Abstract
There is a growing body of evidence on the positive effects of religion and spirituality on recovery from cancer and the ability to cope with it. Most spiritual interventions carried out in Iranian research are based on care and support models that have been developed in the West. With the unique cultural and religious features of the Iranian context, a more refined look at spiritual care in the hospital care system of Iran is called for. This paper examines how to implement the spiritual care of cancer patients in hospitals and oncology wards in Iran. A consensus panel of experts was used to develop guidelines for spiritually integrated care consisting of 18 primary areas, which are described in detail in this report. Health care policy makers and managers of health care in Iran and possibly other areas of the Middle East should consider implementing these guidelines. Using indigenous models and programs specific to the religion and the cultural of a region should be considered when providing spiritual care for cancer patients.
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Notes
Chaplain at The George Washington University Hospital.
Staff Chaplain at Forrest General Hospital and Adjunct Professor at the Baptist College of Florida.
Chaplain at Serenity Hospice & Palliative Care.
Head of Spiritual Care Service University Hospital Southampton NHS Foundation Trust.
Spiritual & Holistic, Multi-faith Care, Practical Theologian & Community Volunteer.
Spiritual Care Practitioner at Bendigo Health.
Muslim Chaplain at Wesleyan University.
Director of Religious Education & Muslim Chaplain.
Clinical Chaplain at Walter reed military medical center at Bethesda.
Volunteer Spiritual Counselor at Islamic Society of Boston Cultural Center.
Spiritual Care Consultant at Florida Hospital.
References
Ahn, H. S., & Kim, H. J. (2012). Development and implementation of clinical practice guidelines: Current status in Korea. Journal of Korean Medical Science,27(Suppl), S55–S60. https://doi.org/10.3346/jkms.2012.27.S.S55.
APC website. (2018). Retrieved 2018, from http://www.professionalchaplains.org.
Association of Hospice and Palliative Care Chaplains. (2018). Retrieved 2018, from http://www.ahpcc.org.uk.
Barbato, E., Carrie, D., Dardas, P., Fajadet, J., Gaul, G., Haude, M., et al. (2015). European expert consensus on rotational atherectomy. EuroIntervention,11(1), 30–36. https://doi.org/10.4244/eijv11i1a6.
Carson, V. B. (1989). Spiritual dimensions of nursing practice. (K. H. G. Ed.). Philadelphia: Saunders.
Centre for Spirituality, Health and Disability. University of Aberdeen. (2018). Retrieved 2018, from https://www.abdn.ac.uk/sdhp/centre-for-spirituality-health-and-disability-182.php.
Cooper, R. S. (2011). Case study of a chaplain’s spiritual care for a patient with advanced metastatic breast cancer. J Health Care Chaplain,17(1–2), 19–37. https://doi.org/10.1080/08854726.2011.559832.
Cregan, A., Higgins, J. R., & O’Shea, S. (2013). Implementation of thromboprophylaxis guidelines. Irish Medical Journal,106(3), 80–82.
Diamond, I. R., Grant, R. C., Feldman, B. M., Pencharz, P. B., Ling, S. C., Moore, A. M., et al. (2014). Defining consensus: A systematic review recommends methodologic criteria for reporting of Delphi studies. Journal of Clinical Epidemiology,67(4), 401–409. https://doi.org/10.1016/j.jclinepi.2013.12.002.
Ellington, L., Billitteri, J., Reblin, M., & Clayton, M. F. (2017). Spiritual care communication in cancer patients. Seminars in Oncology Nursing,33(5), 517–525. https://doi.org/10.1016/j.soncn.2017.09.002.
Epstein-Peterson, Z. D., Sullivan, A. J., Enzinger, A. C., Trevino, K. M., Zollfrank, A. A., Balboni, M. J., et al. (2015). Examining forms of spiritual care provided in the advanced cancer setting. American Journal of Hospice and Palliative Care,32(7), 750–757. https://doi.org/10.1177/1049909114540318.
Fitch, M. I., & Bartlett, R. (2019). Patient perspectives about spirituality and spiritual care. Asia-Pacific Journal of Oncology Nursing,6(2), 111–121.
Giustina, A., Chanson, P., Kleinberg, D., Bronstein, M. D., Clemmons, D. R., Klibanski, A., et al. (2014). Expert consensus document: A consensus on the medical treatment of acromegaly. Nature Reviews Endocrinology,10(4), 243–248. https://doi.org/10.1038/nrendo.2014.21.
Gonçalves, J. P. B., Lucchetti, G., Menezes, P. R., & Vallada, H. (2017). Complementary religious and spiritual interventions in physical health and quality of life: A systematic review of randomized controlled clinical trials. PLoS ONE,12(10), e0186539. https://doi.org/10.1371/journal.pone.0186539.
Hanson, L. C., Dobbs, D., Usher, B. M., Williams, S., Rawlings, J., & Daaleman, T. P. (2008). Providers and types of spiritual care during serious illness. Journal of palliative medicine,11(6), 907–914.
Islamic Medical Association of North America. (2018). Retrieved 2018, from https://imana.org.
Jafari, N., Loghmani, A., & Puchalski, C. M. (2014). Spirituality and health care in Iran: time to reconsider. Journal of Religion and Health,53(6), 1918–1922. https://doi.org/10.1007/s10943-014-9887-2.
Jahandar, P., Tafreshi, M. Z., Rassouli, M., Atashzadeh-Shoorideh, F., & Kavousi, A. (2017). Nurses’ perspective on spiritual leadership: A qualitative study based on fry’s spiritual leadership model. Electron Physician,9(11), 5721–5731. https://doi.org/10.19082/5721.
Koenig, H. G. (2014). The spiritual care team: Enabling the practice of whole person medicine. Religions,5(4), 1161–1174.
Lucchetti, G., & Lucchetti, A. L. (2014). Spirituality, religion, and health: Over the last 15 years of field research (1999–2013). International Journal of Psychiatry in Medicine,48(3), 199–215. https://doi.org/10.2190/PM.48.3.e.
Martins, H., & Caldeira, S. (2018). Spiritual distress in cancer patients: a synthesis of qualitative studies. Religions,9(10), 285.
Matise, M., Ratcliff, J., & Mosci, F. (2018). A working model for the integration of spirituality in counseling. Journal of Spirituality in Mental Health,20(1), 27–50.
McCord, G., Gilchrist, V. J., Grossman, S. D., King, B. D., McCormick, K. E., Oprandi, A. M., et al. (2004). Discussing spirituality with patients: a rational and ethical approach. The Annals of Family Medicine,2(4), 356–361.
Memaryan, N., Ghaempanah, Z., Saeedi, M. M., Aryankhesal, A., Ansarinejad, N., & Seddigh, R. (2017a). Content of spiritual counselling for cancer patients undergoing chemotherapy in Iran: A qualitative content analysis. Asian Pacific Journal of Cancer Prevention,18(7), 1791–1797. https://doi.org/10.22034/apjcp.2017.18.7.1791.
Memaryan, N., Ghaempanah, Z., & Seddigh, R. (2017b). Spiritual interventions in Iran: A review article. SOJ Psychol,3(1), 1–5.
Memaryan, N., Jolfaei, A. G., Ghaempanah, Z., Shirvani, A., Vand, H. D., Ghahari, S., et al. (2016a). Spiritual care for cancer patients in Iran. Asian Pacific Journal of Cancer Prevention,17(9), 4289–4294.
Memaryan, N., Rassouli, M., & Mehrabi, M. (2016b). Spirituality concept by health professionals in Iran: A qualitative study. Evidence-Based Complementary and Alternative Medicine,2016, 9. https://doi.org/10.1155/2016/8913870.
Monareng, L. V. (2012). Spiritual nursing care: A concept analysis. Curationis,35(1), E1–E9. https://doi.org/10.4102/curationis.v35i1.28.
Multi-Faith Group for Healthcare Chaplaincy. (2018). Retrieved 2018, from (http://www.mfghc.com.
National Cancer Institute. (2018). Retrieved 2018, from https://www.cancer.gov.
Network for Pastoral, Spiritual & Religious Care in Health (NPSRCH). (2018). Retrieved 2018, from http://hcfbg.org.uk.
NHS Education for Scotland. (2018). Retrieved 2018, from http://www.nes.scot.nhs.uk.
The Association for Clinical Pastoral Education. (2018). Retrieved 2018, from https://www.acpe.edu.
The College of Health Care Chaplains. (2018). Retrieved 2018, from https://www.healthcarechaplains.org.
NHS England. (2018). Retrieved 2018, from https://www.england.nhs.uk/.
Nothacker, M., Muche-Borowski, C., Kopp, I., Selbmann, H. K., & Neugebauer, E. A. (2013). On the attractiveness, implementation and evaluation of guidelines. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen,107(2), 164–169. https://doi.org/10.1016/j.zefq.2013.02.004.
O’Leary, D. P., Lynch, N., Clancy, C., Winter, D. C., & Myers, E. (2015). International, expert-based, consensus statement regarding the management of acute diverticulitis. JAMA Surgery,150(9), 899–904. https://doi.org/10.1001/jamasurg.2015.1675.
Onibogi, O. (2015). OA24 Support for terminally-ill cancer patients: Perceptions of religious leaders about end-of-life spiritual care in Lagos, Nigeria. BMJ Supportive Palliative Care,5(Suppl 1), A8. https://doi.org/10.1136/bmjspcare-2015-000906.24.
Rashid, Y. A., Ghafoor, Z. A., Masood, N., Mehmood, T., Awan, S., Ansar, T., et al. (2012). Psychosocial impact of cancer on adult patients. Labour,37(18), 15.
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. Iranian Journal of Nursing and Midwifery Research,20(1), 25–33.
Ripamonti, C. I., Giuntoli, F., Gonella, S., & Miccinesi, G. (2018). Spiritual care in cancer patients: A need or an option? Current Opinion in Oncology,30(4), 212–218. https://doi.org/10.1097/cco.0000000000000454.
Scott, K., Thiel, M. M., & Dahlin, C. M. (2008). The national agenda for quality palliative care: The essential elements of spirituality in end-of-life care. Chaplaincy Today,24(2), 15–21.
Shimazono, S. (2017). Development of spiritual care in cancer treatment in Japan. Gan To Kagaku Ryoho,44(1), 1–6.
Sulmasy, D. P. (2006). Spiritual issues in the care of dying patients: “… it’s okay between me and god”. JAMA,296(11), 1385–1392. https://doi.org/10.1001/jama.296.11.1385.
The American Association of Pastoral Counselors. (2018). Retrieved 2018, from http://www.aapc.org.
Torabi, F., Rassouli, M., Nourian, M., Borumandnia, N., Shirinabadi Farahani, A., & Nikseresht, F. (2018). The effect of spiritual care on adolescents coping with cancer. Holistic Nursing Practice,32(3), 149–159. https://doi.org/10.1097/hnp.0000000000000263.
van Laarhoven, H. W., Schilderman, J., Verhagen, C. A., & Prins, J. (2010). Spiritual care in patients with advanced cancer: What does it imply? Journal of Clinical Oncology,28(20), e333. https://doi.org/10.1200/jco.2010.28.4612.
Wasserman, J. A., Aghababaei, N., & Nannini, D. (2016). Culture, personality, and attitudes toward euthanasia: A comparative study of university students in Iran and the United States. Omega: Journal of Death and Dying,72(3), 247–270.
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This study was drawn from a research Project which was funded through Vice-Chancellor’s Office for Research and Technology, Iran University of Medical Sciences.
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Memaryan, N., Ghaempanah, Z., Aghababaei, N. et al. Integration of Spiritual Care in Hospital Care System in Iran. J Relig Health 59, 82–95 (2020). https://doi.org/10.1007/s10943-019-00864-0
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DOI: https://doi.org/10.1007/s10943-019-00864-0