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Spiritual Assessment within Clinical Interventions Focused on Quality of Life Assessment in Palliative Care

A Secondary Analysis of a Systematic Review

Bibliographic Data

ID16901565
AuthorsGianluca Catania (0000-0002-0862-071X), Annamaria Bagnasco (0000-0002-9079-8460), Milko Zanini (0000-0002-1081-6279), Giuseppe Aleo (0000-0002-1306-3364), Loredana Sasso (0000-0001-5886-5937)
Year2016
Volume7
Issue3
Pages25
Publication date2016-03-07
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueReligions (JOURNAL)
Journal identifiersISSN: 2077-1444 • E-ISSN: 2077-1444
PublisherMDPI AG (PUBLISHER • IT)
DOI10.3390/rel7030025
LanguageEN
Citations received2
References cited19

One of the most crucial palliative care challenges is in determining how patients’ needs are defined and assessed. Although physical and psychological needs are commonly documented in patient’s charts, spiritual needs are less frequently reported. The aim of this review was to determine which explicit, longitudinal documentation of spiritual concerns would sufficiently affect clinical care to alleviate spiritual distress or promote spiritual wellbeing. A secondary analysis of a systematic review originally aimed at appraising the effectiveness of complex interventions focused on quality of life in palliative care was conducted. Five databases were searched for articles reporting interventions focused on QoL including at least two or more QoL dimensions. A narrative synthesis was performed to synthesize findings. In total, 10 studies were included. Only three studies included spiritual wellbeing assessment. Spirituality tools used to assess spiritual wellbeing were different between studies: Hospital QoL Index 14; Spiritual Needs Inventory; Missoula-Vitas QoL Index; and the Needs Assessment Tool: Progressive Disease-Cancer. Only one study reported a healthcare professional’s session training in the use of the QoL tool. Two out of three studies showed in participants an improvement in spiritual wellbeing, but changes in spiritual wellbeing scores were not significant. Overall patients receiving interventions focused on QoL assessment experienced both improvements in their QoL and in their spiritual needs. Although spiritual changes were not significant, the results provide evidence that a spiritual need exists and that spiritual care should be appropriately planned and delivered. Spiritual needs assessment precedes spiritual caring. It is essential that interventions focused on QoL assessment in palliative care include training on how to conduct a spiritual assessment and appropriate interventions to be offered to patients to address their spiritual needs

  • The case for systematic reviews in religion

    Open Access•Göran Larsson, Martin Eidrup•Religion•2026

  • Special Issue “International Conference of Spirituality in Healthcare. Sowing the Seeds”—Trinity College Dublin 2015

    Open Access•Fiona Timmins, Wilfred Mcsherry et al.•Religions•2016

  • Religious Coping and Use of Intensive Life-Prolonging Care Near Death in Patients With Advanced Cancer

    Andrea C Phelps•JAMA•2009

  • Religion, spirituality, and physical health in cancer patients

    Open Access•Heather Jim, Heather S L Jim et al.•Cancer•2015

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    Tracy A Balboni, Mary Elizabeth Paulk et al.•Journal of Clinical Oncology•2010

  • Preferred Reporting Items for Systematic Reviews and Meta-Analyses

    Open Access•David Moher, Alessandro Liberati et al.•Annals of Internal Medicine•2009

Unique citing works2
Citations per year0,2
Citation span2016 - 2026 (11)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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