Literature DB >> 33575891

Spiritual Care of Inpatients Focusing on Outcomes and the Role of Chaplaincy Services: A Systematic Review.

Robert W Kirchoff1, Beba Tata2, Jack McHugh2, Thomas Kingsley2, M Caroline Burton2, Dennis Manning2, Maria Lapid2, Rahul Chaudhary2.   

Abstract

OBJECTIVE: To identify demographic trends associated with patient utilization and healthcare provider request for spiritual care services and to describe the impact of spiritual care on the quality of life (QoL), spiritual well-being (SWB) and level of satisfaction (SAT) of hospitalized patients. PATIENTS AND METHODS: A systematic search of Ovid MEDLINE, Embase, PsycINFO, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Scopus, was combined with review of relevant bibliographies. A total of 464 titles and abstracts were reviewed. Data were independently extracted by reviewers according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data on the effects of spiritual interventions on QoL, SWB and SAT were extracted, along with demographic data reflecting chaplain services. The results of the studies are presented narratively and in a qualitative manner.
RESULTS: Observational or experimental studies investigating chaplain utilization demographics (n = 12), patient satisfaction (n = 9) and QoL/SWB (n = 3) were included. Perceived severity of illness, average length of stay and older age were consistently found to be predictors of higher need for spiritual care. Receipt of spiritual care was correlated with increased patient and family satisfaction, independent of clinical outcome. Chaplain interventions were associated with improvement in perceived QoL and SWB. In spite of this, healthcare workers rarely attempt to explore the patient's or family's need for spiritual care, with the majority of chaplaincy consults occurring in the final day of the patient's life, potentially leading to a failure to meet the spiritual needs of non-terminal patients who have spiritual trauma related to their resolving illnesses.
CONCLUSION: Attention to the spiritual needs of hospitalized patients is an essential yet often overlooked aspect of patient care. Chaplains serve as spiritual care specialists whose services can enhance the hospital experience, improve patient satisfaction and help to bridge potential gaps between the patient and medical providers.

Entities:  

Keywords:  Chaplain; Pastoral care; Patient satisfaction; Quality of life; Spiritual care; Spiritual well-being; Spirituality

Mesh:

Year:  2021        PMID: 33575891     DOI: 10.1007/s10943-021-01191-z

Source DB:  PubMed          Journal:  J Relig Health        ISSN: 0022-4197


  31 in total

1.  Spiritual care in the hospital: who requests it? Who needs it?

Authors:  G Fitchett; P M Meyer; L A Burton
Journal:  J Pastoral Care       Date:  2000

2.  How Muslim and non-Muslim chaplains serve Muslim patients? Does the interfaith chaplaincy model have room for Muslims' experiences?

Authors:  Wahiba Abu-Ras; Lance Laird
Journal:  J Relig Health       Date:  2011-03

3.  The effect of pastoral care services on anxiety, depression, hope, religious coping, and religious problem solving styles: a randomized controlled study.

Authors:  Paul S Bay; Daniel Beckman; James Trippi; Richard Gunderman; Colin Terry
Journal:  J Relig Health       Date:  2007-05-24

4.  Operationalizing the Measuring What Matters Spirituality Quality Metric in a Population of Hospitalized, Critically Ill Patients and Their Family Members.

Authors:  Rebecca A Aslakson; Josephine Kweku; Malonnie Kinnison; Sarabdeep Singh; Thomas Y Crowe
Journal:  J Pain Symptom Manage       Date:  2016-12-29       Impact factor: 3.612

5.  How patients perceive the role of hospital chaplains: a preliminary exploration.

Authors:  J M Ellis; C McManus; B A Newton
Journal:  Qual Health Care       Date:  1995-09

6.  "The Patient Is Dying, Please Call the Chaplain": The Activities of Chaplains in One Medical Center's Intensive Care Units.

Authors:  Philip J Choi; Farr A Curlin; Christopher E Cox
Journal:  J Pain Symptom Manage       Date:  2015-05-27       Impact factor: 3.612

7.  Perceptions of Chaplains' Value and Impact Within Hospital Care Teams.

Authors:  Christopher J L Cunningham; Mukta Panda; Jeremy Lambert; Greg Daniel; Kathleen DeMars
Journal:  J Relig Health       Date:  2017-08

8.  Health Care Professionals' Responses to Religious or Spiritual Statements by Surrogate Decision Makers During Goals-of-Care Discussions.

Authors:  Natalie C Ernecoff; Farr A Curlin; Praewpannarai Buddadhumaruk; Douglas B White
Journal:  JAMA Intern Med       Date:  2015-10       Impact factor: 21.873

Review 9.  Addressing patients' emotional and spiritual needs.

Authors:  Paul Alexander Clark; Maxwell Drain; Mary P Malone
Journal:  Jt Comm J Qual Saf       Date:  2003-12

10.  A Novel Picture Guide to Improve Spiritual Care and Reduce Anxiety in Mechanically Ventilated Adults in the Intensive Care Unit.

Authors:  Joel N Berning; Armeen D Poor; Sarah M Buckley; Komal R Patel; David J Lederer; Nathan E Goldstein; Daniel Brodie; Matthew R Baldwin
Journal:  Ann Am Thorac Soc       Date:  2016-08
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  1 in total

1.  Providing Spiritual Care to In-Hospital Patients During COVID-19: A Preliminary European Fact-Finding Study.

Authors:  Fiona Timmins; Michael Connolly; Stefania Palmisano; Daniel Burgos; Lorenzo Mariano Juárez; Alessandro Gusman; Vicente Soriano; Marcin Jewdokimow; Wojciech Sadłoń; Aída López Serrano; David Conde Caballero; Sara Campagna; José María Vázquez García-Peñuela
Journal:  J Relig Health       Date:  2022-05-05
  1 in total

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