Skip to main content
Top
Published in: Supportive Care in Cancer 3/2019

01-03-2019 | Original Article

Factors affecting spiritual care practices of oncology nurses: a qualitative study

Authors: Soolmaz Moosavi, Camelia Rohani, Fariba Borhani, Mohammad Esmaeel Akbari

Published in: Supportive Care in Cancer | Issue 3/2019

Login to get access

Abstract

Purpose

Spiritual care is a component of the holistic nursing approach. But in practice, nurses face many challenges during the implementation of spirituality care. Thus, the aim of this study was to explore the barriers and facilitators affecting spiritual care practices by oncology nurses.

Methods

This qualitative study was conducted using a conventional content analysis based on semi-structured interviews with 25 participants, including cancer patients and their family members, oncology nurses, physicians, psychologist, and spiritual researcher-therapists.

Results

The results showed that the two main themes of the study, “spiritual competency” and “spiritual inefficiency” in healthcare organization, were two major factors in implementing spiritual care practices for cancer patients by oncology nurses.

Conclusions

The findings of this study emphasize the necessity of developing coherent spiritual care programs in hospitals and removing administrative barriers. Teaching spiritual care in nursing courses at schools and continuing education programs for training of healthcare team members are necessary. Likewise, forming a spiritual care team with oncology nurses at the center and defining their members’ roles and responsibilities are essential. Hospital managers can also make fruitful steps by establishing a monitoring system and identifying the needs and barriers for spiritual care in oncology settings.
Literature
2.
go back to reference Fadavi P, Motlagh A ( 2016) Strategies to improve cancer care, outcomes in Iran ASCO annual meeting. American Society of Clinical Oncology (ASCO), Illinois, https://am.asco.org Daily News Fadavi P, Motlagh A ( 2016) Strategies to improve cancer care, outcomes in Iran ASCO annual meeting. American Society of Clinical Oncology (ASCO), Illinois, https://​am.​asco.​org Daily News
5.
go back to reference Puchalski CM (2008) Spirituality and the care of patients at the end-of-life: an essential component of care. OMEGA 56(1):33–46CrossRef Puchalski CM (2008) Spirituality and the care of patients at the end-of-life: an essential component of care. OMEGA 56(1):33–46CrossRef
6.
go back to reference Puchalski CM (2001) The role of spirituality in health care. Baylor University Medical Center Proceedings. Taylor & Francis Puchalski CM (2001) The role of spirituality in health care. Baylor University Medical Center Proceedings. Taylor & Francis
7.
go back to reference Ahmadi Faraz M, Sherbafchi MR, Mousavizadeh R, Raeesi N, Ghaderi S, Shirvani A (2016) Introduction to principles of spiritual care. Isfahan Medical Sciences University, Isfahan Ahmadi Faraz M, Sherbafchi MR, Mousavizadeh R, Raeesi N, Ghaderi S, Shirvani A (2016) Introduction to principles of spiritual care. Isfahan Medical Sciences University, Isfahan
8.
go back to reference Visser A, Garssen B, Vingerhoets A (2010) Sprituality and well-being in cancer patients: a review. Psychooncology 19(6):565–572CrossRefPubMed Visser A, Garssen B, Vingerhoets A (2010) Sprituality and well-being in cancer patients: a review. Psychooncology 19(6):565–572CrossRefPubMed
10.
go back to reference Fawcett J, Desanto-Madeya S (2012) Contemporary nursing knowledge: analysis and evaluation of nursing models and theories. F.A. Davis company, Philadelphia Fawcett J, Desanto-Madeya S (2012) Contemporary nursing knowledge: analysis and evaluation of nursing models and theories. F.A. Davis company, Philadelphia
11.
go back to reference O’brien ME (2013) Spirituality in nursing: standing on holy ground. Jones and Bartlett, Burlington O’brien ME (2013) Spirituality in nursing: standing on holy ground. Jones and Bartlett, Burlington
12.
15.
go back to reference Rahnama M, Fallahi Khoshknab M, Madah SSB, Ahmadi F (2015) Explaining the process of spiritual care in rehabilitation of cancer patients: a grounded theory study. Medical-Surgical Nursing Journal (MSNJ) 4(3):1–12 Rahnama M, Fallahi Khoshknab M, Madah SSB, Ahmadi F (2015) Explaining the process of spiritual care in rehabilitation of cancer patients: a grounded theory study. Medical-Surgical Nursing Journal (MSNJ) 4(3):1–12
24.
go back to reference Narayanasamy A, Owens J (2001) A critical incident study of nurses’ responses to the spiritual needs of their patients. J Adv Nurs 33(4):446–455CrossRefPubMed Narayanasamy A, Owens J (2001) A critical incident study of nurses’ responses to the spiritual needs of their patients. J Adv Nurs 33(4):446–455CrossRefPubMed
25.
go back to reference Keall R, Clayton JM, Butow P (2014) How do Australian palliative care nurses address existential and spiritual concerns? Facilitators, barriers and strategies. J Clin Nurs 23(21–22):3197–3205CrossRefPubMed Keall R, Clayton JM, Butow P (2014) How do Australian palliative care nurses address existential and spiritual concerns? Facilitators, barriers and strategies. J Clin Nurs 23(21–22):3197–3205CrossRefPubMed
30.
go back to reference Puchalski C, Ferrell B, Virani R, Otis-Green S, Baird P, Bull J, Chochinov H, Handzo G, Nelson-Becker H, Prince-Paul M, Pugliese K, Sulmasy D (2009) Improving the quality of spiritual care as a dimension of palliative care: the report of the consensus conference. J Palliat Med 12(10):885–904CrossRefPubMed Puchalski C, Ferrell B, Virani R, Otis-Green S, Baird P, Bull J, Chochinov H, Handzo G, Nelson-Becker H, Prince-Paul M, Pugliese K, Sulmasy D (2009) Improving the quality of spiritual care as a dimension of palliative care: the report of the consensus conference. J Palliat Med 12(10):885–904CrossRefPubMed
31.
go back to reference 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):25–33PubMedPubMedCentral 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):25–33PubMedPubMedCentral
32.
go back to reference Koenig HG (2014) The spiritual care team: enabling the practice of whole person medicine. Religions 5(4):1161–1174CrossRef Koenig HG (2014) The spiritual care team: enabling the practice of whole person medicine. Religions 5(4):1161–1174CrossRef
34.
go back to reference VandeCreek L (1997) Collaboration between nurses and chaplains for spiritual caregiving. Semin Oncol Nurs 13(4):279–280CrossRefPubMed VandeCreek L (1997) Collaboration between nurses and chaplains for spiritual caregiving. Semin Oncol Nurs 13(4):279–280CrossRefPubMed
36.
go back to reference 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):280–288CrossRefPubMed 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):280–288CrossRefPubMed
37.
go back to reference Abbasi M, Shamsigooshki E, Abolghasemi MJ (2013) Introduction to spiritual health. Nashrhoghooghi, Tehran Abbasi M, Shamsigooshki E, Abolghasemi MJ (2013) Introduction to spiritual health. Nashrhoghooghi, Tehran
38.
go back to reference Ahmadi Faraz M (2016) Mediation through praying. Isfahan Medical Sciences University, Isfahan Ahmadi Faraz M (2016) Mediation through praying. Isfahan Medical Sciences University, Isfahan
39.
go back to reference Abbasi M (2013) Islamic approach to spiritual health. Nashrehoghoghi, Tehran Abbasi M (2013) Islamic approach to spiritual health. Nashrehoghoghi, Tehran
40.
go back to reference Tsai MT, Huang CC (2008) The relationship among ethical climate types, facets of job satisfaction, and the three components of organizational commitment: a study of nurses in Taiwan. J Bus Ethics 80(3):565–581CrossRef Tsai MT, Huang CC (2008) The relationship among ethical climate types, facets of job satisfaction, and the three components of organizational commitment: a study of nurses in Taiwan. J Bus Ethics 80(3):565–581CrossRef
41.
go back to reference Koren ME, Papamiditriou C (2013) Spirituality of staff nurses: application of modeling and role modeling theory. Holist Nurs Pract 27(1):37–44CrossRefPubMed Koren ME, Papamiditriou C (2013) Spirituality of staff nurses: application of modeling and role modeling theory. Holist Nurs Pract 27(1):37–44CrossRefPubMed
42.
go back to reference Grant D, O’Neil K, Stephens L (2004) Spirituality in the workplace: new empirical directions in the study of the sacred. Sociol Relig 65(3):265–283CrossRef Grant D, O’Neil K, Stephens L (2004) Spirituality in the workplace: new empirical directions in the study of the sacred. Sociol Relig 65(3):265–283CrossRef
43.
go back to reference Dehghani K, Nasiriani K, Salimi T (2016) Requirements for nurse supervisor training: a qualitative content analysis. Iran J Nurs Midwifery Res 21(1):63–70CrossRefPubMedPubMedCentral Dehghani K, Nasiriani K, Salimi T (2016) Requirements for nurse supervisor training: a qualitative content analysis. Iran J Nurs Midwifery Res 21(1):63–70CrossRefPubMedPubMedCentral
Metadata
Title
Factors affecting spiritual care practices of oncology nurses: a qualitative study
Authors
Soolmaz Moosavi
Camelia Rohani
Fariba Borhani
Mohammad Esmaeel Akbari
Publication date
01-03-2019
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 3/2019
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-018-4378-8

Other articles of this Issue 3/2019

Supportive Care in Cancer 3/2019 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine