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Spiritual care provided by nursing home physicians : a nationwide survey

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Abstract
Objective To examine perceptions and experiences regarding providing spiritual care at the end of life of elderly care physicians practising in nursing homes in the Netherlands, and factors associated with spiritual care provision. Methods A cross-sectional survey was sent to a representative sample of 642 elderly care physicians requesting information about their last patient who died and the spiritual care they provided. We compared their general perception of spiritual care with spiritual and other items abstracted from the literature and variables associated with the physicians' provision of spiritual care. Self-reported reasons for providing spiritual care were analysed with qualitative content analysis. Results The response rate was 47.2%. Almost half (48.4%) provided spiritual end-of-life care to the last resident they cared for. Half (51.8%) identified all 15 spiritual items, but 95.4% also included psychosocial items in their perception of spirituality and 49.1% included other items. Physicians who included more non-spiritual items reported more often that they provided spiritual care, as did more religious physicians and those with additional training in palliative care. Reasons for providing spiritual care included a request by the resident or the relatives, resident's religiousness, fear of dying and involvement of a healthcare chaplain. Conclusion Most physicians perceived spirituality as a broad concept and this increased self-reported spiritual caregiving. Religious physicians and those trained in palliative care may experience fewer barriers to providing spiritual care. Additional training in reflecting upon the physician's own perception of spirituality and training in multidisciplinary spiritual caregiving may contribute to the quality of end-of-life care for nursing home residents.
Keywords
spiritual care, nursing home care, terminal care, spirituality, palliativecare, END-OF-LIFE, PALLIATIVE CARE, ADVANCED CANCER, QUALITY, INVENTORY, DEMENTIA, PEOPLE, DEATH, NEEDS

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MLA
Gijsberts, Marie-José HE, et al. “Spiritual Care Provided by Nursing Home Physicians : A Nationwide Survey.” BMJ SUPPORTIVE & PALLIATIVE CARE, vol. 10, no. 4, 2020, pp. 1–9, doi:10.1136/bmjspcare-2018-001756.
APA
Gijsberts, M.-J. H., van der Steen, J. T., Hertogh, C. M., & Deliens, L. (2020). Spiritual care provided by nursing home physicians : a nationwide survey. BMJ SUPPORTIVE & PALLIATIVE CARE, 10(4), 1–9. https://doi.org/10.1136/bmjspcare-2018-001756
Chicago author-date
Gijsberts, Marie-José HE, Jenny T van der Steen, Cees MPM Hertogh, and Luc Deliens. 2020. “Spiritual Care Provided by Nursing Home Physicians : A Nationwide Survey.” BMJ SUPPORTIVE & PALLIATIVE CARE 10 (4): 1–9. https://doi.org/10.1136/bmjspcare-2018-001756.
Chicago author-date (all authors)
Gijsberts, Marie-José HE, Jenny T van der Steen, Cees MPM Hertogh, and Luc Deliens. 2020. “Spiritual Care Provided by Nursing Home Physicians : A Nationwide Survey.” BMJ SUPPORTIVE & PALLIATIVE CARE 10 (4): 1–9. doi:10.1136/bmjspcare-2018-001756.
Vancouver
1.
Gijsberts M-JH, van der Steen JT, Hertogh CM, Deliens L. Spiritual care provided by nursing home physicians : a nationwide survey. BMJ SUPPORTIVE & PALLIATIVE CARE. 2020;10(4):1–9.
IEEE
[1]
M.-J. H. Gijsberts, J. T. van der Steen, C. M. Hertogh, and L. Deliens, “Spiritual care provided by nursing home physicians : a nationwide survey,” BMJ SUPPORTIVE & PALLIATIVE CARE, vol. 10, no. 4, pp. 1–9, 2020.
@article{8612490,
  abstract     = {{Objective

To examine perceptions and experiences regarding providing spiritual care at the end of life of elderly care physicians practising in nursing homes in the Netherlands, and factors associated with spiritual care provision.

Methods

A cross-sectional survey was sent to a representative sample of 642 elderly care physicians requesting information about their last patient who died and the spiritual care they provided. We compared their general perception of spiritual care with spiritual and other items abstracted from the literature and variables associated with the physicians' provision of spiritual care. Self-reported reasons for providing spiritual care were analysed with qualitative content analysis.

Results

The response rate was 47.2%. Almost half (48.4%) provided spiritual end-of-life care to the last resident they cared for. Half (51.8%) identified all 15 spiritual items, but 95.4% also included psychosocial items in their perception of spirituality and 49.1% included other items. Physicians who included more non-spiritual items reported more often that they provided spiritual care, as did more religious physicians and those with additional training in palliative care. Reasons for providing spiritual care included a request by the resident or the relatives, resident's religiousness, fear of dying and involvement of a healthcare chaplain.

Conclusion

Most physicians perceived spirituality as a broad concept and this increased self-reported spiritual caregiving. Religious physicians and those trained in palliative care may experience fewer barriers to providing spiritual care. Additional training in reflecting upon the physician's own perception of spirituality and training in multidisciplinary spiritual caregiving may contribute to the quality of end-of-life care for nursing home residents.}},
  author       = {{Gijsberts, Marie-José HE and van der Steen, Jenny T and Hertogh, Cees MPM and Deliens, Luc}},
  issn         = {{2045-435X}},
  journal      = {{BMJ SUPPORTIVE & PALLIATIVE CARE}},
  keywords     = {{spiritual care,nursing home care,terminal care,spirituality,palliativecare,END-OF-LIFE,PALLIATIVE CARE,ADVANCED CANCER,QUALITY,INVENTORY,DEMENTIA,PEOPLE,DEATH,NEEDS}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{1--9}},
  title        = {{Spiritual care provided by nursing home physicians : a nationwide survey}},
  url          = {{http://dx.doi.org/10.1136/bmjspcare-2018-001756}},
  volume       = {{10}},
  year         = {{2020}},
}

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