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‘Not me!’ a qualitative, vignette-based study of nurses’ and physicians’ reactions to spiritual distress on neuro-oncological units

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Title: ‘Not me!’ a qualitative, vignette-based study of nurses’ and physicians’ reactions to spiritual distress on neuro-oncological units
Authors: Daniela Völz, Reinhard Grabenweger, Megan C. Best, Peter Hau, Kate F. Jones, Ralf Linker, Piret Paal, Elisabeth Bumes
Source: Support Care Cancer
Publisher Information: Research Square Platform LLC, 2023.
Publication Year: 2023
Subject Terms: Male, Adult, Attitude of Health Personnel, 610 Medizin, Nurses, Germany, Physicians, Surveys and Questionnaires, Medicine and Health Sciences, Humans, Spirituality, Qualitative Research, ddc:610, Spiritual distress · Brain tumor · Attitude · Spiritual care · Neuro-oncology, Brain Neoplasms, Research, Middle Aged, 16. Peace & justice, Surveys and Questionnaires [MeSH], Female [MeSH], Attitude, Adult [MeSH], Humans [MeSH], Neuro-oncology, Spiritual distress, Middle Aged [MeSH], Cross-Sectional Studies [MeSH], Physicians/psychology [MeSH], Qualitative Research [MeSH], Male [MeSH], Spiritual care, Brain tumor, Attitude of Health Personnel [MeSH], Brain Neoplasms/psychology [MeSH], Germany [MeSH], Nurses/psychology [MeSH], Stress, Psychological/etiology [MeSH], Spirituality [MeSH], 3. Good health, Cross-Sectional Studies, spiritual care, attitude, Female, spiritual distress, neuro-oncology, brain tumor, Stress, Psychological
Description: Purpose People with primary malignant brain tumors experience serious health-related suffering caused by limited prognosis and high symptom burden. The aim of this study was to analyze the attitudes and behavior of nurses and physicians when confronted with spiritual distress in these patients. Methods Neurospirit-DE is a qualitative vignette-based, multicentre, cross-sectional online survey that was conducted in Bavaria, Germany. Reflexive Thematic Analysis was used for data analysis. Results A total of 143 nurses and physicians working in neurological and neurosurgical wards in 46 hospitals participated in the survey. The participants questioned if the ability to provide spiritual care can be learned or is a natural skill. Spiritual care as a responsibility of the whole team was highlighted and the staff reflected on the appropriate way of involving spiritual care experts. The main limitations to spiritual care were a lack of time and not viewing spiritual engagement as part of the professional role. Some were able to personally benefit from spiritual conversations with patients, but many participants criticized the perceived emotional burden while expressing the imminent need for specific training and team reflection. Conclusions Most neuro-oncological nurses and physicians perceive spiritual care as part of their duty and know how to alleviate the patient’s spiritual distress. Nonetheless, validation of spiritual assessment tools for neuro-oncology and standardized documentation of patients' distress, shared interprofessional training, and reflection on the professional and personal challenges faced when confronted with spiritual care in neuro-oncology require further improvement.
Document Type: Article
Other literature type
File Description: application/pdf
ISSN: 1433-7339
0941-4355
DOI: 10.21203/rs.3.rs-3474623/v1
DOI: 10.1007/s00520-024-08704-y
DOI: 10.5283/epub.58646
DOI: 10.5283/epub.5864610.1007/s00520-024-08704-y
Access URL: https://pubmed.ncbi.nlm.nih.gov/38985361
https://repository.publisso.de/resource/frl:6490189
https://epub.uni-regensburg.de/58646/
Rights: CC BY
Accession Number: edsair.doi.dedup.....5259fd0f8b1e4548c34fa425cfb44e2e
Database: OpenAIRE
Description
Abstract:Purpose People with primary malignant brain tumors experience serious health-related suffering caused by limited prognosis and high symptom burden. The aim of this study was to analyze the attitudes and behavior of nurses and physicians when confronted with spiritual distress in these patients. Methods Neurospirit-DE is a qualitative vignette-based, multicentre, cross-sectional online survey that was conducted in Bavaria, Germany. Reflexive Thematic Analysis was used for data analysis. Results A total of 143 nurses and physicians working in neurological and neurosurgical wards in 46 hospitals participated in the survey. The participants questioned if the ability to provide spiritual care can be learned or is a natural skill. Spiritual care as a responsibility of the whole team was highlighted and the staff reflected on the appropriate way of involving spiritual care experts. The main limitations to spiritual care were a lack of time and not viewing spiritual engagement as part of the professional role. Some were able to personally benefit from spiritual conversations with patients, but many participants criticized the perceived emotional burden while expressing the imminent need for specific training and team reflection. Conclusions Most neuro-oncological nurses and physicians perceive spiritual care as part of their duty and know how to alleviate the patient’s spiritual distress. Nonetheless, validation of spiritual assessment tools for neuro-oncology and standardized documentation of patients' distress, shared interprofessional training, and reflection on the professional and personal challenges faced when confronted with spiritual care in neuro-oncology require further improvement.
ISSN:14337339
09414355
DOI:10.21203/rs.3.rs-3474623/v1