The provision of spiritual care in a hospice
moving towards a multi-disciplinary perspective
DOI:
https://doi.org/10.1558/hscc.v10i2.21Keywords:
chaplaincy, hospice, medicine, multidisciplinary, nursing, occupational therapy, social work, spirituality, spiritual careAbstract
Hospices are spiritual places. The need to be sensitive to the spiritual is embraced by a wide spectrum of professionals. This article is an attempt to map the territory of the provision of spiritual care. It introduces two spiritual care frameworks then offers a brief over view of some of the key issues within medicine, nursing, occupational therapy and social work as they embrace spiritual care in their caring role. This invites readers to consider the interface between chaplains and the rest the multidisciplinary team as the team collectively care for the spirit and make a compassionate response. This article is based on a paper originally submitted to the SJHC 10 th anniversary conference in Crieff, March 2007.
References
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BRADSHAW A (1994) Lighting the Lamp. The spiritual dimension of nursing care London Scutari Press
CARSON V.B. (1989) Spiritual Dimensions of Nursing Practice Philadelphia W B Saunders
CASSELL E.J. (1991) The nature of suffering and the goals of medicine Oxford University press New York
CHOCHINOV H.M., BREITBART W (2000) Handbook of Psychiatry in Palliative Medicine Oxford University Press Oxford
CLAUSEN H., KENDALL M., MURRAY S., WORTH A., BOYD K., BENTON F. (2005) Would Palliative Care Patients Benefit from Social Workers’ retaining the traditional ‘Casework’ Role rather than working as Care Managers? British Journal of Social Work 35 277-285
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COBB M. (2003) Spiritual Care in Lloyd-Williams M (Ed) Psychosocial issues in palliative care Oxford Oxford University Press.
CULLIFORD L. (2002) Spirituality and clinical care BMJ 325 1434-1435
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DOYLE D. HANKS G.W.C., CHERNY N.I., CALMAN K. (2004) Oxford Textbook of Palliative medicine (3rd Edition) Oxford Oxford University Press
DRAPER P., McSHERRY W. (2002) A critical view of spirituality and spiritual assessment in Journal of Advanced Nursing 39(1) p1-2
FAVER C.A. (2004) Relational Spirituality and Social Caregiving Social Work 49 (2) 241-249
FRANKL V.E. (1959) Man’s Search for meaning London Touchstone Press
FRICK E., RIEDNER C., FEGG M.J. HAUF S., BORASIO G.D. (2006) A clinical interview assessing cancer patients’ spiritual needs and preferences European Journal of Cancer Care 15 238-243
HEIDEGGER M. (1962) Being and Time Harper and Row New York
HENERY N. (2003a) The reality of visions: contemporary theories of spirituality in social work British Journal of Social Work 33 (8) 1105-1112
HIGGINSON I.J., HEARN J., MYERS K., NAYSMITH A. (2000) Palliative day care: what do services do? Palliative Medicine 14 277-286
HODGE D. (2005) Developing a Spiritual Assessment toolbox: A discussion of the strengths and limitations of five different assessment methods Health and Social Work 30 (4) 314-323
HOLLINS S. (2005) Spirituality and religion :exploring the relationship Nursing Management 12 (6) 22-26
HOLLOWAY R. (2004) Looking in the distance: the human search for meaning Edinburgh Canongate books
HOLYLAND, MAYERS (2005) Is meeting spiritual need within the occupational health domain? British Journal of Occupational Therapy 68 (4) 177-180
JOHNSTON B.M. (2002) Perceptions of Palliative Nursing Unpublished PhD thesis Glasgow University of Glasgow
JOHNSTON D., MAYERS C. (2005) Spirituality: a review of how Occupational Therapists acknowledge, Assess and meet spiritual needs British Journal of Occupational Therapy 68 (9) 386-392
KEARNEY M., MOUNT B. (2000) Spirituality of the dying patient in CHOCHINOV, BREITBART (Eds) Handbook of Psychiatry in Palliative Medicine Oxford University Press Oxford
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KUUPPELOMAKI M. (2001) Spiritual support for terminally ill patients: nursing staff assessments Journal of Clinical Nursing 10 660-670
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NHS QIS (2002) Clinical Standards for Specialist Palliative Care Edinburgh NHS Quality Improvement Scotland
NHS QIS (2005) Report of the scoping study group on the provision of spiritual care in NHS Scotland Edinburgh NHS Quality Improvement Scotland
OLDNALLl A. (1996) A critical analysis of nursing: meeting the spiritual needs of patients Journal of Advanced Nursing 23 (1) 138-144
PETERMAN A.H., FITCHETT G, BRADY M.J., 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) The Annals of Behavioural Medicine 24: 1 p49-58
PUCHALSKI C.M. (2006) A Time for Listening and Caring : Spirituality and the care of the Chronically Ill and Dying Oxford Oxford University Press
RANDALL F., DOWNIE R.S. (2006) The Philosophy of Palliative Care: critique and reconstruction Oxford University Press Oxford
ROSS L. (1995) The spiritual dimension: its importance to patients’ health, well-being and quality of life and its implications for nursing practice. International Journal of Nursing Studies 32 (5) 457-468
ROSS L. (1997) The nurse’s role in assessing and responding to patients’ spiritual needs International Journal of Palliative Nursing 3 (1) 37-42
RUMBOLD B. (2002) Dying as a spiritual quest in RUMBOLD B. (Ed) Spirituality and Palliative Care: Social and pastoral perspectives Oxford Oxford University Press
RUMBOLD B. (Ed) (2002) Spirituality and Palliative Care: Social and pastoral perspectives Oxford Oxford University Press
SAUNDERS C. (2001) Social Work and Palliative care- the early history British Journal of Social Work 31 791-799
SAWATZKY R., PESUT B (2005) Attributes of spiritual care in nursing American holistic nurses’ Association 23 19-33
SHELDON F. (2000) Dimensions of the role of the social worker in palliative care Palliative Medicine 14 491-498
SMALL N (20010 Social Work and Palliative Care British Journal of Social Work 31 961-971
SPECK P. (2003a) Palliative care and chaplaincy in MONROE B., OLIVIERE D. (Eds) Patient participation in palliative care. A voice for the voiceless Oxford Oxford University Press
SPECK P. (2005) A Standard for Research in Healthcare Chaplaincy The Journal of Healthcare Chaplaincy 6:1 26-40
STOLL R.I. (1989) The essence of spirituality in CARSON V.B. Spiritual Dimensions of Nursing Practice Philadelphia W.B. Saunders
SULMASY D.P. (2006) Spiritual Issues in the care of dying patients JAMA 296 (11) 1385-1393
SWINTON J. (2001) Spirituality and mental health care: rediscovering a forgotten dimension London Jessica Kingsley Publishers
SWINTON J. (2006) Identity and resistance: why spiritual care needs ‘enemies’. Journal of Clinical Nursing 15 918-928
TAYLOR E.J., AMENTA M., HIGHFIELD M. (1995) Spiritual care practices of Oncology nurses Oncology Nursing Forum 22 1 p31-39
TSCHUDIN V. (1993) Ethics in Nursing Butterworth London
TWYCROSS R. (1999) Introducing Palliative Care (3rd Edition) Oxon Radcliffe Medical Press
UNRUH A., VERSNEL J., KERR N. (2002) Spirituality unplugged: A review of commonalities and contentions, and a resolution The Canadian Journal of Occupational Therapy 69 (1) 5-19
WALTER T. (1997) The ideology and organization of spiritual care: three approaches in Palliative Medicine 11 21-30
WALTER T. (2002) Spirituality in palliative care: opportunity or burden? in Palliative Medicine 16 133-139
WILDING C. (2002) Where angels fear to tread: Is spirituality relevant to occupational therapy pactice? Australian Occupational Therapy Journal 49 44-47
WRIGHT S. G.. (2002) Examining the impact of spirituality on nurses and health-care provision Professional Nurse 17 (12) 709-711
WRIGHT M. (2004) Hospice care and models of spirituality in European Journal of Palliative Care 11 (2) p75-78
BEAGAN B and Z. KUMAS-TAN (2005) Witnessing Spirituality in Practice British Journal of Occupational Therapy 68 (1) 17-24
BRADSHAW A (1994) Lighting the Lamp. The spiritual dimension of nursing care London Scutari Press
CARSON V.B. (1989) Spiritual Dimensions of Nursing Practice Philadelphia W B Saunders
CASSELL E.J. (1991) The nature of suffering and the goals of medicine Oxford University press New York
CHOCHINOV H.M., BREITBART W (2000) Handbook of Psychiatry in Palliative Medicine Oxford University Press Oxford
CLAUSEN H., KENDALL M., MURRAY S., WORTH A., BOYD K., BENTON F. (2005) Would Palliative Care Patients Benefit from Social Workers’ retaining the traditional ‘Casework’ Role rather than working as Care Managers? British Journal of Social Work 35 277-285
COBB M. (2001) The Dying Soul: Spiritual care at the end of life Buckingham Open University Press
COBB M. (2003) Spiritual Care in Lloyd-Williams M (Ed) Psychosocial issues in palliative care Oxford Oxford University Press.
CULLIFORD L. (2002) Spirituality and clinical care BMJ 325 1434-1435
DOYLE D. HANKS G.W.C., MACDONALD N. (1998) Oxford Textbook of Palliative medicine (2nd Edition) Oxford Oxford University Press
DOYLE D. HANKS G.W.C., CHERNY N.I., CALMAN K. (2004) Oxford Textbook of Palliative medicine (3rd Edition) Oxford Oxford University Press
DRAPER P., McSHERRY W. (2002) A critical view of spirituality and spiritual assessment in Journal of Advanced Nursing 39(1) p1-2
FAVER C.A. (2004) Relational Spirituality and Social Caregiving Social Work 49 (2) 241-249
FRANKL V.E. (1959) Man’s Search for meaning London Touchstone Press
FRICK E., RIEDNER C., FEGG M.J. HAUF S., BORASIO G.D. (2006) A clinical interview assessing cancer patients’ spiritual needs and preferences European Journal of Cancer Care 15 238-243
HEIDEGGER M. (1962) Being and Time Harper and Row New York
HENERY N. (2003a) The reality of visions: contemporary theories of spirituality in social work British Journal of Social Work 33 (8) 1105-1112
HIGGINSON I.J., HEARN J., MYERS K., NAYSMITH A. (2000) Palliative day care: what do services do? Palliative Medicine 14 277-286
HODGE D. (2005) Developing a Spiritual Assessment toolbox: A discussion of the strengths and limitations of five different assessment methods Health and Social Work 30 (4) 314-323
HOLLINS S. (2005) Spirituality and religion :exploring the relationship Nursing Management 12 (6) 22-26
HOLLOWAY R. (2004) Looking in the distance: the human search for meaning Edinburgh Canongate books
HOLYLAND, MAYERS (2005) Is meeting spiritual need within the occupational health domain? British Journal of Occupational Therapy 68 (4) 177-180
JOHNSTON B.M. (2002) Perceptions of Palliative Nursing Unpublished PhD thesis Glasgow University of Glasgow
JOHNSTON D., MAYERS C. (2005) Spirituality: a review of how Occupational Therapists acknowledge, Assess and meet spiritual needs British Journal of Occupational Therapy 68 (9) 386-392
KEARNEY M., MOUNT B. (2000) Spirituality of the dying patient in CHOCHINOV, BREITBART (Eds) Handbook of Psychiatry in Palliative Medicine Oxford University Press Oxford
KELLEHEAR A. (2000) A Spirituality and palliative care: a model of needs in Palliative Medicine 14 p149-155
KELLY B., McCLEMENT S., CHOCHINOV H.M. (2006) Measurement of psychological distress in palliative care Palliative Medicine 20 779-789
KEUBLER K.K, DAVIS M.P., MOORE C.D. (2005) Palliative Practices: an interdisciplinary approach Elsevier Mosby St Louis, Missouri
KUUPPELOMAKI M. (2001) Spiritual support for terminally ill patients: nursing staff assessments Journal of Clinical Nursing 10 660-670
LAWTON J. (2000) The Dying Process: Patients experiences of palliative care London Routledge
McLAIN C.S., ROSENFELD B., BREITBART W. Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients Lancet (2003) 361 p1603-1607
MCSHERRY W. (2006) The principal components model: a model for advancing spirituality and spiritual care within nursing and health care practice Journal of Clinical Nursing 15 905- 917
MCSHERRY W. (2006) Making sense of spirituality in nursing and health care practice (2nd Edition) London Jessica Kingsley Publishers
MILLIGAN S. (2004) Perceptions of spiritual care among nurses undertaking postregistration education in International Journal of Palliative Nursing 10 (4) p162-171
MONROE B. (2004) Social work in palliative medicine in DOYLE D., HANKS G.W.C., CHERNY N.I., CALMAN K. Oxford Textbook of Palliative medicine (3rd Edition) Oxford Oxford University Press
MOWAT H., SWINTON J. (2005) What do Chaplains do? The role of the Chaplain in meeting the spiritual needs of patients. Report no. CSHD/MR001 Aberdeen Mowat Research Limited
National Comprehensive Cancer Network (NCCN) (2003) Clinical Practice guidelines in Oncology: Distress Management USA NCCN
NARAYANASAMY A., OWENS J. (2001) A critical incident study of nurses’ responses to the spiritual needs of their patients Journal of Advanced Nursing 33 (4) 446-455
NICE(2004) Improving Supportive and Pallative Care for Adults with Cancer National Institute for Clinical Excellence, London
NMC(2002) Requirements for Pre-registration Nursing Programmes NMC London
NHS HDL (2002) 76 Guidelines for chaplaincy and spiritual care in the NHS in Scotland Edinburgh The Scottish Executive.
NHS QIS (2002) Clinical Standards for Specialist Palliative Care Edinburgh NHS Quality Improvement Scotland
NHS QIS (2005) Report of the scoping study group on the provision of spiritual care in NHS Scotland Edinburgh NHS Quality Improvement Scotland
OLDNALLl A. (1996) A critical analysis of nursing: meeting the spiritual needs of patients Journal of Advanced Nursing 23 (1) 138-144
PETERMAN A.H., FITCHETT G, BRADY M.J., 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) The Annals of Behavioural Medicine 24: 1 p49-58
PUCHALSKI C.M. (2006) A Time for Listening and Caring : Spirituality and the care of the Chronically Ill and Dying Oxford Oxford University Press
RANDALL F., DOWNIE R.S. (2006) The Philosophy of Palliative Care: critique and reconstruction Oxford University Press Oxford
ROSS L. (1995) The spiritual dimension: its importance to patients’ health, well-being and quality of life and its implications for nursing practice. International Journal of Nursing Studies 32 (5) 457-468
ROSS L. (1997) The nurse’s role in assessing and responding to patients’ spiritual needs International Journal of Palliative Nursing 3 (1) 37-42
RUMBOLD B. (2002) Dying as a spiritual quest in RUMBOLD B. (Ed) Spirituality and Palliative Care: Social and pastoral perspectives Oxford Oxford University Press
RUMBOLD B. (Ed) (2002) Spirituality and Palliative Care: Social and pastoral perspectives Oxford Oxford University Press
SAUNDERS C. (2001) Social Work and Palliative care- the early history British Journal of Social Work 31 791-799
SAWATZKY R., PESUT B (2005) Attributes of spiritual care in nursing American holistic nurses’ Association 23 19-33
SHELDON F. (2000) Dimensions of the role of the social worker in palliative care Palliative Medicine 14 491-498
SMALL N (20010 Social Work and Palliative Care British Journal of Social Work 31 961-971
SPECK P. (2003a) Palliative care and chaplaincy in MONROE B., OLIVIERE D. (Eds) Patient participation in palliative care. A voice for the voiceless Oxford Oxford University Press
SPECK P. (2005) A Standard for Research in Healthcare Chaplaincy The Journal of Healthcare Chaplaincy 6:1 26-40
STOLL R.I. (1989) The essence of spirituality in CARSON V.B. Spiritual Dimensions of Nursing Practice Philadelphia W.B. Saunders
SULMASY D.P. (2006) Spiritual Issues in the care of dying patients JAMA 296 (11) 1385-1393
SWINTON J. (2001) Spirituality and mental health care: rediscovering a forgotten dimension London Jessica Kingsley Publishers
SWINTON J. (2006) Identity and resistance: why spiritual care needs ‘enemies’. Journal of Clinical Nursing 15 918-928
TAYLOR E.J., AMENTA M., HIGHFIELD M. (1995) Spiritual care practices of Oncology nurses Oncology Nursing Forum 22 1 p31-39
TSCHUDIN V. (1993) Ethics in Nursing Butterworth London
TWYCROSS R. (1999) Introducing Palliative Care (3rd Edition) Oxon Radcliffe Medical Press
UNRUH A., VERSNEL J., KERR N. (2002) Spirituality unplugged: A review of commonalities and contentions, and a resolution The Canadian Journal of Occupational Therapy 69 (1) 5-19
WALTER T. (1997) The ideology and organization of spiritual care: three approaches in Palliative Medicine 11 21-30
WALTER T. (2002) Spirituality in palliative care: opportunity or burden? in Palliative Medicine 16 133-139
WILDING C. (2002) Where angels fear to tread: Is spirituality relevant to occupational therapy pactice? Australian Occupational Therapy Journal 49 44-47
WRIGHT S. G.. (2002) Examining the impact of spirituality on nurses and health-care provision Professional Nurse 17 (12) 709-711
WRIGHT M. (2004) Hospice care and models of spirituality in European Journal of Palliative Care 11 (2) p75-78
Published
2013-04-07
Issue
Section
Articles
How to Cite
Stirling, I. (2013). The provision of spiritual care in a hospice: moving towards a multi-disciplinary perspective. Health and Social Care Chaplaincy, 10(2), 21-27. https://doi.org/10.1558/hscc.v10i2.21
