Hospital-based Spiritual Care for Mothers of Neonates at RMBH in Eldoret, Kenya
A Situational Analysis
Keywords:Spirituality, maternity care, hospital-based, clinical pastoral care
Although the World Health Organization defines health holistically (WHO 2016), and although a positive relationship exists between spirituality and health, maternity care globally focuses on physical and psychological care while excluding spiritual care. In Kenya, spiritual care in hospital settings has received little attention. Yet, cross-culturally, childbearing and motherhood are perceived to be highly spiritual events, but which may be traumatic especially if obstetric complications, postpartum depression, and death occur. Spiritual care is positively associated with patients’ ability to cope with negative experiences but also with a healthy birth process with optimal outcomes. Towards improving obstetric care by integrating professional clinical pastoral care in hospital settings in Kenya, we carried out a baseline study to explore the birthing physical, psychological and spiritual experiences of mothers of neonates admitted at the Neonatal Intensive Care Unit of the Riley Mother and Baby Hospital (RMBH) in Eldoret, Kenya. This article presents the results of the study.
Adanikin, A., U. Onwudiegwu and A. Akintayo (2014) “Reshaping Maternal Services in Nigeria: Any Need for Spiritual Care?” BMC Pregnancy and Child Birth 14(196). https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-14-196 (accessed 24 January 2018). https://doi.org/10.1186/1471-2393-14-196
Ammerman, N. T. (2013) “Spiritual but Not Religious? Beyond Binary Choices in the Study of Religion”. Journal for the Scientific Study of Religion 52(2): 258–78. https://doi.org/10.1111/jssr.12024
Asquith, G. (1982) “Anton T. Boisen and the Study of ‘Living Human Documents’”. Journal of Presbyterian History (1962–1985) 60(3): 244–65. http://www.jstor.org/stable/23328440 (accessed 24 January 2018).
Austin, P., J. Macdonald and R. MacLeod (2018) “Measuring Spirituality and Religiosity in Clinical Settings: A Scoping Review of Available Instruments”. Religions 9(3): 70. https://www.mdpi.com/2077-1444/9/3/70/pdf (accessed 5 March 2019).
Barletta, J., and K. Witteveen (2007) “Pastoral Care in Hospital: An Overview of Issues”. Australian Journal of Primary Health 13: 97–105. https://doi.org/10.1071/PY07013
Callister, L. C., and I. Khalf (2010) “Spirituality in Childbearing Women”, Journal of Prenatal Education 19(2): 16–24. https://doi.org/10.1624/105812410X495514
Carey, L. B., and J. Cohen (2009) “Religion, Spirituality and Health Care Treatment Decisions: The Role of Chaplains in the Australian Clinical Context”. Journal of Health Care Chaplaincy 15(1): 25–39. https://doi.org/10.1080/08854720802698491
Carey, L. B., and B. Mathisen (eds) (2018) Spiritual Care for Allied Health Practice: A Person-centered Approach. London: Jessica Kingsley.
Carey, L. B., J. Swinton and D. H. Grossoehme (2018) “Chaplaincy and Spiritual Care”. In Spiritual Care for Allied Health Practice: A Person-centered Approach, ed. L. B. Carey, and B. Mathisen. London: Jessica Kingsley.
Crowther, S,, and J. Hall (2015) “Spirituality and Spiritual Care in and Around Childbirth”. Women and Birth 28(2): 173–78. https://doi.org/10.1016/j.wombi.2015.01.001
Engel, G. L. (1977) “The Need for a New Medical Model: A Challenge for Biomedicine”. Science 196(4286): 129–36. https://doi.org/10.1126/science.847460
Gross, J. M., M. F. Rogers, I. Teplinskiy, E. Oywer, D. Wambua, A. Kamenju, J. Arudo, P. L. Riley, M. Higgins, C. Rakuom, R. Kiriinya and A. Waudo (2011) “The Impact of Out-migration on the Nursing Workforce in Kenya”. Health Services Research 46(4): 1300–1318. https://doi.org/10.1111/j.1475-6773.2011.01251.x
Gyimah, S. O., B. K. Takyi and I. Addai (2006) “Challenges to the Reproductive-health needs of African Women: On Religion & Maternal Health Utilization in Ghana”. Social Science & Medicine 62(12): 2930–2944. https://doi.org/10.1016/j.socscimed.2005.11.034
Hirst, C. (2005) Rebirthing: Report of the review of Maternity Services in Queensland. Brisbane, Australia: Queensland Health, Queensland.
Kenya National Bureau of Statistics, and ICF MACRO, (2014) Kenya Demographic and Health Survey. Calverton, MD: KNBS and ICF Macro.
Kilonzo, S., E. Kamaara and K. Magak (2017) “Improving Access to Maternal Health Care through Devolution in Western Kenya”. IDS Bulletin 48(2): 91-108. https://doi.org/10.19088/1968-2017.118
Koenig, H. G. (2008a) Medicine, Religion and Health: Where Science and Spirituality Meet. West Conshohocken, PA: Templeton Foundation Press.
—(2008b). “Concerns about Measuring ‘Spirituality’ in Research”. The Journal of Nervous and Mental Disease (196)5: 349–55. https://doi.org/10.1097/NMD.0b013e31816ff796
—(2008c) Is Religion Good for Your Health? The Effects of Religion on Physical and Mental Health. London and New York: Routledge Taylor & Francis Group.
—(2012) “Religion, Spirituality, and Health: The Research and Clinical Implications”. ISRN Psychiatry 33(2012): 12–23. https://doi.org/10.5402/2012/278730
Koenig, H. G., M. E. McCullough and D. B. Larson (2001) Handbook of Religion and Health. Oxford: Oxford University Press. https://doi.org/10.1093/acprof:oso/9780195118667.001.0001
Kwarteng, G. (n.d.) Religious beliefs, Spirituality and Health: Implications for Maternal and Child Mortality in Ghana. Department of Women and Children’s Health, Uppsala University, Norway. https://www.academia.edu/9404765/Religious_beliefs_Spirituality_and_Health_Implications_for_Maternal_and_Child_mortality_in_Ghana (accessed 29 June 2019).
Levin, J. S., and H. Y. Vanderpool (1989) “Is Religion Therapeutically Significant for Hypertension?” Social Science & Medicine 29(1): 69–78. https://doi.org/10.1016/0277-9536(89)90129-9
Mbiti, J. S. (1969) African Religions and Philosophy. Nairobi and London: Heinemann.
Miller, A., and D. Rubin (2011) Faith Communities and Health Care Communication. Ontario: Hampton Press.
Moberg, D. O. (2002) “Assessing and Measuring Spirituality: Confronting Dilemmas of Universal and Particular Evaluative Criteria”. Journal of Adult Development 9(1): 47–60. https://doi.org/10.1023/A:1013877201375
Moloney, S. (2007) “Dancing with the Wind: A Methodological Approach to Researching Women’s Spirituality around Menstruation and Birth”. International Journal of Qualitative Methods 6(1): Article 7. https://sites.ualberta.ca/~iiqm/backissues/6_1/moloney.htm (accessed 25 January 2018).
Muketha, D. K. (2016) “Ameru Women’s Spirituality: Negotiation of Spiritual Practices Among Methodist and Pentecostal Church Christian Women in Igembe Constituency”. DPhil dissertation, MF Norwegian School of Theology.
Nuzum, D., S. Meaney, K. O’Donoghue and H. Morris (2015) “The Spiritual and Theological Issues Raised by Stillbirth for Healthcare Chaplains”. Journal of Pastoral Care & Counseling 69(3): 163–70. https://doi.org/10.1177/1542305015602714
—(2016) “The Provision of Spiritual and Pastoral Care following Stillbirth in Ireland: A Mixed Methods Study”. BMJ Supportive & Palliative Care 6(2): 194–200. https://doi.org/10.1136/bmjspcare-2013-000533
—(2017) “The Spiritual and Theological Challenges of Stillbirth for Bereaved Parents”. Journal of Religion and Health 56(3): 1081–1095. https://doi.org/10.1007/s10943-017-0365-5
Powell L. H., L. Shahabi and C. E. Thoresen (2003) “Religion and Spirituality: Linkages to Physical Health”. American Psychology 58(1): 36–52. https://doi.org/10.1037/0003-066X.58.1.36
Puchalski, C. M. (2001) “The Role of Spirituality in Health Care”. Proceedings Baylor University. Medical Center 14(4): 352–57. https://doi.org/10.1080/08998280.2001.11927788
Puchalski, C. M., R. Vitillo, S. K. Hull and N. Reller (2014) “Improving the Spiritual Dimension of Whole Person Care: Reaching National and International Consensus”. Journal of Palliative Medicine 17(6): 642–56. https://doi.org/10.1089/jpm.2014.9427
Reeve, C. L, and D. Basalik (2011) “A State Level Investigation of the Associations among Intellectual Capital, Religiosity and Reproductive Health”. Intelligence 39(1): 64–73. https://doi.org/10.1016/j.intell.2010.09.007
Rogers, M., and J. Wattis (2015) “Spirituality in Nursing Practice”. Nursing Standard 29(39): 51–57. https://doi.org/10.7748/ns.29.39.51.e9726
Sarno J. E. (1998) The Mind-Body Prescription: Healing the Body, Healing the Pain. New York: Warner Books.
Shorey, S., B. André and V. Lopez (2017) “The Experiences and Needs of Healthcare Professionals Facing Perinatal Death: A Scoping Review”. International Journal of Nursing Studies 68: 25–39. https://doi.org/10.1016/j.ijnurstu.2016.12.007
Solanke, B. L., O. Oladosu, A. Akinlo and S. Olanisebe (2015) “Religion as a Social Determinant of Maternal Health Care Service Utilisation in Nigeria”. African Population Studies (29)2: 1868–1882. https://doi.org/10.11564/29-2-761
Sulmasy D. P. (2002) “A Biopsychosocial-spiritual Model for the Care of Patients at the End of Life”. The Gerontologist 42(3): 3–24. https://doi.org/10.1093/geront/42.suppl_3.24
The Nursing Workforce Report (2012) Prepared by the Kenya Ministry of Health (MOH), the Nursing Council of Kenya (NCK), the Kenya Health Workforce Project, Emory University, and US Centers for Disease Control (CDC). http://www.health.go.ke/wp-content/uploads/2015/09/Kenya%20Nursing%20Workforce%20Report.pdf (accessed 1 February 2019).
Timmins, F., and S. Caldeira (2017) “Understanding Spirituality and Spiritual Care in Nursing”. Nursing Standard 31(22): 50–57. https://doi.org/10.7748/ns.2017.e10311
United Nations Population fund (UNFPA) (2015) Girlhood, not MotherHood: Preventing Adolescent Pregnancy, http://www.unfpa.org/publications/girlhood-not-motherhood (accessed 31 January 2018).
VandeCreek, L., and L. Burton (2001) “Professional Chaplaincy: Its Role and Importance in Healthcare”. Journal of Pastoral Care & Counseling 55(1): 81–97. https://doi.org/10.1177/002234090105500109
VanderWeele, T. J., T. A. Balboni and H. K. Koh (2017) “Health and Spirituality”. The Journal of American Medical Association 318(6): 519–20. https://doi.org/10.1001/jama.2017.8136
Vaught, M. (2015) Training Nurses to Save Mothers and Babies in East Africa. Rotary Report. http://reliefweb.int/report/kenya/training-nurses-save-mothers-and-babies-east-africa (accessed 5 March 2019).
Wilson, D. R. (2014) “Holistic Ethics”. International Journal of Childbirth Education 29(4): 4.
World Health Organization (2008) The Global Burden of Disease: 2004 Update. Geneva: World Health Organization.
—(2016) Maternal mortality, Fact sheet Updated November 2016, http://www.who.int/mediacentre/factsheets/fs348/en/ (accessed 4 December 2018).
WHO (2016) Constitution of WHO – Principles: Definition of Health? Geneva: World Health Organization, http://www.who.int/about/mission/en/
Zehtab, S., and M. Adib-Hajbaghery (2014) “The Importance of Spiritual Care in Nursing”. Nurse Midwifery Studies 3(3): e22261. http://dx.doi.org/10.17795/nmsjournal22261
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