Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
권호 표지
DOI QR코드

DOI QR Code

Spiritual Care Guide in HospiceㆍPalliative Care

  • Kyung-Ah Kang (College of Nursing, Sahmyook University) ;
  • Do-Bong Kim (Holistic Healing Institute, G-Sam Hospital) ;
  • Su-Jin Koh (Ulsan University College of Medicine, Ulsan University Hospital) ;
  • Myung-Hee Park (Hospice & Palliative Care Center, Seoul St. Mary's Hospital, The Catholic University of Korea) ;
  • Hye Yoon Park (Department of Psychiatry, Seoul National University Hospital, Seoul National University, College of Medicine) ;
  • Deuk Hyoung Yoon (Methodist Theological University) ;
  • Soo-Jin Yoon (Dongbaek St. Luke's Hospital) ;
  • Su-Jeong Lee (Regional Hospice Center, Chungnam University Hospital) ;
  • JI-Eun Choi (Metro Hosital) ;
  • Hyoung-Suk Han (Center for Palliative Care & Clinical Ethics, Seoul National University Hospital) ;
  • Jiyoung Chun (College of Nursing, Sahmyook University)
  • Received : 2023.10.31
  • Accepted : 2023.11.02
  • Published : 2023.12.01
Download PDF
⟨ Previous Next ⟩

Abstract

The Spiritual Care Guide in HospiceㆍPalliative Care is evidence-based and focuses on the universal and integral aspects of human spirituality-such as meaning and purpose, interconnectedness, and transcendence-which go beyond any specific religion. This guide was crafted to improve the spiritual well-being of adult patients aged 19 and older, as well as their families, who are receiving end-of-life care. The provision of spiritual care in hospice and palliative settings aims to assist patients and their families in finding life's meaning and purpose, restoring love and relationships, and helping them come to terms with death while maintaining hope. It is recommended that spiritual needs and the interventions provided are periodically reassessed and evaluated, with the findings recorded. Additionally, hospice and palliative care teams are encouraged to pursue ongoing education and training in spiritual care. Although challenges exist in universally applying this guide across all hospice and palliative care organizations in Korea-due to varying resources and the specific environments of medical institutions-it is significant that the Korean Society for Hospice and Palliative Care has introduced a spiritual care guide poised to enhance the spiritual well-being and quality of care for hospice and palliative care patients.

Keywords

Acknowledgement

This study was supported by the Health Promotion Fund, Ministry of Health & Welfare, Republic of Korea (2360110-1).

References

  1. Balboni TA, Fitchett G, Handzo GF, Johnson KS, Koenig HG, Pargament KI, et al. State of the science of spirituality and palliative care research part II: screening, assessment, and interventions. J Pain Symptom Manage 2017;54:441-53. https://doi.org/10.1016/j.jpainsymman.2017.07.029
  2. Cherny NI, Fallon MT, Kaasa S, et al. Oxford textbook of palliative medicine. 5th ed. Oxford: Oxford University Press; 2015.
  3. Groot M, Ebenau AF, Koning H, Visser A, Leget C, van Laarhoven HWM, et al. Spiritual care by nurses in curative cancer care: protocol for a national, multicentre, mixed method study. J Adv Nurs 2017;73:2201-7. https://doi.org/10.1111/jan.13332
  4. Hoosen M, Roman NV, Mthembu TG. The development of guidelines for the inclusion of spirituality and spiritual care in unani tibb practice in South Africa: a study protocol. J Relig Health 2022;61:1261-81. https://doi.org/10.1007/s10943-020-01105-5
  5. Jafari N, Farajzadegan Z, Zamani A, Bahrami F, Emami H, Loghmani A. Spiritual well-being and quality of life in Iranian women with breast cancer undergoing radiation therapy. Support Care Cancer 2013;21:1219-25. https://doi.org/10.1007/s00520-012-1650-1
  6. Kang KA, Choi YS. Comparison of the spiritual needs of terminal cancer patients and their primary family caregivers. Korean J Hosp Palliat Care 2020;23:55-70. https://doi.org/10.14475/kjhpc.2020.23.2.55
  7. Kang KA, Kim SJ. Comparison of perceptions of spiritual care among patients with life-threatening cancer, primary family caregivers and hospice/palliative care nurses in South Korea. J Hosp Palliat Nurs 2020;22:532-51. https://doi.org/10.1097/NJH.0000000000000697
  8. Moosavi S, Borhani F, Akbari ME, Sanee N, Rohani C. Recommendations for spiritual care in cancer patients: a clinical practice guideline for oncology nurses in Iran. Support Care Cancer 2020;28:5381-95. https://doi.org/10.1007/s00520-020-05390-4
  9. NHS. Standards for spiritual care services in the NHS in Wales [Internet]. London: National Health Service; 2009 [cited 2023 Oct 28]. Available from: http://www.wales.nhs.uk.
  10. Puchalski CM, Vitillo R, Hull SK, Reller N. Improving the spiritual dimension of whole person care: reaching national and international consensus. J Palliat Med 2014;17:642-56. https://doi.org/10.1089/jpm.2014.9427
  11. Salsman JM, Pustejovsky JE, Jim HS, Munoz AR, Merluzzi TV, George L, et al. A meta-analytic approach to examining the correlation between religion/spirituality and mental health in cancer. Cancer 2015;121:3769-78. https://doi.org/10.1002/cncr.29350
  12. Spiritual Health Association. Guidelines for quality spiritual care in health. Melbourne: Spiritual Health Association; 2020.
  13. Agora Spiritual Care Guideline Working Group. Spiritual Care: National Guideline. version: 1.0. Oncoline. Groningen: Integraal Kankercentrum Noord-Nederland; 2013.
  14. National Consensus Project for Quality Palliative Care. Clinical practice guidelines for quality palliative care, 4th ed [Internet]. Richmond, VA: National Coalition for Hospice and Palliative Care; 2018 [cited 2023 Oct 28]. Available from: https://www.nationalcoalitionhpc.org/ncp.
  15. American National Red Cross. Disaster spiritual care standards and procedures, disaster cycle services standards and procedures, DCS SP Respond. [Washington]: American National Red Cross; c2015.
  16. Nolan S, Saltmarsh P, Leget C. Spiritual care in palliative care: working towards and EAPC Task Force. European J Palliat Care 2011;18:86-9.
  17. Spiritual Health Association. Guidelines for quality spiritual care in health. Melbourne:Spiritual Health Association;2020.
  18. Cooper D, Barnes P, Horst G. How spiritual care practitioners provide care In Canadian hospice palliative care settings: Recommended advanced practice guidelines and commentary. Ottawa: Spiritual Advisors Interest Group, Canadian Hospice Palliative Care Association; 2013.
  19. Providence Health and Services. Standards of excellence for spiritual care [Internet]. Milwaukee, WI: National Association of Catholic Chaplains; 2007 [cited 2023 Oct 28]. Available from: https://www.nacc.org.
  20. University of Hull, Staffordshire and Aberdeen. Spiritual care at the end of life: a systematic review of the literature. London, SE; Department of Health; 2011.
  21. Korean Society for Hospice and Palliative Care. Spiritual care guideline in hospice.palliative care. Seoul; Korean Society for Hospice and Palliative Care: 2022.
  22. Braam AW. Towards a multidisciplinary guideline religiousness, spirituality, and psychiatry: what do we need? Mental Health, Religion & Culture 2017;20:579-88. https://doi.org/10.1080/13674676.2017.1377949
  23. Freire J, Moleiro C. Religiosity, Spirituality, and Mental Health in Portugal: a call for a conceptualization, relationship, and guidelines for integration (a theoretical review). Psicologia 2015;29:17-32. https://doi.org/10.17575/rpsicol.v29i2.1006
  24. Moreira-Almeida A, Koenig HG, Lucchetti G. Clinical implications of spirituality to mental health: review of evidence and practical guidelines. Braz J Psychiatry 2014;36:176-82. https://doi.org/10.1590/1516-4446-2013-1255
  25. National Health Service. Spiritual care strategy 2023-2026. Clydebank: NHS Golden Jubilee; 2023.
  26. Kang KA, Kim SJ, Kim DB, Park MH, Yoon SJ, Choi SE, et al. A meaning-centered spiritual care training program for hospice palliative care teams in South Korea: development and preliminary evaluation. BMC Palliative Care 2021;20;30.
  27. Puchalski C, Ferrell B, Virani R, Otis-Green S, Baird P, Bull J, et al. Improving the quality of spiritual care as a dimension of palliative care: the report of the Consensus Conference. J Palliat Med 2009;12:885-904. https://doi.org/10.1089/jpm.2009.0142
  28. Taylor EJ. Chapter 34. Spiritual screening, history, and assessment. In: Ferrell BR, Paice JA, eds. Oxford textbook of palliative nursing. 5th ed. New York:Oxford University Press;2019.
  29. Park JK. Reflections and implications of the hospice quality outcomes reporting program (HQRP) in the United States. HIRA Policy Brief 2017;11:63-74.