Nurses Caring for the Spirit: Patients With Cancer and Family Caregiver Expectations

Elizabeth Johnston Taylor

ONF 2003, 30(4), 585-590. DOI: 10.1188/03.ONF.585-590

Purpose/Objectives: To determine what patients with cancer and primary family caregivers expect from nurses with regard to having their spiritual needs addressed.

Research Approach: Descriptive, cross-sectional, qualitative study using Miles and Huberman's approach to data reduction.

Setting: Outpatient and inpatient settings in a county hospital and a comprehensive cancer center, both located in a large, southwestern, metropolitan area.

Participants: 28 African American and Euro-American adult patients with cancer and primary family caregivers were purposively selected to provide variation of experiences (e.g., religious backgrounds).

Methodologic Approach: In-depth, semistructured, tape-recorded interviews conducted by the investigator. Analysis of transcribed interviews concurrently with data collection followed a process of data concentration, data display, and conclusion drawing.

Main Research Variables: Spiritual needs, spiritual care.

Findings: Informants identified nursing approaches for spiritual needs, including kindness and respect; talking and listening; prayer; connecting with symmetry, authenticity, and physical presence; quality temporal nursing care; and mobilizing religious or spiritual resources. To provide spiritual care, nurses must possess requisites of a personal, relational, or professional nature.

Conclusions: Although some patients or caregivers do not want overt forms of spiritual care, others are eager for them. Many recognize non-religious actions or attitudes that nurses can practice to care for spiritual needs.

Interpretation: Nurses must consider how they can address patient preconceptions and requisites for spiritual caregiving. Nurses may need to educate the public regarding their role as holistic and spiritual healthcare providers.

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    References

    American Association of Colleges of Nursing. (1998). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

    Barnum, B.S. (1996). Spirituality in nursing: From traditional to new age. New York: Springer.

    Bauer, T., & Barren, C. (1995). Nursing interventions for spiritual care: Preferences of the community-based elderly. Journal of Holistic Nursing, 13, 268-279.

    Carey, M.A. (1997). Qualitative research in policy development. In J.M. Morse (Ed.), Completing a qualitative project: Details and dialogue (pp. 345-354). Thousand Oaks, CA: Sage.

    Conco, D. (1995). Christian patients' views of spiritual care. Western Journal of Nursing Research, 17, 266-276.

    Emblen, J.D., & Halstead, L. (1993). Spiritual needs and interventions: Comparing the views of patients, nurses, and chaplains. Clinical Nurse Specialist, 7, 175-182.

    Fitchett, G. (1993). Assessing spiritual needs: A guide for caregivers. Minneapolis, MN: Augsberg.

    Flannelly, L.T., Flannelly, K.J., & Weaver, A.J. (2002). Religious and spiritual variables in three major oncology nursing journals: 1990-1999. Oncology Nursing Forum, 29, 679-685.

    Highfield, M.F. (1992). Spiritual health of oncology patients: Nurse and patient perspectives. Cancer Nursing, 15, 1-8.

    International Council of Nurses. (2000). The ICN code of ethics for nurses. Retrieved April 16, 2003, from http://www.icn.ch/icncode.pdf

    Joint Commission on Accreditation of Healthcare Organizations. (2000). Hospital accreditation standards. Oakbrook, IL: Author.

    King, D.E., & Bushwick, B. (1994). Beliefs and attitudes of hospital inpatients about faith healing and prayer. Journal of Family Practice, 39, 349-352.

    Koenig, H.G. (2001). Religion and medicine IV: Religion, physical health, and clinical implications. International Journal of Psychiatry in Medicine, 31, 321-326.

    Kuuppelomaki, M. (2002). Spiritual support for families of patients with cancer: A pilot study of nursing staff assessments. Cancer Nursing, 25, 209-218.

    Levin, J. (1994). Religion and health: Is there an association, is it valid, and is it causal? Social Science and Medicine, 38, 1475-1482.

    Martin, C., Burrows, C., & Pomilio, J. (1978). Spiritual needs of patients study. In S. Fish & J.A. Shelly (Eds.), Spiritual care: The nurse's role (pp. 150-166). Downers Grove, IL: InterVarsity Press.

    Miles, M.B., & Huberman, A.M. (1994). Qualitative data analysis: An expanded sourcebook (2nd ed.). Thousand Oaks, CA: Sage.

    Moller, M.D. (1999). Meeting spiritual needs on an inpatient unit. Journal of Psychosocial and Mental Health Services, 37(11), 5-10.

    Narayanasamy, A., & Owens, J. (2001). A critical incident study of nurses' responses to the spiritual needs of their patients. Journal of Advanced Nursing, 33, 446-455.

    Oyama, O., & Koenig, H.G. (1998). Religious beliefs and practices in family medicine. Archives of Family Medicine, 7, 431-435.

    Pruyser, P.W. (1976). The minister as diagnostician. Philadelphia: Westminster Press.

    Reed, P.G. (1991). Preferences for spiritually related nursing interventions among terminally ill and nonterminally ill hospitalized adults and well adults. Applied Nursing Research, 4, 122-128.

    Sellers, S.C. (2001). The spiritual care meanings of adults residing in the midwest. Nursing Science Quarterly, 14, 239-248.

    Sellers, S.C., & Haag, B.A. (1998). Spiritual nursing interventions. Journal of Holistic Nursing, 16, 338-354.

    Sodestrom, K., & Martinson, I.M. (1987). Patient's spiritual coping strategies: A study of nurse and patient perspectives. Oncology Nursing Forum, 14(2), 41-45.

    Taylor, E. J. (2002). Spiritual care: Nursing theory, research, and practice. Upper Saddle River, NJ: Prentice Hall.

    Taylor, E.J., Amenta, M.O., & Highfield, M.F. (1995). Spiritual care practices of oncology nurses. Oncology Nursing Forum, 22, 31-39.

    Taylor, E.J., Highfield, M., & Amenta, M. (1994). Attitudes and beliefs regarding spiritual care: A survey of cancer nurses. Cancer Nursing, 17, 479-487.

    Tuck, I., Pullen, L., & Lynn, C. (1997). Spiritual interventions provided by mental health nurses. Western Journal of Nursing Research, 19, 351-363.

    Wright, M.C. (2002). The essence of spiritual care: A phenomenological enquiry. Palliative Medicine, 16, 125-132.