  PubMed  Google Scholar 

  62. Taylor EJ, Petersen C, Oyedele O, Haase J (2015) Spirituality and spiritual care of adolescents and young adults with cancer. Semin Oncol Nurs 31(3):227–241

    Article  PubMed  Google Scholar 

  63. Taylor EJ et al (2017) Nurse religiosity and spiritual care: an online survey. Clin Nurs Res:1054773817725869

  64. Nikseresht F, Rassouli M, Torabi F, Farzinfard F, Mansouri S, Ilkhani M (2016) The effect of spiritual care on mental health in mothers of children with cancer. Holist Nurs Pract 30(6):330–337

    Article  CAS  PubMed  Google Scholar 

  65. Grant E et al (2004) Spiritual issues and needs: perspectives from patients with advanced cancer and nonmalignant disease. A qualitative study. Palliat Support Care 2(4):371–378

    Article  PubMed  Google Scholar 

  66. Van Leeuwen R et al (2006) Spiritual care: implications for nurses’ professional responsibility. J Clin Nurs 15(7):875–884

    Article  PubMed  Google Scholar 

  67. Delaney C, Barrere C (2008) Blessings: the influence of a spirituality-based intervention on psychospiritual outcomes in a cardiac population. Holist Nurs Pract 22(4):210–219

    Article  PubMed  Google Scholar 

  68. Smith APB, Read JE (2017) Art, objects, and beautiful stories: a "new" approach to spiritual care. J Pastoral Care Counsel 71(2):91–97

    Article  PubMed  Google Scholar 

  69. Edwards A, Pang N, Shiu V, Chan C (2010) The understanding of spirituality and the potential role of spiritual care in end-of-life and palliative care: a meta-study of qualitative research. Palliat Med 24(8):753–770

    Article  CAS  PubMed  Google Scholar 

  70. Smyth T, Allen S (2011) Nurses' experiences assessing the spirituality of terminally ill patients in acute clinical practice. Int J Palliat Nurs 17(7):337–343

    Article  PubMed  Google Scholar 

  71. Taylor EJ, Mamier I (2005) Spiritual care nursing: what cancer patients and family caregivers want. J Adv Nurs 49(3):260–267

    Article  PubMed  Google Scholar 

  72. van Leeuwen R, Tiesinga LJ, Middel B, Post D, Jochemsen H (2008) The effectiveness of an educational programme for nursing students on developing competence in the provision of spiritual care. J Clin Nurs 17(20):2768–2781

    Article  PubMed  Google Scholar 

  73. Mesquita AC, Chaves ÉDCL, Barros GAMD (2017) Spiritual needs of patients with cancer in palliative care: an integrative review. Curr Opin Support Palliat Care 11(4):334–340

    Article  PubMed  Google Scholar 

  74. Ellington L, Billitteri J, Reblin M, Clayton MF (2017) Spiritual care communication in cancer patients. Semin Oncol Nurs 33(5):517–525

    Article  PubMed  Google Scholar 

  75. Giske T, Cone PH (2015) Discerning the healing path--how nurses assist patient spirituality in diverse health care settings. J Clin Nurs 24(19-20):2926–2935

    Article  PubMed  Google Scholar 

  76. Chiang YC, Lee HC, Chu TL, Han CY, Hsiao YC (2016) The impact of nurses' spiritual health on their attitudes toward spiritual care, professional commitment, and caring. Nurs Outlook 64(3):215–224

    Article  PubMed  Google Scholar 

  77. Murphy LS, Walker MS (2013) Spirit-guided care: Christian nursing for the whole person. J Christ Nurs 30(3):144–152 quiz 153-4

    Article  PubMed  Google Scholar 

  78. Tuck I, Johnson SC, Kuznetsova MI, McCrocklin C, Baxter M, Bennington LK (2012) Sacred healing stories told at the end of life. J Holist Nurs 30(2):69–80

    Article  PubMed  Google Scholar 

  79. Sawatzky R, Pesut B (2005) Attributes of spiritual care in nursing practice. J Holist Nurs 23(1):19–33

    Article  PubMed  Google Scholar 

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Funding

This project is financially supported by the Faculty of Medical Sciences of Tarbiat Modares University and the Vice-Chancellor for Research and Technology of Tarbiat Modares University.

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Correspondence to Eesa Mohammadi.

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The authors declare that they have no conflict of interest.

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This article is a part of a Ph.D. dissertation in nursing.

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Ghorbani, M., Mohammadi, E., Aghabozorgi, R. et al. Spiritual care interventions in nursing: an integrative literature review. Support Care Cancer 29, 1165–1181 (2021). https://doi.org/10.1007/s00520-020-05747-9

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