Download Does Spiritual Care improve outcomes for patients with chronic

Does Spiritual Care improve
outcomes for patients with
chronic illness?
Audrey Munn
Nurs 317
Overview
Spiritual Care is becoming more prevalent to nursing and
improved patient outcomes
Current research is developing the importance of Spiritual
Care in health care
Holistic nursing care ensures patients are receiving the
care needed
Spiritual Care
Spirituality is very important to my career and personal life
I believe there are many benefits to being spiritual
Spirituality is individual
Chronic Illness
Chronic illness can have a toll on a person
Erikson’s stages of psychosocial development
Spirituality with illness
Literature Review
Bovero, A., Leombruni, P., Miniotti, M., Rocca, G., & Torta, R. (2015). Spirituality, quality of life,
psychological adjustment in terminal cancer patients in hospice. European Journal of
Cancer Care. doi: 10.1111/ecc.12360
 This first article was related to terminal illness with cancer patients in a hospice setting.
 115 participants
 Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, Functional
Assessment of Cancer Therapy Scale, Hospital Anxiety and Depression Scale, Brief Coping
Orientation to Problem Experienced, and KPS Scale
Article 1 review
 Many factors contribute to providing appropriate individualized patient care.
 Marital status, coping mechanisms, anxiety, and spirituality can contribute to positive
and/or negative outcomes for patients
Literature Review Cont.
Brown, A.J., Sun, C.C., Urbauer, D.L., Bodurka, D.C., Thaker, P.H., & Ramondetta, L.M. (2015).
Feeling powerless: Locus of control as a potential target for supportive care interventions to
increase quality of life and decrease anxiety in ovarian cancer patients. Gynecologic
Oncology, 138(2), 388-393. doi: 10.1016/j.ygyno.2015.05.005
o Ovarian Cancer Patients
o 104 female participants
o Locus of Control Scale, Functional Assessment of Chronic Illness Therapy-Ovarian,
Functional Assessment of Chronic Illness Therapy-Spiritual, Edmonton Symptom Assessment
score, Hospital Anxiety Depression Scale, Templer’s Death Anxiety Scale, and Herth Hope
Index
Article 2 review
 Quality of life was improved for women with more life additions.
 More control over their life, higher quality of life.
 Early identification of powerless will lead to improved patient outcomes.
Literature Review Cont.
Richardson, P. (2014). Spirituality, religion and palliative care. Annals of Palliative Medicine,
3(3). doi: 10.3978/j.issn.2224-5820.2014.07.05
 This article focuses on palliative care and how religion and spirituality improve outcomes.
 No data collection or data analysis
 Qualitative research rather than quantitative.
Critique of 3 Articles
Article 1- Minimal issues or concerns about this article
Article 2- Limited research and study participants. Most participants were white and catholic,
and I would have appreciated more diversity. Spiritual care is individual and it is important
we address all types of spirituality.
Article 3- Minimal issues or concerns about this article, no research or data analysis needed.
Relation to nursing practice
Spiritual care is very important to my nursing practice. I deal with
many comfort care patients, gift of life patients, and chronically ill
patients. It is important that I understand ways to address and utilize
spiritual care into my individualized patient care plan. We strive to
improve outcomes and provide a healing and open environment to
express their wishes and desires.
Conclusion
 Spiritual care has proven both quantitatively and qualitatively to improve patient care
outcomes and reduce other aspects of chronic illness.
 We should continue to find research to promote individualized spiritual care and promote
a healing environment.
 Holistic approach to nursing is how we are advancing our practice and reducing hospital
days, improving patient outcomes, and providing efficient and effective care to all
individuals.
References
 Bovero, A., Leombruni, P., Miniotti, M., Rocca, G., & Torta, R. (2015). Spirituality,
quality of life, psychological adjustment in terminal cancer patients in hospice.
European Journal of Cancer Care. doi: 10.1111/ecc.12360
 Brown, A.J., Sun, C.C., Urbauer, D.L., Bodurka, D.C., Thaker, P.H., & Ramondetta,
L.M. (2015). Feeling powerless: Locus of control as a potential target for
supportive care interventions to increase quality of life and decrease anxiety in
ovarian cancer patients. Gynecologic Oncology, 138(2), 388-393. doi:
10.1016/j.ygyno.2015.05.005
 Puchalski, C. M. (2001). The role of spirituality in health care. Proceedings (Baylor
University. Medical Center), 14(4), 352–357.
 Richardson, P. (2014). Spirituality, religion and palliative care. Annals of Palliative
Medicine, 3(3). doi: 10.3978/j.issn.2224-5820.2014.07.05