Skip to main content

Advertisement

Log in

Identification of Concepts of Spiritual Care in Iranian Peoples with Multiple Sclerosis: A Qualitative Study

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

Living with multiple sclerosis (MS) often needs attention combined with receiving the holistic care. Attention to spiritual care dimension is one of the most important aspects of care for these patients. This study aims at exploring and explaining dimensions of spiritual care for MS patients in care system of Iran. This study is conducted to explore the concept of spiritual care in care system of Iran during 2015–2016. Purposive sampling is done on 25 participants through unstructured interviews and observation of obtained data through conventional content analysis approach. Four themes of participants’ experiences in spiritual care include restoration of identity essence and nature; disease as a factor for nearness to God; giving meaning to life; and disease as a facilitator for self-purification. Clear understanding of spiritual care dimensions and promoting knowledge in MS nurses as the caregivers play important roles in achieving the goals of health among patients in different cultures and religions. Given the results of this study, the themes such as the restoration of identity essence and nature, the disease as a factor for nearness to God, giving meaning to life and the disease as a facilitator for self-purification play important roles in explaining the concept of spiritual care in patients with MS. Therefore, the MS nurses and other health professionals need to effectively and successfully integrate the concept of spiritual care with their professional performance by deep understanding of this concept and try to provide holistic care to respond to MS patients’ intertwined needs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Abendroth, M., Lutz, B. J., & Young, M. E. (2012). Family caregivers’ decision process to institutionalize persons with Parkinson’s disease: A grounded theory study. International Journal of Nursing Studies, 49(4), 445–454.

    Article  PubMed  Google Scholar 

  • Alcorn, S. R., Balboni, M. J., Prigerson, H. G., Reynolds, A., Phelps, A. C., Wright, A. A., et al. (2010). If God wanted me yesterday, I wouldn’t be here today”: Religious and spiritual themes in patients’ experiences of advanced cancer. Journal of palliative medicine, 13(5), 581–588.

    Article  PubMed  Google Scholar 

  • Aten, J. D., & Leach, M. M. (2009). Spirituality and the therapeutic process: A comprehensive resource from intake to termination: American Psychological Association.

  • Bahrami, M., Etemadifar, S., Shahriari, M., & Farsani, A. K. (2014). Caregiver burden among Iranian heart failure family caregivers: A descriptive, exploratory, qualitative study. Iranian journal of nursing and midwifery research, 19(1), 56.

    PubMed  PubMed Central  Google Scholar 

  • Chiovitti, R. F. (2008). Nurses’ meaning of caring with patients in acute psychiatric hospital settings: A grounded theory study. International Journal of Nursing Studies, 45(2), 203–223.

    Article  PubMed  Google Scholar 

  • Cobb, M., Dowrick, C., & Lloyd-Williams, M. (2012). What can we learn about the spiritual needs of palliative care patients from the research literature? Journal of Pain and Symptom Management, 43(6), 1105–1119.

    Article  PubMed  Google Scholar 

  • Cope, D. G. (2014). Methods and meanings: Credibility and trustworthiness of qualitative research. Paper presented at the Oncology nursing forum.

  • Corry, D. A. S., Lewis, C. A., & Mallett, J. (2014). Harnessing the mental health benefits of the creativity–spirituality construct: Introducing the theory of transformative coping. Journal of Spirituality in Mental Health, 16(2), 89–110.

    Article  Google Scholar 

  • Dunn, L. L., Handley, M. C., & Dunkin, J. W. (2009). The Provision of spiritual care by registered nurses on a maternal—infant unit. Journal of Holistic Nursing, 27(1), 19–28.

    Article  PubMed  Google Scholar 

  • 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. Palliative Medicine, 24(8), 753–770.

    Article  CAS  PubMed  Google Scholar 

  • Elo, S., & Kyngäs, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107–115.

    Article  PubMed  Google Scholar 

  • Eslami, A. A., Rabiei, L., Abedi, H. A., Shirani, M., & Masoudi, R. (2016). Coping skills of iranian family caregivers’in caretaking of patients undergoing haemodialysis: A qualitative study. Journal of Renal Care, 42(3), 162–171.

    Article  PubMed  Google Scholar 

  • Eslami, A. A., Rabiei, L., Khayri, F., Nooshabadi, M. R. R., & Masoudi, R. (2014). Sleep quality and spiritual well-being in hemodialysis patients. Iranian Red Crescent Medical Journal, 16(7), 1–7.

    Article  CAS  Google Scholar 

  • Etemadifar, S., Bahrami, M., Shahriari, M., & Farsani, A. K. (2015). Family caregivers’ experiences of caring for patients with heart failure: A descriptive, exploratory qualitative study. Journal of Nursing Research, 23(2), 153–161.

    Article  Google Scholar 

  • Farsi, Z., Dehghan-Nayeri, N., Negarandeh, R., & Broomand, S. (2010). Nursing profession in Iran: An overview of opportunities and challenges. Japan Journal of Nursing Science, 7(1), 9–18.

    Article  PubMed  Google Scholar 

  • Fawcett, J., & Desanto-Madeya, S. (2012). Contemporary nursing knowledge: Analysis and evaluation of nursing models and theories. Philadelphia: FA Davis.

    Google Scholar 

  • Graneheim, U. H., & Landman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures, and measures to achieve trustworthiness. Nurse Education Today, 24, 105–112.

    Article  CAS  PubMed  Google Scholar 

  • Gullatte, M. M., Brawley, O., Kinney, A., Powe, B., & Mooney, K. (2010). Religiosity, spirituality, and cancer fatalism beliefs on delay in breast cancer diagnosis in African American women. Journal of Religion and Health, 49(1), 62–72.

    Article  PubMed  Google Scholar 

  • Gunter, L. M. (2014). Confirmation and validation of empiric knowledge using research. In Knowledge development in nursing: Theory and process (p. 210). St. Louis, MO: Elsevier Mosby.

  • Hassankhani, H., Taleghani, F., Mills, J., Birks, M., Francis, K., & Ahmadi, F. (2010). Being hopeful and continuing to move ahead: Religious coping in Iranian chemical warfare poisoned veterans, a qualitative study. Journal of Religion and Health, 49(3), 311–321.

    Article  PubMed  Google Scholar 

  • Holloway, I. (2005). Qualitative research in health care. London: McGraw-Hill Education (UK).

    Google Scholar 

  • Khayeri, F., Rabiei, L., Shamsalinia, A., & Masoudi, R. (2016). Effect of fordyce happiness model on depression, stress, anxiety, and fatigue in patients with multiple sclerosis. Complementary Therapies in Clinical Practice, 25, 130–135.

    Article  PubMed  Google Scholar 

  • Masoudi, R., Abedi, H. A., Abedi, P., & Mohammadianinejad, S. E. (2014). Iranian family caregivers’ challenges and issues in caring of multiple sclerosis patients: A descriptive explorative qualitative study. Iranian journal of nursing and midwifery research, 19(4), 416.

    PubMed  PubMed Central  Google Scholar 

  • Masoudi, R., Abedi, H. A., Abedi, P., & Mohammadianinejad, S. E. (2015). The perspectives of Iranian patients with multiple sclerosis on continuity of care: A qualitative study. Journal of Nursing Research, 23(2), 145–152.

    Article  Google Scholar 

  • Masoudi, R., Sharifi Faradonbeh, A., Mobasheri, M., & Moghadasi, J. (2013). Evaluating the effectiveness of using a progressive muscle relaxation technique in reducing the pain of multiple sclerosis patients. Journal of Musculoskeletal Pain, 21(4), 350–357.

    Article  Google Scholar 

  • Mishra, S. K., Togneri, E., Tripathi, B., & Trikamji, B. (2017). Spirituality and religiosity and its role in health and diseases. Journal of Religion and Health, 56(4), 1282–1301.

    Article  PubMed  Google Scholar 

  • Mok, E., Wong, F., & Wong, D. (2010). The meaning of spirituality and spiritual care among the Hong Kong Chinese terminally ill. Journal of Advanced Nursing, 66(2), 360–370.

    Article  PubMed  Google Scholar 

  • Nolte, E., & McKee, M. (2008). Caring For people with chronic conditions: A health system perspective: A health system perspective. New York City: McGraw-Hill International.

    Google Scholar 

  • O’brien, M. E. (2013). Spirituality in nursing. Burlington: Jones & Bartlett Publisher.

    Google Scholar 

  • Potter, P. A., Perry, A. G., Hall, A., & Stockert, P. A. (2009). Fundamentals of nursing (Vol. 3). St. Louis: Mosby Elsevier.

    Google Scholar 

  • Puchalski, C. M. (2012). Spirituality in the cancer trajectory. Annals of Oncology, 23(suppl 3), 49–55.

    Article  PubMed  Google Scholar 

  • Rabiei, L., Abedi, H. A., Abedi, P., Zarea, K., & Masoudi, R. (2017). Perspectives and experiences related to help-seeking behaviors: A content analysis study of iranian patients with multiple sclerosis. Journal of Nursing Research, 25(3), 251–259.

    Article  Google Scholar 

  • Rabiei, L., Eslami, A. A., Abedi, H. A., Masoudi, R., & Sharifirad, G. R. (2015). Caring in an atmosphere of uncertainty: Perspectives and experiences of caregivers of peoples undergoing haemodialysis in Iran. Scandinavian Journal of Caring Sciences, 30, 594–601.

    Article  PubMed  Google Scholar 

  • Rabiei, L., Mazaheri, M. A., Masoudi, R., & Hasheminia, S. A. M. (2014). Fordyce happiness program and postpartum depression. Journal of research in medical sciences: The official journal of Isfahan University of Medical Sciences, 19(3), 251.

    Google Scholar 

  • Rejeh, N., & Vaismoradi, M. (2010). Perspectives and experiences of elective surgery patients regarding pain management. Nursing & Health Sciences, 12(1), 67–73.

    Article  Google Scholar 

  • Rezaei, M., Seyedfatemi, N., & Hosseini, F. (2008). Spiritual well-being in cancer patients who undergo chemotherapy. Hayat, 14, 33–39.

    Google Scholar 

  • Sandelowski, M. (2010). What’s in a name? Qualitative description revisited. Research in Nursing & Health, 33(1), 77–84.

    Article  Google Scholar 

  • Swinton, J., & Pattison, S. (2010). Moving beyond clarity: Towards a thin, vague, and useful understanding of spirituality in nursing care. Nursing Philosophy, 11(4), 226–237.

    Article  PubMed  Google Scholar 

  • Unterrainer, H. F., Huber, H. P., Sorgo, I. M., Collicutt, J., & Fink, A. (2011). Dimensions of religious/spiritual well-being and schizotypal personality. Personality and Individual Differences, 51(3), 360–364.

    Article  Google Scholar 

  • Visser, A., Garssen, B., & Vingerhoets, A. (2010). Spirituality and well-being in cancer patients: A review. Psycho-Oncology, 19(6), 565–572.

    Article  PubMed  Google Scholar 

  • Weber, S. R., & Pargament, K. I. (2014). The role of religion and spirituality in mental health. Current opinion in psychiatry, 27(5), 358–363.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This article, which is derived from a research project, is approved at Shahr-e Kord University of Medical Sciences with Code of 2056. The researchers appreciate the financial support by university deputy of research and sincere cooperation by staff in Neurology unit of Ayatollah Kashani hospital, Shahr-e Kord Multiple Sclerosis Society, patients and their families.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Reza Masoudi.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Noormohammadi, M.R., Etemadifar, S., Rabiei, L. et al. Identification of Concepts of Spiritual Care in Iranian Peoples with Multiple Sclerosis: A Qualitative Study. J Relig Health 58, 949–964 (2019). https://doi.org/10.1007/s10943-017-0549-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-017-0549-z

Keywords

Navigation