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Published in: Journal of Religion and Health 2/2019

01-04-2019 | Original Paper

Assessing Spiritual Well-Being in Residential Aged Care: An Exploratory Review

Authors: David A. Drummond, Lindsay B. Carey

Published in: Journal of Religion and Health | Issue 2/2019

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Abstract

With the emerging incorporation of spiritual care into the allied health stream, there is a need for a clear and validated process of spiritual review that can be understood across multidisciplinary teams. The aim and purpose of this paper was to critically review the literature regarding spiritual screening, history-taking and assessment, and explore the merits of developing a brief instrument focussed on assessing and improving the spiritual well-being of consumers within residential aged care. Following an exploratory review of the literature, the results indicate that effective processes are noted regarding the triage and identification of the needs and spiritual assessment of consumers; however, many of these tools are overly religious in content, unwieldy in size, or not specifically aimed at identifying the immediate crisis confronting the consumer. It is recommended that an assessment instrument be developed which is communicable across all allied health practitioners (including spiritual carers), which may contribute towards a taxonomy of common consumer conditions, and which will enable the development and delivery of more targeted care plans.
Footnotes
1
WHO Spiritual Intervention Codings: In addition to the four key interventions noted above, an additional intervention is also included -‘Allied Health Intervention’ for any generic spiritual care intervention not otherwise listed.
 
Literature
go back to reference ABS. (2016). Religion in australia (revised). Canberra: Australian Bureau of Statistics. ABS. (2016). Religion in australia (revised). Canberra: Australian Bureau of Statistics.
go back to reference Bash, A. (2004). Spirituality: The emperor’s new clothes. Journal of Clinical Nursing, 13(1), 11–16.CrossRef Bash, A. (2004). Spirituality: The emperor’s new clothes. Journal of Clinical Nursing, 13(1), 11–16.CrossRef
go back to reference Berggren-Thomas, P., & Griggs, M. (1995). Spirituality in aging: Spiritual need of spiritual journey. Journal of Gerontological Nursing, 21(3), 5–10.CrossRef Berggren-Thomas, P., & Griggs, M. (1995). Spirituality in aging: Spiritual need of spiritual journey. Journal of Gerontological Nursing, 21(3), 5–10.CrossRef
go back to reference Brunjes, G. (2011). Spiritual pain and suffering. Asian Pacific Journal of Cancer Prevention, 11(MECC Supplement), 31–36. Brunjes, G. (2011). Spiritual pain and suffering. Asian Pacific Journal of Cancer Prevention, 11(MECC Supplement), 31–36.
go back to reference Bryson, K. (2003). Treatment plan for clients of vocational centers and special care residential units. International Journal of Philosophical Practice, 1(4), 1–10. Bryson, K. (2003). Treatment plan for clients of vocational centers and special care residential units. International Journal of Philosophical Practice, 1(4), 1–10.
go back to reference Carey, L. B. (2012). Utility and commissioning of spiritual carers. In M. Cobb, C. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (pp. 307–408). Oxford UK: Oxford University Press. Carey, L. B. (2012). Utility and commissioning of spiritual carers. In M. Cobb, C. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (pp. 307–408). Oxford UK: Oxford University Press.
go back to reference Carey, L. B., Davoren, R., & Cohen, J. (2009). The sacralization of identity: An interfaith spiritual care paradigm for chaplaincy in a multifaith context. In D. Schipani & L. Beuckert (Eds.), Interfaith spiritual care: Understandings and practices (pp. 191–218). Ontario: Pandora Press. Carey, L. B., Davoren, R., & Cohen, J. (2009). The sacralization of identity: An interfaith spiritual care paradigm for chaplaincy in a multifaith context. In D. Schipani & L. Beuckert (Eds.), Interfaith spiritual care: Understandings and practices (pp. 191–218). Ontario: Pandora Press.
go back to reference Carey, L. B., & Mathisen, B. (Eds.). (2018). Spiritual care for allied health practice: A person-centered approach (1st ed.). London: Jessica Kingsley Publishers. Carey, L. B., & Mathisen, B. (Eds.). (2018). Spiritual care for allied health practice: A person-centered approach (1st ed.). London: Jessica Kingsley Publishers.
go back to reference Carey, L. B., Swinton, J., & Grossoehme, D. (2018). Chaplaincy and spiritual care. In L. B. Carey & B. Mathisen (Eds.), Spiritual care for allied health practice: A person-centered approach (1st ed., pp. 229–257). London: Jessica Kingsley Publishers. Carey, L. B., Swinton, J., & Grossoehme, D. (2018). Chaplaincy and spiritual care. In L. B. Carey & B. Mathisen (Eds.), Spiritual care for allied health practice: A person-centered approach (1st ed., pp. 229–257). London: Jessica Kingsley Publishers.
go back to reference Cavendish, R., Konecny, L., Mitzeliotis, C., Russo, D., Luise, B., Lanza, M., et al. (2003). Spiritual care activities of nurses using nursing interventions classification (NIC) labels. International Journal of Nursing Terminologies and Classifications, 14(4), 113–124.CrossRef Cavendish, R., Konecny, L., Mitzeliotis, C., Russo, D., Luise, B., Lanza, M., et al. (2003). Spiritual care activities of nurses using nursing interventions classification (NIC) labels. International Journal of Nursing Terminologies and Classifications, 14(4), 113–124.CrossRef
go back to reference Cumming, E., Dean, L., Newell, D., & McCaffrey, I. (1961). Disengagement: A tentative theory of Aging. Sociometry, 23(1), 23–35.CrossRef Cumming, E., Dean, L., Newell, D., & McCaffrey, I. (1961). Disengagement: A tentative theory of Aging. Sociometry, 23(1), 23–35.CrossRef
go back to reference Cumming, E., & Henry, W. (1960). Growing old: The process of disengagement. New York: Basic Books. Cumming, E., & Henry, W. (1960). Growing old: The process of disengagement. New York: Basic Books.
go back to reference Dziegielewski, S. (2015). DSM-5 in action (3rd ed.). Hoboken, NJ: Wiley. Dziegielewski, S. (2015). DSM-5 in action (3rd ed.). Hoboken, NJ: Wiley.
go back to reference Ellison, C., & Levin, J. (1998). The religion-health connection: evidence, theory, and future directions. Health Education & Behavior, 25(6), 700–720.CrossRef Ellison, C., & Levin, J. (1998). The religion-health connection: evidence, theory, and future directions. Health Education & Behavior, 25(6), 700–720.CrossRef
go back to reference Erikson, E., & Erikson, J. (1997). The life cycle completed: Extended version with new chapters on the ninth stage of development by Joan M. Erikson. New York: W.W. Norton & Co. Erikson, E., & Erikson, J. (1997). The life cycle completed: Extended version with new chapters on the ninth stage of development by Joan M. Erikson. New York: W.W. Norton & Co.
go back to reference Ferngren, G. (2012). Medicine and religion: A historical perspective. In M. Cobb, C. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (pp. 3–10). Oxford: Oxford University Press.CrossRef Ferngren, G. (2012). Medicine and religion: A historical perspective. In M. Cobb, C. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (pp. 3–10). Oxford: Oxford University Press.CrossRef
go back to reference Fitchett, G. (2012). Next steps for spiritual assessment in healthcare. In M. Cobb, C. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (1st ed., pp. 299–305). Oxford, UK: Oxford University Press.CrossRef Fitchett, G. (2012). Next steps for spiritual assessment in healthcare. In M. Cobb, C. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (1st ed., pp. 299–305). Oxford, UK: Oxford University Press.CrossRef
go back to reference Fitchett, G., White, K., & Lyndes, K. (Eds.). (2018). Evidence-based healthcare chaplaincy: A research reader (1st ed.). London: Jessica Kingsley Publishers. Fitchett, G., White, K., & Lyndes, K. (Eds.). (2018). Evidence-based healthcare chaplaincy: A research reader (1st ed.). London: Jessica Kingsley Publishers.
go back to reference Hill, P., & Pargament, K. (2003). Advances in the conceptualization and measurement of religion and spirituality: implications for physical and mental health research. American Psychologist, 58(1), 64–74.CrossRef Hill, P., & Pargament, K. (2003). Advances in the conceptualization and measurement of religion and spirituality: implications for physical and mental health research. American Psychologist, 58(1), 64–74.CrossRef
go back to reference Koenig, H. (2013). Spirituality in patient care: Why, how, when and what (3rd ed.). West Conshohocken, PA: Templeton Press. Koenig, H. (2013). Spirituality in patient care: Why, how, when and what (3rd ed.). West Conshohocken, PA: Templeton Press.
go back to reference Koenig, H., King, D., & Carson, V. (2012). Handbook of religion and health (2nd ed.). Oxford, UK: Oxford University Press. Koenig, H., King, D., & Carson, V. (2012). Handbook of religion and health (2nd ed.). Oxford, UK: Oxford University Press.
go back to reference Larocca-Pitts, M. (2009). In FACT, chaplains have a spiritual assessment tool. Australian Journal of Pastoral Care and Health, 3(2), 8–15. Larocca-Pitts, M. (2009). In FACT, chaplains have a spiritual assessment tool. Australian Journal of Pastoral Care and Health, 3(2), 8–15.
go back to reference Lartey, E. (2003). In living color: An intercultural approach to pastoral care and counselling (2nd ed.). London: Jessica Kingsley Publishers. Lartey, E. (2003). In living color: An intercultural approach to pastoral care and counselling (2nd ed.). London: Jessica Kingsley Publishers.
go back to reference Massey, K., Barnes, M., Villines, D., Goldstein, J., Pierson, A., Scherer, C., et al. (2015). What do I do? Developing a taxonomy of chaplaincy activities and interventions for spiritual care in intensive care unit palliative care. BMC Palliative Care, 14(10), 1–8. https://doi.org/10.1186/s12904-015-0008-0.CrossRef Massey, K., Barnes, M., Villines, D., Goldstein, J., Pierson, A., Scherer, C., et al. (2015). What do I do? Developing a taxonomy of chaplaincy activities and interventions for spiritual care in intensive care unit palliative care. BMC Palliative Care, 14(10), 1–8. https://​doi.​org/​10.​1186/​s12904-015-0008-0.CrossRef
go back to reference O’Connor, T., Meakes, E., O’Neil, K., Penner, C., Van Staalduinen, G., & Davis, K. (2005). Not well known, used little and needed: Canadian chaplains’ experiences of published spiritual assessment tools. The Journal of Pastoral Care and Counselling, 59(1–2), 97–107.CrossRef O’Connor, T., Meakes, E., O’Neil, K., Penner, C., Van Staalduinen, G., & Davis, K. (2005). Not well known, used little and needed: Canadian chaplains’ experiences of published spiritual assessment tools. The Journal of Pastoral Care and Counselling, 59(1–2), 97–107.CrossRef
go back to reference Peterman, A., Fitchett, G., Brady, M., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49–58.CrossRef Peterman, A., Fitchett, G., Brady, M., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49–58.CrossRef
go back to reference Pruyser, P. (1976). The minister as diagnostician: Personal problems in pastoral perspective. Philadelphia: The Westminster Press. Pruyser, P. (1976). The minister as diagnostician: Personal problems in pastoral perspective. Philadelphia: The Westminster Press.
go back to reference Puchalski, C. (2011). Formal and informal assessment. Asian Pacific Journal of Cancer Prevention, 11(MECC Supplement), S51–S58. Puchalski, C. (2011). Formal and informal assessment. Asian Pacific Journal of Cancer Prevention, 11(MECC Supplement), S51–S58.
go back to reference Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., et al. (2009). Improving the quality of spiritual care as a dimension of palliative care: The report of the consensus conference. Journal of Palliative Medicine, 12(10), 885–904. https://doi.org/10.1089=jpm.2009.0142. Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., et al. (2009). Improving the quality of spiritual care as a dimension of palliative care: The report of the consensus conference. Journal of Palliative Medicine, 12(10), 885–904. https://​doi.​org/​10.​1089=​jpm.​2009.​0142.​
go back to reference Puchalski, C., Vitillo, R., Hull, S., & Reller, N. (2014). Improving the spiritual dimension of whole person care: reaching national and international consensus. Journal of Palliative Medicine, 17(6), 642–656. https://doi.org/10.1089/jpm.2014.9427.CrossRefPubMedPubMedCentral Puchalski, C., Vitillo, R., Hull, S., & Reller, N. (2014). Improving the spiritual dimension of whole person care: reaching national and international consensus. Journal of Palliative Medicine, 17(6), 642–656. https://​doi.​org/​10.​1089/​jpm.​2014.​9427.​CrossRefPubMedPubMedCentral
go back to reference Rumbold, B. (2007). A review of spiritual assessment in health care practice. Medical Journal of Australia, 186(10), S60–S62.PubMed Rumbold, B. (2007). A review of spiritual assessment in health care practice. Medical Journal of Australia, 186(10), S60–S62.PubMed
go back to reference Stoll, R. (1979). Guidelines for spiritual assessment. The American Journal of Nursing, 79(9), 1574–1577.PubMed Stoll, R. (1979). Guidelines for spiritual assessment. The American Journal of Nursing, 79(9), 1574–1577.PubMed
go back to reference Sulmasy, D. (2002). A biopsychosocial-spiritual model for the care of patients at the end of life. The Gerontologist, 42(Special Issue III), 24–33.CrossRef Sulmasy, D. (2002). A biopsychosocial-spiritual model for the care of patients at the end of life. The Gerontologist, 42(Special Issue III), 24–33.CrossRef
go back to reference Swinton, J. (2012). Healthcare spirituality: A question of knowledge. In M. Cobb, C. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (pp. 99–104). Oxford Uk: Oxford University Press.CrossRef Swinton, J. (2012). Healthcare spirituality: A question of knowledge. In M. Cobb, C. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (pp. 99–104). Oxford Uk: Oxford University Press.CrossRef
go back to reference Timmins, F., Caldeira, S., Murphy, M., Pujol, N., Sheaf, G., Weathers, E., et al. (2018). The role of the healthcare chaplain: A literature review. Journal of health care chaplaincy, 24(3), 87–106.CrossRef Timmins, F., Caldeira, S., Murphy, M., Pujol, N., Sheaf, G., Weathers, E., et al. (2018). The role of the healthcare chaplain: A literature review. Journal of health care chaplaincy, 24(3), 87–106.CrossRef
go back to reference Tornstam, L. (1989). Gerotranscendence: A reformulation of the disengagement theory. Aging Clinical and Experimental Research, 1(1), 55–63.CrossRef Tornstam, L. (1989). Gerotranscendence: A reformulation of the disengagement theory. Aging Clinical and Experimental Research, 1(1), 55–63.CrossRef
go back to reference Tornstam, L. (1997). Gerotranscendence: The contemplative dimension of Aging. Journal of Aging Studies, 11(2), 143–154.CrossRef Tornstam, L. (1997). Gerotranscendence: The contemplative dimension of Aging. Journal of Aging Studies, 11(2), 143–154.CrossRef
go back to reference WHO. (2002). Pastoral intervention codings. ICD-10-AM (International classification of diseases and related health problems-Australian modification). Geneva: World Health Organization. WHO. (2002). Pastoral intervention codings. ICD-10-AM (International classification of diseases and related health problems-Australian modification). Geneva: World Health Organization.
go back to reference WHO. (2017). Pastoral intervention codings. ICD-10-AM (International classification of diseases and related health problems-Australian modification). Geneva: World Health Organization. WHO. (2017). Pastoral intervention codings. ICD-10-AM (International classification of diseases and related health problems-Australian modification). Geneva: World Health Organization.
go back to reference Williams, D., & Sternthal, M. (2007). Spirituality, religion and health: evidence and research directions. Medical Journal of Australia, 186(10), S47–50.PubMed Williams, D., & Sternthal, M. (2007). Spirituality, religion and health: evidence and research directions. Medical Journal of Australia, 186(10), S47–50.PubMed
Metadata
Title
Assessing Spiritual Well-Being in Residential Aged Care: An Exploratory Review
Authors
David A. Drummond
Lindsay B. Carey
Publication date
01-04-2019
Publisher
Springer US
Published in
Journal of Religion and Health / Issue 2/2019
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-018-0717-9

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